Evidence Level
Vitamin A's essential role in human health is supported by decades of research. A landmark Lancet meta-analysis by Imdad et al. (2010) of 43 trials (n=215,633 children) found that vitamin A supplementation reduced all-cause mortality by 24% and diarrhea-related mortality by 28% in deficient populations. The AREDS2 trial (2013) demonstrated that a formulation including beta-carotene alternatives (lutein/zeaxanthin) slowed progression of age-related macular degeneration. However, the ATBC and CARET trials showed that high-dose beta-carotene supplementation increased lung cancer risk in smokers by 18-28%, leading to recommendations against supplementation in this population.