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Heavy Metal Index

Determination of 40 Elements in Powdered Infant Formulas and Related Risk Assessment

Source

Summary This study measured 40 elements in 11 powdered infant formulas authorized and sold in Italy, using two packs of each product for 22 packs total, and assessed intake for selected metals.

Page snapshot
Cited by16 pages
Metals measured9
Evidence tierA
Year2021

Summary

This study measured 40 elements in 11 powdered infant formulas authorized and sold in Italy, using two packs of each product for 22 packs total, and assessed intake for selected metals. It is useful for Category 1 because it provides a focused powdered-formula dataset under an EU regulatory context.

Key numbers

  • The study collected two packs of each available powdered product for 22 packs total.
  • Be, B, Al, Zr, Nb, Sb, Te, W, V, Cr, and As were below the limit of detection in more than 30 percent of samples.
  • Cd, Mn, Ni, Pb, and Zn concentrations in the formulas studied were reported as always below the considered limits.
  • From the pasted risk-assessment table, the average concentration implied by the intake calculation is approximately Ni 0.0618 ug/g, Cd 0.0020 ug/g, and Pb 0.0020 ug/g; the highest formula-level means reported in the text were Ni 0.098 ug/g, Cd 0.0062 ug/g, and Pb 0.0028 ug/g.

Category 1 concentration rows

Values are for powdered formula as sold unless otherwise noted. Since the paper does not separate soy from non-soy products in the pasted text, these rows are broad powdered-formula context and should not be used as soy-specific or non-soy-specific p90 evidence.

Evidence itemCategory 1 fitNBasisReported valueApproximate ppb equivalentRow-fit note
Nickel mean implied by intake tableInfant Formula Powder11 formulas; 22 packspowder as soldapproximately 0.0618 ug/g61.8 ppbMean reconstructed from Table 7 intake math; no benchmark percentile calculated from this source summary.
Nickel highest formula meanInfant Formula Powder11 formulas; 22 packspowder as sold0.098 ug/g98 ppbHighest formula-level mean reported for formula 2; no benchmark percentile calculated from this source summary.
Cadmium mean implied by intake tableInfant Formula Powder11 formulas; 22 packspowder as soldapproximately 0.0020 ug/g2 ppbMean reconstructed from Table 7 intake math; no benchmark percentile calculated from this source summary.
Cadmium highest formula meanInfant Formula Powder11 formulas; 22 packspowder as sold0.0062 ug/g6.2 ppbHighest formula-level mean reported for formula 8; no benchmark percentile calculated from this source summary.
Lead mean implied by intake tableInfant Formula Powder11 formulas; 22 packspowder as soldapproximately 0.0020 ug/g2 ppbMean reconstructed from Table 7 intake math; no benchmark percentile calculated from this source summary.
Lead highest formula meanInfant Formula Powder11 formulas; 22 packspowder as sold0.0028 ug/g2.8 ppbHighest formula-level mean reported for formula 8; no benchmark percentile calculated from this source summary.
Tin formula meansInfant Formula Powder11 formulas; 22 packspowder as soldformula mean range about 0.0003 to 0.0969 ug/gabout 0.3 to 96.9 ppbCalculated from Table 4 formula-level means; no benchmark percentile calculated from this source summary.
Aluminum, total arsenic, total chromiumInfant Formula Powder detection context11 formulas; 22 packspowder as soldexcluded from subsequent analysis because >30 percent of values were below LODnot summarizedDetection-limit context only; not an occurrence distribution.

Intake and risk rows

The paper estimates intake for nickel, zinc, cadmium, and lead from birth through six months. The highest percentage health risk index in the pasted table is for nickel at 57.1 percent of the EFSA nickel daily limit for females aged 0-2 weeks; cadmium remains below 15 percent of the EFSA cadmium weekly limit, lead below about 10.2 percent of the cited lead weekly value, and zinc around 5 percent of the zinc upper limit.

Methods (brief)

The study used ICP-MS for multi-element analysis of powdered infant formulas. The sampling frame was the Italian Ministry of Health national register for formulas authorized at the time of the study.

Limitations

The source is powdered-formula specific and does not cover ready-to-feed formula, soy-specific formula rows, or other infant food categories. The pasted text does not identify individual product labels or soy status, so row fit remains broad powdered formula. Values reconstructed from intake tables should be treated as derived source-backed summaries, not directly reported p90 data.

Implications

Certification: Useful A-tier EU-context evidence for powdered infant formula and non-detect handling.

Courses: Useful example of targeted formula sampling from a regulatory product register.

App: Supports powdered formula risk estimation and EU jurisdiction comparison.

Microbiome: No direct microbiome endpoint.

Wiki pages updated on ingest

Update history

The five most recent substantive edits to this page, classified major (evidence or structure moved), correction (a published value or statement was wrong and has been fixed), or minor (narrative rewritten without changing the underlying evidence). Each description is derived from what the edit did to this page; the linked commit is the authoritative record, routine regeneration passes are excluded, and the full version history lives in git. When DOI minting comes online (see schema docs), each entry below will also link to a version-pinned DataCite DOI.

CommitDateChangeDescription
a8052bb2026-08-09major9 sections added; narrative text revised