can vitamins help your heart?

Q: I take a multivitamin every day plus extra folic acid and vitamin E. Do folic acid and vitamin E decrease my risk of heart disease?

A: Scientific data on antioxidant vitamin supplements, such as folic acid, beta-carotene, and vitamins A, C, and E, have been contradictory. Some studies have found an association between a lower risk of cardiovascular disease and supplement use, but other studies have shown an increased risk. Recent recommendations from the American Heart Association state that antioxidant supplements (such as vitamins A, C, and E, and beta-carotene) and folic acid should not be used for primary or secondary prevention of coronary heart disease. It's better to get your vitamins and minerals in the form of brightly colored fruits, vegetables, and whole grains.

Jennifer H. Mieres, M.D., is director of nuclear cardiology and associate professor of clinical medicine at New York University. She's also a spokesperson for the American Heart Association.