Plasma Levels Of Beta-carotene Research Articles

Robust rank-based variable selection in double generalized linear models with diverging number of parameters under adaptive Lasso

ABSTRACTWe propose a robust rank-based estimation and variable selection in double generalized linear models when the number of parameters diverges with the sample size. The consistency of the variable selection procedure and asymptotic properties of the resulting estimators are established under appropriate selection of tuning parameters. Simulations are performed to assess the finite sample performance of the proposed estimation and variable selection procedure. In the presence of gross outliers, the proposed method is showing that the variable selection method works better. For practical application, a real data application is provided using nutritional epidemiology data, in which we explore the relationship between plasma beta-carotene levels and personal characteristics (e.g. age, gender, fat, etc.) as well as dietary factors (e.g. smoking status, intake of cholesterol, etc.).

Fortification of vitamin A in a phytosterol enriched milk maintains plasma beta-carotene levels

The aim of the current study was to investigate if the supplementation of vitamin A via a phytosterol enriched low-fat milk could prevent the reduction of plasma beta-carotene concentrations than often occurs after plant sterols' or stanols' intake. A sample of 108 hypercholesterolaemic adults (40-60years old) was randomized to an enriched milk group that contained among other nutrients phytosterols (0.5g/100ml) and vitamin A (111μg/100ml) (EMG: n = 40), a placebo plain milk group (PMG: n = 37), and a control group (CG: n = 31) following their usual diet; the EMG and the PMG consumed 500ml milk per day and in order to ensure compliance with the intervention scheme, attended health and nutrition counselling sessions biweekly over a 3-month period. Dietary intake of vitamin A significantly increased in the EMG compared to the PMG and the CG (P < 0.001) and all groups significantly increased their vegetable consumption. However, no significant differences were found among groups regarding changes in dietary intake of beta-carotene and consumption of fruits. Regarding biochemical indices, total cholesterol, LDL-cholesterol and apolipoprotein-B decreased significantly within all study groups, with the decreases being significantly higher in the EMG compared to the CG (-25.4 vs. -9.9; -21.7 vs. -8.2 and -13.2 vs. -3.4mg/dl, respectively; P < 0.05). Plasma concentrations of beta-carotene did not change in any of the three groups. Extra fortification of a phytosterol enriched milk with vitamin A seems to be useful in maintaining plasma beta-carotene levels of hypercholesterolemic adults after consumption of 2.5g/d of phytosterols over a 3-month intervention period.

Robust Variable Selection With Exponential Squared Loss

Robust variable selection procedures through penalized regression have been gaining increased attention in the literature. They can be used to perform variable selection and are expected to yield robust estimates. However, to the best of our knowledge, the robustness of those penalized regression procedures has not been well characterized. In this article, we propose a class of penalized robust regression estimators based on exponential squared loss. The motivation for this new procedure is that it enables us to characterize its robustness in a way that has not been done for the existing procedures, while its performance is near optimal and superior to some recently developed methods. Specifically, under defined regularity conditions, our estimators are -consistent and possess the oracle property. Importantly, we show that our estimators can achieve the highest asymptotic breakdown point of 1/2 and that their influence functions are bounded with respect to the outliers in either the response or the covariate domain. We performed simulation studies to compare our proposed method with some recent methods, using the oracle method as the benchmark. We consider common sources of influential points. Our simulation studies reveal that our proposed method performs similarly to the oracle method in terms of the model error and the positive selection rate even in the presence of influential points. In contrast, other existing procedures have a much lower noncausal selection rate. Furthermore, we reanalyze the Boston Housing Price Dataset and the Plasma Beta-Carotene Level Dataset that are commonly used examples for regression diagnostics of influential points. Our analysis unravels the discrepancies of using our robust method versus the other penalized regression method, underscoring the importance of developing and applying robust penalized regression methods.

Lifestyle Characteristics and Dietary impact on Plasma Concentrations of Beta-carotene and Retinol

Mechanisms of dietary micronutrients and personal characteristics of the human body are intricately complicated. These mechanisms, however, can be easily interpreted through appropriate mathematical relationships. The present study aims to detect the statistically significant impact of personal characteristics and diet on plasma concentrations of retinol and beta-carotene using statistical modeling. The present analyses indicate that age, sex, smoking habit, quetelet, vitamin use, consumed calories, fiber, and dietary beta-carotene are statistically significant factors on plasma beta-carotene levels. On the other hand age, sex, smoking status, consumed fat, and dietary beta-carotene are significant factors on plasma retinol. These analyses indicate that changes in the variances of plasma beta-carotene and retinol are non-constant. Impacts of personal characteristics and dietary factors on human plasma concentrations of retinol and beta-carotene are explained based on mathematical relationships. These analyses support many earlier researches findings. However, the analyses also identify many additional casual factors that explain the means and variances of plasma beta-carotene and retinol, which earlier researches have not reported.

Scientific Opinion on the safety and efficacy of beta‐carotene as a feed additive for all animal species and categories

The use of beta-carotene is safe for the target animals. Setting a maximum content in feed legislation is not considered necessary. However, this conclusion assumes that triphenylphosphine oxide does not exceed 100 mg/kg additive. In all food-producing animals (except veal calves) and laboratory rodents, beta-carotene is almost fully metabolised. In contrast, humans, non-human primates and ferrets absorb relatively high quantities of beta-carotene unchanged. Investigations with ferrets and hamsters as well as intervention studies in humans may indicate a certain dose-dependent potential of beta-carotene to promote lung carcinoma, particularly in smokers. A systematic literature review and meta-analysis of nine randomised controlled trials demonstrated an increased risk of lung and stomach cancers in smokers and asbestos workers at dose levels ≥ 20 mg/day. However, increased risk of lung cancer at such doses could be observed only if plasma levels of beta-carotene exceeded 3 µmol/L. The FEEDAP Panel considers it prudent, in the absence of an acceptable daily intake, that supplemental beta-carotene in animal feed should not significantly add to consumer exposure from other sources. The use of supplemental beta-carotene in feeds of food-producing animals, except veal calves, would not result in a significant additional exposure of consumers to beta-carotene; however, consumption of liver from veal calves could lead to additional exposure. Beta-carotene is not an irritant to eyes or skin and is not a skin sensitiser. Respiratory exposure from handling beta-carotene-containing additives is considered potentially hazardous. Taking the widespread occurrence of beta-carotene in nature and its oxidative susceptibility into account, the FEEDAP Panel considered it unlikely that the use of beta-carotene in animal nutrition at the recommended feed concentrations would pose a risk to the environment. Beta-carotene is utilised for the synthesis of retinol in almost all animal species except the cat. Effects on reproduction and immunity were not sufficiently demonstrated.

Estimation and Variable Selection for Semiparametric Additive Partial Linear Models (SS-09-140).

Semiparametric additive partial linear models, containing both linear and nonlinear additive components, are more flexible compared to linear models, and they are more efficient compared to general nonparametric regression models because they reduce the problem known as "curse of dimensionality". In this paper, we propose a new estimation approach for these models, in which we use polynomial splines to approximate the additive nonparametric components and we derive the asymptotic normality for the resulting estimators of the parameters. We also develop a variable selection procedure to identify significant linear components using the smoothly clipped absolute deviation penalty (SCAD), and we show that the SCAD-based estimators of non-zero linear components have an oracle property. Simulations are performed to examine the performance of our approach as compared to several other variable selection methods such as the Bayesian Information Criterion and Least Absolute Shrinkage and Selection Operator (LASSO). The proposed approach is also applied to real data from a nutritional epidemiology study, in which we explore the relationship between plasma beta-carotene levels and personal characteristics (e.g., age, gender, body mass index (BMI), etc.) as well as dietary factors (e.g., alcohol consumption, smoking status, intake of cholesterol, etc.).

Practical variable selection for generalized additive models

The problem of variable selection within the class of generalized additive models, when there are many covariates to choose from but the number of predictors is still somewhat smaller than the number of observations, is considered. Two very simple but effective shrinkage methods and an extension of the nonnegative garrote estimator are introduced. The proposals avoid having to use nonparametric testing methods for which there is no general reliable distributional theory. Moreover, component selection is carried out in one single step as opposed to many selection procedures which involve an exhaustive search of all possible models. The empirical performance of the proposed methods is compared to that of some available techniques via an extensive simulation study. The results show under which conditions one method can be preferred over another, hence providing applied researchers with some practical guidelines. The procedures are also illustrated analysing data on plasma beta-carotene levels from a cross-sectional study conducted in the United States.

New efficient estimation and variable selection methods for semiparametric varying-coefficient partially linear models

The complexity of semiparametric models poses new challenges to statistical inference and model selection that frequently arise from real applications. In this work, we propose new estimation and variable selection procedures for the semiparametric varying-coefficient partially linear model. We first study quantile regression estimates for the nonparametric varying-coefficient functions and the parametric regression coefficients. To achieve nice efficiency properties, we further develop a semiparametric composite quantile regression procedure. We establish the asymptotic normality of proposed estimators for both the parametric and nonparametric parts and show that the estimators achieve the best convergence rate. Moreover, we show that the proposed method is much more efficient than the least-squares-based method for many non-normal errors and that it only loses a small amount of efficiency for normal errors. In addition, it is shown that the loss in efficiency is at most 11.1% for estimating varying coefficient functions and is no greater than 13.6% for estimating parametric components. To achieve sparsity with high-dimensional covariates, we propose adaptive penalization methods for variable selection in the semiparametric varying-coefficient partially linear model and prove that the methods possess the oracle property. Extensive Monte Carlo simulation studies are conducted to examine the finite-sample performance of the proposed procedures. Finally, we apply the new methods to analyze the plasma beta-carotene level data.

794: A longitudinal study of plasma beta-carotene level during pregnancy in relation to the risk of preeclampsia

794: A longitudinal study of plasma beta-carotene level during pregnancy in relation to the risk of preeclampsia

Weighted Wilcoxon‐Type Smoothly Clipped Absolute Deviation Method

Shrinkage-type variable selection procedures have recently seen increasing applications in biomedical research. However, their performance can be adversely influenced by outliers in either the response or the covariate space. This article proposes a weighted Wilcoxon-type smoothly clipped absolute deviation (WW-SCAD) method, which deals with robust variable selection and robust estimation simultaneously. The new procedure can be conveniently implemented with the statistical software R. We establish that the WW-SCAD correctly identifies the set of zero coefficients with probability approaching one and estimates the nonzero coefficients with the rate n(-1/2). Moreover, with appropriately chosen weights the WW-SCAD is robust with respect to outliers in both the x and y directions. The important special case with constant weights yields an oracle-type estimator with high efficiency in the presence of heavier-tailed random errors. The robustness of the WW-SCAD is partly justified by its asymptotic performance under local shrinking contamination. We propose a Bayesian information criterion type tuning parameter selector for the WW-SCAD. The performance of the WW-SCAD is demonstrated via simulations and by an application to a study that investigates the effects of personal characteristics and dietary factors on plasma beta-carotene level.

Preoperative levels of plasma micronutrients are related to endometrial cancer risk

To examine the relation between the plasma concentration of antioxidant micronutrients and endometrial cancer risk in Korean women. Hospital-based case-control study. Seven tertiary medical institutes in Korea. Incidence of 28 endometrial cancer cases were identified and 140 age-matched controls selected for the same period. Preoperative plasma concentrations of beta-carotene, lycopene, zeaxanthin plus lutein, retinol, alpha-tocopherol, and gamma-tocopherol were measured by reverse-phase, gradient high-pressure liquid chromatography. Conditional logistic regression was used to evaluate micronutrient effect after adjustment for body mass index (BMI), menopause, parity, oral contraceptive use, smoking status, and alcohol consumption status. Effect of micronutrients on endometrial cancer risk. The mean concentration of plasma beta-carotene (p=0.001), lycopene (p=0.008), zeaxanthin plus lutein (p=0.031), retinol (p=0.048), and gamma-tocopherol (p=0.046) were significantly lower in endometrial cancer patients than in controls. Plasma levels of beta-carotene (p for trend=0.0007) and lycopene (p for trend=0.007) were inversely associated with endometrial cancer risk across tertiles. Women in the highest tertile of plasma beta-carotene and lycopene had a 0.12-fold (95% confidence intervals (CIs) 0.03-0.48) and 0.15-fold (95% CIs 0.04-0.61) decreased risk of endometrial cancer compared to women in the lowest tertile, respectively. Other micronutrients such as zeaxanthin plus lutein (p for trend=0.142), retinol (p for trend=0.108), alpha-tocopherol (p for trend=0.322), and gamma-tocopherol (p for trend=0.087) showed no association with endometrial cancer risk. Plasma levels of beta-carotene and lycopene are inversely associated with the risk of endometrial cancer in Korean women.

Plasma levels of carotenoids, retinol and tocopherol and the risk of gastric cancer in Japan: a nested case–control study

Fruits and vegetables have been suggested to confer protection against diseases such as cancer through the effects of antioxidants, often represented by carotenoids. We investigated the impact of carotenoids, retinol and tocopherol on gastric cancer development in a large nested case-control study among Japanese with known Helicobacter pylori infection status. A total of 36 745 subjects aged 40-69 in the Japan Public Health Center-based Prospective Study who responded to the baseline questionnaire and provided blood samples in 1990-1995 were followed until 2004. Plasma levels of carotenoids in 511 gastric cancer cases and 511 matched controls were measured by high-performance liquid chromatography. Odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) were estimated using conditional logistic regression models. Plasma level of beta-carotene was inversely associated with the risk of gastric cancer (compared with the lowest quartile: OR = 0.63, 95% CI = 0.31-0.75; OR = 0.48, 95% CI = 0.31-0.75 and OR = 0.46, 95% CI = 0.28-0.75, for quartile 2, 3 and 4, respectively, P(trend) < 0.01). Inverse associations were evident in men for alpha-carotene (P(trend) = 0.04) and beta-carotene (P(trend) < 0.01), but not in women, who had relatively higher plasma levels compared with men. We found no statistically significant association between plasma levels of lutein/zeaxanthin, lycopene, retinol, alpha- or gamma-tocopherol and gastric cancer risk. Our findings suggest that those who have very low plasma levels of alpha-carotene and beta-carotene are at a higher risk of gastric cancer.

Micellar oleic and eicosapentaenoic acid but not linoleic acid influences the β-carotene uptake and its cleavage into retinol in rats

Improving the bioavailability of beta-carotene is vital to manage vitamin A deficiency. The influence of micellar oleic (OA), linoleic (LA) and eicosapentaenoic (EPA) acids on plasma beta-carotene response and its conversion to retinol has been studied in rats employing single (9 h time course) and repeated (10 days) dose administrations. After a single dose, the levels (area under the curve) of plasma beta-carotene and retinyl palmitate in OA and EPA groups were higher (p < 0.05) by 13, 7 and 11, 6 folds than LA group. The liver beta-carotene level in OA and EPA groups were higher (p < 0.05) by 3 and 1.2 folds than LA group. After repeated dose, the plasma beta-carotene and retinyl palmitate levels in OA (6.2%, 51.7%) and EPA (25.4%, 17.23%) groups were higher (p < 0.05) than LA group. The liver beta-carotene level in OA (21.2%) and EPA (17.6%) groups were higher (p < 0.05) than LA group. In both the experiments, the activity of beta-carotene 15,15'-dioxygenase in the intestinal mucosa and plasma triglyceride levels were also higher in OA and EPA groups than LA group. beta-Carotene excreted through urine and feces of OA and EPA groups was lower than the LA group. These results demonstrate an improved absorption and metabolism of beta-carotene when fed mixed micelles with OA or EPA compared with LA. Although the mechanism involved in selective absorption of fatty acids needs further studies, intestinal beta-carotene uptake and its conversion to vitamin A can be modulated using specific fatty acids.

Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements: pilot phase of Golestan cohort study of esophageal cancer

A pilot study was carried out to evaluate validity and reproducibility of a food frequency questionnaire (FFQ), which was designed to be used in a prospective cohort study in a population at high risk for esophageal cancer in northern Iran. The FFQ was administered four times to 131 subjects, aged 35-65 years, of both sexes. Twelve 24-h dietary recalls for two consecutive days were administered monthly during 1 year and used as a reference method. The excretion of nitrogen was measured on four 24-h urine samples, and plasma levels of beta-carotene, retinol, vitamin C and alpha-tocopherol was measured from two time points. Relative validity of FFQ and 24-h diet recall was assessed by comparing nutrient intake derived from both methods with the urinary nitrogen and plasma levels of beta-carotene, retinol, vitamin C and alpha-tocopherol. Correlation coefficients comparing energy and nutrients intake based on the mean of the four FFQ and the mean of twelve 24-h diet recalls were 0.75 for total energy, 0.75 for carbohydrates, 0.76 for proteins and 0.65 for fat. Correlation coefficients between the FFQ-based intake and serum levels of beta-carotene, retinol, vitamin C and vitamin E/alpha-tocopherol were 0.37, 0.32, 0.35 and 0.06, respectively. Correlation coefficients between urinary nitrogen and FFQ-based protein intake ranged from 0.23 to 0.35. Intraclass correlation coefficients used to measure reproducibility of FFQ ranged from 0.66 to 0.89. We found that the FFQ provides valid and reliable measurements of habitual intake for energy and most of the nutrients studied.

Effect of supplementation with antioxidants upon long-term risk of hypertension in the SU.VI.MAX study: association with plasma antioxidant levels

To assess the effects of supplementation with a combination of antioxidant vitamins and trace elements, at nutritional doses, upon the 6.5-year risk of hypertension in the SU.VI.MAX trial. To describe the association between baseline plasma antioxidant levels and the same long-term risk using observational data from the study. A total of 5086 adults from the SU.VI.MAX trial, a randomized primary prevention trial. Compared with the placebo group, no effect of supplementation upon the 6.5-year risk of hypertension could be detected (odds ratio, 1.04 and 95% confidence interval, 0.87-1.23 in men; and odds ratio, 1.10 and 95% confidence interval, 0.95-1.29 in women). Furthermore, compared with men in the first tertile, those in the second and third tertiles of serum baseline levels of beta-carotene presented a lower risk of hypertension in both the placebo and supplementation groups. Multivariate-adjusted odds ratios (95% confidence interval) were 0.70 (0.44-1.12) and 0.53 (0.33-0.86) in the placebo group, and were 0.59 (0.37-0.94) and 0.67 (0.42-1.07) in the supplementation group. In women, a decreasing trend was observed with vitamin C levels and risk of hypertension in the intervention group. No association could be shown between vitamin E and trace element plasma levels and the risk of hypertension. Despite an inverse association between baseline plasma levels of beta-carotene in men and the risk of developing hypertension, we could not demonstrate any beneficial effect of low-dose antioxidant supplementation upon the 6.5-year risk of hypertension in the randomized analysis.

Plasma retinol, carotene and vitamin E concentrations and lung function in a crocidolite-exposed cohort from Wittenoom, Western Australia: a cohort study

BackgroundIncreased rates of death from asbestos related diseases have been reported for people previously employed in the mining and milling operations at Wittenoom (Western Australia), and people who lived in the nearby town, where they were environmentally exposed to crocidolite.MethodsAnnual measurements of forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) and plasma concentrations of retinol, carotene and vitamin E have been made since 1992. Mixed effects models were used to examine the associations between lung function and the plasma vitamin levels of retinol, carotene and vitamin E.ResultsAfter adjusting for potential confounders, higher plasma retinol and carotene concentrations were significantly associated with higher levels of lung function at entry into the study, while vitamin E concentrations were associated with lower entry lung function. Retinol was associated with a less steep decline of lung function over time, while carotene concentrations were associated with an increased decline of lung function over time and vitamin E levels were not associated with changes of lung function over time.ConclusionThese results support a beneficial relationship between plasma concentrations of retinol on the levels and rates of change of lung function, while showing no such consistent beneficial effect for plasma levels of beta-carotene or vitamin E.

Consumption of purple sweet potato leaves modulates human immune response: T-lymphocyte functions, lytic activity of natural killer cell and antibody production

To study the immunological effects of physiological doses of purple sweet potato leaves (PSPL). The randomized crossover study (two periods, each lasting for 2 wk) involved 16 healthy non-smoking adults of normal weight. The 6-wk study consisted of a run-in (wk 1) PSPL diet (daily consumption of 200 g PSPL) or a control diet (low polyphenols, with the amount of carotenoids adjusted to the same level as that of PSPL) (wk 2-3), washout diet (wk 4), and switched diet (wk 5-6). Fasting blood was collected weekly in the morning. T-lymphocyte function was assessed via the proliferation and secretion of immunoreactive cytokines. Salivary IgA secretion and the specific cytotoxic activities of cytotoxic T lymphocytes and natural killer (NK) cells were determined. The plasma beta-carotene level increased with time in both groups, while the plasma polyphenol level decreased in the control group, and no significant difference was detected between the two groups. Although plasma polyphenol levels did not significantly increase in the PSPL group at the end of the study, they were significantly elevated in urine. PSPL consumption produced a significant increase in proliferation responsiveness of peripheral blood mononuclear cells (PBMC) and their secretion of immunoreactive IL-2 and IL-4. As well, lytic activity in NK cells was elevated in a time-dependent fashion. Salivary IgA secretion significantly decreased in control group after 2 wk, and returned to baseline following dietary switch to PSPL. Consumption of PSPL modulates various immune functions including increased proliferation responsiveness of PBMC, secretion of cytokines IL-2 and IL-4, and the lytic activity of NK cells. The responsible determinants of PSPL remain to be elucidated, as does the biological significance of the present observations.

Associations between plasma antioxidants and hypertension in a community-based sample of 415 Australians aged 60–64

It has been suggested that increased oxidative stress may be both a cause as well as a consequence of hypertension. In vivo oxidation of low-density lipoproteins by oxygen-free radicals may increase hypertension-related atherogenesis, and antioxidants may be beneficial in this regard. Previous findings concerning associations between serum measures of antioxidants and hypertension have however been inconsistent. Plasma levels of beta-carotene, Vitamin A, E, uric acid, homocysteine and total antioxidant capacity, as well as two markers of oxidative stress, malondialdehyde (MDA) and protein carbonyls, were measured in morning fasting blood samples provided by 415 Australians aged 60-64 years, selected randomly from the community. Participants also provided information on sociodemographic attributes, mental and physical health, and provided two measures of resting blood pressure, allowing a diagnosis of definite or borderline hypertension. Those with hypertension had lower levels of beta-carotene and higher levels of uric acid and MDA compared to normotensive participants. The last two of these associations persisted when the analyses controlled for lifestyle and health factors. The findings from this study offer limited support for the proposition that lower antioxidant status and higher oxidative stress are associated with hypertension, and suggest the need for longitudinal studies to examine causality and intervention studies to determine the benefit of antioxidants in this group.

Effects of beta-carotene supplementation on free radical mechanism in healthy adult subjects.

The objective of this study was to examine whether increasing doses of beta-carotene supplements have effects on biological markers of lipid peroxidation in healthy volunteers. Forty-two healthy subjects were supplemented with 5 mg, 10 mg, 20 mg or 40 mg beta-carotene/day, respectively for five weeks. Plasma beta-carotene and tocopherol levels, malondialdehyde-thiobarbituric reactive substances (MDA-TBARS), and conjugated dienes were determined using high-performance liquid chromatography (HPLC). Concentrations of ascorbic acid, uric acid, and the total antioxidative capacity (TAC) in plasma were measured photometrically. Plasma beta-carotene levels increased significantly according to the intervention dose (p < 0.001), and concentrations of tocopherol equivalents and ascorbic acid were within the physiological range except in the 5 mg intervention group where a significant decrease of vitamin C was assessed (p < 0.05). Uric acid in plasma decreased significantly in all groups (p < 0.05) up to the end of investigation, but was within the normal range. Trolox equivalent antioxidative capacity (TEAC) decreased significantly (p < 0.001) in all groups during supplementation. MDA-TBARS remained unchanged after five weeks except for the 40 mg beta-carotene substitution group, where a significant decrease was observed (p < 0.05). Beta-carotene supplementation of healthy subjects significantly increased plasma beta-carotene status without inducing adverse biological effects. Beta-carotene did not especially protect against oxidative stress, except for the 40 mg group. These data suggest that additional effects of beta-carotene supplementation on well-nourished, healthy subjects are limited.

Plasma carotenoids and tocopherols and risk of myocardial infarction in a low-risk population of US male physicians.

Increased intake of carotenoids and vitamin E may protect against myocardial infarction (MI). However, prospective data on blood levels of carotenoids other than beta-carotene and vitamin E (tocopherol) and risk of MI are sparse. We conducted a prospective, nested case-control analysis among male physicians without prior history of cardiovascular disease who were followed for up to 13 years in the Physicians' Health Study. Samples from 531 physicians diagnosed with MI were analyzed together with samples from paired control subjects, matched for age and smoking, for 5 major carotenoids (alpha- and beta-carotene, beta-cryptoxanthin, lutein, and lycopene), retinol, and alpha- and gamma-tocopherol. Overall, we found no evidence for a protective effect against MI for higher baseline plasma levels of retinol or any of the carotenoids measured. Among current and former smokers but not among never-smokers, higher baseline plasma levels of beta-carotene tended to be associated with lower risk (P for interaction=0.02). Men with higher plasma levels of gamma-tocopherol tended to have an increased risk of MI (P for trend=0.01). These prospective data do not support an overall protective relation between plasma carotenoids or tocopherols and future MI risk among men without a history of prior cardiovascular disease.