title: Manganese Exposure and Cognition Across the Lifespan: Contemporary Review and Argument for Biphasic Dose-Response Health Effects.
abstract: Manganese (Mn) is both an essential micronutrient and potential neurotoxicant. This dual role underlies a growing body of literature demonstrating that Mn exhibits a biphasic dose-response relationship with neurocognitive outcomes. We reviewed recent epidemiologic studies from 2007 to 2016 that investigated the relationship between Mn exposure and cognitive outcomes across the lifespan: early life, school-aged children, and adulthood. In total, 27 research articles were included in this review: 12 pediatric and 15 adult studies (10 occupational and five environmental exposures). The majority of these studies provided evidence of the negative effects of Mn exposure on cognition. The pediatric literature provides evidence that both high and low levels of Mn are negatively associated with intellectual development. Future Mn research should include examination of non-linear relationships and multiple neurotoxicants across the lifespan and particularly during critical developmental windows.
authors.affiliation: Division of Epidemiology, Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, OH, 45267-0056, USA.
authors.forename: Kaitlin
authors.initials: K
authors.lastname: Vollet
authors.affiliation: Division of Epidemiology, Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, OH, 45267-0056, USA. Erin.Haynes@uc.edu.
authors.forename: Erin N
authors.initials: EN
authors.lastname: Haynes
authors.affiliation: Division of Epidemiology, Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, OH, 45267-0056, USA.
authors.forename: Kim N
authors.initials: KN
authors.lastname: Dietrich
mesh_terms: D000375:Aging / Q000502:physiology*; D003071:Cognition / Q000187:drug effects*; D004305:Dose-Response Relationship, Drug; D004781:Environmental Exposure / Q000009:adverse effects*; D004785:Environmental Pollutants / Q000009:adverse effects; D016021:Epidemiologic Studies; D006801:Humans; D008345:Manganese / Q000097:blood / Q000633:toxicity*; D020149:Manganese Poisoning; D009483:Neuropsychological Tests; D016273:Occupational Exposure / Q000009:adverse effects; D010372:Pediatrics
chemical_list: D004785:Environmental Pollutants; D008345:Manganese
keywords: Cognition; Dose–response; Literature review; Manganese; Occupational; Pediatric