Vitamin A is a term for a number of related compounds, the main one being pre-formed vitamin A which is technically called Retinol. However, some of the pigments or colour found in plants can be used by the body to make vitamin A. These are called carotenoids such as Alpha-carotene and Beta-carotene. Around 50 of the 600 carotenoids are able to be converted in this way but Beta-carotene is the largest and best studied. Hence you’ll sometimes see it called pro-vitamin A.
Vitamin A occurs both as Retinol and Beta-carotene (which is converted into Retinol in the body) in fruits, vegetables and oils,.
Retinol or vitamin A is a fat-soluble vitamin which helps maintain normal reproduction, vision and immune function. Specifically it is involved in:
The Recommended Dietary Intake (RDI*) for vitamin A as Retinol Equivalents each day is:
300 mcg (1-3 yrs)
400 mcg (4-8 yrs)
600 mcg (9-13 yrs)
700 mcg (girls 14-18 yrs)
900 mcg (boys 14-18 yrs)
700 mcg or 2,300 IU (women)
900 mcg or 3,000 IU (men)
800 mcg and 700 mcg for young mothers aged 14-18 yrs
1,100 mcg or 3,666 IU for all ages
Conversion: 1 IU is equal to 0.3 Retinol Equivalents.
1μg Retinol Equivalents = 6μg beta-carotene
mcg or μg = micrograms which is one-thousandth of a milligram
* from NHMRC Australia and New Zealand 2006
3,000 micrograms or 10,000 IU a day
High doses of Retinol in pregnancy can cause birth defects and must be avoided.
During pregnancy, when high intakes can harm the unborn baby, the upper limit is still set at 3,000 mcg or 2,800 mcg for young mothers aged 14 to 18 years.
Retinol is found in animal-derived foods in the fatty parts. Here’s my top 12 richest food sources by weight per 100 grams or 3 ½ oz in descending order :
1. Lamb liver (lamb’s fry) cooked
2. Beef liver, cooked
3. Chicken livers, cooked
4. Pate, liverwurst
5. Kangaroo, cooked
6. Oily fish such as eel (fish liver oils are very rich e.g. cod liver oil)
7. Ghee
8. Butter
9. Margarine/Spread (it is added)
10. Cream
11. Egg yolk
12. Cheese, Brie or Camembert
Source: AUSNUT 2011-13
Don’t forget that Beta-carotene is also converted into Retinol once in the body. So carrots and green vegetables contribute to vitamin A. See here for more.
Because vitamin A is a fat-soluble vitamin, it relies on dietary fat for its absorption. It is stored in the body, primarily in the liver, and toxicity can occur with high doses of Retinol, but not carotenoids.
High doses of Retinol in pregnancy can cause birth defects and should be avoided. Carotenoids in food, but not Retinol, have been shown to have powerful antioxidant functions in the body.
One of the first signs of vitamin A deficiency is night blindness, an inability to see well in dim light. Vitamin A deficiency blindness is the commonest form of preventable blindness worldwide but mainly affects young children and pregnant women in low-income countries where rice, devoid of Beta-carotene, is the staple food.
It is rare in Australia and other developed countries where it mainly affects those who have trouble absorbing the vitamin, have fat malabsorption or have liver disorders. Interference with absorption or storage is likely in coeliac disease, cystic fibrosis, pancreatic insufficiency, duodenal bypass, chronic diarrhoea, bile duct obstruction, giardiasis and cirrhosis.