Prospective association between lipid soluble antioxidants and coronary heart disease in men : The Multiple Risk Factor intervention Trial

A nested case-control study was performed using participants enrolled in the Multiple Risk Factor Intervention Trial (MRFIT). The cases involved nonfatal myocardial infarction or death from coronary heart disease. Serum samples (n = 734) obtained at baseline and frozen for approximately 20 years wer...

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Veröffentlicht in:American journal of epidemiology 1998-01, Vol.147 (2), p.180-186
Hauptverfasser: EVANS, R. W, SHATEN, B. J, DAY, B. W, KULLER, L. H
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container_title American journal of epidemiology
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SHATEN, B. J
DAY, B. W
KULLER, L. H
description A nested case-control study was performed using participants enrolled in the Multiple Risk Factor Intervention Trial (MRFIT). The cases involved nonfatal myocardial infarction or death from coronary heart disease. Serum samples (n = 734) obtained at baseline and frozen for approximately 20 years were analyzed for the antioxidants, carotenoids, retinol, and alpha-, gamma-, and total tocopherol. The concentrations of antioxidants were in the expected range and their association with low density lipoprotein (LDL) cholesterol reflected their absorption and transport mechanisms. Among nonsmokers, the odds ratios (95% confidence intervals (CI)) for quartile IV versus quartile I were 1.40 (0.40-4.89), 0.77 (0.20-2.96), 1.45 (0.38-5.56), 2.34 (0.56-9.81), and 2.40 (0.52-11.07) for retinol, total carotenoids, and alpha-, gamma-, and total tocopherol, respectively. The equivalent odds ratios (95% CI) for smokers were 0.90 (0.34-2.41), 0.66 (0.23-1.84), 0.67 (0.21-2.13), 2.04 (0.88-4.73), and 0.52 (0.16-1.67), respectively. This analysis of antioxidant concentrations by quartiles indicated no significant association of antioxidant levels with the risk of coronary disease death or nonfatal myocardial infarction.
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Among nonsmokers, the odds ratios (95% confidence intervals (CI)) for quartile IV versus quartile I were 1.40 (0.40-4.89), 0.77 (0.20-2.96), 1.45 (0.38-5.56), 2.34 (0.56-9.81), and 2.40 (0.52-11.07) for retinol, total carotenoids, and alpha-, gamma-, and total tocopherol, respectively. The equivalent odds ratios (95% CI) for smokers were 0.90 (0.34-2.41), 0.66 (0.23-1.84), 0.67 (0.21-2.13), 2.04 (0.88-4.73), and 0.52 (0.16-1.67), respectively. 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Vascular system</topic><topic>Carotenoids - blood</topic><topic>Cohort Studies</topic><topic>Coronary Disease - blood</topic><topic>Coronary heart disease</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - blood</topic><topic>Prospective Studies</topic><topic>Statistical Distributions</topic><topic>Vitamin A - blood</topic><topic>Vitamin E - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>EVANS, R. W</creatorcontrib><creatorcontrib>SHATEN, B. J</creatorcontrib><creatorcontrib>DAY, B. W</creatorcontrib><creatorcontrib>KULLER, L. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Antioxidants - analysis
Biological and medical sciences
Cardiology. Vascular system
Carotenoids - blood
Cohort Studies
Coronary Disease - blood
Coronary heart disease
Heart
Humans
Male
Medical sciences
Middle Aged
Myocardial Infarction - blood
Prospective Studies
Statistical Distributions
Vitamin A - blood
Vitamin E - blood
title Prospective association between lipid soluble antioxidants and coronary heart disease in men : The Multiple Risk Factor intervention Trial
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