Multivitamin (multivitamin/mineral) and cancer

What 3 graded rows on multivitamin (multivitamin/mineral) agree on for cancer, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Multivitamin (multivitamin/mineral) page, with its PubMed record.

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Multivitamin (multivitamin/mineral) and cancer

3 rows · 84,942 people

Split. 1 row found no difference and 2 had mixed results.

No difference or mixed
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside. Outlined: mixed results.
  • Grade C× 2
  • No effect× 1
Rows
3
Trials
6
People
84,942
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade C, is a systematic review of 48,859 people (2022) and reported mixed results. 1 row is graded No effect, our grade for adequately powered trials that found no effect.

The rows run from 14,641 to 48,859 people, published from 2012 to 2022: 1 pooled review and 2 single studies.

The rows

1 no difference · 2 mixed
  1. No effectTotal invasive cancer · No difference

    RCT · n 21,442 · 2022 · US women 65+ and men 60+

    1 tablet/day · Median 3.6 years

    Invasive cancer in 518 vs 535 participants (HR 0.97, 95% CI 0.86–1.09); lung cancer lower (HR 0.62); no effect on cardiovascular events (HR 0.98) or all-cause mortality (HR 0.93). No safety concerns.

    Row on the Multivitamin (multivitamin/mineral) page · PubMed 35294969 (opens PubMed)

  2. Grade CCancer in adults without known deficiency (pooled multivitamin trials) · Mixed

    Systematic review, 4 studies · n 48,859 · 2022 · Adults in 4 multivitamin RCTs

    As used in each trial · Varied

    Multivitamin use was linked to slightly lower any-cancer incidence (OR 0.93, 95% CI 0.87–0.99) and lung cancer (OR 0.75, 2 trials); the review noted important limitations. Beta-carotene raised lung cancer risk (OR 1.20).

    Row on the Multivitamin (multivitamin/mineral) page · PubMed 35727272 (opens PubMed)

  3. Grade CTotal cancer incidence · Mixed

    RCT · n 14,641 · 2012 · US male physicians aged 50+

    1 tablet/day · Median 11.2 years

    Total cancer 17.0 vs 18.3 events per 1,000 person-years (HR 0.92, 95% CI 0.86–0.998); no significant effect on prostate, colorectal or other site-specific cancers.

    Row on the Multivitamin (multivitamin/mineral) page · PubMed 23162860 (opens PubMed)

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