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P78 Epidemiologic studies suggest that dietary vitamin E intake  is inversely related to the risk of coronary heart disease (CHD). We  examined the relationship between dietary intake of vitamin E and  incidence of and mortality from CHD and cardiovascular disease (CVD) in  9,766 men and women who participated in the NHANES I Epidemiologic  Follow-up Study and were free of CVD at their baseline examination. A  24-hour dietary recall was conducted at the baseline examination and  nutrient intakes were recalculated using ESHA Food Processor software.  Other important risk factors for CVD including age, sex, race, serum  cholesterol, blood pressure, body mass index, history of diabetes,  education, physical activity, cigarette smoking, and alcohol  consumption were also measured at baseline. Those risk factors and  dietary intake of saturated fat and total energy were used for  adjustment in multivariate analyses. Incidence and mortality data for  CHD and CVD were obtained from medical records and death certificates.  Cox proportional hazard models were used to examine the relationship  between dietary vitamin E intake and the incidence of and mortality  from CHD and CVD. Over an average of 19 years of follow-up, 1,845  incident cases of CHD (669 fatal) and 3,760 incident cases of CVD  (1,197 fatal) were documented. The adjusted relative risk (RR) was 0.89  (95% confidence interval [CI], 0.77-1.02, p=0.03 for trend) for  incident CHD events, 0.69 (95% CI: 0.55−.86, p=0.001 for trend) for  fatal CHD events, and 0.85 (95% CI: 0.70-1.02, p=0.03 for trend) for  fatal CVD events among those in the highest quartile of dietary vitamin  E intake (median, 17.5 mg/d) compared with those in the lowest quartile  (median, 3.0 mg/d). These findings support the hypothesis that  increasing vitamin E intake may be an important element of dietary  approaches to reducing the incidence of and mortality from CHD in the  US population.

Dietary Vitamin E Intake and Risk of Coronary Heart Disease in a Representative Sample of US Adults: NHANES I Epidemiologic Follow-up Study