Levels of 26 elements in infant formula from USA, UK, and Nigeria by microwave digestion and ICP–OES

Quantitative determination of selected elements in infant baby formulae and baby food cereals commercially available in Serbia using the ICP OES method

The aim of this paper was the quantitative determination of some macro and trace elements, especially potentially toxic elements in the samples of infant baby formulae and baby food cereals commercially available in Serbia using the inductively coupled plasma optical emission spectrometry (ICP OES) method. Among the macro elements, K is the most abundant in all infant formulae samples, followed by Ca, P, Na and Mg. On the other hand, the analysis of food cereals showed that P is presents in the highest contents, followed by K, Ca, Na, and Mg. Potentially toxic elements As, Pb, Hg, and Cd were not detected in any sample of infant formulae, while Cd was detected and quantified in cereal foods. Also, the calculated values of Estimated Tolerable Weekly Intake (ETWI) as well as the Estimated Tolerable Monthly Intake (ETMI) were lower than recommended values for a tolerable weekly intake (TWI) and provisional tolerable monthly intake (PTMI).

The Concentration and Risk Assessment of Potentially Toxic Elements (PTEs) in Farmed and Wild Carps (Cyprinus carpio) in Hamadan Province of Iran

This study focuses on measuring potentially toxic elements (PTEs) including mercury (Hg), lead (Pb), cadmium (Cd), arsenic (As), iron (Fe), copper (Cu), zinc (Zn), manganese (Mn) in farmed and wild carp by inductively coupled plasma-optical emission spectrometry (ICP-OES) and their intake amount and risk assessment. Estimated Daily Intake (EDI), Target Hazard Quotient (THQ) and the total THQ (TTHQ) were calculated for each element. In the present research, the concentration of As in farmed and wild carp samples was below the detection limit of ICP-OES (< 0.005 mg/kg). The mean concentrations of Pb, Cd, Fe, and Cu in farmed carp samples were significantly higher than that in wild carp samples, while Zn level was higher in the wild carp samples (P < 0.05). There is no significant difference between Hg and Mn in both fish (P > 0.05). The Monte Carlo simulation (MCS) results showed that the ranking order of PTEs based on their THQ was Hg > Pb > Zn > Cu > Fe > Cd > Mn. In the worst-case scenario (in the top 95 percentile) for both wild and farmed carp, the THQ of measured metals was less than one except Hg in children. Overall, this study demonstrated that the levels of PTEs in farmed and wild common carp had a potential non-carcinogenic risk for children (TTHQ > 1).

Assessing heavy metal levels in pediatric enteral nutrition formulas available in the Turkish market: Implications for consumer health

In this study, we assessed the levels of lead (Pb), cadmium (Cd), mercury (Hg), and inorganic arsenic (iAs) in 27 pediatric enteral nutrition (EN) formulas from five international brands available in the Turkish market. Analysis was conducted using inductively coupled plasma mass spectrometry (ICP-MS). Non-carcinogenic and carcinogenic risk assessment was performed using hazard quotient (HQ), hazard index (HI), carcinogenic risk (CR), Toxicological contribution % of Provisional Tolerable Weekly Intake (PTWI) models. Our objective was to evaluate heavy metal exposure in EN formulas, specifically focusing on Cd, Pb, iAs, and Hg levels according to recommended amounts for different age groups based on their energy requirements. Average concentrations of iAs in polymeric (PC), oligomeric (OC), and monomeric (MC) EN formulas were as follows: PC: 2.13 ± 0.16 ( Collapse

Key Words

• Carcinogenic risk
• Enteral nutrition formula
• Hazard quotient
• Health risk assessment
• Heavy metal

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MESH Headings

• Female
• Child
• Humans
• Male
• Cadmium/analysis
• Enteral Nutrition
• Lead
• Metals, Heavy/analysis
• Mercury/analysis
• Risk Assessment

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Affiliation(s)

Gursel Isci Department of Nutrition and Dietetics, Faculty of Health Sciences, Agri Ibrahim Cecen University, 04100, Agri, Turkey.
Betul Orucoglu Department of Nutrition and Dietetics, Faculty of Health Sciences, Afyonkarahisar Health Sciences University, 03100, Afyonkarahisar, Turkey.
Merve Ekici Department of Nutrition and Dietetics, Faculty of Health Sciences, Agri Ibrahim Cecen University, 04100, Agri, Turkey; Department of Nutrition and Dietetics, Institute of Health Sciences, Acıbadem Mehmet Ali Aydınlar University, 34758, Istanbul, Turkey.

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A survey of toxic elements in ready to eat baby foods in the US market 2021

A non-targeted convenience survey was conducted in 2021 to estimate the range of total arsenic (As), cadmium (Cd), total mercury (Hg) and lead (Pb) concentrations in ready-to-eat baby foods. Four hundred samples were purchased both online and in brick-and-mortar retail. Samples included both organic and non-organic products, packaged in glass or plastic jars and foil or plastic pouches. Samples were analysed by acid assisted microwave digestion and ICP-MS with an emphasis on ultra-low detection limits. Limits of quantification were 2.26, 1.31, 0.72, and 3.14 µg/kg (ppb) for As, Cd, Hg and Pb, respectively. The median concentrations of As, Cd, Hg, and Pb in tested products were 2.60, 1.81, 0.09, and 1.38 µg/kg, respectively. Foods containing rice were more likely to contain arsenic. Foods with leafy greens, such as spinach and kale, were more likely to contain cadmium and foods with root vegetables had the highest concentrations of lead.

Probabilistic Health Risk Assessment of Trace Elements in Baby Food and Milk Powder Using ICP-OES Method

This study was conducted to evaluate the concentration and health risk of trace elements in milk powder and baby food samples marketed in Iran using inductive couple plasma/optical emission spectroscopy (ICP-OES) method. The limit of detection (LOD) and limit of quantification (LOQ) were ranged from 1.80 × 10^-5 to 2.17 × 10^-3 and 6.00 × 10^-5 to 7.22 × 10^-3 mg/kg, respectively, with recoveries ranged from 92 to 105%. Zinc (Zn) was found in a high mean concentration (8.49 × 10^-1 ± 3.93 × 10^-2 mg/kg) in milk powder, and iron (Fe) was found in the highest mean concentration (2.04 ± 3.61 × 10^-2 mg/kg) in baby food. The Monte Carlo simulation results for the infants revealed that the rank order of the hazard quotient (HQ) index was mercury (Hg) > nickel (Ni) > arsenic (As) > cadmium (Cd) > aluminum (Al). Further, the result of non-carcinogenic and probability of carcinogenic risk was lower than the limits of safe risk (HQ > 1 and cancer risk (CR) > 1 × 10^-4). In conclusion, the toxic elements content in the tested products was sufficiently low, and all of the milk powder and baby food sold in Iran could be considered safe for infants and children.

Macrominerals and Trace Minerals in Commercial Infant Formulas Marketed in Brazil: Compliance With Established Minimum and Maximum Requirements, Label Statements, and Estimated Daily Intake

Infant formulas are the main nutritional source for infants when breastfeeding is not possible or recommended. The daily need for specific nutrients, such as essential minerals, in early stages of a child's life is high because of rapid infant growth and development, which impose metabolic flux increases on these pathways to support growth, physical activity, and defense against infections. In this context, this research aimed to determine macromineral and trace mineral contents in starting (phase 1) and follow-up (phase 2) infant formulas marketed in Brazil (n = 30) by inductively coupled plasma-mass spectrometry, calculate estimated daily intakes, and compare them to reference values regarding adequate intake and tolerable upper intake levels. The highest concentrations of macrominerals were observed in Ca, K, P, and Na, and trace minerals in Fe, Zn, Mn, and Cu. Certain homogeneity only to trace mineral contents was observed when analyzing inter-batch values from same manufacturers. In general, all phase 1 and phase 2 infant formula brands and batches met or exceeded Fe, Zn, Cu, Mo, and Se contents when compared to maximum limits established by Codex Alimentarius. In addition, Zn contents in eight phase 1 and in four phase 2 infant formulas were above the contents established by the tolerable upper intake level for children aged 0–6 and/or 7–12 months, respectively. These findings highlight the need to expand regular infant formula inspection concerning nutritional quality, as some composition aspects of these foods must be improved to follow international guidelines, since ideal requirements for infant formula composition, quality, and safety interfere in child development and adult health.

Calcium: A comprehensive review on quantification, interaction with milk proteins and implications for processing of dairy products

Calcium (Ca) is a key micronutrient of high relevance for human nutrition that also influences the texture and taste of dairy products and their processability. In bovine milk, Ca is presented in several speciation forms, such as complexed with other milk components or free as ionic calcium while being distributed between colloidal and serum phases of milk. Partitioning of Ca between these phases is highly dynamic and influenced by factors, such as temperature, ionic strength, pH, and milk composition. Processing steps used during the manufacture of dairy products, such as preconditioning, concentration, acidification, salting, cooling, and heating, all contribute to modify Ca speciation and partition, thereby influencing product functionality, product yield, and fouling of equipment. This review aims to provide a comprehensive understanding of the influence of Ca partition on dairy products properties to support the development of kinetics models to reduce product losses and develop added-value products with improved functionality. To achieve this objective, approaches to separate milk phases, analytical approaches to determine Ca partition and speciation, the role of Ca on protein-protein interactions, and their influence on processing of dairy products are discussed.

Mechanochemical activation on selective leaching of arsenic from copper smelting flue dusts

A novel application, including mechanochemical pre-treating and alkali leaching, for arsenic selective leaching from copper smelter flue dusts (CSFUs) was developed to overcome the disadvantages of hydrometallurgical methods. Compared with raw CSFU powders, the mechanical-activated ones showed higher maximum arsenic leaching efficiency (increased by ~20%), and lower apparent activation energy (decreased by ~7 kJ·mol^-1). Furthermore, this novel process only consumed half of alkali and sulfides and needed one-third of the leaching time to compare with the ones used in the traditional alkali leaching process. The promoting effect of mechanical force on arsenic leaching firstly relied on the physical property changes of CSFU powders, including a decrease of particle sizes and an increase of the specific surface. Secondly, mechanochemical force converted As⁵⁺ species into reduced phases (e.g. As₂O₃, NaAsO₂), and thio-arsenates (e.g. AsO₂S₂^3-, AsO₃S^3-), which could spur its leaching due to their stronger mobilities in the alkali solution within sulfides. Finally, mechanochemical activation could be facilitated to separate discrete soluble arsenic species or incorporated ones from sulfate minerals in the CSFUs. This work may have important implications for the development of new eco-friendly technologies for purifying arsenic-bearing materials.

Modified Baby Milk-Bioelements Composition and Toxic Elements Contamination

Breast milk has the most suitable composition for the proper development in the first year of a child’s life. However, it is often replaced with artificial milk. The aim of the study was to analyze the composition of essential elements: Na, K, Ca, P, Mg, Fe, Zn, Cu, and Mn as well as toxic elements: Ni, Pb, Sr, Li, and In in 18 formulas available in Poland. The daily supply was also estimated. The study was performed by Inductively Coupled Plasma Optical Emission Spectrometry method. The results showed the presence of all essential elements tested, but the content of P and Mn significantly differed from the concentrations declared. Such discrepancies can have significant impact on the daily dose of the bioelements taken. However, the content of elements was within the reference standards established by the EU Directive with exception of P, the amount of which exceeded the norms 5.23–18.80-times. Daily supply of P in tested milk as well as Fe and Mn provided with first and hypoallergenic formula exceeded the adequate intake. Analysis revealed the contamination with harmful elements—Pb, Sr, Li, and In were detected in almost all products. The study confirms the data concerning some discrepancies in composition and the contamination of food and may provide information on the feeding quality of children and estimation of health risk associated with exposure to toxic elements.

Content and Dietary Exposure Assessment of Toxic Elements in Infant Formulas from the Chinese Market

In this study, the content of chromium (Cr), arsenic (As), cadmium (Cd) and lead (Pb) in domestic and imported infant formulas from Beijing, China were analyzed using inductively coupled plasma mass spectrometry. The content of Cr, As, Cd and Pb was 2.51-83.80, 0.89-7.87, 0.13-3.58 and 0.36-5.57 μg/kg, respectively. Even though there were no significant differences in toxic elements content between domestic and imported infant formulas, Cd content was slightly lower in domestic samples. The estimated daily intake (EDI), target hazard quotient (THQ) and hazard index (HI) were calculated for infants between 0.5 and 5 y of age. The EDIs were lower than the oral reference doses. THQ of As, Cr, Cd and Pb was 0.027-0.103, 0.024-0.093, 0.0025-0.0090 and 0.0015-0.0046, respectively. HI values were 0.055-0.192 for boys and 0.056-0.209 for girls and were inversely associated with age with a threshold < 1. The non-carcinogenic risk value were in the safe range, indicating that exposure of As, Pb, Cr and Cd from infant formulas do not represent a health risk in China.

Deep-eutectic-solvent-based dispersive and emulsification liquid-liquid microextraction methods for the speciation of selenium in water and determining its total content levels in milk formula and cereals

Rapid and environmentally friendly ultrasound-assisted dispersive liquid-liquid microextraction (US-DLLμE) and vortex assisted-emulsification liquid-liquid microextraction (VA-ELLμE) methods are proposed for the speciation of selenium in domestic and mineral water samples. A deep eutectic solvent (DES) prepared with different ratios of choline chloride and phenol is used as an extractant for hydrophobic tetravalent Se complexed with diethyldithiocarbamate in different water samples. The total inorganic Se species levels in water samples were determined via reducing Se(vi) to Se(iv), using sodium thiosulphate as a reducing agent. The total Se levels in formula milk and cereal samples were determined after microwave acid digestion. The different heating steps in GFAAS were also optimized. The analytical parameters for US-DLLμE and VA-ELLμE, including pH, the volume of complexing agent, the ultrasound and vortex mixing shaking times, and the volume and composition of the deep eutectic solvent, were optimized. The accuracies of both methods were confirmed based on the analysis of a certified reference material (CRM) BCR 189 (wholemeal flour). The enhancement factor (EF) and limit of detection (LOD) for Se(iv) via US-DLLμE were found to be 90.8 and 0.029 μg L^-1, respectively, whereas an EF of 81.8 and LOD of 0.036 μg L^-1 were obtained via VA-ELLμE. The % relative standard deviation (%RSD) values obtained based on the analysis of six replicate standards under the optimized conditions for US-DLLμE and VA-ELLμE were found to be 4.2 and 5.8%, respectively. The optimized methods were applied to different drinking water samples, and acid-digested milk formula and baby cereal food samples.

Determination of Aluminum, Chromium, and Barium Concentrations in Infant Formula Marketed in Lebanon

ABSTRACT

Infant formula is a major nutritional component for many infants and toddlers. However, the presence of contaminants, such as toxic metals, may pose increased health risks to infants. An investigation of the total concentrations of the metals aluminum (Al), barium (Ba), and chromium (Cr) in infant formulae marketed in Lebanon was performed. Powdered dairy and nondairy infant formula samples were collected from all commercially available brands (n = 39) in the Lebanese market on two production dates (78 samples in total) and analyzed for these three metals with inductively coupled plasma mass spectrometry. All brands contained detectable concentrations of Al and Ba, Cr was detected in 95% of brands. Mean (±standard deviation) concentrations of the metals were estimated as 1.54 ± 1.43 (Al), 0.256 ± 0.593 (Ba), and 0.168 ± 0.143 (Cr) (μg/g). The concentration ranges in the powdered formula were 0.080 to 7.93 (Al), 0.038 to 5.35 (Ba), and 0.041 to 0.348 (Cr) μg/g. A significant difference in the mean concentrations of Al, Ba, and Cr for the two production dates of a single brand was observed in 92, 59, and 83% of samples, respectively. The mean concentration of Al in the soy-based formula was significantly higher than that of aluminum in milk-based and corn-based formulas (P = 0.018). Cr concentrations in the continuation special formulations were significantly higher than those in the beginner formulations (P = 0.008). Our study provides the first publicly available information on metal contamination in infant formulas in Lebanon and reveals the need for frequent monitoring and surveillance of these products intended for infant consumption.

HIGHLIGHTS

Investigation of Raman Spectroscopy (with Fiber Optic Probe) and Chemometric Data Analysis for the Determination of Mineral Content in Aqueous Infant Formula

This study investigated the use of Raman spectroscopy (RS) and chemometrics for the determination of eight mineral elements (i.e., Ca, Mg, K, Na, Cu, Mn, Fe, and Zn) in aqueous infant formula (INF). The samples were prepared using infant formula powder reconstituted to concentrations of 3%-13% w/w (powder: water) (n = 83). Raman spectral data acquisition was carried out using a non-contact fiber optic probe on the surface of aqueous samples in 50-3398 cm-1. ICP-AES was used as a reference method for the determination of the mineral contents in aqueous INF samples. Results showed that the best performing partial least squares regression (PLSR) models developed for the prediction of minerals using all samples for calibration achieved R2CV values of 0.51-0.95 with RMSECVs of 0.13-2.96 ppm. The PLSR models developed and validated using separate calibration (n = 42) and validation (n = 41) samples achieved R2CVs of 0.93, 0.94, 0.91, 0.90, 0.97, and 0.94, R2Ps of 0.75, 0.77, 0.31, 0.60, 0.84, and 0.80 with RMSEPs of 3.17, 0.29, 3.45, 1.51, 0.30, and 0.25 ppm for the prediction of Ca, Mg, K, Na, Fe, and Zn respectively. This study demonstrated that RS equipped with a non-contact fiber optic probe and combined with chemometrics has the potential for timely quantification of the mineral content of aqueous INF during manufacturing.

Microwave-enhanced selective leaching of arsenic from copper smelting flue dusts

Alkaline sulphide leaching processes have been widely used for the arsenic selective removal from metallurgical wastes. However, high consumption of energy and chemicals as well as long extraction time have forced the industries to find more cost-effective and eco-friendly separation techniques. In this work, a feasible microwave-enhanced leaching process was developed for arsenic selective removal from copper smelter dusts, and arsenic leaching efficiency could reach ∼98 % after leaching for 10 min with 0.5 mol·L^-1 alkaline solution, in contrast to 86 % removal for the conventional electrical-heating leaching with even a more intensive alkali content (1.0 mol·L^-1) and a longer extract time (1.5 h). Furthermore, energy cost was cut down to one-tenth of the conventional leaching process. Two enhancing mechanisms were proposed: 1) rapid oxidation of As(III) of the dusts occurred under microwave irradiation reduced the energy potential for arsenic dissolving in alkali media; 2) cracks and fissures formed in the dust particles after microwave, coupled with the temporary and localized superheating in the bulk liquid, would dramatically enhance arsenic leaching kinetics and decrease the activation energy value from 42.88 to 35.81 kJ·mol^-1 (40-70 ℃). This work may have important implications to the development of new technologies to purify arsenic-bearing materials.

The Toxicological Analysis of Ni and Cr in Prescription Food for Special Medical Purposes and Modified Milk Products for Babies in Infancy Available in Pharmacies in Poland

Prescription food for special medical purposes (FSMPs) and modified milk products (MMPs) for babies in the infancy period available in pharmacies are increasingly frequently used for newborns and infants-especially in cases where allergies and food-borne diseases are diagnosed. However, there is a lack of scientific study around the safety assessment of the elemental impurities in these products. Importantly, the allergen Ni and the problematic metal Cr are little considered. Hence, the aim of this article was the toxicological analysis of Ni and Cr impurities in prescription FSMPs (n = 6) and MMPs (n = 6) for newborns and infants available in Polish pharmacies. For the best safety assessment, we include three approaches including (1) the levels of Ni and Cr in powdered products, (2) assessment of the daily dose depending on age and body weight of newborns and infants, and (3) the weekly intake of Ni and Cr in samples in comparison to provisional tolerable weekly intake (PTWI). Our results show that, on the basis of our data, the products from pharmacies in Poland investigated in this study do not represent a real health hazard to newborns and infants, although there may be a requirement for the monitoring of levels of Ni. Our results are pioneer and provide valuable data for other scientists and manufacturers.

The analysis of Cu, Mn and Zn content in prescription food for special medical purposes and modified milk products for newborns and infants available in Polish pharmacies from toxicological and nutritional point of view

BACKGROUND

Prescription food for special medical purposes (FSMPs) and modified milk products (MMPs), available in pharmacies, are important for newborns and infants that are not breastfed. In the scientific literature there is a lack of comprehensive studies and corresponding safety assessment of the essential trace elements in these products.

OBJECTIVE

The aim of this article was determination of Cu, Mn and Zn levels in the most frequently available prescription FSMPs (n = 6) and MMPs (n = 6) available in Polish pharmacies.

METHODS

Flame absorption spectrometry (FAAS) following microwave induced digestion (concentrated nitric acid) was applied to determine the levels of the elements in the products.

RESULTS

Our studies are based on a triple approach (1) the "raw results" of Cu, Mn and Zn levels (products in powdered form), (2) single intake - the level of each essential trace element consumed in one portion, (3) the daily intake depending on age and weight including comparison with Adequate Intake established by European Food Safety Authority.

CONCLUSION

The results show the occurrence of differences between the manufacturer's declared composition and the finished product for consumption. The prescription FSMPs in comparison to MMPs available in Polish pharmacies contain similar levels of Cu, Mn and Zn. Our results show additionally that all of the products do not represent a health hazard to the newborns and infants. This is a pioneer study in terms of the safety assessment, and quality of prescription FSMPs and MMPs available in Polish pharmacies from toxicological and nutritional point of view.

Fluoride Exposure Induces Inhibition of Sodium-and Potassium-Activated Adenosine Triphosphatase (Na+, K+-ATPase) Enzyme Activity: Molecular Mechanisms and Implications for Public Health

In this study, several lines of evidence are provided to show that Na + , K + -ATPase activity exerts vital roles in normal brain development and function and that loss of enzyme activity is implicated in neurodevelopmental, neuropsychiatric and neurodegenerative disorders, as well as increased risk of cancer, metabolic, pulmonary and cardiovascular disease. Evidence is presented to show that fluoride (F) inhibits Na + , K + -ATPase activity by altering biological pathways through modifying the expression of genes and the activity of glycolytic enzymes, metalloenzymes, hormones, proteins, neuropeptides and cytokines, as well as biological interface interactions that rely on the bioavailability of chemical elements magnesium and manganese to modulate ATP and Na + , K + -ATPase enzyme activity. Taken together, the findings of this study provide unprecedented insights into the molecular mechanisms and biological pathways by which F inhibits Na + , K + -ATPase activity and contributes to the etiology and pathophysiology of diseases associated with impairment of this essential enzyme. Moreover, the findings of this study further suggest that there are windows of susceptibility over the life course where chronic F exposure in pregnancy and early infancy may impair Na + , K + -ATPase activity with both short- and long-term implications for disease and inequalities in health. These findings would warrant considerable attention and potential intervention, not to mention additional research on the potential effects of F intake in contributing to chronic disease.

Sources of lead exposure in various countries

This review evaluates the sources of lead exposure worldwide. Studies from searches relating to sources of lead exposure in various countries within different regional zones were reviewed. Results indicated that in Nigeria, exposure sources include electronic waste, paint and batteries. In Mexico exposure sources include glazed ceramics, lead contaminated utensils and lead contaminated water, for India lead sources include cosmetics and traditional medicines. Sources of lead exposure in China include e-waste, traditional medicines and industrial emissions. In France, exposure sources included lead paint from older homes, imported ceramics and cosmetics and industrial emissions. Australia's exposure sources include paint, dust, imported toys and traditional medicines. Finally, in the United States exposure sources included paint, the industrial legacy of lead exposure and batteries. In high-income countries (HICs) the legacy of lead exposure keeps populations continuously exposed. In lower- and middle-income countries (LMICs), in addition to the legacy of lead exposure, lack of regulations or the inability to enforce regulations keeps populations exposed. In all, evidence suggests that lead exposure remains an issue of public health significance in both HIC and LMIC.

The Salt Content of Lunch Meals Eaten at Danish Worksites

Monitoring levels of sodium (salt) in meals consumed out-of-home is needed to support effective implementation of salt-reduction strategies. The objective of the study was to examine lunch salt intake at 15 worksite canteens and to compare with results from a comparable study conducted 10 years before. A duplicate-portion-technique with subsequent chemical analysis was used to quantify 240 customers’ lunch salt intake. Estimated mean salt intake was 2.6 g/meal (95% Cl: 2.2 to 3.0 g/meal) and 0.78 g/100 g (95% Cl: 0.69 to 0.88 g/100 g). Salt intake measured both as g per meal and per 100 g was found to be significantly higher for male compared with female participants (+0.10 g/100 g, 95% Cl: +0.02 to +0.17 g/100 g, p = 0.011). Compared with the study conducted 10 years before, there was a significantly lower estimated salt intake of 0.5 g/meal (95% CI: −0.8 to −0.2 g/meal, p = 0.001), suggesting a possible reduction in canteen lunch salt intake during a 10-year period. Still, 40% of the meals exceeded the Nordic Keyhole label requirements of maximum 0.8 g salt per 100 g for ready meals. A further reduction of salt intake is warranted to comply with salt reduction targets.

Environmental Chemicals in Breast Milk and Formula: Exposure and Risk Assessment Implications

BACKGROUND

Human health risk assessment methods have advanced in recent years to more accurately estimate risks associated with exposure during childhood. However, predicting risks related to infant exposures to environmental chemicals in breast milk and formula remains challenging.

OBJECTIVES

Our goal was to compile available information on infant exposures to environmental chemicals in breast milk and formula, describe methods to characterize infant exposure and potential for health risk in the context of a risk assessment, and identify research needed to improve risk analyses based on this type of exposure and health risk information.

METHODS

We reviewed recent literature on levels of environmental chemicals in breast milk and formula, with a focus on data from the United States. We then selected three example publications that quantified infant exposure using breast milk or formula chemical concentrations and estimated breast milk or formula intake. The potential for health risk from these dietary exposures was then characterized by comparison with available health risk benchmarks. We identified areas of this approach in need of improvement to better characterize the potential for infant health risk from this critical exposure pathway.

DISCUSSION

Measurements of chemicals in breast milk and formula are integral to the evaluation of risk from early life dietary exposures to environmental chemicals. Risk assessments may also be informed by research investigating the impact of chemical exposure on developmental processes known to be active, and subject to disruption, during infancy, and by analysis of exposure-response data specific to the infant life stage. Critical data gaps exist in all of these areas.

CONCLUSIONS

Better-designed studies are needed to characterize infant exposures to environmental chemicals in breast milk and infant formula as well as to improve risk assessments of chemicals found in both foods. https://doi.org/10.1289/EHP1953.

Effect of exclusive breastfeeding on selected adverse health and nutritional outcomes: a nationally representative study

BACKGROUND

Despite growing evidence in support of exclusive breastfeeding (EBF) among infants in the first 6 months of birth, the debate over the optimal duration of EBF continues. This study examines the effect of termination of EBF during the first 2, 4 and 6 months of birth on a set of adverse health and nutritional outcomes of infants.

METHODS

Three waves of Bangladesh Demographic and Health Survey data were analysed using multivariate regression. The adverse health outcomes were: an episode of diarrhea, fever or acute respiratory infection (ARI) during the 2 weeks prior to the survey. Nutritional outcomes were assessed by stunting (height-for-age), wasting (weight-for-height) and underweight (weight-for-age). Population attributable fraction was calculated to estimate percentages of these six outcomes that could have been prevented by supplying EBF.

RESULTS

Fifty-six percent of infants were exclusively breastfed during the first 6 months. Lack of EBF increased the odds of diarrhea, fever and ARI. Among the babies aged 6 months or less 27.37% of diarrhea, 13.24% of fever and 8.94% of ARI could have been prevented if EBF was not discontinued. If EBF was terminated during 0-2 months, 2-4 months the odds of becoming underweight were 2.16 and 2.01 times higher, respectively, than babies for whom EBF was not terminated.

CONCLUSION

Children who are not offered EBF up to 6 months of their birth may suffer from a range of infectious diseases and under-nutrition. Health promotion and other public health interventions should be enhanced to encourage EBF at least up to six-month of birth.

TRAIL REGISTRATION

Data of this study were collected following the guidelines of ICF International and Bangladesh Medical Research Council. The registration number of data collection is 132,989.0.000 and the data-request was registered on September 11, 2016.

Essential and toxic elements in commercial baby food on the Spanish and Serbian market

About 10 heavy elements were determined in 90 samples of baby food collected from Spanish and Serbian market. The results indicated that iron, manganese and copper were most frequently detected. Tin was the predominant toxic element in both Spanish and Serbian samples, with occurrence frequencies of 12.5% and 10.0%, respectively. Element intake for Spanish and Serbian infants were estimated and compared with the recommended reference values, for the majority of elements being lower than one. However, iron and manganese intake through consumption of infant/follow-on formulas were assessed to be higher than the respective daily intakes. Particular attention should be paid to the exposure of infants who consume porridges made of vegetables and fish or chicken, because they may ingest certain elements, particularly arsenic and lead, at levels that exceed the reference toxicological values. Principal component analysis (PCA) was applied to classify and distinguish the different types of baby food.

Application of ICP-MS, INAA and RNAA to the determination of some "difficult" elements in infant formulas

In this work a determination of selected elements in the infant formulas commercially available on the Polish market was done. 14 different materials (milk-based formulas and grain porridges) were analyzed. Both, inductively coupled plasma mass spectrometry (ICP-MS) and instrumental neutron activation analysis (INAA) were applied for the determination of As, Cr, Fe and Se, which are recognized as the problematic elements for ICP-MS. For As and Se, the radiochemical NAA was also used. The daily intake of Se and Fe in the age 0-6 months for non-breast fed infants was estimated and compared with present safety limits.

Use of aminothiophenol as an indicator for the analysis of silver nanoparticles in consumer products by surface-enhanced Raman spectroscopy

Silver nanoparticles (Ag NPs) are one of the top five engineered nanoparticles that have been used in various products. Current methods for the measurement of Ag NPs are time consuming and expensive. Therefore, it is of critical importance to develop novel strategies to detect the presence of Ag NPs at low concentrations in different matrices. This study aimed at detecting and measuring Ag NPs in consumer products using surface-enhanced Raman spectroscopy (SERS) coupled with aminothiophenol (PATP) as an indicator molecule that binds strongly with Ag NPs. Quantification and qualification of Ag NPs were achieved using this method of acquiring SERS signals from Ag NP-PATP complexes. Four dietary supplement products and one nasal spray were selected to evaluate the performance of SERS in the detection of Ag NPs. Inductively coupled plasma optical emission spectrometry (ICP-OES) and transmission electron microscopy (TEM) were utilized to measure the physical properties of Ag NPs in the samples. The results demonstrate that distinctive Raman peaks of PATP can be used to distinguish Ag NPs from silver bulk particles and silver nitrate. SERS is able to detect Ag NPs with different sizes ranging from 20 to 100 nm, with the highest intensity for ∼30 nm Ag NPs. A partial least squares method was used to develop quantitative models for the analysis of spectral data (R = 0.94). These results indicate that the conjugation of Ag NPs with PATP can be measured by SERS. These results demonstrate that SERS is a simple and rapid method and has great potential to detect Ag NPs in various products.

Occurrence and infant exposure assessment of nitrates in baby foods marketed in the region of Lisbon, Portugal

Commercial baby food labelled as from organic or conventional origin, including vegetable-based baby foods, fruit purees and fruit juices (n = 80), were analysed for nitrate content by an in-house validated HPLC method. Nitrate contents ranged from 5 to 230 mg kg(-1) with a mean concentration of 102 mg kg(-1) for vegetable-based baby foods, and a median of 5 mg kg(-1) for both fruit purees and juices. One sample of vegetable-based baby food was higher than the legislated value (200 mg kg(-1)). There were no significant differences between average nitrate levels in analysed samples regarding both farming systems. The estimated nitrate intake through baby foods for a mean nitrate concentration of 47 mg kg(-1) ranged between 0.5 (15% of ADI) and 1.3 mg kg(-1) bw day(-1) (35% of ADI). The ADI level was exceeded (107-146% of ADI) only for the 95th and 99th percentiles of nitrate concentration.

Determination of heavy metals in milk and fermented milk products by potentiometric stripping analysis with constant inverse current in the analytical step

A simple and rapid method for the direct determination of cadmium, lead and copper in milk and fermented milk products by potentiometric stripping analysis (PSA) with oxygen as an oxidant and with inverse current imposed through the stripping step is described. For the more selective metals determination a samples pretreatment by the microwave acid extraction was applied. Due to the significant increase of the modified technique sensitivity, the detection limits of 0.30, 1.7 and 3.8 μg/l were obtained, for cadmium, lead and copper, respectively. The method accuracy was confirmed by analysing the standard reference material (SRM 1577 b). The contents of cadmium, lead and copper in milk samples were in the range of 2.13-4.82, 54.3-95.2 and 112.2-124.7 μg/kg, respectively, whereas in the samples of fermented milk products in the range of 6.30-24.1, 210.1-463.6 and 260.0-320.7 μg/kg, respectively.