Abstract
Manganese (Mn) toxicity is observed in children exposed to high Mn levels in water and in total parenteral nutrition. Infant formula contains 5–28 times as much Mn as breast milk, but is not widely studied as a source of Mn toxicity. The objective of this study is to determine the difference in hair Mn levels between infants who are predominantly formula‐fed (FF) or breast‐fed (BF), and explore other salient predictors of hair Mn levels. Infants 3–6 mo who were FF (n=5) or BF (n=30) were recruited. Water and hair Mn levels for mother and infant were determined by ICP‐MS analysis. Mean±SD (median) hair Mn for BF and FF infants was 2.21±2.77 (1.45) μg/mL and 2.76±1.80 (3.16) μg/mL, respectively. Group medians differed significantly (p=0.002). 50.0% of FF displayed elevated hair Mn levels (>3 μg/g), compared to 13.8% of BF infants. Mean water Mn concentration was 0.92±2.10 ng/mL for BF and 0.21±0.16 ng/mL for FF infants. Infant hair Mn was not correlated with water Mn concentration (p=0.32), sex (p=0.21) or age (p=0.25). Additional samples are being collected to provide more definitive results.
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