Evidence map›Paper›PMID 23286756›Full record

Trial reportAmyotrophic lateral sclerosis & frontotemporal degeneration2013

Vitamin E serum levels and controlled supplementation and risk of amyotrophic lateral sclerosis.

D Michal Freedman, Ralph W Kuncl, Stephanie J Weinstein, Nea Malila, Jarmo Virtamo, Demetrius Albanes

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Amyotrophic lateral sclerosis & frontotemporal degeneration, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Amyotrophic Lateral Sclerosis: A Diet Review.Foods (Basel, Switzerland) · 2021
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Pre-diagnostic plasma urate and the risk of amyotrophic lateral sclerosis.Amyotrophic lateral sclerosis & frontotemporal degeneration · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 2 countries.

D Michal FreedmanNational Cancer Institute, Division of Cancer Epidemiology and Genetics, NIH, DHHS, Bethesda, Maryland, USA. freedmam@mail.nih.gov
Ralph W Kuncl
Stephanie J Weinstein
Nea Malila
Jarmo Virtamo
Demetrius Albanes
Division of Cancer Epidemiology and GeneticsFinnish Institute for Health and Welfare · FINational Cancer Institute · USTampere University · FIUnited States Department of Health and Human Services · USUniversity of Redlands · US

Funding

Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) StudyZIACP010195 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALBANES, DEMETRIUS · 2009 to 2025
$22.5M
Studies of Alpha-tocopherol and Beta-Carotene in FinlandZ01CP010195 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ALBANES, DEMETRIUS · 2007 to 2008
$3.9M
FOLLOW UP OF THE ALPHA TOCOPHEROL, BETA CAROTENE LUNGN01CN045035 · CN · NATIONAL PUBLIC HEALTH INSTITUTE · PI VIRTAMO, JARMO · 1994 to 1997
–
U S-FINLAND STUDIES OF NUTRITION AND CANCERN01CN045165 · CN · NATIONAL PUBLIC HEALTH INSTITUTE · PI HEINONEN, O · 1985 to 1996
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CCR NIH HHS N01 RC037004Intramural NIH HHS Z01 CP010195NCI NIH HHS N01 CN045035NCI NIH HHS N01 CN045165
6 · The paper itself

Abstract

There are no observational studies or controlled trials of amyotrophic lateral sclerosis (ALS) and circulating α-tocopherol (vitamin E) for prevention of ALS. This study addresses that gap. The study population comprised 29,127 Finnish male smokers, aged 50-69 years, who participated in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) Study, which is both a prospective cohort and a randomized, double-blind, placebo-controlled trial of α-tocopherol (50 mg/day) and β-carotene (20 mg/day). Serum α-tocopherol and β-carotene was assayed at baseline (1985 - 1988). Follow-up (median 16.7 years) continued through 2004. ALS cases were identified through the national Hospital Discharge Register with diagnostic verification by hospital records and death certificates. During 407,260 person-years of follow-up, 50 men were identified with ALS. For males with serum α-tocopherol concentration above the median (≥ 11.6 mg/l), the age-adjusted relative risk (RR) compared to α-tocopherol below the median, was 0.56 (95% confidence interval 0.32 - 0.99), p = 0.046. The RR among α-tocopherol supplement recipients was 0.75 (95% CI 0.32 - 1.79), p = 0.52. Neither serum β-carotene level nor β-carotene supplementation was associated with ALS. In conclusion, the results are consistent with a hypothesized protective effect of α-tocopherol on ALS risk. However, pooled analyses of cohorts with serum and controlled trials are needed to clarify the role of α-tocopherol in ALS risk.

Indexed as

Dietary SupplementsAgedAmyotrophic Lateral SclerosisCohort StudiesDouble-Blind MethodFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRisk FactorsVitamin EVitamin E

Identifiers

PMID23286756
PMCPMC3673294
OpenAlexW2166773718

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.