Lutein - NutraPedia

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Lutein: Overview of Health Effects

1) Conditions Lutein Has Been Studied For

Lutein is a carotenoid with antioxidant properties and has been studied for its potential effects on various conditions, including:

  • Age-related macular degeneration (AMD)
  • Cataracts
  • Cardiovascular diseases
  • Cognitive function
  • Eye health and retinal diseases
  • Skin health

2) Efficacy in Treating Those Conditions

Research suggests that lutein may be beneficial in:

  • Slowing the progression of AMD when taken as a supplement, particularly when combined with other antioxidants and zinc.
  • Possibly reducing the risk of developing cataracts, although more research is needed.
  • There is limited evidence on lutein's effectiveness in preventing or treating cardiovascular diseases and improving cognitive function.

3) Health Benefits of Lutein

Lutein is associated with several health benefits, including:

  • Protection against eye diseases by filtering harmful blue light and acting as an antioxidant.
  • Potential improvement in skin health by increasing skin hydration and elasticity.
  • Possible anti-inflammatory effects.
  • Supporting cardiovascular health.

4) Potential Downsides of Lutein

While lutein is generally considered safe, especially when consumed through diet, there are some potential downsides:

  • Excessive intake from supplements may result in a condition called carotenodermia, where the skin turns yellow-orange, which is typically harmless and reversible.
  • Some people may experience allergic reactions or digestive issues with high doses of lutein supplements.
  • Interactions with medications have not been well studied, so it is important to consult with a healthcare provider before starting lutein supplements.

5) Genetic Variations and Lutein

Regarding genetic variations and the effects of lutein:

  • Some genetic variations, particularly within genes related to carotenoid metabolism such as BCMO1, may affect lutein absorption and utilization in the body.
  • Individuals with certain genetic profiles might experience more pronounced benefits from lutein, especially concerning eye health.
  • There is no clear evidence that lutein is specifically harmful for any particular genetic variations.
  • Genetic testing and personalized nutrition advice can help determine the optimal intake of lutein for individual health needs.

Summary of Lutein Research Studies

Lutein and Zeaxanthin in Eggs: Studies on individuals over 60 have shown that daily egg consumption increases serum lutein by 26% and zeaxanthin by 38% without affecting cholesterol levels. In subjects with moderate hypercholesterolemia, these carotenoids increased by 28-50% and 114-142%, respectively, but also raised LDL-cholesterol by 8-11%. Additionally, women consuming eggs with differing carotenoid levels saw an increase in serum zeaxanthin and macular pigment optical density.

Dietary Sources and Bioavailability: Dietary modification with carotenoid-rich foods like spinach and corn led to increased serum lutein and macular pigment density. Notably, lutein from enriched eggs had significantly higher bioavailability compared to other sources.

Eggs and Macular Health: Consuming egg yolks can improve macular pigment optical density in older adults, possibly reducing the risk of dry age-related macular degeneration. This was accompanied by increases in serum zeaxanthin and lutein levels and a significant rise in serum HDL (good cholesterol).

Designer Eggs and Micronutrients: Consumption of designer eggs enriched with nutrients such as vitamin E, lutein, selenium, and DHA effectively increased plasma levels of these micronutrients, with a notable increase in plasma lutein levels.

Carotenoid Absorption and Beta-Carotene Metabolism: Research indicates variability in individual responses to beta-carotene intake, with factors like intestinal absorption and chylomicron metabolism playing a role. Concurrent intake of beta-carotene and lycopene may improve the absorption of lycopene without affecting beta-carotene absorption.

Antioxidants and Age-Related Macular Degeneration: Higher intake of antioxidants, particularly vitamin E and zinc, has been associated with a lower risk of developing age-related macular degeneration. The Age-Related Eye Disease Study also found that a combination of antioxidants and zinc could slow AMD progression.

Macular Pigments and Eye Protection: Macular pigments, including lutein, are crucial for eye protection against AMD. They function as filters and antioxidants, and higher levels are associated with a reduced risk of AMD. Lutein and zeaxanthin also demonstrate blue light filtering capabilities, which may contribute to their protective effects.

References:


  1. Consumption of one egg per day increases serum lutein and zeaxanthin concentrations in older adults without altering serum lipid and lipoprotein cholesterol concentrations
  2. Lutein and zeaxanthin concentrations in plasma after dietary supplementation with egg yolk
  3. A 12-wk egg intervention increases serum zeaxanthin and macular pigment optical density in women
  4. Dietary modification of human macular pigment density
  5. Plant sources of vitamin A and human nutrition revisited: recent evidence from developing countries
  6. Uptake of lycopene and its geometrical isomers is greater from heat-processed than from unprocessed tomato juice in humans
  7. Lutein bioavailability is higher from lutein-enriched eggs than from supplements and spinach in men
  8. Consumption of 2 and 4 egg yolks/d for 5 wk increases macular pigment concentrations in older adults with low macular pigment taking cholesterol-lowering statins
  9. Designer egg evaluation in a controlled trial
  10. Low and high responders to pharmacological doses of beta-carotene: proportion in the population, mechanisms involved and consequences on beta-carotene metabolism
  11. Ingestion by men of a combined dose of beta-carotene and lycopene does not affect the absorption of beta-carotene but improves that of lycopene
  12. Normal serum response to oral beta-carotene in humans
  13. The macular xanthophylls
  14. Macular pigments lutein and zeaxanthin as blue light filters studied in liposomes
  15. Age-related macular degeneration: epidemiology and optimal treatment
  16. A randomized, placebo-controlled, clinical trial of high-dose supplementation with vitamins C and E, beta carotene, and zinc for age-related macular degeneration and vision loss: AREDS report no. 8
  17. Dietary intake of antioxidants and risk of age-related macular degeneration
  18. Neovascular age-related macular degeneration and its relationship to antioxidant intake
  19. Risk factors for neovascular age-related macular degeneration. The Eye Disease Case-Control Study Group
  20. Macular pigment and risk for age-related macular degeneration in subjects from a Northern European population


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