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Manganese exposure and neurotoxic effects in children
Geir Bjørklund1, Max Stanley Chartrand2, Jan Aaseth3
1Council for Nutritional and Environmental Medicine, Mo i Rana, Norway.
Abstract:
Manganese (Mn) is the fifth most abundant metal on earth. Although it is a well understood essential trace element, in excess, Mn is neurotoxic. Initial toxic symptoms associated with Mn are of psychiatric nature and are clinically defined as locura manganica. Neurological signs of Mn toxicity include dystonia, progressive bradykinesia, and disturbance of gait, slurring, and stuttering of speech with diminished volume. Studies indicate that children who ingested Mn in the drinking water (WMn) at or above a level of 0.241mg/L for a minimum of three years performed more poorly in school as measured by mastery of language, mathematics, and in their overall grade average. The Mn-exposed children also performed more poorly on a battery of neurobehavioral tests. It was also found a significant association between higher WMn and lower cognitive performance, verbal function, and full-scale intelligence quotient (IQ) scores. Young children appear to make up a vulnerable group in exposed populations. Toxicity of WMn is a problem particularly in areas of industrial waste or where Mn is leaching from the soil into public drinking water. Practical and cost-effective approaches are available to remove Mn from drinking water. It is crucial to protect developing brains against Mn toxicity.
Insights
Excess manganese (Mn) in drinking water harms children's cognitive abilities and school performance. Protecting young brains from manganese toxicity is crucial, especially in affected areas.
Area of Science:
- Environmental Science
- Neuroscience
- Toxicology
Background:
- Manganese (Mn) is an essential trace element, but excess amounts are neurotoxic.
- Manganese toxicity can manifest as psychiatric and neurological symptoms, including cognitive deficits.
- Children exposed to manganese in drinking water show impaired academic and neurobehavioral outcomes.
Purpose of the Study:
- To investigate the neurotoxic effects of manganese in drinking water on children's cognitive function and academic performance.
- To identify vulnerable populations and environmental factors contributing to manganese toxicity.
Main Methods:
- Review of studies examining the association between manganese levels in drinking water (WMn) and neurodevelopmental outcomes in children.
- Analysis of academic performance metrics (language, mathematics, grade average) and neurobehavioral test results in exposed children.
Main Results:
- Children ingesting WMn at or above 0.241 mg/L for at least three years performed worse academically and on neurobehavioral tests.
- A significant correlation was found between higher WMn levels and lower cognitive performance, verbal function, and IQ scores.
- Young children represent a particularly vulnerable demographic to manganese neurotoxicity.
Conclusions:
- Manganese exposure through drinking water poses a significant risk to children's neurodevelopment.
- Toxicity is a concern in areas with industrial waste or natural manganese leaching into water supplies.
- Cost-effective methods exist for manganese removal, emphasizing the need for protective measures for developing brains.
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