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Published on: March 29, 2018
Dietary fluoride intake from infant and toddler formulas in Poland
Justyna Opydo-Szymaczek1, Jadwiga Opydo
1Department of Pediatric Dentistry, Poznan University of Medical Sciences, Poznan, Poland. jopydo@am.poznan.pl
Insights
Infant formula is not a major fluoride source, but mixing it with fluoridated water may increase children
Area of Science:
- Pediatric Nutrition
- Dental Public Health
- Environmental Health
Background:
- Excessive fluoride intake during infancy and early childhood is linked to enamel fluorosis.
- Infant formula, particularly powdered concentrate, may increase fluoride exposure in fluoridated areas.
Purpose of the Study:
- To quantify fluoride levels in infant and toddler formulas available in Poland.
- To assess the risk of enamel fluorosis from formula consumption in Poland.
Main Methods:
- Analyzed 29 brands of powdered infant and toddler formulas.
- Used ion-selective fluoride and silver reference electrodes for fluoride concentration measurement.
Main Results:
- Fluoride concentration in formulas was low (mean 29.0 μg/100 g).
- Formulas alone are not a significant source of fluoride.
- Reconstituting formula with water containing >0.5 ppm fluoride can exceed safe daily intake thresholds.
Conclusions:
- Infants fed formula mixed with optimally fluoridated water may be at risk for dental fluorosis.
- Careful consideration of water fluoride levels is necessary when preparing infant formula.
Abstract:
Risk of enamel fluorosis associated with excessive fluoride intake during infancy and early childhood has been widely reported in literature. Results of several studies indicate that infant formula consumption, especially in the form of powdered concentrate, may appreciably increase children's fluoride exposure in optimally fluoridated communities. The aim of the study was to measure fluoride content of infant and toddler formulas available in Poland and to discuss implications of the results. Twenty nine brands of powdered formulas were evaluated. Analyzes were performed with the use of ionselective fluoride electrode (09-37 type) and a RAE 111 chloride-silver reference electrode (MARAT). Results revealed that concentration of fluoride in all products was low (mean 29.0 μg/100 g), and that the formula itself is not a significant source of fluoride exposure. However, when reconstituted with water containing more than 0.5 ppm of fluoride, starting formulas and follow-on formulas may provide a daily fluoride intake of above the suggested threshold for fluorosis. Thus, fully formula-fed infants consuming mother milk substitutes prepared with optimally fluoridated water may be at increased risk of dental fluorosis.
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