Serum tocopherol levels in very preterm infants after a single dose of vitamin E at birth.

Journal Article (Journal Article)

OBJECTIVE: Our aim was to examine the impact of a single enteral dose of vitamin E on serum tocopherol levels. The study was undertaken to see whether a single dose of vitamin E soon after birth can rapidly increase the low α-tocopherol levels seen in very preterm infants. If so, this intervention could be tested as a means of reducing the risk of intracranial hemorrhage. METHODS: Ninety-three infants <27 weeks' gestation and <1000 g were randomly assigned to receive a single dose of vitamin E or placebo by gastric tube within 4 hours of birth. The vitamin E group received 50 IU/kg of vitamin E as dl-α-tocopheryl acetate (Aquasol E). The placebo group received sterile water. Blood samples were taken for measurement of serum tocopherol levels by high-performance liquid chromatography before dosing and 24 hours and 7 days after dosing. RESULTS: Eighty-eight infants received the study drug and were included in the analyses. The α-tocopherol levels were similar between the groups at baseline but higher in the vitamin E group at 24 hours (median 0.63 mg/dL vs. 0.42 mg/dL, P = .003) and 7 days (2.21 mg/dL vs 1.86 mg/dL, P = .04). There were no differences between groups in γ-tocopherol levels. At 24 hours, 30% of vitamin E infants and 62% of placebo infants had α-tocopherol levels <0.5 mg/dL. CONCLUSIONS: A 50-IU/kg dose of vitamin E raised serum α-tocopherol levels, but to consistently achieve α-tocopherol levels >0.5 mg/dL, a higher dose or several doses of vitamin E may be needed.

Full Text

Duke Authors

Cited Authors

  • Bell, EF; Hansen, NI; Brion, LP; Ehrenkranz, RA; Kennedy, KA; Walsh, MC; Shankaran, S; Acarregui, MJ; Johnson, KJ; Hale, EC; Messina, LA; Crawford, MM; Laptook, AR; Goldberg, RN; Van Meurs, KP; Carlo, WA; Poindexter, BB; Faix, RG; Carlton, DP; Watterberg, KL; Ellsbury, DL; Das, A; Higgins, RD; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network,

Published Date

  • December 2013

Published In

Volume / Issue

  • 132 / 6

Start / End Page

  • e1626 - e1633

PubMed ID

  • 24218460

Pubmed Central ID

  • PMC3838534

Electronic International Standard Serial Number (EISSN)

  • 1098-4275

Digital Object Identifier (DOI)

  • 10.1542/peds.2013-1684


  • eng

Conference Location

  • United States