Cadmium levels were determined in 59 baby food samples, including milk-based, cereal and milk-based and soy-based formulas, recommended from 0 to 18 months of age. Determinations were performed by Zeeman graphite furnace atomic absorption spectrophotometry, after dry ashing, with parallel determinations of certified reference samples. Mean cadmium levels were found to range from 1.10 to 23.5 micrograms/kg fresh weight concentrated formulas. Levels were related to the composition of the diets. Formulas based on cow's milk had the lowest concentrations. Soy formulas contained approximately six times more cadmium than cow's milk formulas, and diets with a cereal content had 4-21 times higher mean levels. The mean weekly intakes of dietary cadmium were estimated to vary between 0.10 and 3.05 micrograms/kg body weight of the child, if the recommended amount of formula were to be consumed at the recommended age, and if the child were of average weight. This estimation however does not include the contribution of cadmium from drinking water. The highest intake on a body weight basis was found in 6-month-old children, consuming the recommended amount of wheat-, oat- and milk-based formulas. This intake is below the provisional tolerable weekly intake (PTWI) of 7 micrograms/kg body weight, established by a WHO/FAO expert group. However, the risk assessment is based on renal effects in adults. Furthermore, preparations of a formula by adding water with cadmium concentrations at the WHO guideline level could lead to intakes at the PTWI level. Compared to breast-fed children, the exposure of dietary cadmium from weaning diets can be up to 12 times higher in children fed infant formula.

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Infants are exposed to higher levels of cadmium (Cd) from infant and follow-on formulas than from breast milk. We studied the bioavailability of 109CdCl2 from cows' milk formula, soy formula, wheat/oat/milk formula, wholemeal/milk formula and water in 11-day-old rat pups. The pups received a single oral dose of one diet labelled with 109Cd, 0.1 or 0.3 mg Cd/kg body weight. After 2 or 24 h or 4, 9 or 12 days the fractional retention of 109Cd in the whole body, in segments of rinsed small intestine and in tissue was measured in a gamma counter. Pups receiving 109Cd in water or cows' milk formula had the highest mean whole-body retention. It ranged from 67% of the dose in the water group to 52% in the wholemeal/milk formula group 4 days after dosing. The retention of 109Cd in the rinsed small intestine was significantly higher in the water group and the cows' milk formula group than in the cereal-based formula groups at 24 h and 4 days after dosing. It was still high in all groups on day 9, ranging from 26 to 11%. Initially most of the 109Cd was retained in the duodenum but by day 4 it had moved further down into the jejunum. In the liver, the highest and lowest retention on day 4 was 16%, and 3 per thousand of the dose in the water group and wholemeal/milk formula group, respectively. In the kidney, 109Cd was still increasing 12 days after exposure in all groups. Whole-body retention and tissue levels were higher than previously reported in adult animals. The lower bioavailability of 109Cd from the cereal-based formulas compared to water and cows milk formula on the longer survival times is most likely explained by Cd binding to dietary fibre and phytic acid in the cereal-based formulas reducing the intestinal binding and decreasing the bioavailability of Cd. The high retention of 109Cd in the small intestine, leading to a prolonged absorption period, emphasizes the importance of extending studies on neonatal Cd absorption over a long time period in order to detect for example, endpoints, accumulation of Cd in the kidney.

The solubility and bioavailability of cadmium (Cd) in infant foods, three cereal- and milk-based diets and two ready-to-use baby dishes, were studied after in vitro digestion and by using human intestinal Caco-2 cells. The solubility of Cd after in vitro digestion varied between diets; liver casserole had the highest solubility and was lower after infant as compared to adult digestion conditions. Generally, more Cd was soluble in infant intestinal than gastric juice in contrast to the results from the adult digestion. Caco-2 cells were incubated with supernatants of infant digests that had been equilibrated with (109)Cd during the in vitro digestion procedure, and cellular uptake and transport of (109)Cd were measured after 180 min. Statistically significant differences in both uptake and transport of Cd were detected between some of the diets and a control solution containing only digestive enzymes and (109)CdCl(2). Uptake of soluble Cd in the cells varied between diets from 4 to 6%, and the transport over the monolayers was 1-2% of the dose. We conclude that age specific digestion conditions as well as composition of diets affect both solubility and bioavailability of Cd.