Aluminium accumulation and neurotoxicity
Aluminium is not an essential nutrient. It is absorbed from food in small amounts and cleared mainly by the kidneys, but some accumulates over time in bone, liver and brain tissue. In animal studies, high-dose aluminium exposure causes nerve damage, impairs learning and memory, and produces changes in brain chemistry. The relevance of these animal findings to the much lower exposures from food additives in humans is debated, but regulators have not been able to rule out a concern at the population level.
EFSA established a tolerable weekly intake (TWI) of 1 mg aluminium per kg body weight, based on animal studies showing adverse neurological and reproductive effects at higher doses.
2008Regulatory reviewEFSA Panel on Food Additives and Nutrient Sources Added to Food (ANS), EFSA Journal
EFSA's 2018 re-evaluation of E541 concluded that exposure to aluminium from E541 at authorised maximum levels, when combined with aluminium from other dietary sources, could lead to exceedance of the TWI for some population groups including children.
2018Regulatory reviewEFSA ANS Panel, Re-evaluation of aluminium sulphates (E 520-523) and sodium aluminium phosphate (E 541) as food additives, EFSA Journal
Animal studies show aluminium accumulates in the brain and causes changes in neurotransmitter systems, motor function and behaviour at sustained high exposures. These effects underpin the TWI calculation.
2008AnimalEFSA ANS Panel, EFSA Journal
Cumulative aluminium exposure from the diet
E541 is not the only aluminium source in food. Aluminium sulphates (E520-523), sodium aluminium silicate (E554), and naturally occurring aluminium in grains, vegetables and tea all contribute to total intake. EFSA found that average dietary aluminium exposure across EU populations can approach or exceed the TWI, particularly in children who eat proportionally more baked goods relative to their body weight.
Average dietary aluminium exposure for adults was estimated at 0.2-1.5 mg/kg body weight per week across EU Member States, with the upper end reaching or exceeding the 1 mg/kg bw/week TWI.
2008Regulatory reviewEFSA ANS Panel, Scientific opinion on the re-evaluation of aluminium as a food additive, EFSA Journal
Children's exposure is proportionally higher than adults' due to higher food intake relative to body weight, meaning some children regularly exceed the TWI when all aluminium sources are combined.
2008Regulatory reviewEFSA ANS Panel, EFSA Journal
Phosphate load
SALP also contributes phosphate to the diet. Phosphate is an essential mineral, but habitually high phosphate intake, particularly from food additives across processed foods, has been associated in observational studies with adverse cardiovascular and kidney outcomes. This is a separate concern from the aluminium component.
High phosphate intake from food additives has been associated with increased cardiovascular mortality in observational studies of people with kidney disease, and raised concerns about vascular calcification in the general population.
2012ObservationalRitz et al., Deutsches Aerzteblatt International