Manganese: benefits, dosage, contraindications

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Manganese is the twelfth most abundant element in the Earth’s crust. It can be found in various forms, as the natural pure form (manganese) is rare due to its rapid decomposition. The most common forms are manganese sulfate (MnSO4), manganese chloride (MnCl2), and potassium permanganate (KMnO4). Manganese is an essential nutrient involved in normal cell growth, bone formation, glucose regulation, and the metabolism of carbohydrates, lipids, and proteins. It acts as a cofactor in several metabolic and enzymatic reactions. It is found in foods including nuts, legumes, seeds, tea, whole grains, and leafy green vegetables.

Other name(s) 

Mn

Scientific name(s)

manganese

Family or group: 

Minerals and trace elements


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Manganese deficiency
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Manganese deficiency is rare; it manifests as slowed growth, damage to the skin and appendages (dermatitis, hair pigmentation disorders), a decrease in blood cholesterol, and even impaired reproductive functions. Recommended intakes are 2 to 5 mg per day. The former Afssa (French Food Safety Agency, now Anses) set a safety limit of 10 mg per day, which should never be exceeded.

Posologie

posologieOral

posologie2 - 10 mg


Premenstrual syndrome
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Clinical research shows that taking 1.0 mg or 5.6 mg of manganese per day in combination with 587 mg or 1336 mg of calcium per day for about 24 weeks improves premenstrual syndrome symptoms, notably pain, anxiety, irritability, and mood disturbances. However, it is not known whether this benefit is due to the calcium, the manganese, or the combination of the two.

Posologie

posologieOral

posologie1 - 5.6 mg

duration24 - weeks


Synergies


Osteoarthritis
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The intake of a specific product containing 228 to 304 mg of manganese ascorbate (approximately 31-41 mg of elemental manganese), glucosamine hydrochloride (1500 to 2000 mg) and chondroitin sulfate (1200 to 1600 mg) taken orally once daily for 4 months improves pain and quality of life in patients with knee and lumbar spine osteoarthritis.

Posologie

posologieOrally

posologie228 - 304 mg

duration4 - months

formulationmanganese ascorbate


Osteoporosis
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The oral intake of 5 mg per day of manganese in combination with 1000 mg of elemental calcium, 15 mg of zinc and 2.5 mg of copper for 2 years helps reduce spinal bone loss in postmenopausal women. On the other hand, the oral intake of a specific product containing 1.8 mg of manganese, 600 mg of calcium, 200 IU of vitamin D (cholecalciferol), 40 mg of magnesium, 7.5 mg of zinc, 1 mg of copper and 250 mcg of boron, taken twice daily for one year, improves bone density in women with osteopenia.

Posologie

posologieOrally

posologie1.8 - 5 mg

duration2 - years


Properties


Essential

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Manganese is an essential nutrient that acts as a cofactor in several metabolic and enzymatic reactions. Manganese is involved in the metabolism of amino acids, cholesterol and carbohydrates, normal cell growth, the generation of the immune response, bone formation and the regulation of glucose. Manganese is a component of an antioxidant enzyme known as superoxide dismutase (SOD), and specifically a variant known as manganese superoxide dismutase (MnSOD). Other enzymes of which manganese is a known component include pyruvate carboxylase and glutamine synthetase located in the cytoplasm of glial cells, where it converts glutamate (a neurotransmitter) into glutamine. The European health authorities (EFSA, European Food Safety Authority and the European Commission) have determined that products containing manganese may claim to contribute to: to normal energy metabolism, to the maintenance of normal bones, to the maintenance of normal formation of connective tissue and to the protection of cells from free radicals (antioxidant effect), if and only if these products contain at least 0.3 mg of manganese per 100 g, 100 ml or per package if the product contains only one serving.

Usages associés

Manganese deficiency

Antioxidant

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Manganese has a primary role in the body as a component of an antioxidant enzyme known as superoxide dismutase (SOD), but specifically a variant known as manganese superoxide dismutase (MnSOD).


Bone density

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Researchers believe that manganese may play a role in osteoporosis. Indeed, a decrease in plasma manganese concentrations has been reported in women with osteoporosis. Furthermore, bone mineral density improved when trace elements, including manganese, were included with calcium in their diet or supplements.

Usages associés

Osteoporosis


Safe dosage

Adults aged 18 years and older: 3 mg

Infants aged 7 to 11 months: 0.5 mg

Children aged 1 to 3 years: 0.5 mg

Child aged 4 to 6 years: 1 mg

Child aged 7 to 10 years: 1.5 mg

Child aged 11 to 14 years: 2 mg

Child aged 15 to 17 years: 3 mg


Interactions

Médicaments

Antipsychotics: moderate interaction

Hallucinations and behavioral changes have been reported in a patient with liver disease who was taking haloperidol and manganese. It is thought that the combination of manganese with haloperidol, phenothiazines, or other antipsychotic medications may increase the risk of manganese toxicity in some patients.

Quinolones: moderate interaction

Theoretically, manganese could reduce the absorption of quinolones, which include ciprofloxacin (Cipro), levofloxacin (Levaquin), gatifloxacin (Tequin), sparfloxacin (Zagam)...

Tetracyclines: moderate interaction

Theoretically, manganese could reduce the absorption of tetracyclines.

Plantes ou autres actifs

Manganese: minor interaction

Concurrent administration of calcium and manganese may decrease manganese absorption.

Manganese: minor interaction

Co-administration of iron and manganese decreases manganese absorption.

Manganese: minor interaction

Co-administration of zinc and manganese increases manganese absorption.


Precautions

Pregnant women aged 18 years and older: use with caution

Breastfeeding women aged 18 years and older: use with caution

Liver disorders: use with caution

Chronic liver disease may lead to manganese accumulation and toxicity.