Comparison of fluoride level between mother's milk and infant formula milk - a global systematic review and dental fluorosis risk assessment.

Peiyao Wang, Huishi Ye, Jiaxin Ye, Zijun Liang, Guiping Luo, Baihua Xu
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引用次数: 0

Abstract

Dental Fluorosis (DF) is one of the negative outcomes of excessive fluoride (F) intake through food sources. This systematic review aimed to compare F content in two important food sources for infants, Mother's Milk (MoM) and Infant Formula (IF), and then evaluate the risk of DF related to F in those two types of food. For this purpose, 181 studies were initially found by searching the relevant keywords in widely recognized databases, including Google Scholar, Scopus, Science Direct, and PubMed. Then, 29 final studies were selected considering the inclusion and exclusion criteria. The results showed that the F level of MoM in five out of nine (55.5%) studies and its overall average worldwide does not comply with the European Food Safety Authority (EFSA) guideline (100 µg/L). Therefore, MoM's value of F must be continuously monitored, and risk mitigation solutions must be used to reduce F. Accordingly, tracking F in drinking water, tea, and food consumed by lactating mothers (LMs) was the essential measure that could lead to the reduction of F of MoM. The level of F of IF was much lower than its value in MoM. The estimated hazard quotient (HQ) of DF for both types of food was lower than the acceptable level (HQ = 1), but, due to other sources of F intake, it is necessary to use control solutions to reduce the level of F in MoM and IF consumed by infants.

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来源期刊
CiteScore
7.40
自引率
6.90%
发文量
136
审稿时长
3 months
期刊介绍: Food Additives & Contaminants: Part A publishes original research papers and critical reviews covering analytical methodology, occurrence, persistence, safety evaluation, detoxification and regulatory control of natural and man-made additives and contaminants in the food and animal feed chain. Papers are published in the areas of food additives including flavourings, pesticide and veterinary drug residues, environmental contaminants, plant toxins, mycotoxins, marine biotoxins, trace elements, migration from food packaging, food process contaminants, adulteration, authenticity and allergenicity of foods. Papers are published on animal feed where residues and contaminants can give rise to food safety concerns. Contributions cover chemistry, biochemistry and bioavailability of these substances, factors affecting levels during production, processing, packaging and storage; the development of novel foods and processes; exposure and risk assessment.
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