Vitamin E supplementation and pneumonia risk in males who initiated smoking at an early age: effect modification by body weight and dietary vitamin C
2008

Vitamin E and Pneumonia Risk in Male Smokers

Sample size: 21657 publication 10 minutes Evidence: moderate

Author Information

Author(s): Harri Hemilä, Jaakko Kaprio

Primary Institution: University of Helsinki

Hypothesis

Does body weight modify the effect of vitamin E supplementation on pneumonia risk in male smokers who started smoking at an early age?

Conclusion

Vitamin E supplementation may cause harmful effects on health in certain groups of male smokers.

Supporting Evidence

  • Vitamin E increased pneumonia risk in participants with body weight less than 60 kg.
  • Vitamin E increased pneumonia risk in participants with body weight over 100 kg.
  • The harm of vitamin E supplementation was restricted to participants with dietary vitamin C intake above the median.

Takeaway

Taking vitamin E supplements might make some male smokers more likely to get pneumonia, especially if they weigh less than 60 kg or more than 100 kg.

Methodology

The study analyzed data from the ATBC Study, focusing on male smokers aged 50-69 who started smoking before age 20, using proportional hazards regression models.

Potential Biases

Potential biases may arise from the observational nature of the study and subgroup analyses.

Limitations

The study's findings may not apply to all smokers, as the harmful effects were restricted to specific subgroups.

Participant Demographics

Males aged 50-69 years who smoked at least 5 cigarettes per day.

Statistical Information

P-Value

0.002

Confidence Interval

1.03 to 2.53 for low body weight; 1.07 to 5.08 for high body weight

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1475-2891-7-33

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