Vitamin A


What is vitamin A?


Vitamin A is a fat-soluble vitamin (click here learn more about the difference between fat and water soluble vitamins). Vitamin A comes in two forms--preformed and compound. The preformed vitamin A is an active form found in animal products while the compounded form is found in plant sources. The compounded (plant source) form of vitamin A is activated in the human body when it is metabolized.


You may have heard of some of the forms listed below, such as 𝛃-carotene (beta-carotene). It is important to be aware of these other forms so that you can differentiate them in supplemental products. If you have any questions or doubts, reach out to your healthcare team or dietitian to ask about your concerns.


What does the body use Vitamin A for?


Vitamin A functions as an antioxidant, which means it helps to prevent or slow damage to cells. One of the more well-known functions of vitamin A is to support night vision and play a role in visual pigmentation. It can also be protective to our eyes, especially in the case that they are strained looking at a computer or other screens throughout the day.

This vitamin is necessary for normal growth and development processes and plays a crucial role in cell differentiation and regulating genes. Vitamin A plays a role in growth hormone synthesis as well as reproduction. It also helps to maintain the thin linings of organs and blood vessels in the body. It aids in the development of teeth and bones as well. When it comes to skin, it also has an important role. Vitamin A is necessary for cell turnover, renewal, and repair, and it helps to defend the skin against ultraviolet (UV) radiation.



Recommended Dietary Allowance




Deficiency

Primary deficiency results from inadequate intake.

Secondary deficiency happens due to mal-absorption. This can be caused by any one (or a combination of) the following:

  • Insufficiency dietary fat

  • Biliary or pancreatic insufficiency

  • Impaired transport in the body

  • Liver disease

  • Protein-energy malnutrition (PEM)

  • Zinc deficiency


Map of Vitamin A deficiency (VAD) . Deficiency is rare in the United States (generally associated with mal-absorption) but is more common in developing countries. VAD is one of the most significant causes of blindness in the developing world.


Symptoms of deficiency


Early

  • Impaired vision (loss of visual pigmentation), manifesting as night blindness (nyctalopia)

  • Inability to see in dim light or twilight

Pregnancy/Reproduction

  • Impaired embryonic development

  • Spermatogenesis

  • Spontaneous abortion

Other

  • Impaired immunocompetence

  • Declining bone health

  • Changes in skin texture (dry, scaly, rough)

Late

  • Damage to body’s vessel, tissue, and eye linings

  • Poor growth

  • Blindness and eye damage

  • Increased susceptibility to infections


Toxicity

Vitamin A is toxic in large amounts. Usually, misuse of supplements is the cause of chronically high intakes. This is due to the fact that it begins to exceed the amount that the liver can store healthily. Essentially, too much Vitamin A can intoxicate the body and lead to liver disease.


Upper Limit (UL): also known as the Tolerable upper intake level; largest daily intake of a nutrient that is considered safe for most people; exceeding this limit is not recommended and may cause harm to the body; Set by the Food and Nutrition Board at the National Academies of Sciences, Engineering, and Medicine.



Symptoms of Toxicity

Acute toxicity is when the level of vitamin A suddenly increases over a short period of time.

Chronic toxicity is when the level of vitamin A is in excess over a longer period of time.

  • Dry skin and lips

  • Patchy, red skin (erythema) that is scaly or peels

  • Hair loss

  • Fragile nails

  • Headache and/or mental disturbances

  • Nausea and vomiting

How to test your levels of Vitamin A

These tests should be run under direct medical supervision. Ask your doctor and dietitian for more information.

  • Plasma retinol concentration levels (blood levels)

  • Dark adaptation testing (IOM, Food and Nutrition Board, 2001)

  • Pupillary Response test

  • Bone x-rays

  • Blood calcium test

  • Cholesterol test

  • Liver function test

Sources




How stable is Vitamin A?

Vitamin A is stable in light, heat, and in usual cooking processes. It can be destroyed by drying, very high temperature, and ultraviolet (UV) light.


Supplementation & Treatment with Vitamin A


Vitamin A deficiencies are usually treated with oral doses if an acute (temporary) situation. In a more chronic situation such as one associated with malnutrition, the malnutrition (root cause) must be treated first in order to benefit from the treatment of vitamin A by supplementation.

Treatment for vitamin A toxicity usually involves stopping supplementation of vitamin A for a defined period of time. In rare cases, it may also be recommended to stop eating foods high in vitamin A. Again, this should be closely monitored by your treating physician and dietitian and not something you conduct on your own.


FREE Patient Resources






Vitamin A_ Reference_Pt
.pdf
Download PDF • 204KB


















Related Posts

"Vitamins: What do fat and water soluble mean?"

Vitamins, Minerals, and Supplements: The Basics

Resource for Professionals & Providers

Vitamin A (Professional Resource)


Don't you wish you had a quick reference to brush up on vitamin A before seeing your clients or patients? This quick reference will help you organize your thoughts and prove to be a great resource in between appointments. Upon purchase, a high quality pdf file will be available for download. From there, you can turn the file into a print-out, poster, or whatever you would like!



Related Prints



Visit the Print Shop by clicking here

References

  1. Mahan KL, Raymond JL. Krause's Food & the Nutrition Care Process 13th Edition. 2011. Saunders. ISBN: 978-1437722338.

  2. Academy of Nutrition and Dietetics. How to Explain Basic Nutrition Concepts. Accessed at https://www.eatrightpro.org/practice/practice-resources/international-nutrition-pilot-project/how-to-explain-basic-nutrition-concepts.

  3. Weeks A. Vitamins: What do fat and water soluble mean? ANNI WEEKS. 2020. Accessed at https://www.anniweeks.com/post/vitamins-what-do-fat-and-water-soluble-mean.

  4. Academy of Dietetics. Nutrition care manual. 2020. Eatright.org.

  5. Hart J. Eat Pretty. Chronicle Books. 2014. ISBN 978-1452123660.

  6. Gropper SS, Smith JL, Carr TP. Advanced Nutrition and Human Metabolism, Seventh Edition. Cengage Learning. 2017. ISBN: 978-1305627857. \

  7. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for vitamin A. Standing Comittee on the Scientific Evaluation of Dietary Reference Intakes. ISBN 0-309-0790-5. 2001.

  8. US National Library of Medicine. Vitamin A, Health Topics. Accessed at https://medlineplus.gov/vitamina.html.

  9. Food and Nutrition Board, Institute of Medicine, National Academies. Dietary Reference Intakes (DRIs): Recommended Dietary Allowances and Adequate Intakes, Vitamins. Accessed at https://www.ncbi.nlm.nih.gov/books/NBK56068/table/summarytables.t2/?report=objectonly.

  10. Jensen NC, Bobroff LB. Facts about vitamin A. University of Florida. IFAS Extension. Accessed at https://edis.ifas.ufl.edu/pdffiles/fy/fy20600.pdf.

  11. Nicklaus Children’s Hospital. Hypervitaminosis A. 2020. Accessed at https://www.nicklauschildrens.org/healthy-lifestyle/hypervitaminosis-a.


ANNI WEEKS

Don't want to miss "ANNI"-things? 

How about a FREE guide to Vitamins, Minerals, and Supplements?

 

Subscribe below for my weekly email so you don't miss out on deals, freebies, an more!

© 2020 by ANNI WEEKS.
Proudly created with Wix.com

Contact