Vitamin and dietary supplements are not associated with total or cardiovascular mortality in Switzerland: the CoLaus|PsyCoLaus prospective study

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Názov: Vitamin and dietary supplements are not associated with total or cardiovascular mortality in Switzerland: the CoLaus|PsyCoLaus prospective study
Autori: Rosa Lourenço, Pedro-Marques Vidal
Zdroj: Eur J Nutr
European journal of nutrition, vol. 64, no. 2, pp. 81
Informácie o vydavateľovi: Springer Science and Business Media LLC, 2025.
Rok vydania: 2025
Predmety: Male, Incidence, Original Contribution, Vitamins, Middle Aged, Cohort Studies, Humans, Female, Switzerland/epidemiology, Prospective Studies, Dietary Supplements/statistics & numerical data, Cardiovascular Diseases/mortality, Cardiovascular Diseases/epidemiology, Vitamins/administration & dosage, Aged, Follow-Up Studies, Risk Factors, Cardiovascular disease, Mortality, Prospective study, Vitamin supplements, Cardiovascular Diseases, Dietary Supplements, Switzerland
Popis: Purpose Vitamin-mineral and dietary supplements (VMDS) are taken by a large fraction of the population. Whether their long-term consumption impacts mortality and cardiovascular disease (CVD) has seldom been studied. Methods Prospective study from a population-based cohort from Lausanne, Switzerland. Participants were categorized as non-users (no consumption at baseline and first follow-up), persistent users (consumption at baseline and follow-up), and occasional users (consumption either at baseline or follow-up). Incidence of CVD and of total mortality was assessed after the first follow-up. Results Data from 4261 participants (57.4 ± 10.4 years, 55% females) was used. Median follow-up was 9 years (interquartile range 7.0–9.2) After multivariable analysis, no association was found between VMDS use and total mortality: hazard ratio and (95% confidence interval) 0.95 (0.71–1.28) and 0.83 (0.55–1.26) for occasional and persistent consumers, respectively, CVD mortality: 1.00 (0.47–2.11) and 1.30 (0.53–3.18), or CVD events: 0.96 (0.72–1.27) and 0.95 (0.64–1.42). Similar findings were obtained after inverse probability weighting, using only vitamin-mineral supplement users, or considering only participants at baseline. When CVD events were split into coronary heart disease (CHD) or stroke, persistent use of VMDS was associated with a higher risk of CHD in females: 3.12 (1.52–6.41), p = 0.002, but not in males, 0.25 (0.03–1.82), p = 0.171, p for interaction Conclusion We found no association between vitamin and dietary supplement use and total or CVD mortality, or CVD events. The higher risk of CHD for persistent use in females should be further explored.
Druh dokumentu: Article
Other literature type
Popis súboru: application/pdf
Jazyk: English
ISSN: 1436-6215
1436-6207
DOI: 10.1007/s00394-025-03593-1
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39891733
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_624C067DF2E43
https://serval.unil.ch/notice/serval:BIB_624C067DF2E4
https://serval.unil.ch/resource/serval:BIB_624C067DF2E4.P001/REF.pdf
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....d0cb10289cfd22e1738223dc094bae64
Databáza: OpenAIRE
Popis
Abstrakt:Purpose Vitamin-mineral and dietary supplements (VMDS) are taken by a large fraction of the population. Whether their long-term consumption impacts mortality and cardiovascular disease (CVD) has seldom been studied. Methods Prospective study from a population-based cohort from Lausanne, Switzerland. Participants were categorized as non-users (no consumption at baseline and first follow-up), persistent users (consumption at baseline and follow-up), and occasional users (consumption either at baseline or follow-up). Incidence of CVD and of total mortality was assessed after the first follow-up. Results Data from 4261 participants (57.4 ± 10.4 years, 55% females) was used. Median follow-up was 9 years (interquartile range 7.0–9.2) After multivariable analysis, no association was found between VMDS use and total mortality: hazard ratio and (95% confidence interval) 0.95 (0.71–1.28) and 0.83 (0.55–1.26) for occasional and persistent consumers, respectively, CVD mortality: 1.00 (0.47–2.11) and 1.30 (0.53–3.18), or CVD events: 0.96 (0.72–1.27) and 0.95 (0.64–1.42). Similar findings were obtained after inverse probability weighting, using only vitamin-mineral supplement users, or considering only participants at baseline. When CVD events were split into coronary heart disease (CHD) or stroke, persistent use of VMDS was associated with a higher risk of CHD in females: 3.12 (1.52–6.41), p = 0.002, but not in males, 0.25 (0.03–1.82), p = 0.171, p for interaction Conclusion We found no association between vitamin and dietary supplement use and total or CVD mortality, or CVD events. The higher risk of CHD for persistent use in females should be further explored.
ISSN:14366215
14366207
DOI:10.1007/s00394-025-03593-1