The Official Tolerable Upper Intake Level (UL)
For healthy adults aged 19 years and older, the Tolerable Upper Intake Level (UL) for total daily manganese intake from all sources (food, water, and supplements) is 11 mg. The UL is defined as the maximum daily intake unlikely to cause harmful health effects in the general population. For most people, consuming manganese solely from a balanced diet is very unlikely to cause toxicity.
Upper Limits for Other Age Groups
Different age groups have distinct ULs for manganese, primarily extrapolated from the adult values based on body weight.
- Adults (≥19 years): 11 mg/day
- Pregnant and Lactating Women (≥19 years): 11 mg/day
- Adolescents (14–18 years): 9 mg/day
- Pregnant and Lactating Adolescents (14–18 years): 9 mg/day
- Children (9–13 years): 6 mg/day
- Children (4–8 years): 3 mg/day
- Children (1–3 years): 2 mg/day
- Infants (0–12 months): No UL established; source of intake should be from food and formula only
These guidelines are designed to protect individuals from excessive intake. It's important to note that the UL for manganese does not apply to individuals receiving high supplemental doses under medical supervision for specific conditions.
What Causes Manganese Toxicity?
Manganese toxicity, or manganism, is a rare but serious condition that primarily affects the central nervous system, leading to permanent neurological damage. The vast majority of documented cases result from non-dietary exposure, such as occupational inhalation of manganese dust or consumption of heavily contaminated drinking water.
Inhalation vs. Dietary Intake
There is a critical difference in how the body processes manganese depending on the route of exposure. When manganese is ingested from food, the liver is highly effective at regulating its absorption and excreting any excess into bile. This natural defense mechanism prevents harmful levels from accumulating in the body. However, when manganese is inhaled, it can bypass this regulatory system and travel directly to the brain, increasing the risk of neurotoxicity. This is why industrial workers, like welders and miners, face a higher occupational risk.
Risk Factors for Toxicity
While diet alone is unlikely to cause toxicity in healthy individuals, certain factors can increase the risk of adverse effects from excess intake:
- Chronic Liver Disease: The liver's crucial role in regulating manganese means that individuals with impaired liver function are more susceptible to buildup and toxicity.
- Iron-Deficiency Anemia: Manganese and iron share similar absorption pathways. When iron stores are low, the body increases manganese absorption, heightening the risk of toxicity if excess manganese is present.
- Supplemental Manganese: Taking dietary supplements containing manganese can push a person's total intake above the UL, increasing the risk of side effects. It is vital to use supplements only as recommended and under medical guidance.
Signs and Symptoms of Manganese Toxicity
Symptoms of manganese toxicity, particularly from inhalation exposure, can develop over months or years and often present as neurological and psychiatric issues. Early psychiatric symptoms can include irritability, aggression, and hallucinations. As the condition progresses, it can manifest with symptoms similar to Parkinson's disease, including:
- Tremors and muscle spasms
- Difficulty walking and gait abnormalities
- Poor balance and coordination
- Slowed movement and rigidity
- Speech disturbances, such as slurring
- Headaches and insomnia
- Depression and changes in mood
Identifying Foods High in Manganese
Most people can meet their manganese needs through a varied diet. The highest dietary intakes are typically seen in vegetarians and tea drinkers, though these levels are generally considered safe.
- Rich sources include:
- Shellfish: Mussels, clams, and oysters
- Whole Grains: Brown rice, oatmeal, and whole-wheat bread
- Nuts: Hazelnuts and pecans
- Legumes: Soybeans, chickpeas, and lentils
- Leafy Greens: Spinach and kale
- Tea: Black tea
- Certain Fruits: Pineapple and blueberries
Manganese Intake Comparison
This table highlights the difference between typical dietary intake and the Tolerable Upper Intake Level (UL) for adults.
| Type of Intake | Description | Typical Intake for Adults | UL for Adults (≥19 years) |
|---|---|---|---|
| Adequate Intake (AI) | The recommended daily intake for sufficiency. | Men: 2.3 mg/day Women: 1.8 mg/day |
N/A |
| Dietary Intake (95th Percentile) | An estimate of high dietary intake from food sources. | Up to 6.3 mg/day (for men 31–50) | N/A |
| Supplemental Intake (95th Percentile) | An estimate of high intake from supplements. | Approximately 5 mg/day (adults ≥19) | N/A |
| Total Intake | The combined intake from all sources (diet, supplements, water). | Highly variable | 11 mg/day |
Conclusion
For most healthy adults, consuming a varied and balanced diet that includes manganese-rich foods is the safest way to ensure adequate intake without reaching the upper limit. The 11 mg/day Tolerable Upper Intake Level for adults is set with a wide safety margin, and toxicity from dietary sources is extremely rare. The primary concern for manganese toxicity lies with occupational exposure via inhalation or, less commonly, very high intake from contaminated water or unregulated supplements. Individuals with liver disease or iron-deficiency anemia should be particularly cautious with their manganese intake and consult a healthcare provider for personalized guidance. For those considering supplementation, adhering to the established ULs is crucial to prevent adverse neurological effects.
For more detailed information, consult the NIH Office of Dietary Supplements factsheet.