Vitamin E
Other Name(s):
alpha tocopherol, alpha-tocopherol, tocotrienol, 5,7,8 trimethyl-tocotrienol
General Description:
Vitamin E is a series of fat-soluble compounds called tocopherols. Alpha-tocopherol is the most potent and widely used form of vitamin E. Tocopherols are found in the oily residue of plants. Tocotrienols are also found in plants and have vitamin E-like activity.
Vitamin E, vitamin C, and vitamin A are the antioxidant vitamins, and protect the body from oxidative damage.
Vitamin E is a major antioxidant in the body and works together with selenium to help prevent oxidation of certain enzymes important to the body's metabolic processes. Vitamin E is found in all cell membranes of the body and protects them from oxidative damage.
Vitamin E has been used when treating respiratory distress syndrome in premature infants. Its purpose is to protect their eyes from excess oxygen.
Medically Valid Uses:
Vitamin E prevents retrolental fibroplasia (disease of the retina) in premature infants on oxygen therapy. Vitamin E is a potent antioxidant in the human body.
Unsubstantiated Claims:
Please note that this section reports on claims that have NOT yet been substantiated through scientific studies.
Vitamin E is claimed to protect the body from environmental hazards and serve as an anti-cancer agent. It aids in the treatment of cystic fibrosis and breast disease, and helps with leg muscle pains and wound healing. Vitamin E is also claimed to be able to improve heart disease, help in sexual function, aid in athletic performance, facilitate scar healing and help to prevent Alzheimer's disease.
Recommended Intake:
Vitamin E is measured in both International Units (IU) and milligrams (mg), as indicated below. The DRI is the Dietary Reference Intake.
Group
|
DRI/IU (dL-alpha-tocopherol)
|
DRI/mg (alpha-tocopherol)
|
|
Infants (0 to 6 months)
|
4.5 IU
|
3 mg
|
|
Infants (6 months to 1 year)
|
6 IU
|
4 mg
|
|
Children (1 to 3 years)
|
9 IU
|
6 mg
|
|
Children (4 to 10 years)
|
10.5 IU
|
7 mg
|
|
Men (11+ years)
|
15 IU
|
10 mg
|
|
Women (11+ years)
|
12 IU
|
8 mg
|
|
Pregnant women
|
15 IU
|
10 mg
|
|
Breast-feeding women (1st 6 months)
|
18 IU
|
12 mg
|
|
Breast-feeding women (2nd 6 months)
|
16.5 IU
|
11 mg
|
Vitamin E is sold primarily as a soft capsule for oral use. The strengths available range from 100 to 1,000 IU. It is also available as a chewable tablet and an oral solution. The strength of the oral solution is 50 mg/ml. Vitamin E oil is also available.
Vitamin E capsules should be swallowed whole. They should not be chewed.
Food source
|
Nutrient content per 100 grams
|
|
Wheat germ
|
160 mg
|
|
Sunflower seeds
|
31 mg
|
|
Walnuts
|
22 mg
|
|
Corn oil
|
21 mg
|
|
Margarine
|
17.9 mg
|
|
Almonds
|
14.9 mg
|
|
Cabbage
|
7.0 mg
|
|
Peanuts
|
6.9 mg
|
|
Brazil nuts
|
6.5 mg
|
|
Cashew nuts
|
5.1 mg
|
Vitamin E is stable at room temperature and therefore does not need to be refrigerated. It is not destroyed by cooking. It remains active in foods that have been frozen.
Vitamin E is also stable in light and in the presence of acid and alkali. It occurs as a thick, yellowish oil.
An increased need for vitamin E may result from various malabsorption syndromes in which steatorrhea (excess fat in the stool) occurs. These syndromes include lactose intolerance, tropical and non-tropical sprue, celiac disease, cystic fibrosis, ulcerative colitis, pancreatitis and a pancreatectomy (removal of all or part of the pancreas).
Individuals need additional vitamin E if they are over 55, consume moderate to heavy amounts of alcohol, have chronic alcoholism or have liver diseases such as cirrhosis.
Women who are pregnant or breast-feeding may need to take vitamin supplements, but must consult a physician before doing so.
Symptoms of vitamin E deficiency in newborns include hemolytic anemia, retinopathy (disease of the retina) and edema. Low vitamin E status in adults has been associated with increased risk for atherosclerosis (hardening of the arteries), cancer, cataract formation and other aging processes in general.
Side Effects, Toxicity and Interactions:
Vitamin E is a relatively safe vitamin. Although vitamin E is fat soluble and can build up in the tissues of the body, hypervitaminosis is rare. Symptoms of too much vitamin E are fatigue, weakness, nausea, blurred vision, flatulence and diarrhea.
There are no known contraindications to vitamin E.
Vitamin E can increase the effects of oral anticoagulants (blood-thinning medications) and result in increased clotting time and bleeding.
Large doses of vitamin E can decrease the body's vitamin A reserves.
Additional Information:
Click here for a list of reputable Web sites with general information on nutrition.
References:
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Oakley GP Jr. Eat right and take a multivitamin. N Engl J Med 1998;338(15):1060-61.
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Claus EP, Tyler VE Jr. Pharmacognosy. 5th ed. Philadelphia, PA: Lea & Febiger; 1965.
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Behrman RE, Kliegman RM, Nelson EE, Vaughan VC, eds. Nelson Textbook of Pediatrics. 14th ed. Philadelphia, PA: W.B. Saunders Co.; 1992.
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Braunwald E, Isselbacher KJ, Petersdorf RG, Wilson JD, Martin JB, Fauci AS, eds. Harrison's Principals of Internal Medicine. 11th ed. New York, NY: McGraw-Hill; 1987.
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Lide DR, Frederikse HPR, eds. Handbook of Chemistry and Physics. 75th ed. Boca Raton, FL: CRC Press, Inc.; 1994.
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Weast RC, Astle MJ, Beyer WH, eds. Handbook of Chemistry and Physics. 65th ed. Boca Raton, FL: CRC Press, Inc.; 1984.
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Fischbach F, Stead L, Andrus S, Deitch S, eds. A Manual of Laboratory & Diagnostic Tests. 5th ed. Philadelphia, PA: Lippincott-Raven Publishers; 1996.
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Loeb S, Cahill M, et al., eds. Diagnostic Tests (Nurse's Ready Reference). Springhouse, PA: Springhouse Corporation; 1991.
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Vitamin E. Facts and Comparisons. St Louis, MO: Facts & Comparisons; 1991.
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Vitamin E. The Pharmacist's Guide to Vitamins, Minerals, Herb & Other Nutrients. Austin, TX: American Botanical Council; 1997.
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USP DI 19th ed. Englewood, CO: Micromedex Inc.; 1999