Frisbie et al. 2019 - manganese in infant formula and young-child beverages

This PLOS ONE study measured manganese in 44 infant formulas and young-child nutritional beverage products from the United States and France using simultaneous PIXE/RBS analysis. Products included cow-milk, goat-milk, soy, rice, amino-acid, chocolate-containing, supplemented, and unsupplemented products labeled from birth through 3 years. The occurrence signal is not a toxic-metal contaminant in the usual Pb/Cd/As/Hg sense, but it is important for infant formula risk assessment because Mn has neurodevelopmental toxicity concerns at excess exposure.

Key numbers

United States market products (Table 1; n=25):

MetricMn (ug/g dried product)Mn (ug/L prepared product)Mn (ug/100 kcal prepared product)
Minimum1.316026
Maximum322800860
Mean5.0650110
Median2.740055

French market products (Table 2; n=19):

MetricMn (ug/g dried product)Mn (ug/L prepared product)Mn (ug/100 kcal prepared product)
Minimum1.520032
Maximum5.91200140
Mean2.639055
Median2.131046

Regulatory comparison and ingredient-class findings:

  • Across all tested products, Mn mass fractions ranged from 1.3 to 32 ug/g, and prepared-product concentrations ranged from 160 to 2800 ug/L.
  • The authors compare these values with typical human breast milk Mn means of about 3-6 ug/L.
  • Thirty-four of 44 products listed supplemental Mn.
  • Seven of 25 US products exceeded the Codex guidance upper level of 100 ug Mn/100 kcal used for infant formula; two were labeled as infant-formula products and five were labeled for children older than 12 months.
  • None of the 17 French powdered infant or follow-on formulas exceeded the 100 ug Mn/100 kcal maximum used in French/EU rules; one French liquid complementary food reached 140 ug/100 kcal but was outside the formula category.
  • The highest value, 860 ug/100 kcal, came from a supplemented rice-based product labeled for young children.

Methods (brief)

Samples were selected by maximum-variation sampling to capture product types expected to span high and low Mn content. Powdered samples were reconstituted according to product labels and dried-product mass was measured to convert directly measured ug/g values to ug/L prepared product and ug/100 kcal. The analytical method combined particle-induced X-ray emission (PIXE) with Rutherford backscattering spectrometry (RBS). Accuracy was checked with NIST SRM 1849a infant/adult nutritional formula: certified Mn 49.59 +/- 0.97 ug/g; measured Mn 49.48 +/- 1.61 ug/g; relative error -0.22%.

Implications

Standards work: This source is a strong formula/nutritional-beverage Mn distribution source and is relevant to infant formula standards discussions, especially where formula products are supplemented with Mn or contain soy/rice ingredients. It should not be treated as Pb/Cd/As/Hg contamination evidence.

Courses: Useful for teaching why nutrient elements can become toxicology-relevant at high intakes and why prepared-product units (ug/L and ug/100 kcal) matter for infant formula.

App: Supports Mn context for formula products, especially soy-, rice-, amino-acid-, and toddler-formula variants. Preserve the paper’s non-probabilistic sampling caveat; the sample was designed to find high/low ranges, not estimate market-weighted prevalence.

Microbiome: Not addressed.

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Verification notes

  • Fresh auto-fetch ingest 2026-05-19 from the gap-driven infant-formula Mn wishlist.
  • Strict brand firewall: the source tables use study IDs rather than commercial names; this page reports aggregate values and product-form/protein-source descriptors only.
  • The paper’s sampling method is explicitly non-probabilistic maximum-variation sampling, so the table means and medians should not be generalized to market prevalence.
  • Methods vendor/equipment/reference-material names are retained under Part 12 Exception 2.

Page history

The five most recent substantive edits to this page. 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.

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ce3e07c2026-05-28activation | Vercel DATACITE env slots set, curators.md filled with founder entry + six scoped reviewer invitations, peer-review onboarding playbook drafted
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