Cochrane · systematic review · CD011114

Vitamin C supplementation for the primary prevention of cardiovascular disease

Al‐Khudairy, L, Flowers, N, Wheelhouse, R, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 5 · 71.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Vitamin C supplementation versus placebo for primary prevention of cardiovascular disease

Population: middle‐aged US male physicians
7 questions
OutcomeEffectEvidenceStatus / GRADE
Major cardiovascular event Physicians
Vitamin C supplementation vs placebo
HR 0.99 [0.89, 1.1]1 study · 14641 participantsLow
Downgraded: imprecision, indirectness
Cardiovascular mortality Physicians
Vitamin C supplementation vs placebo
HR 1.02 [0.85, 1.22]1 study · 14641 participantsVery low
Downgraded: imprecision, indirectness
All‐cause mortality Physicians
Vitamin C supplementation vs placebo
HR 1.07 [0.97, 1.18]1 study · 14641 participantsVery low
Downgraded: imprecision, indirectness
Total myocardial infarction (fatal and non‐fatal) Physicians
Vitamin C supplementation vs placebo
HR 1.04 [0.87, 1.24]1 study · 14641 participantsLow
Downgraded: imprecision, indirectness
Total stroke (fatal and non‐fatal) Physicians
Vitamin C supplementation vs placebo
HR 0.89 [0.74, 1.07]1 study · 14641 participantsLow
Downgraded: imprecision, indirectness
Self‐reported CABG/PTCA Participant self‐reports
Vitamin C supplementation vs placebo
HR 0.96 [0.86, 1.07]1 study · 14641 participantsLow
Downgraded: imprecision, indirectness
Self‐reported angina Participant self‐reports
Vitamin C supplementation vs placebo
HR 0.93 [0.84, 1.03]1 study · 14641 participantsLow
Downgraded: imprecision, indirectness