The benefits of multivitamins are looking doubtful. Can we do without them?

The answer is a qualified yes – we can do without them, as long as you eat a well-balanced diet rich in fruits and vegetables.

In the past, doctors often suggested a standard multivitamin with minerals each day. They don't cost much, and earlier studies had shown some benefits. For example, it appeared that folic acid and other B vitamins might lower the risk of heart disease, stroke and possibly cancer. But more recent studies have shown no added benefit of multivitamins for healthy people that eat a balanced diet.

Experts agree that the best way to get the nutrients we need is through food. A balanced diet — one containing plenty of fruits, vegetables, and whole grains — offers a mix of vitamins, minerals, and other nutrients (some yet to be identified) that collectively meet the body's needs. Maybe what counts is the synergistic interactions of these nutrients — which might also help explain why trials of single nutrients often don't pan out.

Still, there are some reasons for certain people to take vitamins.

Women should take 400 micrograms of folic acid a day during their childbearing years. This is the amount in a standard multiple vitamin. Taking in enough folic acid helps prevent pregnant women from having a baby born with spina bifida.

Also, people that aren't exposed to sunlight too often — which can cause a lack of vitamin D — may benefit from a multivitamin. We need sunlight to change the inactive form of vitamin D in our skin to the active form. Most people in the upper half of the northern hemisphere don't get enough sunlight during winter and most of spring and fall as well. Also, we have been told to avoid sunlight because it ages our skin and causes some types of skin cancers.

Here's another reason to take multivitamins: it may help slow down macular degeneration. This eye disease is seen mainly in older people. But it's not clear whether vitamins actually prevent the disease.

Strict vegetarians should take vitamin B 12 . They may also need an iron supplement.

The doses in standard multivitamins are safe. If your diet has too little of any vitamin or mineral, multivitamins are still a very low-cost way to protect yourself against vitamin deficiencies.

For those trying to keep down the calories while making sure they get the vitamins and minerals they need, here are some nutrient-dense foods*:

Avocados

Chard, collard greens, kale, mustard greens, spinach

Bell peppers

Brussels sprouts

Mushrooms (crimini and shiitake)

Baked potatoes

Sweet potatoes

Cantaloupe, papaya, raspberries, strawberries

Low-fat yogurt

Eggs

Seeds (flax, pumpkin, sesame, and sunflower)

Dried beans (garbanzo, kidney, navy, pinto)

Lentils, peas

Almonds, cashews, peanuts

Barley, oats, quinoa, brown rice

Salmon, halibut, cod, scallops, shrimp, tuna

Lean beef, lamb, venison

Chicken, turkey *Foods that have a lot of nutrients relative to the number of calories.

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