In a recent webinar from the American Society of Nutrition, Dr. Maret Traber and Dr. Joan M. Cook-Mills discussed the importance of meeting the ERA for vitamin E in expecting mothers and infants; specifically the a-tocopherol instead of g-tocopherol. In today’s society, we have some of the most advanced medical for people throughout the world, and new practices with pre-natal care that have shown to greatly help influence embryo development. However, even with all of these new practices and advancements, the current miscarriage rate amount women in the United States is over 20%. Currently, only about 4% of women meet the RDA for vitamin E, and 96% fall below the RDA of 15 mg a day.

So what role does vitamin E play in the development of the embryo and through the early stages of development, specifically to the brain? Vitamin e is a fat soluble antioxidant, meaning that it breaks down free radicals in the body, but not just any free radicals. This antioxidant breaks down a specific free radicals that can damage the brain and comes from a process known as lipid peroxidation.  Lipid peroxidation is the oxidative degradation of lipids, most commonly polyunsaturated fatty acids. In the process, free radicals “steal” electrons from the lipids in cell membranes, resulting in cell damage. Vitamin e, specifically a-tocopherol, block these free radicals from removing the electron from the cell membranes of these lipids and prevent cell damage.

You might be wondering how this matters, or if they can even tell that it has anything to do with embryonic development. However, Dr. Traber and Oregon State University conducted a study with zebra fish to examine the difference in embryo development in fish with a vitamin e sufficient diet compared to those with an insufficient vitamin e diet. Those fish who had a sufficient diet, had fully developed and normal functioning embryos. Those who were insufficient were not able to develop, specifically in the brain, and all fish had died after 5 days of birth. But how does this related to humans? Well upon examination of variations of vitamin e that was needed in a variety of species, all had the same core components, most specifically a-tocopherol.

Based on the current evidence paired with the lack of vitamin e intake in women, the speakers made some recommendations that could assist in improving vitamin e  supplementation. First, making sure that  an adequate amount of vitamin e is in pre natal vitamins. As for the diet during pregnancy, consuming more a-tocopherol and less g-tocopherol could be beneficial as g-tocopherol increases inflammation from allergic responses. Additionally, decrease the amount of N-6 fatty acids consumed as longer chain polyunsaturated fats increase the amount of free radicals produced, and increase the amount of N-3 fatty acids (omega-3) consumed as they are the shortest chains, and produce less free radicals. All of these recommendations could help improve the embryonic development and improve development in the early stages of childhood development.