Masters of Health Magazine June 2024 | Page 32

Health Effects of Cadmium in Babies:

  • Bone and Teeth Issues: Chronic exposure to cadmium can lead to disruptions in calcium metabolism and bone mineralization, potentially resulting in weakened bones and teeth abnormalities in children.

  • Kidney Damage: Cadmium is known to accumulate in the kidneys, where it can cause damage to renal tissues. This damage can be detrimental in infants, as it may affect kidney function over their lifetime.

  • Neurodevelopmental Effects: There is evidence to suggest that cadmium exposure can affect the neurological development of infants, potentially leading to learning difficulties and lowered IQ.

  • Growth Retardation: Cadmium exposure can also interfere with the growth of children, leading to stunted growth and development.

  • Immune System Impact: Cadmium can affect the immune system, making infants more susceptible to infections.

  • Potential Carcinogen: While the direct link in infants is less clear, cadmium is classified as a human carcinogen and could potentially contribute to an increased risk of cancer later in life.

  • Establishing a specific daily limit for cadmium exposure in babies is challenging due to the metal’s high toxicity and the vulnerability of infants’ developing systems. Cadmium is not a nutrient and has no known beneficial role in the human body; therefore, the safest approach is to minimize exposure as much as possible.

    Regulatory agencies like the World Health Organization (WHO) and the US Environmental Protection Agency (EPA) have set limits for cadmium exposure for the general population, but these are not specifically tailored to infants. For example, the WHO suggests a provisional tolerable weekly intake (PTWI) for cadmium, which was re-evaluated to 5.8 micrograms per kilogram of body weight per week. However, this guideline is aimed at the general population, not specifically at infants or children, who are more susceptible to the adverse effects of cadmium.

    Given the lack of a specific daily intake limit for babies, the primary focus for parents and caregivers should be on reducing potential exposure sources. This includes:

  • Choosing iron-fortified cereals and formulas, as sufficient iron can help reduce the absorption of cadmium.

  • Ensuring that baby food and other dietary components are free from contamination.

  • Being aware of and mitigating environmental exposures, especially in areas known to be contaminated with cadmium due to pesticide use.

  • 35% of the formulas tested contained cadmium.

    This raises the question:  Should this issue be a cause for concern?

    Health Effects of Mercury in Babies

    In infants, mercury primarily affects neurological development. Exposure to even low levels of mercury can disrupt brain function, leading to delays in cognitive and motor skills development, impaired memory, and reduced attention span. The most critical periods of vulnerability to mercury toxicity are during prenatal and early postnatal development, when the neurological system is rapidly evolving.

    Methylmercury, the organic form of mercury found in contaminated fish and seafood, is especially dangerous. It easily crosses both the placenta and the blood-brain barrier, directly affecting the fetal and infant brain. Studies have shown that prenatal exposure to methylmercury is associated with developmental deficits, including poorer performance on tests of language, attention, and fine motor skills, as well as visual-spatial abilities.

    Furthermore, mercury exposure has been linked to other health issues in infants, such as impairments to the cardiovascular system and immune function. The body’s ability to detoxify and excrete mercury is limited in infants, compounding the risk and potential for long-term accumulation.

    Regulatory agencies such as the US EPA and the Food and Drug Administration (FDA) do not set a specific daily mercury limit targeted solely at infants. However, they provide guidance on safe consumption levels primarily through recommendations on fish consumption, which is a major dietary source of methylmercury, the form of mercury most concerning for human health. Infant formulas have not been addressed.

    The EPA has established a reference dose (RfD) for methylmercury, which is an estimate of the daily exposure to the human population (including sensitive subgroups) that is likely to be without an appreciable risk of deleterious effects during a lifetime. The current RfD for methylmercury is 0.1 micrograms per kilogram of body weight per day. This guideline is intended to protect the most sensitive individuals, including pregnant women and young children, from the neurotoxic effects of methylmercury.

    55% of the formulas tested contained mercury.

    Health Effects of Arsenic in Babies

    In infants, arsenic exposure is particularly concerning due to their smaller body size and developing systems, making them more vulnerable to the toxic effects. Chronic exposure to arsenic in babies can lead to severe health problems including developmental delays, lower IQ scores, and increased risks of cancer later in life. Additionally, arsenic has been linked to adverse effects on the cardiovascular system and immune function. It also poses risks of skin lesions and changes in pigmentation.

    Recognizing the dangers posed by arsenic, regulatory agencies have established guidelines and limits to protect public health, particularly for vulnerable populations like infants, however, how this data was created is not clear:

  • World Health Organization (WHO): The WHO has set a guideline for arsenic in drinking water at 10 micrograms per liter (µg/L) to minimize the risks of arsenic-related health effects.

  • US EPA: In the United States, the EPA has established the same standard for arsenic in drinking water at 10 µg/L under the Safe Drinking Water Act to protect consumers against the effects of long-term, chronic exposure to arsenic.

  • FDA: Concerning food, especially rice products consumed by infants, the FDA proposed a limit of 100 parts per billion (ppb) for inorganic arsenic in infant rice cereal. This limit aims to reduce infants’ exposure to arsenic from one of the most common first foods.

  • Infant formulas have not been addressed.

    57.5% of the formulas tested contained arsenic.

    Health Effects of Aluminum in Babies

    Aluminum exposure in infants can lead to various health issues. It is known to have a neurotoxic effect, potentially affecting neurological development and function. This is particularly concerning in neonates and young infants, who have an underdeveloped blood-brain barrier that may allow greater aluminum passage from blood into brain tissue. Studies have shown that high levels of aluminum exposure in infants can contribute to neurodevelopmental disorders and impair cognitive development. There is excellent data linking the autism epidemic in American children directly to aluminum (as well as cadmium and mercury).[3]

    Additionally, aluminum overload can negatively impact bone health. It competes with calcium for absorption, potentially leading to bone demineralization and affecting the growth and health of bones in infants and young children.

    Regulatory Limits on Aluminum Exposure:

    Despite these concerns, specific regulatory limits for aluminum exposure in infants are not as clearly defined as those for other metals like lead or mercury.

  • FDA: The FDA has set limits on aluminum concentrations in parenteral nutrition solutions to reduce exposure risks in neonates and infants. These limits are set at no more than 25 micrograms per liter (µg/L) for parenterally administered products.

  • European Food Safety Authority (EFSA): The EFSA has proposed a tolerable weekly intake (TWI) of 1 milligram per kilogram body weight per week for aluminum, acknowledging that infants are particularly at risk due to their immature kidneys and higher relative exposure from dietary sources (including formula).

  • Guidance for Minimizing Exposure:

    Given the potential risks, it is advisable for parents and caregivers to minimize infants’ exposure to aluminum. This can include:

  • Choosing baby formulas with lower aluminum levels, particularly when formula is a significant part of the diet. This must be advertised and published via a global public policy directive.

  • Being cautious with the use of aluminum-containing medications and vaccines, discussing with healthcare providers the necessity and timing of such treatments.

  • Avoiding the use of aluminum cookware or containers, especially with acidic foods, which can increase aluminum leaching.

  • 100% of the formulas tested contained aluminum 1000 times greater (ppm vs ppb) than the other 4 metals tested.