Multivitamins, individual vitamin and mineral supplements, and risk of diabetes among older U.S. adults

Yiqing Song, Qun Xu, Yikyung Park, Albert Hollenbeck, Arthur Schatzkin, Honglei Chen

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

OBJECTIVE - Understanding the relationship between multivitamin use and diabetes risk is important given the wide use of multivitamin supplements among U.S. adults. RESEARCH DESIGN AND METHODS - We prospectively examined supplemental use of multivitamins and individual vitamins and minerals assessed in 1995-1996 in relation to self-reported diabetes diagnosed after 2000 among 232,007 participants in the National Institutes of Health-American Association of Retired Persons Diet and Health Study. Multivitamin use was assessed by a food-frequency questionnaire at baseline. Odds ratios (ORs) and 95% CIs were calculated by logistic regression models, adjusted for potential confounders. In total, 14,130 cases of diabetes diagnosed after 2000 were included in the analysis. RESULTS - Frequent use of any multivitamins was not associated with risk of diabetes after adjustment for potential confounders and uses of individual supplements. Compared with nonusers of any multivitamins, the multivariate ORs among users were 1.07 (95% CI 0.94-1.21) for taking vitamins less than once per week, 0.97 (0.88-1.06) for one to three times per week, 0.92 (0.84-1.00) for four to six times per week, and 1.02 (0.98-1.06) for seven or more times per week (P for trend = 0.64). Significantly lower risk of diabetes was associated with the use of vitamin C or calcium supplements. The multivariate ORs comparing daily users with nonusers were 0.91 (0.86-0.97) for vitamin C supplements and 0.85 (0.80-0.90) for calcium supplements. Use of vitamin E or other individual vitamin and mineral supplements were not associated with diabetes risk. CONCLUSIONS - In this large cohort of U.S. older adults, multivitamin use was not associated with diabetes risk. The findings of lower diabetes risk among frequent users of vitamin C or calcium supplements warrant further evaluations.

Original languageEnglish (US)
Pages (from-to)108-114
Number of pages7
JournalDiabetes Care
Volume34
Issue number1
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

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Vitamins
Minerals
Ascorbic Acid
Odds Ratio
Calcium
Logistic Models
National Institutes of Health (U.S.)
Vitamin E
Research Design
Diet
Food
Health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing

Cite this

Multivitamins, individual vitamin and mineral supplements, and risk of diabetes among older U.S. adults. / Song, Yiqing; Xu, Qun; Park, Yikyung; Hollenbeck, Albert; Schatzkin, Arthur; Chen, Honglei.

In: Diabetes Care, Vol. 34, No. 1, 01.01.2011, p. 108-114.

Research output: Contribution to journalArticle

Song, Yiqing ; Xu, Qun ; Park, Yikyung ; Hollenbeck, Albert ; Schatzkin, Arthur ; Chen, Honglei. / Multivitamins, individual vitamin and mineral supplements, and risk of diabetes among older U.S. adults. In: Diabetes Care. 2011 ; Vol. 34, No. 1. pp. 108-114.
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abstract = "OBJECTIVE - Understanding the relationship between multivitamin use and diabetes risk is important given the wide use of multivitamin supplements among U.S. adults. RESEARCH DESIGN AND METHODS - We prospectively examined supplemental use of multivitamins and individual vitamins and minerals assessed in 1995-1996 in relation to self-reported diabetes diagnosed after 2000 among 232,007 participants in the National Institutes of Health-American Association of Retired Persons Diet and Health Study. Multivitamin use was assessed by a food-frequency questionnaire at baseline. Odds ratios (ORs) and 95{\%} CIs were calculated by logistic regression models, adjusted for potential confounders. In total, 14,130 cases of diabetes diagnosed after 2000 were included in the analysis. RESULTS - Frequent use of any multivitamins was not associated with risk of diabetes after adjustment for potential confounders and uses of individual supplements. Compared with nonusers of any multivitamins, the multivariate ORs among users were 1.07 (95{\%} CI 0.94-1.21) for taking vitamins less than once per week, 0.97 (0.88-1.06) for one to three times per week, 0.92 (0.84-1.00) for four to six times per week, and 1.02 (0.98-1.06) for seven or more times per week (P for trend = 0.64). Significantly lower risk of diabetes was associated with the use of vitamin C or calcium supplements. The multivariate ORs comparing daily users with nonusers were 0.91 (0.86-0.97) for vitamin C supplements and 0.85 (0.80-0.90) for calcium supplements. Use of vitamin E or other individual vitamin and mineral supplements were not associated with diabetes risk. CONCLUSIONS - In this large cohort of U.S. older adults, multivitamin use was not associated with diabetes risk. The findings of lower diabetes risk among frequent users of vitamin C or calcium supplements warrant further evaluations.",
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