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提高乙二胺四乙酸(EDTA)每日最大可接受摄入量的原因以及对6至24个月大儿童食品铁强化的益处。

Reasons for raising the maximum acceptable daily intake of EDTA and the benefits for iron fortification of foods for children 6-24 months of age.

作者信息

Wreesmann Carel Theo Jozef

机构信息

Akzo Nobel Functional Chemicals B.V., Amersfoort, The Netherlands.

出版信息

Matern Child Nutr. 2014 Oct;10(4):481-95. doi: 10.1111/mcn.12110. Epub 2014 Feb 13.

Abstract

The current maximum acceptable daily intake (ADI) of ethylenediaminetetraacetic acid (EDTA) of 1.9 mg day(-1) per kilogram bodyweight (mg day(-1)  kgbw(-1) ) limits the daily intake of iron as iron EDTA [ferric sodium EDTA; sodium iron(III) EDTA] to approximately 2-2.5 mg day(-1) for children 6-24 months of age. This limit was defined by the Joint FAO/WHO Expert Committee on Food Additives (JECFA) in 1973 based on data from an animal-feed study published in 1963. Other animal studies indicate that this limit can be raised to 4.4 or possibly up to 21.7 mg day(-1)  kgbw(-1) , which is 2.3-11.4 times higher than the current value. For nearly 50 years, iron EDTA has been used in France in medicinal syrup for infants 1-6 months of age. The maximum recommended dosage of this drug is 37 times higher than the maximum ADI of EDTA. No adverse health effects have been reported as a result of this medicinal consumption of iron EDTA. Raising the maximum ADI of EDTA to only 4.4 mg day(-1)  kgbw(-1) would enable iron EDTA, an iron fortificant with proven bioavailability in phytate-rich meals, to be added in adequate amounts to cereal-based meals for children 6-24 months of age, who are at risk of iron deficiency.

摘要

目前乙二胺四乙酸(EDTA)的每日最大可接受摄入量(ADI)为每千克体重1.9毫克/天(mg·day⁻¹·kgbw⁻¹),这限制了作为乙二胺四乙酸铁(乙二胺四乙酸铁钠;乙二胺四乙酸铁(III)钠)的铁的每日摄入量,对于6至24个月大的儿童约为2至2.5毫克/天。该限值由联合国粮食及农业组织/世界卫生组织食品添加剂联合专家委员会(JECFA)于1973年根据1963年发表的一项动物饲料研究数据确定。其他动物研究表明,该限值可提高到4.4或可能高达21.7毫克/天·千克体重⁻¹,这比当前值高2.3至11.4倍。近50年来,乙二胺四乙酸铁一直在法国用于1至6个月大婴儿的药用糖浆中。这种药物的最大推荐剂量比EDTA的最大ADI高37倍。尚未有因药用乙二胺四乙酸铁消费而报告的不良健康影响。将EDTA的最大ADI仅提高到4.4毫克/天·千克体重⁻¹,将使乙二胺四乙酸铁(一种在富含植酸盐的膳食中具有已证实生物利用度的铁强化剂)能够以足够的量添加到6至24个月大的缺铁风险儿童的谷类膳食中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39ee/6860176/becc93f1fb9f/MCN-10-481-g001.jpg

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