| Abstract | OBJECTIVE: To review clinical trials evaluating the safety and efficacy of vitamin E supplementation in cardiovascular disease and cancer prevention. DATA SOURCES: Using the MeSH search terms alpha-tocopherol, tocopherols, vitamin E, cardiovascular diseases, cancer, malignancy, and clinical trials, a literature review was conducted to identify peer-reviewed articles in MEDLINE (1966-July 2005). STUDY SELECTION AND DATA EXTRACTION: Published materials including original research, and previous meta-analyses were included. Only English-language articles and trials on vitamin E alone or in combination with other vitamins or minerals were reviewed. Emphasis was placed on prospective, randomized, double-blind, placebo-controlled clinical trials. DATA SYNTHESIS: Eight clinical studies demonstrated contradicting results regarding the benefits of vitamin E in the prevention of cardiovascular disease and cancer. There is enough evidence from large, well-designed studies to discourage the use of vitamin E in the primary prevention of cardiovascular disease. Secondary prevention requires more adequate clinical trials with selected populations to examine protective effects of vitamin E in cardiovascular disease. The findings of the studies reviewed do not provide evidence that vitamin E may reduce the risk of cancer; thus, at the present time, we do not recommend daily vitamin E intake for cancer prevention is not recommended. CONCLUSIONS: Available data do not support the supplementation of vitamin E in cardiovascular disease and cancer prevention. |
| Authors | David Q Pham, Roda Plakogiannis
(Affiliation: Arnold and Marie Schwartz College of Pharmacy and Health Sciences, Long Island University, Brooklyn, NY 11201-5497, USA. david.pham at liu.edu)
|
| Journal | The Annals of pharmacotherapy
(Ann Pharmacother)
Vol. 39
Issue 11
Pg. 1870-8
(Nov 2005)
ISSN: 1060-0280 United States |
| PMID | 16189282
(Publication Type: Journal Article, Meta-Analysis, Review)
|
| Chemical References |
|
| Topics |
- Cardiovascular Diseases
(drug therapy)
- Dietary Supplements
- Humans
- Neoplasms
(drug therapy, prevention & control)
- Randomized Controlled Trials as Topic
- Treatment Outcome
- Vitamin E
(pharmacology, therapeutic use)
- Vitamins
(pharmacology, therapeutic use)
|