Study · Chinese medical journal · 2025Conflicts declared

Vitamin E supplements and gestational hypertension risk in ART pregnancies

What it found

In women who conceived through assisted reproductive technology, taking vitamin E supplements above 100 mg per day in early pregnancy was linked to a higher risk of gestational hypertension and preeclampsia.

Dietary vitamin E from food was not linked to this risk.

What they found

Studies in people

Supplement dose and risk

Taking more than 100 mg per day of vitamin E supplement in early pregnancy was linked to a higher risk of gestational hypertension or preeclampsia. The risk increased with higher doses.

Dietary vitamin E

Vitamin E from food was not linked to the risk of gestational hypertension or preeclampsia.

Duration and cumulative dose

Using vitamin E supplements above 100 mg per day for more than 2 months or reaching a cumulative dose above 12,000 mg was linked to a higher risk.

Blood metabolites

Higher levels of certain vitamin E breakdown products from the alpha form were linked to a higher risk of gestational hypertension or preeclampsia.

Low dietary intake

Among women with low dietary vitamin E, only high-dose supplements above 100 mg per day were linked to a higher risk.

High dietary intake

Among women with high dietary vitamin E, any supplement dose was linked to a higher risk.

What the authors conclude

“The findings underscore the importance of cautious use of VE supplements during pregnancy, particularly among women with adequate dietary VE intake, to avoid potential risks of GH/PE.”
Yang X, Dou Y, Hu L, et al, 2025

Also in their conclusions

  • They conclude that the findings highlight the importance of cautious use of vitamin E supplements during pregnancy, especially for women with adequate dietary vitamin E intake, to avoid potential risks of gestational hypertension and preeclampsia.
  • They advise that caution should be exercised to avoid the potential risks associated with inappropriate vitamin E supplementation in pregnant women.

How it was done

The authors wanted to assess the link between vitamin E supplementation in early pregnancy and the risk of gestational hypertension and preeclampsia, especially in women who conceived through assisted reproductive technology.

They followed 3587 women from the Jiangsu Birth Cohort who conceived through assisted reproductive technology and had pregnancies lasting at least 20 weeks. They collected dietary and supplement information through questionnaires and measured vitamin E related metabolites in blood samples from 1103 women during the first trimester.

What it can’t tell you

  • This study followed women over time and can show a link, but it cannot prove that vitamin E supplements cause gestational hypertension or preeclampsia.
  • The supplement information was self-reported, which may lead to some misclassification.
  • The study only included women who conceived through assisted reproductive technology, so the results may not apply to all pregnancies.

The paper

Title
Vitamin E supplementation and increased risk of gestational hypertension and preeclampsia in women undergoing assisted reproductive technologies
Type
Study
Evidence
Studies in people
Summarised from
Full text
Cite
Yang X, Dou Y, Hu L, et al (2025). Vitamin E supplementation and increased risk of gestational hypertension and preeclampsia in women undergoing assisted reproductive technologies. Chinese medical journal. doi:10.1097/CM9.0000000000003766Free full textPubMed 40789663DOI

Summary written 26 Sep 2026. Check it against the paper before it changes what you eat. How we summarise papers · Report an error