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Lutein and Zeaxanthin Protect Vision While Boosting Brain Blood Flow

The plant pigments lutein and zeaxanthin have been shown to protect against macular degeneration. New research shows they also support cognitive function by enhancing brain blood flow in older people.

Scientifically reviewed by: Dr. April Parks, MD, in August 2023. Written by: Nick Oster.

There is a direct connection between the eyes and the brain.

When doctors examine the retina and optic nerve they are looking directly at brain cells.

The retina consists of certain plant pigments that are good indicators of visual health.

Two of those pigments are carotenoids called lutein and zeaxanthin.

Supplementation with these carotenoids helps prevent age-related vision loss.1

A 2018 study shows that lutein and zeaxanthin also enhance cognitive function by improving brain blood flow.2

Improvements in brain function occur even if these carotenoid supplements are started relatively late in life.

This is exciting news since diminished cerebral circulation is a contributor to neurodegeneration.

What you need to know

Carotenoids lutein and zeaxanthin have garnered a strong reputation for their ability to prevent age-related vision loss. Now research is showing that they provide additional benefits to the brain. A clinical study of older adults found that zeaxanthin and lutein increase brain blood flow and shield the brain against the impacts of aging.

The Eye/Brain Connection

The Eye/Brain Connection  

Carotenoids are yellow-to-orange-colored pigments found in many vegetables. They were originally isolated in carrots, hence their name.

Consuming high amounts of certain carotenoids correlates with protection against macular degeneration (an eye condition that can lead to blindness), cancer, cardiovascular diseases, and neurodegenerative disorders.3

Two carotenoids in particular, lutein and zeaxanthin, are highly concentrated in the human retina. But the more we learn about these nutrients, the more we understand that they are just as important for brain health as they are for the eyes.3 That makes sense because the retina is structurally an extension of the brain itself.

In addition, lutein and zeaxanthin belong to a subgroup of carotenoids called xanthophylls, which have recently been identified as the dominant carotenoids in all major brain areas.3,4

Based on these findings, researchers at the University of Georgia carried out the first-ever randomized, controlled trial to test whether supplementation with lutein and zeaxanthin might be beneficial for cognitive function in older people.2

Lutein and Zeaxanthin Boost Brain Blood Flow

For the study, a group of older adults (averaging 72 years old) took either a placebo or a pill containing lutein (10 mg) plus zeaxanthin (2 mg) every day for one year.2

The researchers used advanced imaging called functional magnetic resonance to observe brain activity in real time while subjects performed various tasks involving learning and recall.2

This technique gave researchers the unique opportunity to watch areas of the brain “light up” during the cognitive tasks in a way that highlighted blood flow to each brain region—a measure that indicates how hard the brain is working on the task at hand.5,6

The study had two important findings.

The first was that subjects supplementing with lutein and zeaxanthin maintained their baseline cognitive performance over the year of the study.2 This indicated a favorable cognitive impact of the xanthophyll supplement.

The second finding helps explain why the nutrients had a protective impact on cognition. It showed that supplemented patients experienced significant increases in brain blood flow in areas of the brain vital to cognition and memory. No such activation was seen in those regions in the placebo group.2

These findings showed that lutein and zeaxanthin supplements can:

a) Produce a “brain maintenance effect” by shielding against the impact of aging on cognitive performance.

b) Enhance brain blood flow in the specific areas that support that cognitive function.

Supplementing with lutein and zeaxanthin was effective when started at a relatively advanced age (72), with effects that were evident within a year. That’s encouraging news for older adults who are in the greatest need for brain function protection.

Additional Support for Lutein/Zeaxanthin as Cognitive Aids

Lutein/Zeaxanthin as Cognitive Aids  

Several studies published in 2017—one year before the findings just discussed—add support to the connection between xanthophylls and brain function.

For example, one study showed the density of lutein and zeaxanthin in the macula of the retina was positively associated with academic performance in school-age children, further establishing that there is a relationship between what happens in the eye and what happens in the brain.7

Also, blood levels of these xanthophylls in older adults are closely associated with better cognitive, memory, and executive (prioritizing and decision-making) function. Higher blood levels of zeaxanthin specifically are associated with better processing speed.8

And we learned that higher lutein and zeaxanthin blood levels—and higher density of these carotenoids in the retina—are associated with improved integrity of the brain’s white matter tracts.

White matter tracts are long “cables” that provide network connections between brain regions that are known to deteriorate with age.9 This type of protection is critical because when white matter deteriorates, it can impact one’s ability to move, use sensory faculties, and react to external stimuli.

Finally, a study published online in 2017 showed that supplementation with lutein and zeaxanthin has a powerful effect on the brain, significantly reducing psychological stress and cortisol levels (a blood marker of stress), while contributing to overall improvements in emotional and physical health.10

How It Works

Lutein and zeaxanthin offer protective benefits for the eyes and the brain.  

Lutein and zeaxanthin offer protective benefits for the eyes and the brain. Researchers are still investigating why this is the case, but they believe it has to do with their unique biological structure.

Xanthophylls are able to immerse themselves in the fatty brain cell membranes, crossing between the cell’s exterior and interior environments.3 This stabilizes cell structures and protects against oxidative stress from inside and outside the cell.

What’s particularly intriguing is that the brain seems to automatically concentrate xanthophylls in the most vulnerable regions of brain cell membranes, where the vital polyunsaturated fatty acids reside. Once there, lutein/zeaxanthin provide neurologically important fats that resist oxidative and physical stresses.3


Lutein and zeaxanthin are widely acclaimed for their visionprotecting effects in the macular region of the retina.  

Lutein and zeaxanthin are widely acclaimed for their vision-protecting effects in the macular region of the retina. They have also been shown to support cognitive function and enhance brain blood flow in older adults.

These findings extend previous work that shows a strong correlation between high levels of lutein and zeaxanthin in the eye, improved cognitive function, and protection of brain white matter.

Their unique biological structure permits xanthophylls to bridge brain cell membranes and protect against oxidative stress generated from inside and outside of the cell.

Lutein and zeaxanthin’s effects on cognitive function and brain blood flow are evident even when started late in life, which means that the window of opportunity for brain protection is still open, even for older adults.

If you have any questions on the scientific content of this article, please call a Life Extension® Wellness Specialist at 1-866-864-3027.


  1. Huang YM, Dou HL, Huang FF, et al. Changes following supplementation with lutein and zeaxanthin in retinal function in eyes with early age-related macular degeneration: a randomised, double-blind, placebo-controlled trial. Br J Ophthalmol. 2015;99(3):371-5.
  2. Lindbergh CA, Renzi-Hammond LM, Hammond BR, et al. Lutein and Zeaxanthin Influence Brain Function in Older Adults: A Randomized Controlled Trial. J Int Neuropsychol Soc. 2018;24(1):77-90.
  3. Widomska J, Zareba M, Subczynski WK. Can Xanthophyll-Membrane Interactions Explain Their Selective Presence in the Retina and Brain? Foods. 2016;5(1).
  4. Craft NE, Haitema TB, Garnett KM, et al. Carotenoid, tocopherol, and retinol concentrations in elderly human brain. J Nutr Health Aging. 2004;8(3):156-62.
  5. Havlicek M, Ivanov D, Roebroeck A, et al. Determining Excitatory and Inhibitory Neuronal Activity from Multimodal fMRI Data Using a Generative Hemodynamic Model. Front Neurosci. 2017;11:616.
  6. Available at: Accessed July 20, 2018.
  7. Barnett SM, Khan NA, Walk AM, et al. Macular pigment optical density is positively associated with academic performance among preadolescent children. Nutr Neurosci. 2017:1-9.
  8. Feeney J, O’Leary N, Moran R, et al. Plasma Lutein and Zeaxanthin Are Associated With Better Cognitive Function Across Multiple Domains in a Large Population-Based Sample of Older Adults: Findings from The Irish Longitudinal Study on Aging. J Gerontol A Biol Sci Med Sci. 2017;72(10):1431-6.
  9. Mewborn CM, Terry DP, Renzi-Hammond LM, et al. Relation of Retinal and Serum Lutein and Zeaxanthin to White Matter Integrity in Older Adults: A Diffusion Tensor Imaging Study. Arch Clin Neuropsychol. 2017:1-14.
  10. Stringham NT, Holmes PV, Stringham JM. Supplementation with macular carotenoids reduces psychological stress, serum cortisol, and sub-optimal symptoms of physical and emotional health in young adults. Nutr Neurosci. 2018;21(4):286-96.