Multivitamin supplements are not superior to nutrition education in improving fat-soluble vitamin levels, suggesting nutrition education alone may be a safer and effective approach to addressing deficiencies in vitamins A, D, and E.
Key Findings
Results
Both nutrition education with multivitamin supplementation and nutrition education with placebo significantly increased concentrations of vitamins A, D, and E after 4 weeks.
All p < 0.001 for vitamin concentration increases within both groups
The trial enrolled 155 adults aged 18-65 years with confirmed deficiencies in at least one fat-soluble vitamin (A, D, or E)
The intervention duration was 4 weeks
The study was double-blind and randomized
Results
Deficiency rates for all three fat-soluble vitamins (A, D, and E) significantly decreased in both groups after the 4-week intervention.
All p < 0.001 for reductions in deficiency rates within both groups
Decreases in deficiency rates occurred in both the multivitamin supplement group and the placebo group
Both groups received nutrition education as a common intervention component
Results
There were no significant differences in vitamin A, D, or E concentrations or deficiency rates between the multivitamin supplement group and the placebo group after the intervention.
All p > 0.05 for between-group comparisons of vitamin concentrations after intervention
All p > 0.05 for between-group comparisons of deficiency rates after intervention
No significant differences in demographic characteristics were found between the two groups at baseline
A total of 155 participants completed the study with no reported dropouts
Methods
The study was designed as a double-blind randomized controlled trial comparing nutrition education plus multivitamin supplementation versus nutrition education plus placebo.
Participants were adults aged 18-65 years with confirmed deficiencies in fat-soluble vitamins
The trial lasted 4 weeks
155 participants were randomly assigned to one of two groups
Both groups received nutrition education, with the experimental group also receiving a multivitamin supplement and the control group receiving a placebo
Conclusions
Nutrition education alone is proposed as a safer and effective approach to addressing fat-soluble vitamin deficiencies in the general population.
The authors conclude that multivitamin supplements are not superior to nutrition education
The authors highlight the potential risks associated with unnecessary vitamin supplementation
The finding applies to deficiencies in vitamins A, D, and E specifically
The authors frame nutrition education as reducing risks associated with unnecessary supplementation in the general population
Yusupu S, Yang Y, Geng X, Lin Z, Sun T, Wang Z, et al.. (2026). Multivitamin supplements are not superior to nutrition education in improving fat-soluble vitamin levels: A double-blind randomized controlled trial.. Asia Pacific journal of clinical nutrition. https://doi.org/10.6133/apjcn.202602_35(1).0005