Meta-Analysis: High-Dosage Vitamin E Supplementation May Increase All-Cause Mortality

Figure 4. Area of each square is proportional to inverse of study variance in the analysis. Horizontal lines represent 95%
CIs. We restricted data from factorial trials to participants who were not exposed to the second factorial intervention, except
for the Heart Outcomes Prevention Evaluation ( ) study and the Medical Research Council/British Heart Foundation Heart Protection
Study ( ) (in which no disaggregated data were available) and for the Linxian A trial (which used a fractional factorial design).
For these trials and the trials that did not use a factorial design, we kept the results from 2-way analyses. ADCS = Alzheimer's
Disease Cooperative Study; AREDS = Age-Related Eye Diseases Study; ATBC = Alpha-Tocopherol, Beta Carotene Cancer Prevention
Study Group; CHAOS = Cambridge Heart Antioxidant Study; DATATOP = Deprenyl and Tocopherol Antioxidative Therapy of Parkinsonism;
GISSI-Prevenzione = Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarcto Miocardio Prevenzione; MIN.VIT.AOX = The
Geriatrie/MINéraux, VITamines, et AntiOXydants Network; PPP = Primary Prevention Project; PPS = Polyp Prevention Study; REACT
= Roche European American Cataract Trial; SPACE = Secondary Prevention with Antioxidants of Cardiovascular disease in Endstage
renal disease; SU.VI.MAX = SUpplementation en VItamines et Minéraux AntioXydants; VECAT = Vitamin E, Cataracts, and Age-Related
Maculopathy; WAVE = Women's Angiographic Vitamin and Estrogen.
Risk difference in all-cause mortality for randomized, controlled trials of vitamin E supplementation and pooled results for
low-dosage (<400 IU/d) and high-dosage (≥400 IU/d) vitamin E trials based on 4-way analyses of trials that used a factorial
design.HOPE(44)MRC/BHF HPS(49)(36)
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Published online before print
November 10, 2004,
Ann Intern Med
January 4, 2005
vol. 142
no. 1
37-46