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Updated: Aug 14, 2026

Measurement of Carotenoids in Perifovea using the Macular Pigment Reflectometer
Published on: January 29, 2020
Carotenoid actions and their relation to health and disease
Norman I Krinsky1, Elizabeth J Johnson
1Department of Biochemistry, School of Medicine, Tufts University, 136 Harrison Avenue, Boston, MA 02111-1837, USA. norman.krinsky@tufts.edu
Abstract:
Based on extensive epidemiological observation, fruits and vegetables that are a rich source of carotenoids are thought to provide health benefits by decreasing the risk of various diseases, particularly certain cancers and eye diseases. The carotenoids that have been most studied in this regard are beta-carotene, lycopene, lutein and zeaxanthin. In part, the beneficial effects of carotenoids are thought to be due to their role as antioxidants. beta-Carotene may have added benefits due its ability to be converted to vitamin A. Additionally, lutein and zeaxanthin may be protective in eye disease because they absorb damaging blue light that enters the eye. Food sources of these compounds include a variety of fruits and vegetables, although the primary sources of lycopene are tomato and tomato products. Additionally, egg yolk is a highly bioavailable source of lutein and zeaxanthin. These carotenoids are available in supplement form. However, intervention trials with large doses of beta-carotene found an adverse effect on the incidence of lung cancer in smokers and workers exposed to asbestos. Until the efficacy and safety of taking supplements containing these nutrients can be determined, current dietary recommendations of diets high in fruits and vegetables are advised.
Insights
Fruits and vegetables rich in carotenoids offer health benefits, potentially reducing cancer and eye disease risk. However, high-dose beta-carotene supplements showed adverse effects in smokers, advising dietary intake over supplements.
Area of Science:
- Nutritional Science
- Epidemiology
- Health and Medicine
Background:
- Carotenoids from fruits and vegetables are linked to reduced risk of diseases, including cancers and eye conditions.
- Key carotenoids studied include beta-carotene, lycopene, lutein, and zeaxanthin, known for antioxidant properties.
- Beta-carotene converts to vitamin A, while lutein and zeaxanthin protect eyes by absorbing blue light.
Purpose of the Study:
- To review the health benefits of carotenoids found in fruits and vegetables.
- To discuss the roles of specific carotenoids like beta-carotene, lycopene, lutein, and zeaxanthin.
- To evaluate the safety and efficacy of carotenoid supplementation versus dietary intake.
Main Methods:
- Extensive epidemiological observation and review of existing research.
- Analysis of the biochemical functions of carotenoids, including antioxidant activity and vitamin A conversion.
- Examination of intervention trial data regarding carotenoid supplements.
Main Results:
- Carotenoid-rich foods are associated with decreased risk of certain cancers and eye diseases.
- Beta-carotene, lycopene, lutein, and zeaxanthin are key carotenoids with studied health benefits.
- High-dose beta-carotene supplementation showed adverse effects in specific populations (smokers, asbestos-exposed workers).
Conclusions:
- Dietary intake of carotenoids from fruits and vegetables is recommended for health benefits.
- The efficacy and safety of high-dose carotenoid supplements require further determination.
- Current recommendations favor diets rich in fruits and vegetables over supplementation.
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