There are no published reports of studies of the vitamin A content of vegan breast milk. Although vitamin A is only found in nature in animal products, plants contain precursors of vitamin A including beta-carotene, alpha-carotene, and beta-cryptoxanthin. Humans are able to convert these carotenoids into active vitamin A.
Breastfed babies could get the essential nutrient in several ways:
- Their mothers eat foods (and/or take supplements) containing precursors of vitamin A. The mothers’ bodies convert these precursors into vitamin A and this vitamin A (possibly along with vitamin A from the mothers’ stores) goes into breast milk.
- Their mothers eat foods (and/or take supplements) containing vitamin A and this dietary/supplemental vitamin A (possibly along with vitamin A from the mothers’ stores) appears in the milk.
- Their mothers eat foods containing precursors of vitamin A. This vitamin A precursors appear in the milk and the infants make vitamin A from these precursors.
The first scenario clearly takes place and is relevant for vegans. Lactating women who are given foods high in beta-carotene, a precursor of vitamin A, have more vitamin A in their breast milk (1,2). If a breastfeeding woman has generous amounts of beta-carotene in her diet, it is likely that her baby will have adequate vitamin A status (3). This is the most likely way that breastfed infants of vegan women get adequate vitamin A.
The second scenario is not really an option for vegans, at least in terms of food sources of vitamin A. Vitamin A is only naturally found in foods derived from animals. Supplemental vitamin A may be synthetic or derived from animals (4). Vegan supplements containing a mix of vitamin A and vitamin A precursors are available.
The third scenario seems possible but we don’t know for sure that it takes place. The first step – vitamin A precursors appear in milk – definitely happens (1, 2, 5) but we don’t know for certain that babies are able to make vitamin A from precursors of vitamin A (6). It doesn’t really matter since mothers are clearly able to make vitamin A from plant precursors.
The bottom line – Vegan women who are breastfeeding should make sure that their diet includes good sources of precursors of vitamin A. These are foods rich in beta-carotene such as winter squash, carrots, pumpkin, sweet potatoes, cantaloupe, and green leafy vegetables. Dietary fat is needed to promote beta-carotene absorption so it is important that lactating women not overly limit dietary fat.
Source: www.vrg.org
By Reed Mangels, PhD, RD
