Children can go over the phosphate limit
European reviewers looked at the whole phosphate group (E338 to E341, E343, E450 to E452) in 2019 and set a shared daily limit of 40mg per kg of body weight, measured as phosphorus. They found that intake from all phosphate additives went over it in some groups, particularly children. They found no new hazard beyond the well-known effects of phosphate.
Reviewers found that intake of phosphate additives went over the shared daily limit of 40mg per kg of body weight, measured as phosphorus, in several groups, including children, at high intake.
2019Regulator reviewEFSA Journal 2019, Re-evaluation of phosphoric acid and phosphates (E338-341, E343, E450-452)
Reviewers noted that phosphate from additives is absorbed more easily than phosphate in natural food, so it may have a bigger effect per milligram than the phosphate in meat, dairy or pulses.
2019Regulator reviewEFSA Journal, re-evaluation of phosphate additives group
Phosphate, hormones, bones and kidneys
In people with chronic kidney disease, too much phosphate is well known to speed up kidney damage and raise heart risk. In the general population the concern is less direct: a lot of phosphate raises a hormone called FGF-23 and lowers active vitamin D, which together can affect calcium balance and bone. Most of this research is in people with kidney disease or other high risks, and the evidence in healthy people at normal intakes is weaker.
In a large US community study of people free of heart and kidney disease, higher blood phosphate was linked to more heart disease over the following years. This does not prove cause.
2007ObservationalDhingra et al., Archives of Internal Medicine
A review of phosphate additives noted that the salts used as additives raise blood phosphate soon after eating, which raises FGF-23 and lowers active vitamin D, a hormone response with possible long-term effects on bones and kidneys.
2012ObservationalRitz et al., Deutsches Aerzteblatt International
Animal studies with high-dose phosphate showed faster kidney ageing, hardening of blood vessels and shorter lives, but at doses far above what people eat.
2010Animal studyOhnishi & Razzaque, FASEB Journal
Nano-sized particles in tricalcium phosphate
Depending on how it is made, tricalcium phosphate (E341(iii)) used to stop clumping can contain particles in the nano size range. A 2023 analysis of commercial samples found some particles under 100 nanometres. What happens to nano-sized calcium phosphate in the gut is not well studied.
Tests on commercial tricalcium phosphate (E341(iii)) found some particles under 100 nanometres in at least one dimension, meeting the EU definition of a nanomaterial, with particle size varying widely between makers.
2023Lab studyThe True Nature of Tricalcium Phosphate Used as Food Additive E341(iii), Nutrients (PMC10303396)
Nano-sized calcium phosphate particles behave differently in the gut from larger ones. Lab studies suggest low toxicity, but data in living animals at doses relevant to people are limited.
2022Lab studyCalcium Phosphate Micro- and Nanoparticles as Food Additive, Nutrients (PMC9693044)