Vitamin A is a group of
compounds that play an important role in vision, bone growth, reproduction,
cell division, and
cell differentiation (in which a
cell becomes part of the brain, muscle, lungs, blood, or other specialized
tissue.) [
1-5].
Vitamin A helps regulate the
immune system, which helps
prevent or fight off
infections by making
white blood cells that destroy harmful
bacteria and
viruses [
1,
6-10]. Vitamin A also may help
lymphocytes (a type of white blood cell) fight infections more effectively.
Vitamin A promotes healthy surface linings of the eyes and the
respiratory,
urinary, and
intestinal tracts [
8]. When those linings break down, it becomes easier for bacteria to enter the body and cause infection. Vitamin A also helps the skin and
mucous membranes function as a barrier to bacteria and viruses [
9-11].
In general, there are two categories of vitamin A, depending on whether the food source is an animal or a plant.
Vitamin A found in foods that come from animals is called
preformed vitamin A. It is
absorbed in the form of retinol, one of the most usable (active) forms of vitamin A. Sources include liver, whole milk, and some
fortified food products. Retinol can be made into
retinal and retinoic acid (other active forms of vitamin A) in the body [
1].
Vitamin A that is found in colorful fruits and vegetables is called
provitamin A
carotenoid. They can be made into retinol in the body. In the United States, approximately 26% of vitamin A consumed by men and 34% of vitamin A consumed by women is in the form of provitamin A carotenoids [
1]. Common provitamin A carotenoids found in foods that come from plants are
beta-carotene,
alpha-carotene, and
beta-cryptoxanthin [
11]. Among these, beta-carotene is most efficiently made into retinol [
1,
13-15]. Alpha-carotene and beta-cryptoxanthin are also converted to vitamin A, but only half as efficiently as beta-carotene [
1].
Of the 563 identified carotenoids, fewer than 10% can be made into vitamin A in the body [
12].
Lycopene,
lutein, and
zeaxanthin are carotenoids that do not have vitamin A activity but have other health promoting properties [
1]. The
Institute of Medicine (IOM) encourages consumption of all carotenoid-rich fruits and vegetables for their health-promoting benefits.
Some provitamin A carotenoids have been shown to function as
antioxidants in
laboratory studies; however, this role has not been consistently demonstrated in humans [
1]. Antioxidants protect cells from
free radicals, which are potentially damaging by-products of oxygen
metabolism that may contribute to the development of some
chronic diseases [
3,
14-15].
What foods provide vitamin A?
Retinol is found in foods that come from animals such as whole eggs, milk, and liver. Most fat-free milk and dried nonfat milk solids sold in the United States are fortified with vitamin A to replace the amount lost when the fat is removed [
16]. Fortified foods such as fortified breakfast cereals also provide vitamin A. Provitamin A carotenoids are abundant in darkly colored fruits and vegetables. The 2000 National Health and Nutrition Examination Survey (NHANES) indicated that major dietary contributors of retinol are milk, margarine, eggs, beef liver and fortified breakfast cereals, whereas major contributors of provitamin A carotenoids are carrots, cantaloupes, sweet potatoes, and spinach [
17].
Vitamin A in foods that come from animals is well absorbed and used efficiently by the body. Vitamin A in foods that come from plants is not as well absorbed as animal sources of vitamin A. Tables 1 and 2 suggest many sources of vitamin A and provitamin A carotenoids [
18].
Table 1: Selected animal sources of vitamin A [18]
| Food | Vitamin A (IU)* | %DV** |
|---|
| Liver, beef, cooked, 3 ounces | 27,185 | 545 |
| Liver, chicken, cooked, 3 ounces | 12,325 | 245 |
| Milk, fortified skim, 1 cup | 500 | 10 |
| Cheese, cheddar, 1 ounce | 284 | 6 |
| Milk, whole (3.25% fat), 1 cup | 249 | 5 |
| Egg substitute, ¼ cup | 226 | 5 |
Table 2: Selected plant sources of vitamin A (from beta-carotene) [18]
| Food | Vitamin A (IU)* | %DV** |
|---|
| Carrot juice, canned, ½ cup | 22,567 | 450 |
| Carrots, boiled, ½ cup slices | 13,418 | 270 |
| Spinach, frozen, boiled, ½ cup | 11,458 | 230 |
| Kale, frozen, boiled, ½ cup | 9,558 | 190 |
| Carrots, 1 raw (7½ inches) | 8,666 | 175 |
| Vegetable soup, canned, chunky, ready-to-serve, 1 cup | 5,820 | 115 |
| Cantaloupe, 1 cup cubes | 5,411 | 110 |
| Spinach, raw, 1 cup | 2,813 | 55 |
| Apricots with skin, juice pack, ½ cup | 2,063 | 40 |
| Apricot nectar, canned, ½ cup | 1,651 | 35 |
| Papaya, 1 cup cubes | 1,532 | 30 |
| Mango, 1 cup sliced | 1,262 | 25 |
| Oatmeal, instant, fortified, plain, prepared with water, 1 cup | 1,252 | 25 |
| Peas, frozen, boiled, ½ cup | 1,050 | 20 |
| Tomato juice, canned, 6 ounces | 819 | 15 |
| Peaches, canned, juice pack, ½ cup halves or slices | 473 | 10 |
| Peach, 1 medium | 319 | 6 |
| Pepper, sweet, red, raw, 1 ring (3 inches diameter by ¼ inch thick) | 313 | 6 |
* IU =
International Units
** DV =
Daily Value. DVs are reference numbers based on the
Recommended Dietary Allowances (RDAs). They were developed to help consumers determine if a food contains a lot or a little of a
nutrient. The DV for vitamin A is 5,000 IU. Most food labels do not list vitamin A content. The percent DV (%DV) column in the table above indicates the percentage of the DV provided in one serving. A food providing 5% or less of the DV is a low source while a food that provides 10% to 19% of the DV is a good source. A food that provides 20% or more of the DV is high in that nutrient. It is important to remember that foods that provide lower percentages of the DV also contribute to a healthful diet. For foods not listed in this table, refer to the U.S. Department of Agriculture's Nutrient Database Web site:
http://www.nal.usda.gov/fnic/cgi-bin/nut_search.pl.
What are recommended intakes of vitamin A?
Recommendations for vitamin A are provided in the
Dietary Reference Intakes (DRIs) developed by the Institute of Medicine (IOM) [
1]. DRI is the general term for a set of reference values used for planning and assessing nutrient intake in healthy people. Three important types of reference values included in the DRIs are
Recommended Dietary Allowances (RDA),
Adequate Intakes (AI), and
Tolerable Upper Intake Levels (UL). The RDA recommends the average daily dietary intake level that is sufficient to meet the nutrient requirements of nearly all (97% to 98%) healthy individuals in each age and gender group [
1]. An AI is set when there are insufficient scientific data to establish an RDA. AIs meet or exceed the amount needed to maintain
nutritional adequacy in nearly all people. The UL, on the other hand, is the maximum daily intake unlikely to result in adverse health effects [
1].
In Table 3, RDAs for vitamin A are listed as
micrograms (mcg) of
Retinol Activity Equivalents (RAE) to account for the different
biological activities of retinol and provitamin A carotenoids [
1]. Table 3 also lists RDAs for vitamin A in International Units (IU), which are used on food and
supplement labels (1 RAE = 3.3 IU).
Table 3: Recommended Dietary Allowances (RDAs) for vitamin A
Age
(years) | Children
(mcg RAE) | Males
(mcg RAE) | Females
(mcg RAE) | Pregnancy
(mcg RAE) | Lactation
(mcg RAE) |
|---|
| 1-3 | 300
(1,000 IU) | | | | |
| 4-8 | 400
(1,320 IU) | | | | |
| 9-13 | 600
(2,000 IU) | | | | |
| 14-18 | | 900
(3,000 IU) | 700
(2,310 IU) | 750
(2,500 IU) | 1,200
(4,000 IU) |
| 19+ | | 900
(3,000 IU) | 700
(2,310 IU) | 770
(2,565 IU) | 1,300
(4,300 IU) |
Information is insufficient to establish an RDA for vitamin A for
infants. AIs have been established based on the amount of vitamin A consumed by healthy infants fed breast milk (Table 4) [
1].
Table 4: Adequate Intakes (AIs) for vitamin A for infants
| Age (months) | Males and females (mcg RAE) |
|---|
| 0-6 | 400 (1,320 IU) |
| 7-12 | 500 (1,650 IU) |
The NHANES III survey (1988-1994) found that most Americans consume recommended amounts of vitamin A [
19]. More recent NHANES data (1999-2000) show average adult intakes to be about 3,300 IU per day, which also suggests that most Americans get enough vitamin A [
20].
There is no RDA for beta-carotene or other provitamin A carotenoids. The IOM states that consuming 3
mg to 6 mg of beta-carotene daily (equivalent to 833 IU to 1,667 IU vitamin A) will maintain blood levels of beta-carotene in the range
associated with a lower
risk of chronic diseases [
1]. A diet that provides five or more servings of fruits and vegetables per day and includes some dark green and leafy vegetables and deep yellow or orange fruits should provide sufficient beta-carotene and other carotenoids.
When can vitamin A deficiency occur?
Vitamin A
deficiency is common in developing countries but rarely seen in the United States. Approximately 250,000 to 500,000 malnourished children in the developing world become blind each year from a deficiency of vitamin A [
1]. In the United States, vitamin A deficiency is most often associated with strict dietary restrictions and excess alcohol intake [
21]. Severe
zinc deficiency, which is also associated with strict dietary limitations, often accompanies vitamin A deficiency. Zinc is required to make
retinol binding protein (RBP) which transports vitamin A. Therefore, a deficiency in zinc limits the body's ability to move vitamin A stores from the
liver to body tissues [
1].
Night blindness is one of the first
signs of vitamin A deficiency. In ancient Egypt, it was known that night blindness could be
cured by eating liver, which was later found to be a rich source of the vitamin [
2]. Vitamin A deficiency contributes to blindness by making the
cornea very dry and damaging the
retina and cornea [
22].
Vitamin A deficiency diminishes the ability to fight infections. In countries where such deficiency is common and
immunization programs are limited, millions of children die each year from
complications of infectious diseases such as
measles [
23]. In vitamin A-deficient individuals, cells lining the lungs lose their ability to remove disease-causing
microorganisms. This may contribute to the
pneumonia associated with vitamin A deficiency [
2,
6-7].
There is increased interest in early forms of vitamin A deficiency, described as low storage levels of vitamin A that do not cause obvious deficiency
symptoms. This mild degree of vitamin A deficiency may increase children's risk of developing
respiratory and
diarrheal infections, decrease growth rate, slow bone development, and decrease likelihood of survival from serious illness [
24-25]. Children in the United States who are considered to be at increased risk for
subclinical vitamin A deficiency include:
- toddlers and preschool age children;
- children living at or below the poverty level;
- children with inadequate health care or immunizations;
- children living in areas with known nutritional deficiencies;
- recent immigrants or refugees from developing countries with high incidence of vitamin A deficiency or measles; and
- children with diseases of the pancreas, liver, or intestines, or with inadequate fat digestion or absorption.
A deficiency can occur when vitamin A is lost through chronic
diarrhea and through an overall inadequate intake, as is often seen with
protein-energy malnutrition. Low blood retinol concentrations indicate depleted levels of vitamin A. This occurs with vitamin A deficiency but also can result from an inadequate intake of
protein, calories, and zinc, since these nutrients are needed to make RBP [
1].
Iron deficiency can also affect vitamin A metabolism, and iron supplements provided to iron-deficient individuals may improve
body stores of vitamin A and iron [
1].
Excess alcohol intake depletes vitamin A stores. Also, diets high in alcohol often do not provide recommended amounts of vitamin A [
1]. It is very important for people who consume excessive amounts of alcohol to include good sources of vitamin A in their diets. Vitamin A supplements may not be recommended for individuals who abuse alcohol, however, because their livers may be more susceptible to potential
toxicity from high
doses of vitamin A [
26]. A medical doctor will need to evaluate this situation and determine the need for vitamin A supplements.
Who may need extra vitamin A to prevent a deficiency?
Vitamin A deficiency rarely occurs in the United States, but the
World Health Organization (WHO) and the
United Nations Children's Fund (UNICEF) recommend vitamin A
administration for all children
diagnosed with measles in communities where vitamin A deficiency is a serious problem and where death from measles is greater than 1%. In 1994, the
American Academy of Pediatrics recommended vitamin A supplements for two subgroups of children likely to be at high risk for subclinical vitamin A deficiency: children aged 6 months to 24 months who are hospitalized with measles, and hospitalized children older than 6 months [
27].
Fat
malabsorption can result in diarrhea and prevent normal absorption of vitamin A. Over time this may result in vitamin A deficiency. Those conditions include:
- Celiac disease:
Often referred to as sprue, celiac disease is a genetic disorder. People with celiac disease become sick when they eat a protein called gluten found in wheat and some other grains. In celiac disease, gluten can trigger damage to the small intestine, where most nutrient absorption occurs. Approximately 30% to 60% of people with celiac disease have gastrointestinal-motility disorders such as diarrhea [28].They must follow a gluten-free diet to avoid malabsorption and other symptoms.
- Crohn's disease:
This inflammatory bowel disease affects the small intestine. People with Crohn's disease often experience diarrhea, fat malabsorption, and malnutrition [29].
- Pancreatic disorders:
Because the pancreas secretes enzymes that are important for fat absorption, pancreatic disorders often result in fat malabsorption [30-31]. Without these enzymes, it is difficult to absorb fat. Many people with pancreatic disease take pancreatic enzymes in pill form to prevent fat malabsorption and diarrhea.
Healthy adults usually have a reserve of vitamin A stored in their livers and should not be at risk of deficiency during periods of temporary or short-term fat malabsorption. Long-term problems absorbing fat, however, may result in deficiency. In these instances physicians may recommend additional vitamin A [
9].
Vegetarians who do not consume eggs and
dairy foods need provitamin A carotenoids to meet their need for vitamin A [
1]. They should include a minimum of five servings of fruits and vegetables in their daily diet and regularly choose dark green leafy vegetables and orange and yellow fruits to consume recommended amounts of vitamin A.
What are some current issues and controversies about vitamin A?
Vitamin A, beta carotene, and cancer
Dietary intake studies suggest an association between diets rich in beta-carotene and vitamin A and a lower risk of many types of cancer [
32]. A higher intake of green and yellow vegetables or other food sources of beta carotene and/or vitamin A may decrease the risk of lung cancer [
2,
33-34]. However, a number of studies that tested the role of beta-carotene supplements in cancer
prevention did not find them to protect against the disease. In the Alpha-Tocopherol Beta-Carotene (ATBC) Cancer Prevention Study, more than 29,000 men who regularly smoked cigarettes were
randomized to receive 20 mg beta-carotene alone, 50 mg alpha-tocopherol alone, supplements of both, or a
placebo for 5 to 8 years. Incidence of lung cancer was 18% higher among men who took the beta-carotene supplement. Eight percent more men in this group died, as compared to those receiving other treatments or placebo [
35]. Similar results were seen in the Carotene and Retinol Efficacy Trial (CARET), a lung cancer
chemoprevention study that provided subjects with supplements of 30 mg beta-carotene and 25,000 IU
retinyl palmitate (a form of vitamin A) or a placebo. This study was stopped after researchers discovered that subjects receiving beta-carotene had a 46% higher risk of dying from lung cancer [
36-37].
The IOM states that "beta-carotene supplements are not advisable for the general population," although they also state that this advice "does not pertain to the possible use of supplemental beta-carotene as a provitamin A source for the prevention of vitamin A deficiency in populations with inadequate vitamin A" [
1].
Vitamin A and osteoporosis
Osteoporosis, a disorder characterized by
porous and weak bones, is a serious health problem for more than 10 million Americans, 80% of whom are women. Another 18 million Americans have decreased
bone density which precedes the development of osteoporosis. Many factors increase the risk for developing osteoporosis, including being female, thin, inactive, at advanced age, and having a family history of osteoporosis. An inadequate dietary intake of
calcium, cigarette smoking, and excessive intake of alcohol also increase the risk [
38-40].
Researchers are now examining a potential new
risk factor for osteoporosis: an excess intake of vitamin A. Animal, human, and laboratory research suggests an association between greater vitamin A intake and weaker bones [
40-41]. Worldwide, the highest incidence of osteoporosis occurs in northern Europe, a population with a high intake of vitamin A [
42]. However, decreased biosynthesis of
vitamin D associated with lower levels of sun exposure in this population may also contribute to this finding.
One small study of nine healthy individuals in Sweden found that the amount of vitamin A in one serving of liver may impair the ability of vitamin D to promote calcium absorption [
43]. To further test the association between excess dietary intakes of vitamin A and increased risk for hip
fractures, researchers in Sweden compared bone mineral density and retinol intake in approximately 250 women with a first hip fracture to 875 age-matched
controls. They found that a dietary retinol intake greater than 1,500 mcg/day (more than twice the recommended intake for women) was associated with reduced bone mineral density and increased risk of hip fracture as compared to women who consumed less than 500 mcg/day [
44].
This issue was also examined by researchers with the
Nurses Health Study, who looked at the association between vitamin A intake and hip fractures in over 72,000
postmenopausal women. Women who consumed the most vitamin A in foods and supplements (3,000 mcg or more per day as retinol equivalents, which is over three times the recommended intake) had a
significantly increased risk of experiencing a hip fracture as compared to those consuming the least amount (less than 1,250 mcg/day). The effect was lessened by use of
estrogens. These observations raise questions about the effect of retinol because retinol intakes greater than 2,000 mcg/day were associated with an increased risk of hip fracture as compared to intakes less than 500 mcg [
45].
A longitudinal study in more than 2,000 Swedish men compared blood levels of retinol to the incidence of fractures in men. The investigators found that the risk of fractures was greatest in men with the highest blood levels of retinol (more than 75 mcg per
deciliter [
dL]). Men with blood retinol levels in the 99
th percentile (greater than 103 mcg per dL) had an overall risk of fracture that exceeded the risk among men with lower levels of retinol by a factor of seven [
46]. High vitamin A intake, however, does not necessarily equate to high blood levels of retinol. Age, gender,
hormones, and
genetics also influence these levels. Researchers did not find any association between blood levels of beta-carotene and risk of hip fracture. Researchers' findings, which are consistent with the results of animal,
in vitro (laboratory), and
epidemiologic studies, suggest that intakes above the UL, or approximately two times that of the RDA for vitamin A, may pose subtle risks to bone health that require further study.
The
Centers for Disease Control and Prevention (CDC) reviewed data from NHANES III (1988-94) to determine whether there was any association between bone mineral density and blood levels of
retinyl esters, a form of vitamin A [
47]. No significant associations between blood levels of retinyl esters and bone mineral density in 5,800 subjects were found.
There is no
evidence of an association between beta-carotene intake, especially from fruits and vegetables, and increased risk of osteoporosis. Current evidence points to a possible association with vitamin A as retinol only. If you have specific questions regarding your intake of vitamin A and risk of osteoporosis, discuss this information with your physician or other qualified healthcare provider to determine what's best for your personal health.
What are the health risks of too much vitamin A?
Hypervitaminosis A refers to high storage levels of vitamin A in the body that can lead to
toxic symptoms. There are four major
adverse effects of hypervitaminosis A: birth defects, liver abnormalities, reduced bone mineral density that may result in osteoporosis (see the previous section), and
central nervous system disorders [
1,
48-49].
Toxic symptoms can also arise after consuming very large amounts of preformed vitamin A over a short period of time. Signs of acute toxicity include nausea and vomiting, headache, dizziness, blurred vision, and muscular uncoordination [
1,
48-49]. Although hypervitaminosis A can occur when large amounts of liver are regularly consumed, most cases result from taking excess amounts of the nutrient in supplements.
The IOM has established Tolerable Upper Intake Levels (ULs) for vitamin A that apply to healthy populations [
1]. The UL was established to help prevent the risk of vitamin A toxicity. The risk of adverse health effects increases at intakes greater than the UL. The UL does not apply to malnourished individuals receiving vitamin A either periodically or through fortification programs as a means of preventing vitamin A deficiency. It also does not apply to individuals being treated with vitamin A by medical doctors for diseases such as
retinitis pigmentosa.
Table 5: Tolerable Upper Intake Levels (ULs) for retinol
Age
(years) | Children
(mcg) | Males
(mcg) | Females
(mcg) | Pregnancy
(mcg) | Lactation
(mcg) |
|---|
| 0-1 | 600
(2,000 IU) | | | | |
| 1-3 | 600
(2,000 IU) | | | | |
| 4-8 | 900
(3,000 IU) | | | | |
| 9-13 | 1,700 (5610 IU) | | | | |
| 14-18 | | 2,800 (9,240 IU) | 2,800 (9,240 IU) | 2,800 (9,240 IU) | 2,800 (9,240 IU) |
| 19+ | | 3,000 (10,000 IU) | 3,000 (10,000 IU) | 3,000 (10,000 IU) | 3,000 (10,000 IU) |
Retinoids are compounds that are chemically similar to vitamin A. Over the past 15 years,
synthetic retinoids have been
prescribed for
acne,
psoriasis, and other skin disorders [
50].
Isotretinoin (Roaccutane® or Accutane®) is considered an effective anti-acne therapy. At very high doses, however, it can be toxic, which is why this medication is usually saved for the most severe forms of acne [
51-53]. The most serious consequence of this medication is birth defects.
It is extremely important for sexually active females who may become pregnant and who take these medications to use an effective method of birth control. Women of childbearing age who take these medications are advised to undergo monthly pregnancy tests to make sure they are not pregnant.
What are the health risks of too many carotenoids?
Provitamin A carotenoids such as beta-carotene are generally considered safe because they are not associated with specific adverse health effects. Their conversion to vitamin A decreases when body stores are full. A high intake of provitamin A carotenoids can turn the skin yellow, but this is not considered dangerous to health.
Clinical trials that associated beta-carotene supplements with a greater incidence of lung cancer and death in current smokers raise concerns about the effects of beta-carotene supplements on long-term health; however, conflicting studies make it difficult to interpret the health risk. For example, the
Physicians Health Study compared the effects of taking 50 mg beta-carotene every other day to a placebo in over 22,000 male physicians and found no adverse health effects [
54]. Also, a trial that tested the ability of four different nutrient combinations to help prevent the development of
esophageal and
gastric cancers in 30,000 men and women in China suggested that after five years those participants who took a combination of beta-carotene,
selenium, and
vitamin E had a 13% reduction in cancer deaths [
55]. In one lung cancer trial, men who consumed more than 11 grams/day of alcohol (approximately one drink per day) were more likely to show an
adverse response to beta-carotene supplements [
1], which may suggest a potential relationship between alcohol and beta-carotene.
The IOM did not set ULs for carotene or other carotenoids. Instead, it concluded that beta-carotene supplements are not advisable for the general population. As stated earlier, however, they may be appropriate as a provitamin A source for the prevention of vitamin A deficiency in specific populations [
1].
Vitamin A intakes and healthful diets
According to the 2005
Dietary Guidelines for Americans, "Nutrient needs should be met primarily through consuming foods. Foods provide an array of nutrients and other compounds that may have beneficial effects on health. In certain cases, fortified foods and
dietary supplements may be useful sources of one or more nutrients that otherwise might be consumed in less than recommended amounts. However, dietary supplements, while recommended in some cases, cannot replace a healthful diet [
56]." For more information about building a healthful diet, refer to the
Dietary Guidelines for Americans (
http://www.health.gov/dietaryguidelines/dga2005/document/pdf/DGA2005.pdf) and the U.S. Department of Agriculture's food guidance system (My Pyramid;
http://www.mypyramid.gov).
medications.
