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Is it worth taking lutein? A deep dive into the benefits for your eyes and beyond

4 min read

According to the National Eye Institute, adding lutein and zeaxanthin to the AREDS2 formula for individuals with age-related macular degeneration (AMD) was found to provide significant benefits for those with low dietary intake. Given this and other supporting evidence, many wonder: is it worth taking lutein?

Quick Summary

This article explores the science behind lutein, detailing its role as a powerful antioxidant for eye health and its potential benefits for cognitive function and skin. It weighs the pros and cons of supplementation versus dietary intake, outlines how it is commonly used, and identifies who may benefit most from adding this carotenoid to their routine.

Key Points

  • Essential Eye Protection: Lutein and zeaxanthin accumulate in the macula of the eye, where they filter harmful blue light and protect against oxidative damage.

  • Reduces AMD Risk: Major studies, including AREDS2, have shown that lutein and zeaxanthin supplementation can significantly reduce the risk of advanced age-related macular degeneration (AMD) in at-risk individuals.

  • Benefits Cognitive Function: Lutein is the primary carotenoid in the brain, and research links higher levels to better cognitive performance, including memory and processing speed.

  • Supports Skin Health: As a powerful antioxidant, lutein helps protect the skin from UV damage, and studies have shown it can improve skin hydration and elasticity.

  • Food First, Then Supplement: While a diet rich in leafy greens, eggs, and other lutein sources is ideal, supplements can ensure adequate intake for those with dietary gaps or specific health concerns.

  • Generally Safe: Lutein supplements are generally considered safe.

  • Enhances Visual Performance: For individuals with low macular pigment optical density, lutein supplementation can improve contrast sensitivity and visual acuity.

In This Article

Before considering lutein supplementation, it's important to understand that information provided here is for general knowledge and should not be considered medical advice. Always consult with a healthcare professional before starting any new supplement regimen.

What is lutein and how does it work?

Lutein is a type of organic pigment, specifically a xanthophyll carotenoid, that is synthesized exclusively by plants. The human body cannot produce it, so it must be obtained through diet. This powerful antioxidant is best known for its high concentration in the human eye, especially in the macula and retina, a region often referred to as the 'macula lutea' because of its yellowish color.

Lutein and its close relative, zeaxanthin, function primarily as natural light filters, protecting the delicate eye tissues from damage caused by high-energy blue light and ultraviolet (UV) rays. Additionally, their potent antioxidant properties help neutralize harmful free radicals and reduce oxidative stress throughout the body. This protective mechanism is particularly important in the eye, which is constantly exposed to light and prone to oxidative damage.

The proven benefits of lutein for eye health

Lutein has been extensively studied for its positive impact on eye health, with evidence pointing to several key benefits:

  • Age-Related Macular Degeneration (AMD): Research, including the large-scale Age-Related Eye Disease Study 2 (AREDS2), has shown that supplementation with lutein and zeaxanthin can significantly reduce the risk of progression to advanced AMD in high-risk individuals, particularly those with low dietary intake of these carotenoids.
  • Cataracts: Observational studies have linked higher dietary intake of lutein with a lower risk of developing cataracts, a condition where the eye's lens becomes cloudy. However, evidence is mixed on whether supplements can help those who already have cataracts.
  • Other Visual Function: Lutein supplementation has been shown to increase macular pigment optical density (MPOD), improve visual acuity, and enhance contrast sensitivity, which can reduce the effects of glare, especially in individuals with AMD. Some studies also suggest a reduction in eye strain for those with prolonged screen exposure.

Beyond the eyes: other potential benefits

While most research has focused on eye health, emerging evidence suggests that lutein's antioxidant and anti-inflammatory properties may offer broader systemic benefits.

  • Cognitive Function: Lutein is the predominant carotenoid found in human brain tissue, leading researchers to explore its role in cognitive health across different life stages. Studies indicate a positive association between higher lutein levels (as measured by MPOD) and better cognitive function, including improved visual and verbal memory and processing speed.
  • Skin Health: Lutein's antioxidant action also extends to the skin, where it helps protect against sun damage from UV rays. Studies have shown that both oral and topical lutein can increase skin hydration and elasticity, while also reducing UV-induced inflammation.
  • Cardiovascular Health: Some research suggests that lutein may help protect against atherosclerosis by reducing LDL ('bad') cholesterol, although more studies are needed to confirm these findings.

Lutein in diet vs. supplements

Your body cannot produce lutein, so a balanced diet rich in lutein-filled foods is the ideal source. However, supplements can be beneficial, particularly for those who have a low dietary intake or are at higher risk for certain conditions. A comparison can help in deciding the right approach:

Feature Dietary Lutein Intake Lutein Supplementation
Source Naturally occurring in fruits, vegetables, and egg yolks. Concentrated free lutein or lutein esters, often derived from marigold flowers.
Absorption Enhanced by consuming with fats (e.g., avocado, olive oil) due to its fat-soluble nature. Absorption can be less efficient than from natural food sources; taking with a meal containing fat is recommended.
Associated Nutrients Provides a complex mix of beneficial vitamins, minerals, and fiber alongside lutein. Delivers a specific dose of isolated lutein.
Intake Varies significantly depending on food choices; average intake in the US is often low. Provides a consistent and easily measurable intake.
Risk of Excessive Intake Very low, with harmless yellowing of skin (carotenemia) being the main risk at extremely high intakes. Generally considered safe, but should be used under guidance to avoid potential side effects at very high intakes.

Who should consider taking lutein?

While most healthy people can meet their lutein needs through a balanced diet, certain individuals may benefit more from supplementation:

  • Older Adults at Risk of AMD: The AREDS2 study specifically highlights the benefits for those with existing intermediate-stage AMD or other high-risk factors.
  • Individuals with Low Dietary Intake: People who eat few fruits and vegetables may not get enough lutein to maintain optimal levels.
  • People with High Screen Time: Those who spend significant time in front of computers, phones, or other screens may experience higher exposure to blue light, for which lutein acts as a filter.
  • Individuals with Poor Macular Pigment Optical Density (MPOD): An optometrist can test for low MPOD, and supplementation has been shown to increase its density.

Safety and how to take lutein

Lutein supplements are generally considered safe for most people. To enhance absorption, it is best to take supplements with a meal containing some fat. Always consult a healthcare provider before starting any new supplement, especially if you are pregnant, breastfeeding, or have pre-existing medical conditions.

Potential side effects are rare, but excessive intake of carotenoids can cause a harmless yellowing of the skin known as carotenemia. Mild gastrointestinal discomfort has also been reported in some cases.

Conclusion

So, is it worth taking lutein? For many, the answer is a qualified yes, especially for those concerned with preserving eye health as they age. While the first and best approach is always a diet rich in fruits and vegetables, supplements offer a reliable way to ensure consistent intake, particularly for individuals with specific health risks or dietary deficiencies. The compelling evidence supporting its benefits for macular health, combined with its favorable safety profile, makes lutein a worthy consideration for maintaining long-term vision and overall health. As with any supplement, a discussion with a healthcare professional can help tailor the right approach for your individual needs.

Frequently Asked Questions

While there is no official daily recommended intake for lutein, studies like AREDS2 often use a specific intake of lutein combined with zeaxanthin daily to promote eye health.

It is possible to get enough lutein from a balanced diet, especially one rich in dark leafy green vegetables like kale and spinach. However, the average American intake is often low, so supplements can be beneficial for many.

Some research suggests that lutein may help with dry eye symptoms due to its potential for anti-inflammatory effects, though more specific clinical studies are needed on this particular condition.

Lutein is generally considered safe, with few reported side effects. Very high intakes can cause a harmless yellowing of the skin called carotenemia.

Lutein and zeaxanthin are two closely related carotenoids found together in nature. Both are crucial for macular health, acting as antioxidants and blue light filters. They are typically included together in supplements.

Yes, lutein functions as a natural light filter in the macula, absorbing high-energy blue light and protecting the retina from potential damage caused by prolonged screen use.

Lutein is considered safe for most. However, those who are pregnant or breastfeeding, on specific medications, or have pre-existing health conditions should consult a healthcare provider before starting supplementation.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.