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维生素 E 与妇女随机试验中的年龄相关性黄斑变性。

Vitamin E and age-related macular degeneration in a randomized trial of women.

机构信息

Division of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

出版信息

Ophthalmology. 2010 Jun;117(6):1163-8. doi: 10.1016/j.ophtha.2009.10.043. Epub 2010 Feb 13.

DOI:10.1016/j.ophtha.2009.10.043
PMID:20153900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2881167/
Abstract

OBJECTIVE

To test whether alternate day vitamin E affects the incidence of age-related macular degeneration (AMD) in a large-scale randomized trial of women.

DESIGN

Randomized, double-masked, placebo-controlled trial.

PARTICIPANTS

Thirty-nine thousand eight hundred seventy-six apparently healthy female health professionals aged 45 years or older.

INTERVENTION

Participants were assigned randomly to receive either 600 IU of natural-source vitamin E on alternate days or placebo.

MAIN OUTCOME MEASURES

Incident AMD responsible for a reduction in best-corrected visual acuity to 20/30 or worse based on self-report confirmed by medical record review.

RESULTS

After 10 years of treatment and follow-up, there were 117 cases of AMD in the vitamin E group and 128 cases in the placebo group (relative risk, 0.93; 95% confidence interval, 0.72-1.19).

CONCLUSIONS

In a large-scale randomized trial of female health professionals, long-term alternate-day use of 600 IU of natural-source vitamin E had no large beneficial or harmful effect on risk of AMD.

摘要

目的

在一项针对女性的大规模随机试验中,检验隔日补充维生素 E 是否会影响年龄相关性黄斑变性(AMD)的发病率。

设计

随机、双盲、安慰剂对照试验。

参与者

39876 名年龄在 45 岁或以上的健康女性医护人员。

干预措施

参与者被随机分配接受隔日服用 600IU 天然来源维生素 E 或安慰剂。

主要观察指标

根据自我报告并经病历审查确认的最佳矫正视力下降至 20/30 或更差,判断新发 AMD。

结果

经过 10 年的治疗和随访,维生素 E 组有 117 例 AMD,安慰剂组有 128 例(相对风险,0.93;95%置信区间,0.72-1.19)。

结论

在一项针对女性医护人员的大规模随机试验中,长期隔日使用 600IU 天然来源维生素 E 对 AMD 的发病风险没有明显的有益或有害影响。

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Dietary antioxidants and primary prevention of age related macular degeneration: systematic review and meta-analysis.膳食抗氧化剂与年龄相关性黄斑变性的一级预防:系统评价与荟萃分析
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