rct
    2008
    High Quality

    Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians' Health Study II randomized controlled trial

    Sesso HD, Buring JE, Christen WG, Kurth T, Belanger C, MacFadyen J, Bubes V, Manson JE, Glynn RJ, Gaziano JM

    Published in JAMA, Vol. 300, pp. 2123-2133

    Methodology

    Randomised, double-blind, placebo-controlled factorial trial in 14,641 US male physicians aged 50+, testing 500 mg/day vitamin C and 400 IU alternate-day vitamin E over a mean 8 years of follow-up for major cardiovascular events.

    Key Findings

    There was no significant effect of vitamin C on major cardiovascular events, myocardial infarction, stroke or cardiovascular mortality over a mean 8 years, and 1245 major events occurred overall.

    Conclusions

    Long-term high-dose vitamin C supplementation did not reduce cardiovascular events in generally well-nourished men, arguing against systemic antioxidant benefit at the hard-outcome level.

    Limitations

    Male physicians only, generally well-nourished with adequate baseline vitamin C, so results may not extend to deficient populations.

    Supplements Studied

    Vitamin E
    Vitamin

    Neither vitamin E nor vitamin C reduced major cardiovascular events in male physicians.

    Vitamin C
    Vitamin

    There also was no significant effect of vitamin C on major cardiovascular events.

    Outcomes Measured

    There also was no significant effect of vitamin C on major cardiovascular events.

    Vitamin E provided no reduction in major cardiovascular events in long-term follow-up.

    Related Health Concerns

    Study Details

    Year:2008
    Sample Size:14,641
    Duration:416 weeks
    Quality Score:10/10

    Disclosures

    Funding

    National Institutes of Health (with donated agents from BASF and others)

    This information is for educational purposes only. Always consult a healthcare professional before starting any supplement regimen.