Background: Other than the in vitro erythrocyte hemolysis test, no valid biomarkers of vitamin E status currently exist. Objective: We hypothesized that the urinary vitamin E metabolite a-carboxyethyl hydroxychroman (a-CEHC) could serve as a biomarker. Design: The relations between urinary a-CEHC, plasma a-tocopherol, and vitamin E intakes were assessed by using a previously validated multipass, Web-based, 24-h self-administered dietary recall, and we concurrently collected plasma and...