Skip to content
Heavy Metal Index

Dietary intake of methylmercury by 0-5 years children using the duplicate diet method in Japan

Source

This study used the 24-hour duplicate diet method to measure methylmercury (MeHg) and total mercury (THg) intake in 260 Japanese children aged 0–5 years and examined correlations with hair THg levels.

Page snapshot
Cited by3 pages
Metals measured2
Evidence tierA
Year2024

Overview

This study used the 24-hour duplicate diet method to measure methylmercury (MeHg) and total mercury (THg) intake in 260 Japanese children aged 0–5 years and examined correlations with hair THg levels. The median estimated MeHg intake was 18.3 ng/kgbw/day (range 0.65–209.2), with 13.8% of children exceeding the US EPA reference dose and 4.3% exceeding the WHO provisional tolerable weekly intake. MeHg comprised 90% of total mercury in dietary samples with THg ≥1 ng/g, reflecting Japan’s high fish consumption even in infants. These findings highlight the importance of monitoring MeHg exposure during complementary feeding, as infants and toddlers are highly susceptible due to low body weight and high food intake per kilogram.

Key numbers

Dietary StageSample NTHg Median (ng/g-wet)THg Range (ng/g-wet)THg Median Intake (ng/kgbw/day)THg Range (ng/kgbw/day)
Formula milk (0–4 m)320.0200.015–0.0992.40.5–6.9
Baby food Stage 1 (5–6 m)300.0850.017–0.9744.20.5–14.0
Baby food Stage 2 (7–8 m)380.1500.020–2.9057.00.6–103.3
Baby food Stage 3 (9–11 m)380.4450.181–5.50025.08.5–492.8
Baby food Stage 4 (12–17 m)350.5000.134–3.62041.07.9–329.6
Toddler meal Stage 1 (18–35 m)330.5100.191–3.63032.411.0–259.9
Toddler meal Stage 2 (36–47 m)330.4900.204–4.26036.09.5–252.9
Toddler meal Stage 3 (48–71 m)370.4500.192–1.90025.28.4–125.6
All stages combined2760.340.02–3.5320.30.72–232.5

Estimated MeHg intake (derived from THg × 90%):

Dietary StageEstimated MeHg Median (ng/kgbw/day)Range (ng/kgbw/day)% Exceeding RfD (0.1 µg/kgbw/day)% Exceeding PTWI (1.6 µg/kgbw/week)
Formula milk2.20.5–6.2
Baby food Stage 13.80.4–12.6
Baby food Stage 26.30.5–93.0
Baby food Stage 322.57.6–443.526.3%7.9%
Baby food Stage 436.97.1–296.634.3%11.4%
Toddler meal Stage 129.29.9–233.930.3%18.2%
Toddler meal Stage 232.48.5–227.630.3%18.2%
Toddler meal Stage 322.77.5–113.018.9%8.1%
All participants (n=260)18.30.65–209.213.8% (38 children)4.3% (12 children)

Hair THg concentrations:

Dietary StageMedian (ppm)Range (ppm)% with Hair THg >1.0 ppm (RfD equivalent)% with Hair THg >2.2 ppm (PTWI equivalent)
Formula milk1.20.4–3.959.4%15.6%
Baby food Stage 11.00.3–2.546.7%6.7%
Baby food Stage 20.60.2–1.423.7%2.6%
Baby food Stage 30.70.3–1.934.2%0.0%
Baby food Stage 41.00.3–4.451.4%20.0%
Toddler meal Stage 11.40.6–2.878.8%21.2%
Toddler meal Stage 21.30.3–6.063.6%30.3%
Toddler meal Stage 31.30.4–4.562.2%29.7%
Overall (n=260)1.050.31–3.9651.8% (143 children)15.6% (43 children)

MeHg speciation in samples with THg ≥1 ng/g (n=63):

  • MeHg median concentration: 1.70 ng/g (range 0.87–6.21 ng/g)
  • MeHg as percentage of THg: 90.0% (range 67.4%–99.1% across stages)
  • MeHg was not detected in 213 samples where dietary THg <1 ng/g

Regulatory limits cited:

  • US EPA Reference Dose (RfD) for MeHg: 0.1 µg/kgbw/day
  • WHO Provisional Tolerable Weekly Intake (PTWI): 1.6 µg/kgbw/week (revised 2003 from 3.3 µg/kgbw/week in 1972)
  • Hair THg equivalent to RfD: 1.0 µg/g
  • Hair THg equivalent to PTWI: 2.2 µg/g

Methods

Dietary samples were collected using the WHO-recommended 24-hour duplicate diet method over 3 consecutive days from 260 children (subdivided into 276 diet collections when accounting for age transitions). All foods and beverages consumed were collected in pre-cleaned polypropylene containers and stored under refrigeration. Samples were homogenized, lyophilized, and analyzed for THg by cold vapor atomic absorption spectrometry (CVAAS, Hg-201, Sanso Inc.) with MDL/MQL of 0.03/0.08 ng, and for MeHg by gas chromatography-electron capture detector (GC-ECD, G2700, Yanaco Analytical Systems) with MDL/MQL of 0.18/0.45 ng. Hair samples (3 cm from root, occipital region) were analyzed for THg by direct thermal decomposition-gold amalgamation-CVAAS (MA-3000). Quality control used certified reference materials with recovery rates of 88–92% (THg) and 98–102% (MeHg). Values below MDL were substituted at half the MDL.

Implications

This study presents the first comprehensive assessment of postnatal MeHg exposure in Japanese infants and toddlers using the gold-standard duplicate diet method. The finding that 90% of dietary mercury in fish-containing meals is methylated underscores the importance of fish consumption guidance in complementary feeding. The convergence of WHO and US EPA thresholds in exposure percentages—with 13.8% exceeding the RfD—indicates that current Japanese infant feeding guidelines, which recommend iron-rich fish from 9 months onward, warrant reconsideration in light of neurotoxicological risk, particularly given the heightened vulnerability of developing brains to MeHg. Hair THg measurements show only weak correlation with dietary MeHg intake at early feeding stages, likely due to placental transfer during fetal life, highlighting the necessity of careful interpretation of hair biomarkers in infants. Further research using both dietary assessment and blood biomarkers is essential to characterize the true burden of postnatal MeHg exposure and its relationship to infant neurodevelopment.

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
3171d062026-08-02major1 section added
29805d32026-08-02major5 sections added; narrative text revised