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. 2014 Oct 9;12(10):3845. doi: 10.2903/j.efsa.2014.3845

Scientific Opinion on Dietary Reference Values for chromium

EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)
PMCID: PMC13136993  PMID: 42087961

Abstract

Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies (NDA) considered the evidence for setting Dietary Reference Values for chromium. Trivalent chromium (Cr(III)) has been postulated to be necessary for the efficacy of insulin in regulating the metabolism of carbohydrates, lipids and proteins. However, the mechanism(s) for these roles and the essential function of Cr(III) in metabolism have not been substantiated. The criteria for the essentiality of a trace element were considered. It was noted that attempts to create chromium deficiency in animal models have not produced consistent results, and that there is no evidence of essentiality of Cr(III) in animal nutrition. Evaluating the possibility of Cr(III) as an essential element for humans, the evidence from reported improvements associated with chromium supplementation in patients on total parenteral nutrition was considered to be the most convincing, but overall data do not provide sufficient information on the reversibility of the possible deficiencies and the nature of any dose‐response curve in order to identify a dietary requirement for humans. The Panel concludes that no Average Requirement and no Population Reference Intake for chromium can be defined. Several studies assessed the effect of chromium supplementation on glucose and/or lipid metabolism. In the only study for which information on total chromium intake was available, there was no difference in parameters of glucose metabolism of normoglycaemic subjects between the placebo and chromium‐supplemented periods. The Panel considered that there is no evidence of beneficial effects associated with chromium intake in healthy subjects. The Panel concluded that the setting of an Adequate Intake for chromium is also not appropriate.

Keywords: chromium, essentiality, Dietary Reference Value

EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies) , 2014. Scientific Opinion on Dietary Reference Values for chromium. EFSA Journal 2014;12(10):3845, 25 pp. doi: 10.2903/j.efsa.2014.3845

Panel members: Carlo Agostoni, Roberto Berni Canani, Susan Fairweather‐Tait, Marina Heinonen, Hannu Korhonen, Sébastien La Vieille, Rosangela Marchelli, Ambroise Martin, Androniki Naska, Monika Neuhäuser‐Berthold, Grażyna Nowicka, Yolanda Sanz, Alfonso Siani, Anders Sjödin, Martin Stern, Sean (J.J.) Strain, Inge Tetens, Daniel Tomé, Dominique Turck and Hans Verhagen.

Correspondence: nda@efsa.europa.eu

Acknowledgement: The Panel wishes to thank the members of the Working Group on Dietary Reference Values for minerals: Peter Aggett, Carlo Agostoni, Susan Fairweather‐Tait, Marianne Geleijnse, Michael Hambidge, Ambroise Martin, Androniki Naska, Hildegard Przyrembel and Alfonso Siani for the preparatory work on this scientific opinion and EFSA staff: Anja Brönstrup for the support provided to this scientific opinion.

Adoption date: 18 September 2014

Published date: 9 October 2014

Question number: EFSA‐Q‐2011‐01209

On request from: European Commission

References

  1. Abdulrazzaq YM, Osman N, Nagelkerke N, Kosanovic M and Adem A, 2008. Trace element composition of plasma and breast milk of well‐nourished women. Journal of Environmental Science and Health. Part A, Toxic/Hazardous Substances and Environmental Engineering, 43, 329–334. [DOI] [PubMed] [Google Scholar]
  2. Afssa (Agence française de sécurité sanitaire des aliments) , 2001. Apports nutritionnels conseillés pour la population française. Editions Tec&Doc, Paris, France, 605 pp. [Google Scholar]
  3. Amato P, Morales AJ and Yen SSC, 2000. Effects of chromium picolinate supplementation on insulin sensitivity, serum lipids, and body composition in healthy, nonobese, older men and women. Journals of Gerontology – Series A Biological Sciences and Medical Sciences, 55, M260–M263. [DOI] [PubMed] [Google Scholar]
  4. Anderson RA, Polansky MM, Bryden NA, Roginski EE, Patterson KY and Reamer DC, 1982a. Effect of exercise (running) on serum glucose, insulin, glucagon, and chromium excretion. Diabetes, 31, 212–216. [DOI] [PubMed] [Google Scholar]
  5. Anderson RA, Polansky MM, Bryden NA, Roginski EE, Patterson KY, Veillon C and Glinsmann W, 1982b. Urinary chromium excretion of human subjects: effects of chromium supplementation and glucose loading. American Journal of Clinical Nutrition, 36, 1184–1193. [DOI] [PubMed] [Google Scholar]
  6. Anderson RA, Polansky MM, Bryden NA, Patterson KY, Veillon C and Glinsmann WH, 1983a. Effects of chromium supplementation on urinary Cr excretion of human subjects and correlation of Cr excretion with selected clinical parameters. Journal of Nutrition, 113, 276–281. [DOI] [PubMed] [Google Scholar]
  7. Anderson RA, Polansky MM, Bryden NA, Roginski EE, Mertz W and Glinsmann W, 1983b. Chromium supplementation of human subjects: effects on glucose, insulin, and lipid variables. Metabolism: Clinical and Experimental, 32, 894–899. [DOI] [PubMed] [Google Scholar]
  8. Anderson RA, Polansky MM and Bryden NA, 1984. Strenuous running: acute effects on chromium, copper, zinc, and selected clinical variables in urine and serum of male runners. Biological Trace Element Research, 6, 327–336. [DOI] [PubMed] [Google Scholar]
  9. Anderson RA and Kozlovsky AS, 1985. Chromium intake, absorption and excretion of subjects consuming self‐selected diets. American Journal of Clinical Nutrition, 41, 1177–1183. [DOI] [PubMed] [Google Scholar]
  10. Anderson RA, Bryden NA and Polansky MM, 1985. Serum chromium of human subjects: effects of chromium supplementation and glucose. American Journal of Clinical Nutrition, 41, 571–577. [DOI] [PubMed] [Google Scholar]
  11. Anderson RA, Polansky MM, Bryden NA, Bhathena SJ and Canary JJ, 1987. Effects of supplemental chromium on patients with symptoms of reactive hypoglycemia. Metabolism: Clinical and Experimental, 36, 351–355. [DOI] [PubMed] [Google Scholar]
  12. Anderson RA, Bryden NA, Polansky MM and Deuster PA, 1988. Exercise effects on chromium excretion of trained and untrained men consuming a constant diet. Journal of Applied Physiology, 64, 249–252. [DOI] [PubMed] [Google Scholar]
  13. Anderson RA, Polansky MM, Bryden NA and Canary JJ, 1991. Supplemental‐chromium effects on glucose, insulin, glucagon, and urinary chromium losses in subjects consuming controlled low‐chromium diets. American Journal of Clinical Nutrition, 54, 909–916. [DOI] [PubMed] [Google Scholar]
  14. Anderson RA, Bryden NA and Polansky MM, 1992. Dietary chromium intake. Freely chosen diets, institutional diet, and individual foods. Biological Trace Element Research, 32, 117–121. [DOI] [PubMed] [Google Scholar]
  15. Anderson RA, Bryden NA, Patterson KY, Veillon C, Andon MB and Moser‐Veillon PB, 1993. Breast milk chromium and its association with chromium intake, chromium excretion, and serum chromium. American Journal of Clinical Nutrition, 57, 519–523. [DOI] [PubMed] [Google Scholar]
  16. Anonymous , 1988. Is chromium essential for humans? Nutrition Reviews, 46, 17–20. [DOI] [PubMed] [Google Scholar]
  17. Anton SD, Morrison CD, Cefalu WT, Martin CK, Coulon S, Geiselman P, Han H, White CL and Williamson DA, 2008. Effects of chromium picolinate on food intake and satiety. Diabetes Technology & Therapeutics, 10, 405–412. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Aquilio E, Spagnoli R, Seri S, Bottone G and Spennati G, 1996. Trace element content in human milk during lactation of preterm newborns. Biological Trace Element Research, 51, 63–70. [DOI] [PubMed] [Google Scholar]
  19. Bahijri SM, 2000. Effect of chromium supplementation on glucose tolerance and lipid profile. Saudi Medical Journal, 21, 45–50. [PubMed] [Google Scholar]
  20. Bouglé D, Bureau F, Voirin J, Neuville D, Drosdowsky M and Duhamel JF, 1992. Chromium status of full‐term and preterm newborns. Biological Trace Element Research, 32, 47–51. [DOI] [PubMed] [Google Scholar]
  21. Boyd SG, Boone BE, Smith AR, Conners J and Dohm GL, 1998. Combined dietary chromium picolinate supplementation and an exercise program leads to a reduction of serum cholesterol and insulin in college‐aged subjects. Journal of Nutritional Biochemistry, 9, 471–475. [Google Scholar]
  22. Briefel RR, McDowell MA, Alaimo K, Caughman CR, Bischof AL, Carroll MD and Johnson CL, 1995. Total energy intake of the US population: the third National Health and Nutrition Examination Survey, 1988–1991. American Journal of Clinical Nutrition, 62, 1072S–1080S. [DOI] [PubMed] [Google Scholar]
  23. Brown RO, Forloines‐Lynn S, Cross RE and Heizer WD, 1986. Chromium deficiency after long‐term total parenteral nutrition. Digestive Diseases and Sciences, 31, 661–664. [DOI] [PubMed] [Google Scholar]
  24. Campbell WW, Joseph LJ, Anderson RA, Davey SL, Hinton J and Evans WJ, 2002. Effects of resistive training and chromium picolinate on body composition and skeletal muscle size in older women. International Journal of Sport Nutrition and Exercise Metabolism, 12, 125–135. [DOI] [PubMed] [Google Scholar]
  25. Casey CE and Hambidge KM, 1984. Chromium in human milk from American mothers. British Journal of Nutrition, 52, 73–77. [DOI] [PubMed] [Google Scholar]
  26. Casey CE, Hambidge KM and Neville MC, 1985. Studies in human lactation: zinc, copper, manganese and chromium in human milk in the first month of lactation. American Journal of Clinical Nutrition, 41, 1193–1200. [DOI] [PubMed] [Google Scholar]
  27. Cefalu WT, Bell‐Farrow AD, Stegner J, Wang ZQ, King T, Morgan T and Terry JG, 1999. Effect of chromium picolinate on insulin sensitivity in vivo. Journal of Trace Elements in Experimental Medicine, 12, 71–83. [Google Scholar]
  28. Chen NS, Tsai A and Dyer IA, 1973. Effect of chelating agents on chromium absorption in rats. Journal of Nutrition, 103, 1182–1186. [DOI] [PubMed] [Google Scholar]
  29. Chen Y, Watson HM, Gao J, Sinha SH, Cassady CJ and Vincent JB, 2011. Characterization of the organic component of low‐molecular‐weight chromium‐binding substance and its binding of chromium. Journal of Nutrition, 141, 1225–1232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Clemente GF, Ingrao G and Santaroni GP, 1982. The concentration of some trace elements in human milk from Italy. Science of the Total Environment, 24, 255–265. [DOI] [PubMed] [Google Scholar]
  31. Cocho JA, Cervilla JR, Rey‐Goldar ML, Fdez‐Lorenzo JR and Fraga JM, 1992. Chromium content in human milk, cow's milk, and infant formulas. Biological Trace Element Research, 32, 105–107. [DOI] [PubMed] [Google Scholar]
  32. D‐A‐CH (Deutsche Gesellschaft für Ernährung, Österreichische Gesellschaft für Ernährung, Schweizerische Gesellschaft für Ernährungsforschung, Schweizerische Vereinigung für Ernährung) , 2013. Referenzwerte für die Nährstoffzufuhr. Neuer Umschau Buchverlag, Neustadt an der Weinstraße, Germany, 292 pp. [Google Scholar]
  33. Deelstra H, Van Schoor O, Robberecht H, Clara R and Eylenbosch W, 1988. Daily chromium intake by infants in Belgium. Acta Paediatrica Scandinavica, 77, 402–407. [DOI] [PubMed] [Google Scholar]
  34. DH (Department of Health) , 1991. Dietary reference values for food energy and nutrients for the United Kingdom. Report of the Panel on Dietary Reference Values of the Committee on Medical Aspects of Food Policy. HMSO, London, UK, 212 pp. [PubMed] [Google Scholar]
  35. Di Bona KR, Love S, Rhodes NR, McAdory D, Sinha SH, Kern N, Kent J, Strickland J, Wilson A, Beaird J, Ramage J, Rasco JF and Vincent JB, 2011. Chromium is not an essential trace element for mammals: effects of a “low‐chromium” diet. Journal of Biological Inorganic Chemistry, 16, 381–390. [DOI] [PubMed] [Google Scholar]
  36. DiSilvestro RA and Dy E, 2007. Comparison of acute absorption of commercially available chromium supplements. Journal of Trace Elements in Medicine and Biology, 21, 120–124. [DOI] [PubMed] [Google Scholar]
  37. Donaldson RM Jr., and Barreras RF, 1966. Intestinal absorption of trace quantities of chromium. Journal of Laboratory and Clinical Medicine, 68, 484–493. [PubMed] [Google Scholar]
  38. Eckhert CD, 2014. Trace elements. In: Modern Nutrition in Health and Disease. Eds Ross AC, Caballero B, Cousins RJ, Tucker KL and Ziegler TR. Lippincott Williams & Wilkins, Philadelphia, USA, 245–259. [Google Scholar]
  39. EFSA (European Food Safety Authority) , 2009. Scientific Opinion of the Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) on a request from the European Commission on the safety and efficacy of chromium methionine (Availa®Cr) as feed additive for all species. The EFSA Journal 2009, 1043, 1–69. [Google Scholar]
  40. EFSA CONTAM Panel (EFSA Panel on Contaminants in the Food Chain) , 2014. Scientific Opinion on the risks to public health related to the presence of chromium in food and drinking water. EFSA Journal 2014;12(3):3595, 261 pp. doi:10.2903/j.efsa.2014.3595. [Google Scholar]
  41. EFSA NDA Panel (EFSA Panel on Dietetic Products Nutrition and Allergies) , 2013. Scientific Opinion on Dietary Reference Values for fluoride. EFSA Journal 2013;11(8):3332, 46 pp. doi:10.2903/j.efsa.2013.3332. [Google Scholar]
  42. Engelhardt S, Moser‐Veillon PB, Mangels AR, Patterson KY and Veillon C, 1990. Appearance of an oral dose of chromium (53Cr) in breast milk? In: Human lactation 4. Breastfeeding, Nutrition, Infection and Infant Growth in Developed and Emerging Countries. Eds Atkinson SA, Hanson LA and Chandra RK. ARTS Biomedical, St John's, Newfoundland, Canada, 485–487. [Google Scholar]
  43. Freund H, Atamian S and Fischer JE, 1979. Chromium deficiency during total parenteral nutrition. Journal of the American Medical Association, 241, 496–498. [PubMed] [Google Scholar]
  44. Gargas ML, Norton RL, Paustenbach DJ and Finley BL, 1994. Urinary excretion of chromium by humans following ingestion of chromium picolinate – implications for biomonitoring. Drug Metabolism and Disposition, 22, 522–529. [PubMed] [Google Scholar]
  45. Gomez V and Callao MP, 2006. Chromium determination and speciation since 2000. Trends in Analytical Chemistry, 25, 1006–1015. [Google Scholar]
  46. Gunton JE, Cheung NW, Hitchman R, Hams G, O'Sullivan C, Foster‐Powell K and McElduff A, 2005. Chromium supplementation does not improve glucose tolerance, insulin sensitivity, or lipid profile: A randomized, placebo‐controlled, double‐blind trial of supplementation in subjects with impaired glucose tolerance. Diabetes Care, 28, 712–713. [DOI] [PubMed] [Google Scholar]
  47. Hallmark MA, Reynolds TH, DeSouza CA, Dotson CO, Anderson RA and Rogers MA, 1996. Effects of chromium and resistive training on muscle strength and body composition. Medicine & Science in Sports & Exercise, 28, 139–144. [DOI] [PubMed] [Google Scholar]
  48. Hambidge KM, Franklin ML and Jacobs MA, 1972a. Hair chromium concentration: effects of sample washing and external environment. American Journal of Clinical Nutrition, 25, 384–389. [DOI] [PubMed] [Google Scholar]
  49. Hambidge KM, Franklin ML and Jacobs MA, 1972b. Changes in hair chromium concentrations with increasing distances from hair roots. American Journal of Clinical Nutrition, 25, 380–383. [DOI] [PubMed] [Google Scholar]
  50. Health Council of the Netherlands , 2000. Voedingsnormen: calcium, vitamine D, thiamine, riboflavine, niacine, pantotheenzuur en biotine [Dietary reference intakes: calcium, vitamin D, thiamin, riboflavin, niacin, pantothenic acid, and biotin]. Health Council; of the Netherlands, The Hague, 180 pp. [Google Scholar]
  51. Heinig MJ, Nommsen LA, Peerson JM, Lonnerdal B and Dewey KG, 1993. Energy and protein intakes of breast‐fed and formula‐fed infants during the first year of life and their association with growth velocity: the DARLING Study. American Journal of Clinical Nutrition, 58, 152–161. [DOI] [PubMed] [Google Scholar]
  52. Hermann J, Arquitt A and Stoecker B, 1994. Effects of chromium supplementation on plasma lipids, apolipoproteins, and glucose in elderly subjects. Nutrition Research, 14 (5), 671–674. [Google Scholar]
  53. Hermann J, Chung H, Arquitt A, Goad C, Burns M and Chan B, 1998. Effects of chromium or copper supplementation on plasma lipids, plasma glucose and serum insulin in adults over age fifty. Journal of Nutrition for the Elderly, 18, 27–45. [Google Scholar]
  54. Hopkins LL Jr., and Schwarz K, 1964. Chromium (3) binding to serum proteins, specifically siderophilin. Biochimica et Biophysica Acta, 90, 484–491. [DOI] [PubMed] [Google Scholar]
  55. IOM (Institute of Medicine) , 2001. Dietary Reference Intakes for vitamin A, vitamin K, arsenic, boron, chromium, copper, iodine, iron, manganese, molybdenum, nickel, silicon, vanadium, and zinc. National Academy Press, Washington DC, USA, 773 pp. [PubMed] [Google Scholar]
  56. IPCS , 2002. Environmental Health Criteria 228. Principles and methods for the assessment of risk from essential trace elements. International Programme on Chemical Safety. Accessed on 10 September 2014. Available online: www.inchem.org/documents/ehc/ehc/ehc228.htm.
  57. Ishihara N and Matsushiro T, 1986. Biliary and urinary excretion of metals in humans. Archives of Environmental Health, 41, 324–330. [DOI] [PubMed] [Google Scholar]
  58. Ito Y, Alcock NW and Shils ME, 1990. Chromium content of total parenteral nutrition solutions. Journal of Parenteral and Enteral Nutrition, 14, 610–614. [DOI] [PubMed] [Google Scholar]
  59. Jeejeebhoy KN, Chu RC, Marliss EB, Greenberg GR and Bruce‐Robertson A, 1977. Chromium deficiency, glucose intolerance, and neuropathy reversed by chromium supplementation, in a patient receiving long‐term total parenteral nutrition. American Journal of Clinical Nutrition, 30, 531–538. [DOI] [PubMed] [Google Scholar]
  60. Joseph LJO, Farrell PA, Davey SL, Evans WJ and Campbell WW, 1999. Effect of resistance training with or without chromium picolinate supplementation on glucose metabolism in older men and women. Metabolism‐Clinical and Experimental, 48, 546–553. [DOI] [PubMed] [Google Scholar]
  61. Kato I, Vogelman JH, Dilman V, Karkoszka J, Frenkel K, Durr NP, Orentreich N and Toniolo P, 1998. Effect of supplementation with chromium picolinate on antibody titers to 5‐hydroxymethyl uracil. European Journal of Epidemiology, 14, 621–626. [DOI] [PubMed] [Google Scholar]
  62. Kerger BD, Paustenbach DJ, Corbett GE and Finley BL, 1996. Absorption and elimination of trivalent and hexavalent chromium in humans following ingestion of a bolus dose in drinking water. Toxicology and Applied Pharmacology, 141, 145–158. [DOI] [PubMed] [Google Scholar]
  63. Kien CL, Veillon C, Patterson KY and Farrell PM, 1986. Mild peripheral neuropathy but biochemical chromium sufficiency during 16 months of “chromium‐free” total parenteral nutrition. Journal of Parenteral and Enteral Nutrition, 10, 662–664. [DOI] [PubMed] [Google Scholar]
  64. Kim CW, Kim BT, Park KH, Kim KM, Lee DJ, Yang SW and Joo NS, 2011. Effects of short‐term chromium supplementation on insulin sensitivity and body composition in overweight children: randomized, double‐blind, placebo‐controlled study. Journal of Nutritional Biochemistry, 22, 1030–1034. [DOI] [PubMed] [Google Scholar]
  65. Kovacs R, Beni A, Karosi R, Sogor C and Posta J, 2007. Investigation of chromium content in foodstuffs and nutrition supplements by GFAAS and determination of changing Cr(III) to Cr(VI) during baking and toasting bread. Food Chemistry, 105, 1209–1213. [Google Scholar]
  66. Krikorian R, Eliassen JC, Boespflug EL, Nash TA and Shidler MD, 2010. Improved cognitive‐cerebral function in older adults with chromium supplementation. Nutritional Neuroscience, 13, 116–122. [DOI] [PubMed] [Google Scholar]
  67. Kumpulainen J, Vuori E, Makinen S and Kara R, 1980. Dietary chromium intake of lactating Finnish mothers: effect on the Cr content of their breast milk. British Journal of Nutrition, 44, 257–263. [DOI] [PubMed] [Google Scholar]
  68. Kumpulainen J and Vuori E, 1980. Longitudinal study of chromium in human milk. American Journal of Clinical Nutrition, 33, 2299–2302. [DOI] [PubMed] [Google Scholar]
  69. Lim TH, Sargent T 3rd, and Kusubov N, 1983. Kinetics of trace element chromium(III) in the human body. American Journal of Physiology, 244, R445–454. [DOI] [PubMed] [Google Scholar]
  70. Lukaski HC, Bolonchuk WW, Siders WA and Milne DB, 1996. Chromium supplementation and resistance training: Effects on body composition, strength, and trace element status of men. American Journal of Clinical Nutrition, 63, 954–965. [DOI] [PubMed] [Google Scholar]
  71. Lukaski HC, Siders WA and Penland JG, 2007. Chromium picolinate supplementation in women: effects on body weight, composition, and iron status. Nutrition, 23, 187–195. [DOI] [PubMed] [Google Scholar]
  72. Masharani U, Gjerde C, McCoy S, Maddux BA, Hessler D, Goldfine ID and Youngren JF, 2012. Chromium supplementation in non‐obese non‐diabetic subjects is associated with a decline in insulin sensitivity. BMC Endocrine Disorders, 12, 31. [DOI] [PMC free article] [PubMed] [Google Scholar]
  73. Mertz W, 1998. Review of the scientific basis for establishing the essentiality of trace elements. Biological Trace Element Research, 66, 185–191. [DOI] [PubMed] [Google Scholar]
  74. Mohamedshah FY, Moser‐Veillon PB, Yamini S, Douglass LW, Anderson RA and Veillon C, 1998. Distribution of a stable isotope of chromium (53Cr) in serum, urine, and breast milk in lactating women. American Journal of Clinical Nutrition, 67, 1250–1255. [DOI] [PubMed] [Google Scholar]
  75. Mullee A, Brown T, Collings R, Harvey L, Hooper L and Fairweather‐Tait S, 2012. Literature search and review related to specific preparatory work in the establishment of Dietary Reference Values ‐Preparation of an evidence report identifying health outcomes upon which Dietary Reference Values could potentially be based for chromium, manganese and molybdenum. Supporting Publications 2012:EN‐284, 171 pp.
  76. Nordic Council of Ministers , 2014. Nordic Nutrition Recommendations 2012. Integrating nutrition and physical activity. 5th edition. Nordic Council of Ministers, Copenhagen, Denmark, 627 pp. [Google Scholar]
  77. Novotnik B, Zuliani T, Scancar J and Milacic R, 2013. Chromate in food samples: an artefact of wrongly applied analytical methodology? Journal of Analytical Atomic Spectrometry, 28, 558–566. [Google Scholar]
  78. Offenbacher EG, Rinko CJ and Pi‐Sunyer FX, 1985. The effects of inorganic chromium and brewer's yeast on glucose tolerance, plasma lipids, and plasma chromium in elderly subjects. American Journal of Clinical Nutrition, 42, 454–461. [DOI] [PubMed] [Google Scholar]
  79. Offenbacher EG, Spencer H, Dowling HJ and Pi‐Sunyer FX, 1986. Metabolic chromium balances in men. American Journal of Clinical Nutrition, 44, 77–82. [DOI] [PubMed] [Google Scholar]
  80. Offenbacher EG, 1994. Promotion of chromium absorption by ascorbic acid. Trace Elements and Electrolytes, 11, 178–181. [Google Scholar]
  81. Okolo NS, Okonji M, Ogbonna C, Ezeogu AF and Onwuanaku C, 2001. Levels of calcium, aluminium and chromium in serum of exclusively breastfed infants at six months of age in Savannah region of Nigeria. West African Journal of Medicine, 20, 13–16. [PubMed] [Google Scholar]
  82. Pacquette LH, Szabo A and Thompson JJ, 2011. Simultaneous determination of chromium, selenium, and molybdenum in nutritional products by inductively coupled plasma/mass spectrometry: single‐laboratory validation. Journal of AOAC International, 94, 1240–1252. [PubMed] [Google Scholar]
  83. Pacquette LH, Szabo A and Thompson JJ, 2012. Application of inductively coupled plasma/mass spectrometry for the measurement of chromium, selenium, and molybdenum in infant formula and adult nutritional products: First Action 2011.19. Journal of AOAC International, 95, 588–598. [DOI] [PubMed] [Google Scholar]
  84. Parr RM, DeMaeyer EM, Iyengar VG, Byrne AR, Kirkbright GF, Schoch G, Niinisto L, Pineda O, Vis HL, Hofvander Y and Omololu A, 1991. Minor and trace elements in human milk from Guatemala, Hungary, Nigeria, Philippines, Sweden, and Zaire. Results from a WHO/IAEA joint project. Biological Trace Element Research, 29, 51–75. [DOI] [PubMed] [Google Scholar]
  85. Potter JF, Levin P, Anderson RA, Freiberg JM, Andres R and Elahi D, 1985. Glucose metabolism in glucose‐intolerant older people during chromium supplementation. Metabolism: Clinical and Experimental, 34, 199–204. [DOI] [PubMed] [Google Scholar]
  86. Press RI, Geller J and Evans GW, 1990. The effect of chromium picolinate on serum cholesterol and apolipoprotein fractions in human subjects. Western Journal of Medicine, 152, 41–45. [PMC free article] [PubMed] [Google Scholar]
  87. Riales R and Albrink MJ, 1981. Effect of chromium chloride supplementation on glucose tolerance and serum lipids including high‐density lipoprotein of adult men. American Journal of Clinical Nutrition, 34, 2670–2678. [DOI] [PubMed] [Google Scholar]
  88. Sayato Y, Nakamuro K, Matsui S and Ando M, 1980. Metabolic‐fate of chromium compounds. 1. Comparative behavior of chromium in rat administered with (Na2cro4)‐Cr‐51 and (Crcl3)‐Cr‐51. Journal of Pharmacobio‐Dynamics, 3, 17–23. [DOI] [PubMed] [Google Scholar]
  89. SCF (Scientific Committee for Food) , 1993. Nutrient and energy intakes for the European Community. Reports of the Scientific Committee for Food, 31st series. Food – Science and Techniques, Luxembourg, European Commission, 248 pp. [Google Scholar]
  90. SCF (Scientific Committee on Food) , 2003a. Opinion on the Scientific Committee on Food on the Tolerable Upper Intake Level of trivalent chromium. SCF/CS/NUT/UPPLEV/67 Final. 18 pp.
  91. SCF (Scientific Committee on Food) , 2003b. Opinion of the Scientific Committee on Food on the revision of reference values for nutrition labelling. 17 pp.
  92. Schroeder HA, 1968. The role of chromium in mammalian nutrition. American Journal of Clinical Nutrition, 21, 230–244. [DOI] [PubMed] [Google Scholar]
  93. Stearns DM, 2000. Is chromium a trace essential metal? Biofactors, 11, 149–162. [DOI] [PubMed] [Google Scholar]
  94. Stearns DM, 2007. Multiple hypotheses for chromium(III) biochemistry: Why the essentiality of chromium(III) is still questioned. In: The nutritional biochemistry of chromium(III). Ed Vincent JB, Elsevier, Amsterdam, The Netherlands, 57–70. [Google Scholar]
  95. Sumino K, Hayakawa K, Shibata T and Kitamura S, 1975. Heavy‐metals in normal Japanese tissues ‐amounts of 15 heavy‐metals in 30 subjects. Archives of Environmental Health, 30, 487–494. [DOI] [PubMed] [Google Scholar]
  96. Tsuda K, Yokoyama Y, Morita M, Nakazawa Y and Onishi S, 1998. Selenium and chromium deficiency during long‐term home total parenteral nutrition in chronic idiopathic intestinal pseudoobstruction. Nutrition, 14, 291–295. [DOI] [PubMed] [Google Scholar]
  97. Uusitupa MI, Mykkanen L, Siitonen O, Laakso M, Sarlund H, Kolehmainen P, Rasanen T, Kumpulainen J and Pyorala K, 1992. Chromium supplementation in impaired glucose tolerance of elderly: effects on blood glucose, plasma insulin, C‐peptide and lipid levels. British Journal of Nutrition, 68, 209–216. [DOI] [PubMed] [Google Scholar]
  98. Verhage AH, Cheong WK and Jeejeebhoy KN, 1996. Neurologic symptoms due to possible chromium deficiency in long‐term parenteral nutrition that closely mimic metronidazole‐induced syndromes. Journal of Parenteral and Enteral Nutrition, 20, 123–127. [DOI] [PubMed] [Google Scholar]
  99. Vincent JB and Love ST, 2012. The need for combined inorganic, biochemical, and nutritional studies of chromium(III). Chemistry and Biodiversity, 9, 1923–1941. [DOI] [PubMed] [Google Scholar]
  100. Volpe SL, Huang HW, Larpadisorn K and Lesser, II , 2001. Effect of chromium supplementation and exercise on body composition, resting metabolic rate and selected biochemical parameters in moderately obese women following an exercise program. Journal of the American College of Nutrition, 20, 293–306. [DOI] [PubMed] [Google Scholar]
  101. Wappelhorst O, Kuhn I, Heidenreich H and Markert B, 2002. Transfer of selected elements from food into human milk. Nutrition, 18, 316–322. [DOI] [PubMed] [Google Scholar]
  102. WHO (World Health Organization) , 1996. Trace elements in human nutrition and health. 343 pp.
  103. WHO/FAO (World Health Organization/Food and Agriculture Organization) , 2004. Vitamin and mineral requirements in human nutrition: report of a joint FAO/WHO expert consultation, Bangkok, Thailand, 21–30 September 1998. 341 pp.
  104. Wongseelashote O, Daly MA and Frankel EH, 2004. High insulin requirement versus high chromium requirement in patients nourished with total parenteral nutrition. Nutrition, 20, 318–320. [DOI] [PubMed] [Google Scholar]
  105. Woolliscroft J and Barbosa J, 1977. Analysis of chromium induced carbohydrate intolerance in the rat. Journal of Nutrition, 107, 1702–1706. [DOI] [PubMed] [Google Scholar]
  106. Yamawaki N, Yamada M, Kan‐no T, Kojima T, Kaneko T and Yonekubo A, 2005. Macronutrient, mineral and trace element composition of breast milk from Japanese women. Journal of Trace Elements in Medicine & Biology, 19, 171–181. [DOI] [PubMed] [Google Scholar]
  107. Yazaki Y, Faridi Z, Ma Y, Ali A, Northrup V, Njike VY, Liberti L and Katz DL, 2010. A pilot study of chromium picolinate for weight loss. Journal of Alternative & Complementary Medicine, 16, 291–299. [DOI] [PMC free article] [PubMed] [Google Scholar]
  108. Yoshida M, Takada A, Hirose J, Endo M, Fukuwatari T and Shibata K, 2008. Molybdenum and chromium concentrations in breast milk from Japanese women. Bioscience, Biotechnology and Biochemistry, 72, 2247–2250. [DOI] [PubMed] [Google Scholar]

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