What is it?
Lutein is one of two major carotenoids found in the human eye (macula and retina). It is thought to function as a light filter, protecting the eye tissues from sunlight damage. Foods rich in lutein include egg yolks, spinach, kale, corn, orange pepper, kiwi fruit, grapes, zucchini, and squash.
Lutein is commonly taken by mouth to prevent eye diseases, including cataracts and a disease that leads to vision loss in older adults (age-related macular degeneration or AMD). Lutein is used for many other conditions, but there is no good scientific evidence to support these other uses.
How effective is it?
Natural Medicines Comprehensive Database rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.
The effectiveness ratings for LUTEIN are as follows:
Possibly effective for…
- An eye disease that leads to vision loss in older adults (age-related macular degeneration or AMD). Taking lutein supplements by mouth for up to 36 months can improve some symptoms of AMD. More benefits might be seen when it’s taken for at least 3 months at doses above 5 mg, and when it’s combined with other carotenoid vitamins. But lutein doesn’t seem to keep AMD from becoming worse over time.
- Cataracts. Eating higher amounts of lutein in the diet is linked with a lower risk of developing cataracts. But it’s not clear if taking lutein supplements by mouth helps people who already have cataracts.
Possibly ineffective for…
- A lung disease that affects newborns (bronchopulmonary dysplasia). Giving preterm infants lutein and zeaxanthin by mouth doesn’t reduce the chance of developing bronchopulmonary dysplasia.
- A serious intestinal disease in premature infants (necrotizing enterocolitis or NEC). Giving preterm infants lutein and zeaxanthin by mouth doesn’t prevent NEC.
- An inherited eye condition that causes poor night vision and loss of side vision (retinitis pigmentosa). Taking lutein by mouth doesn’t improve vision or other symptoms in people with retinitis pigmentosa.
- An eye disorder in premature infants that can lead to blindness (retinopathy of prematurity). Giving preterm infants lutein and zeaxanthin by mouth doesn’t prevent retinopathy of prematurity.
There is interest in using lutein for a number of other purposes, but there isn’t enough reliable information to say whether it might be helpful.
Is it safe?
Special precautions & warnings:
Pregnancy and breast-feeding: Lutein is likely safe when used in the amounts found in food.
Children: Lutein is likely safe when taken by mouth in appropriate amounts. A specific product (LUTEINofta, SOOFT Italia SpA) containing lutein 0.14 mg daily has been safely used in infants for 36 weeks.
Are there interactions with medications?
- It is not known if this product interacts with any medicines.
Before taking this product, talk with your health professional if you take any medications.
Are there interactions with herbs and supplements?
- Beta-carotene
- Using beta-carotene along with lutein may reduce the amount of lutein or beta-carotene that the body can absorb.
- Vitamin E
- Taking lutein supplements might decrease how much vitamin E the body absorbs. Taking lutein and vitamin E together might decrease the effects of vitamin E.
Are there interactions with foods?
- Lutein is better absorbed by the body when it is taken with a high-fat meal.
How is it typically used?
Lutein is also taken in supplements. It’s most often been used by adults in doses of 10-20 mg by mouth daily, for up to 3 years. Many multivitamins contain lutein. They usually provide a relatively small amount, such as 0.25 mg per tablet. Lutein is absorbed best when it’s taken with a high-fat meal. Speak with a healthcare provider to find out what type of product or dose might be best for a specific condition.
Methodology
To learn more about how this article was written, please see the Natural Medicines Comprehensive Database methodology.
References
- Chew EY, Clemons TE, Agrón E, et al. Long-term Outcomes of Adding Lutein/Zeaxanthin and ?-3 Fatty Acids to the AREDS Supplements on Age-Related Macular Degeneration Progression: AREDS2 Report 28. JAMA Ophthalmol 2022. View abstract.
- Hajizadeh-Sharafabad F, Tarighat-Esfanjani A, Ghoreishi Z, Sarreshtedari M. Lutein supplementation combined with a low-calorie diet in middle-aged obese individuals: effects on anthropometric indices, body composition and metabolic parameters. Br J Nutr 2021;126:1028-1039. View abstract.
- Mahmassani HA, Switkowski KM, Scott TM, et al. Maternal intake of lutein and zeaxanthin during pregnancy is positively associated with offspring verbal intelligence and behavior regulation in mid-childhood in the project viva cohort. J Nutr 2021;151:615-627. View abstract.
- Li J, Abdel-Aal EM. Dietary lutein and cognitive function in adults: A meta-analysis of randomized controlled trials. Molecules 2021;26:5794. View abstract.
- Bernstein PS, Li B, Vachali PP, Gorusupudi A, Shyam R, Henriksen BS, Nolan JM. Lutein, zeaxanthin, and meso-zeaxanthin: The basic and clinical science underlying carotenoid-based nutritional interventions against ocular disease. Prog Retin Eye Res. 2016;50:34-66. View abstract.
- Männistö S, Yaun SS, Hunter DJ, et al. Dietary carotenoids and risk of colorectal cancer in a pooled analysis of 11 cohort studies. Am J Epidemiol 2007;165:246-55. View abstract.
- Juturu V, Bowman JP, Deshpande J. Overall skin tone and skin-lightening-improving effects with oral supplementation of lutein and zeaxanthin isomers: a double-blind, placebo-controlled clinical trial. Clin Cosmet Investig Dermatol 2016;9:325-332. View abstract.
- Hammond BR Jr, Miller LS, Bello MO, Lindbergh CA, Mewborn C, Renzi-Hammond LM. Effects of Lutein/Zeaxanthin Supplementation on the Cognitive Function of Community Dwelling Older Adults: A Randomized, Double-Masked, Placebo-Controlled Trial. Front Aging Neurosci 2017;9:254. View abstract.
- Wilson LM, Tharmarajah S, Jia Y, Semba RD, Schaumberg DA, Robinson KA. The Effect of Lutein/Zeaxanthin Intake on Human Macular Pigment Optical Density: A Systematic Review and Meta-Analysis. Adv Nutr 2021. View abstract.
- Xu X, Zhao X, Berde Y, Low YL, Kuchan MJ. Milk and Plasma Lutein and Zeaxanthin Concentrations in Chinese Breast-Feeding Mother-Infant Dyads With Healthy Maternal Fruit and Vegetable Intake. J Am Coll Nutr 2019;38:179-184. View abstract.
- Glabska D, Guzek D, Zakrzewska P, Lech G. Intake of Lutein and Zeaxanthin as a Possible Factor Influencing Gastrointestinal Symptoms in Caucasian Individuals with Ulcerative Colitis in Remission Phase. J Clin Med 2019;8:77. View abstract.
- Tan AC, Balaratnasingam C, Yannuzzi LA. Treatment of Macular Telangiectasia Type 2 With Carotenoid Supplements Containing Meso-Zeaxanthin: A Pilot Study. Ophthalmic Surg Lasers Imaging Retina 2016;47:528-35. View abstract.
- Edwards CG, Walk AM, Thompson SV, et al. Dietary lutein plus zeaxanthin and choline intake is interactively associated with cognitive flexibility in middle-adulthood in adults with overweight and obesity. Nutr Neurosci 2021. View abstract.
- Wu J, Cho E, Willett WC, Sastry SM, Schaumberg DA. Intakes of Lutein, Zeaxanthin, and Other Carotenoids and Age-Related Macular Degeneration During 2 Decades of Prospective Follow-up. JAMA Ophthalmol 2015;133:1415-24. View abstract.
- Mewborn CM, Lindbergh CA, Hammond BR, Renzi-Hammond LM, Miller LS. The Effects of Lutein and Zeaxanthin Supplementation on Brain Morphology in Older Adults: A Randomized, Controlled Trial. J Aging Res 2019;2019:3709402. View abstract.
- Renzi-Hammond LM, Bovier ER, Fletcher LM, et al. Effects of a Lutein and Zeaxanthin Intervention on Cognitive Function: A Randomized, Double-Masked, Placebo-Controlled Trial of Younger Healthy Adults. Nutrients 2017;9:1246. View abstract.
- Korobelnik JF, Rougier MB, Delyfer MN, et al. Effect of Dietary Supplementation With Lutein, Zeaxanthin, and ?-3 on Macular Pigment: A Randomized Clinical Trial. JAMA Ophthalmol 2017;135:1259-1266. View abstract.
- Machida N, Kosehira M, Kitaichi N. Clinical effects of dietary supplementation of lutein with high bio-accessibility on macular pigment optical density and contrast sensitivity: A randomized double-blind placebo-controlled parallel-group comparison trial. Nutrients. 2020;12:2966. View abstract.
- Zuniga KE, Bishop NJ, Turner AS. Dietary lutein and zeaxanthin are associated with working memory in an older population. Public Health Nutr 2020:1-8. View abstract.
- . Kobayashi J, Tominaga E, Ozeki M, Okubo T, Nakagawa K, Miyazawa T. Randomized controlled trial of a water-soluble formulation of lutein in humans. Biosci Biotechnol Biochem 2019;83:2372-4. View abstract.
- Cota F, Costa S, Giannantonio C, Purcaro V, Catenazzi P, Vento G. Lutein supplementation and retinopathy of prematurity: a meta-analysis. J Matern Fetal Neonatal Med 2020:1-6. Online ahead of print. View abstract.
- Lai JS, Veetil VO, Lanca C, et al. Maternal lutein and zeaxanthin concentrations in relation to offspring visual acuity at 3 years of age: The GUSTO Study. Nutrients 2020;12:274. View abstract.
- Feng L, Nie K, Jiang H, Fan W. Effects of lutein supplementation in age-related macular degeneration. PLoS One 2019;14:e0227048. View abstract.
- Ren YB, Qi YX, Su XJ, Luan HQ, Sun Q. Therapeutic effect of lutein supplement on non-proliferative diabetic retinopathy: a retrospective study. Medicine (Baltimore) 2019;98:e15404. View abstract.
- Zhou Y, Wang T, Meng Q, Zhai S. Association of carotenoids with risk of gastric cancer: a meta-analysis. Clin Nutr 2016;35:109-16. View abstract.
- Chen J, Jiang W, Shao L, Zhong D, Wu Y, Cai J. Association between intake of antioxidants and pancreatic cancer risk: a meta-analysis. Int J Food Sci Nutr 2016;67:744-53. View abstract.
- Chen F, Hu J, Liu P, Li J, Wei Z, Liu P. Carotenoid intake and risk of non-Hodgkin lymphoma: a systematic review and dose-response meta-analysis of observational studies. Ann Hematol 2017;96:957-65. View abstract.
- Xu J, Song C, Song X, Zhang X, Li X. Carotenoids and risk of fracture: a meta-analysis of observational studies. Oncotarget 2017;8:2391-9. View abstract.
- Leermakers ET, Darweesh SK, Baena CP, et al. The effects of lutein on cardiometabolic health across the life course: a systematic review and meta-analysis. Am J Clin Nutr 2016;103:481-94. View abstract.
- Wolf-Schnurrbusch UE, Zinkernagel MS, Munk MR, Ebneter A, Wolf S. Oral lutein supplementation enhances macular pigment density and contrast sensitivity but not in combination with polyunsaturated fatty acids. Invest Ophthalmol Vis Sci 2015;56:8069-74. View abstract.
- Ma L, Liu R, Du JH, et al. Lutein, zeaxanthin and meso-zeaxanthin supplementation associated with macular pigment optical density. Nutrients 2016;8. pii: E426. View abstract.
- Shinojima A, Sawa M, Sekiryu T, et al. A multicenter randomized controlled study of antioxidant supplementation with lutein for chronic central serous chorioretinopathy. Ophthalmologica 2017;237:159-66. View abstract.
- Zhang PC, Wu CR, Wang ZL, Wang LY, Han Y, Sun SL, et al. Effect of lutein supplementation on visual function in nonproliferative diabetic retinopathy. Asia Pac J Clin Nutr 2017;26:406-11. View abstract.
- Evans JR, Lawrenson JG. Antioxidant vitamin and mineral supplements for slowing the progression of age-related macular degeneration. Cochrane Database Syst Rev. 2017;7:CD000254. View abstract.
- Chew EY, SanGiovanni JP, Ferris FL, et al. Lutein /zeaxanthin for the treatment of age-related cataract: AREDS2 randomized trial report no. 4. JAMA Ophthalmol. 2013 Jul;131:843-50. View abstract.
- Chew EY, Clemons TE, Agrón E, et al . Effect of Omega-3 Fatty Acids, Lutein/Zeaxanthin, or Other Nutrient Supplementation on Cognitive Function: The AREDS2 Randomized Clinical Trial. JAMA. 2015 Aug 25;314:791-801. View abstract.
- Bonds DE, Harrington M, Worrall BB, et al. Effect of long-chain ?-3 fatty acids and lutein + zeaxanthin supplements on cardiovascular outcomes: results of the Age-Related Eye Disease Study 2 (AREDS2) randomized clinical trial. JAMA Intern Med. 2014 May;174:763-71. View abstract.
- Wang X, Jiang C, Zhang Y, et al. Role of lutein supplementation in the management of age-related macular degeneration: meta-analysis of randomized controlled trials. Ophthalmic Res. 2014;52:198-205. View abstract.
- Takeda A, Nyssen OP, Syed A, et al. Vitamin A and carotenoids and the risk of Parkinson’s disease: a systematic review and meta-analysis. Neuroepidemiology. 2014;42:25-38. View abstract.
- Manzoni P, Guardione R, Bonetti P, et al. Lutein and zeaxanthin supplementation in preterm very low-birth-weight neonates in neonatal intensive care units: a multicenter randomized controlled trial. Am J Perinatol. 2013 Jan;30:25-32. View abstract.
- Ma L, Hao ZX, Liu RR, et al. A dose-response meta-analysis of dietary lutein and zeaxanthin intake in relation to risk of age-related cataract. Graefes Arch Clin Exp Ophthalmol. 2014 Jan;252:63-70. View abstract.
- Liu XH, Yu RB, Liu R, et al. Association between lutein and zeaxanthin status and the risk of cataract: a meta-analysis. Nutrients. 2014 Jan 22;6:452-65. View abstract.
- Liu R, Wang T, Zhang B, et al. Lutein and zeaxanthin supplementation and association with visual function in age-related macular degeneration. Invest Ophthalmol Vis Sci. 2014 Dec 16;56:252-8. Review. View abstract.
- Ge XX, Xing MY, Yu LF, et al. Carotenoid intake and esophageal cancer risk: a meta-analysis. Asian Pac J Cancer Prev. 2013;14:1911-8. View abstract.
- Cui YH, Jing CX, Pan HW. Association of blood antioxidants and vitamins with risk of age-related cataract: a meta-analysis of observational studies. Am J Clin Nutr. 2013;98:778-86. View abstract.
- García-Layana A, Recalde S, Alamán AS, Robredo PF. Effects of lutein and docosahexaenoic Acid supplementation on macular pigment optical density in a randomized controlled trial. Nutrients. 2013 Feb 15;5:543-51. View abstract.
- Fitzgerald KC, O’Reilly ÉJ, Fondell E, et al. Intakes of vitamin C and carotenoids and risk of amyotrophic lateral sclerosis: pooled results from 5 cohort studies. Ann Neurol. 2013;73:236-45. View abstract.
- Liew SH, Gilbert CE Spector TD Mellerio J Van Kuijk FJ Beatty S Fitzke F Marshall J Hammond CJ. Central retinal thickness is positively correlated with macular pigment optical density. Exp Eye Res. 2006;82:915-920.
- Lyle, B. J., Mares-Perlman, J. A., Klein, B. E., Klein, R., Palta, M., Bowen, P. E., and Greger, J. L. Serum carotenoids and tocopherols and incidence of age-related nuclear cataract. Am J Clin Nutr 1999;69:272-277. View abstract.
- Goodman, M. T., Kiviat, N., McDuffie, K., Hankin, J. H., Hernandez, B., Wilkens, L. R., Franke, A., Kuypers, J., Kolonel, L. N., Nakamura, J., Ing, G., Branch, B., Bertram, C. C., Kamemoto, L., Sharma, S., and Killeen, J. The associa