Linked to more cancer, including breast cancer, in a large French study
The NutriNet-Santé study followed 105,260 French adults for more than seven years and tracked the colours in what they ate. People with higher intake of beta-carotene as an added colour (E160a) had 16% more cancer overall and 41% more breast cancer. This is one observational study and shows a link, not proof that the colour causes cancer. It is about the added colour, not carrots and other vegetables.
Among 105,260 French adults followed from 2009 to 2023, higher intake of beta-carotene as a food colour (E160a) was linked to a 16% higher risk of cancer overall and a 41% higher risk of breast cancer.
2026Observational study in peopleNutriNet-Santé cohort, Food colouring additives and cancer incidence, European Journal of Epidemiology; INRAE and Inserm press release
High-dose supplements raised lung cancer in smokers
Two large randomised trials found that heavy smokers and asbestos workers taking 20 to 30mg of beta-carotene a day had more lung cancer and more deaths than those on a dummy pill. The ATBC study found 18% more lung cancer. The CARET trial was stopped early after 28% more lung cancers and 17% more deaths. Those doses are far above what a food colour supplies. In 2024 European reviewers could not set an upper limit for beta-carotene supplements and advised smokers to avoid them.
Male smokers given 20mg of beta-carotene a day had 18% more lung cancer than those on a dummy pill, over a median of 6.1 years.
1994Randomised trial in peopleThe ATBC Cancer Prevention Study Group, New England Journal of Medicine
Smokers and asbestos workers given 30mg of beta-carotene plus vitamin A a day had 28% more lung cancer and 17% more deaths, and the trial was stopped early.
1996Randomised trial in peopleOmenn et al. (CARET), New England Journal of Medicine
Reviewers could not set an upper limit for beta-carotene supplements because the lung cancer dose-response data were not enough, and recommended smokers avoid supplements containing it.
2024Regulator reviewEFSA Scientific Opinion on tolerable upper intake level for preformed vitamin A and beta-carotene, EFSA Journal
Beta-carotene from ordinary food
The lung cancer findings came from high supplement doses. European reviewers found no sign of harm from beta-carotene in ordinary food, and studies link eating more carotenoid-rich food with less lung cancer in people not taking supplements. In 2012 reviewers said use as a food colour was not a concern as long as the colour plus supplements stay within what a carotenoid-rich diet gives, about 5 to 10mg a day.
Reviewers judged use as a food colour not a safety concern provided intake from the colour plus supplements stays at about 5 to 10mg a day, the amount in a diet rich in carotenoids.
2012Regulator reviewEFSA Scientific Opinion on the re-evaluation of mixed carotenes (E160a(i)) and beta-carotene (E160a(ii)) as a food additive, EFSA Journal
Reviewers found no sign that beta-carotene from ordinary diet is linked to harm.
2024Regulator reviewEFSA Scientific Opinion on tolerable upper intake level for preformed vitamin A and beta-carotene, EFSA Journal
In the ATBC cohort, men not taking supplements who ate more beta-carotene in food had less lung cancer.
2019ObservationalATBC Cancer Prevention Study Group analyses, PMC6636175
No numerical daily limit
Regulators have not set a numerical daily limit for carotenes as a food colour. European reviewers judged that colour use stays within what people eat from orange and yellow vegetables.
No numerical daily limit was set for mixed carotenes or beta-carotene as food colours. Reviewers judged use within normal dietary amounts not a concern.
2012Regulator reviewEFSA Scientific Opinion on the re-evaluation of mixed carotenes (E160a(i)) and beta-carotene (E160a(ii)), EFSA Journal
Yellow skin at very high intakes
Eating very large amounts of carotenoids for weeks, typically well over 20mg a day, can turn the skin yellow, especially the palms and soles. It fades when intake falls, and it is not a sign of vitamin A poisoning, because the body limits how much beta-carotene it turns into vitamin A.
Beta-carotene does not cause vitamin A poisoning, because the gut enzyme that converts it slows down when vitamin A stores are full.
EstablishedLinus Pauling Institute, Oregon State University Micronutrient Information Center