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J Pediatr Gastroenterol Nutr. 2014 Jul 11. [Epub ahead of print]

Arsenic in Rice - A Cause for Concern. A Comment by the ESPGHAN Committee on Nutrition.

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*University Children's Hospital Zagreb, Zagreb, Croatia †University Children's Hospital, Zurich, Switzerland ‡Department of Paediatrics, University Hospital Motol, Prague, Czech Republic §Department of Paediatrics, University of Granada, Spain ||Paris France ¶Department of Paediatrics, University of Pecs, Hungary #Department of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden **Childhood Nutrition Research Centre, UCL Institute of Child Health, London, UK ††Department of Gastroenterology, Hepatology and Nutrition, University Children's Hospital, University Medical Centre Ljubljana, Slovenia ‡‡Department of Pediatrics, Harlaching, Munich Municipal Hospitals, Munich, Germany §§Department of Nutrition, Exercise and Sports, University of Copenhagen, and 1Hans Christian Andersen Children's Hospital, Odense University Hospital, Denmark ||||Pediatrics, VU University Medical Center Amsterdam Netherlands and Pediatrics, Emma Children's Hospital-AMC, Amsterdam, the Netherlands. 1Secretary of CoN: Walter Mihatsch. 2Chair of CoN: Johannes van Goudoever.


Inorganic arsenic intake is likely to affect long-term health. High concentrations are found in some rice-based foods and drinks widely used in infants and young children. In order to reduce exposure we recommend avoidance of rice drinks for infants and young children. For all rice products, strict regulation should be enforced regarding arsenic content. Moreover, infants and young children should consume a balanced diet including a variety of grains as carbohydrate sources. While rice protein based infant formulas are an option for infants with cows' milk protein allergy, the inorganic arsenic content should be declared and the potential risks should be considered when using these products.

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