Vitamine A tekort? De symptomen, oorzaken en oplossing

Vitamin A deficiency? Symptoms, causes, and solutions

Geschreven door: Ebrina van der Bijl

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Leesduur: 4 min

The Food Consumption Survey (2012–2016) shows that a large proportion of the Dutch population does not get enough vitamin A (1). Young people aged 14–17 are particularly noticeable: No less than 42% of girls and 43% of boys do not meet the recommendation.

Even among adults, about a quarter to a third are still below the norm. Many people think that deficiencies only occur in developing countries, but certain groups in the Netherlands are also at risk.

Vitamin A is essential for your eyes, skin, resistance and growth.

In this article I will show you which signals may indicate a deficiency, what causes it and what you can do about it.

In the Netherlands, a significant portion of the population, especially young people, does not get enough vitamin A, which can lead to complaints such as night blindness and reduced resistance.

Deficiency may arise from low dietary intake, medical conditions, alcohol consumption, or increased needs during pregnancy and breastfeeding.

Supplementation can be achieved through diet, a safely dosed supplement, and lifestyle changes; however, too much vitamin A, especially from supplements, carries health risks.

Symptoms of a vitamin A deficiency

Your body stores vitamin A in the liver. Symptoms only arise when this supply runs out. Initially, you might only notice vague signs, but with a prolonged deficiency, symptoms can become severe.

Possible symptoms include:

  • Night blindness
  • Dry or flaky skin
  • Dull hair and brittle nails
  • Reduced resistance
  • Dry eyes or irritated mucous membranes

Good to know : In developing countries, a severe deficiency can lead to blindness or serious eye problems. This is rare in the Netherlands, but milder deficiencies are probably underestimated. (1) (2)

Main causes of vitamin A deficiency

A vitamin A deficiency can have several causes.

  1. Insufficient dietary intake - The most important factor is simply insufficient dietary intake. According to the RIVM (National Institute for Public Health and the Environment), young people between the ages of 14 and 17 often get too little because they eat fewer animal products, fats, and oils, which are important sources of vitamin A. (1)
  2. Medical conditions - In addition, medical problems such as intestinal diseases (Crohn's, celiac disease), liver disease or gastric reduction surgery can disrupt the absorption of this fat-soluble vitamin. (3)
  3. Alcohol use - With excessive alcohol use, a deficiency is also relatively common, due to a one-sided diet and extra strain on the liver. (4)
  4. Higher Needs - Finally, there are times when your body simply needs more, such as during pregnancy and breastfeeding.

Step-by-step plan for a vitamin A deficiency

A vitamin A deficiency requires a multi-pronged approach: With the right diet, possibly a supplement, and a few smart lifestyle adjustments, you can replenish it fairly quickly:

  1. Supplement your diet - Eat more sources of vitamin A, such as liver (in moderation), eggs, dairy, oily fish, and carrots or other orange/dark green vegetables (carotenoids).
  2. Supplements - Also choose a multivitamin with vitamin A or a separate supplement. Pay close attention to the dosage: a maximum of 1,200 µg RE per day in supplements in the Netherlands.
  3. Improve your lifestyle - Limit alcohol and ensure you eat enough healthy fats: Vitamin A is fat-soluble and is better absorbed with a little fat in your meal.

Risk during pregnancy

During pregnancy, you need slightly more vitamin A (680 → 750 µg/day). But too much (>3,000 µg/day) can be harmful to your baby and cause heart or brain abnormalities. (5) (6)

Therefore, consuming liver products is not recommended during pregnancy and you should be careful with high-dose supplements.

How much vitamin A do you need?

The Reference Intake (RI) is 800 µg per day. This is an average guideline value for adults. Your exact needs vary by gender, and your needs are higher during pregnancy or breastfeeding:

  • Men - 800 µg/day
  • Women - 680 µg/day
  • Pregnant women - 750 µg/day
  • Breastfeeding - 1,100 µg/day

Safety limit : Maximum 3,000 µg per day from food and supplements combined.

My personal advice

Since I don't eat liver myself, I make sure to add some extra color to my plate every day. Orange and dark green vegetables are my go-to choices, and I try to eat at least two servings of them every day.

  • Orange/red vegetables and fruits (carrot, sweet potato, mango) contain a lot of beta-carotene , the best known carotenoid.
  • Dark green leafy vegetables (spinach, kale, endive, bok choy) also contain a lot of beta-carotene, but the green color of chlorophyll masks the orange pigment. Therefore, the color is less visible, but the vitamin A potential is still there.

One of my favorites is an orange smoothie with carrot, mango, and a splash of orange juice: it's packed with beta-carotene. I also often make baked sweet potatoes with a little olive oil. This helps the vitamin A to be absorbed better.

Especially during the winter months, I also choose a well-dosed multivitamin as additional support.

Note : Because vitamin A is a fat-soluble vitamin, your body can store it. Too much is therefore not good, especially not from supplements. That's why I consciously choose a multivitamin with a safe dosage, and I get the rest from fruits and vegetables.

Ebrina van der Bijl - Natural Performance

Ebrina van der Bijl

Ebrina is a nutritionist with a deep commitment to healthy eating and a sustainable lifestyle, based in beautiful Portugal. Her passion for natural and organic products is at the heart of her work. With a background in Nutrition & Dietetics and experience in product development and writing, she translates complex scientific information into practical advice for a balanced lifestyle.

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Sources used

  1. RIVM (2020). Health effects of low vitamin A intakes in the Netherlands. Bilthoven: RIVM.
  2. Sommer, A., & West, K. P. (1996). Vitamin A deficiency. https://doi.org/10.1093/oso/9780195088243.001.0001
  3. Rubin, L.P., Ross, A.C., Stephensen, C.B., Bohn, T., & Tanumihardjo, S.A. (2017). Metabolic Effects of Inflammation on Vitamin A and Carotenoids in Humans and Animal Models. Advances in Nutrition, 8(2), 197–212. https://doi.org/10.3945/an.116.014167
  4. Clugston, R. D., & Blaner, W. S. (2012). The Adverse Effects of Alcohol on Vitamin A Metabolism. Nutrients, 4(5), 356–371. https://doi.org/10.3390/nu4050356
  5. McCauley, M. E., Van Den Broek, N., Dou, L., & Othman, M. (2015). Vitamin A supplementation during pregnancy for maternal and newborn outcomes. Cochrane Library, 2016(3). https://doi.org/10.1002/14651858.cd008666.pub3
  6. Nutrition Center. (nd). Vitamin A. Retrieved August 25, 2025, from https://www.voedingscentrum.nl/encyclopedie/vitamine-a