The Health Impacts of Food Color Additives (Synthetic Food Dyes) on Children: What Parents Need to Know

Food artificial colorings are commonly used in manufactured foods to enhance color and visual appeal.

Introduction

Food color additives, also known as synthetic food dyes or artificial food colorings, have been a staple in the American food supply for over a century. These vibrant color additives are used to enhance the visual appeal of processed foods, but their potential health risks—particularly for children—have raised significant concerns. Consequently, there is growing concern and mistrust among consumers about the practices and products of the commercial food manufacturing industry. This blog post will explore the history of food dyes in the United States, explain how they are classified by the FDA, and assess the scientific literature linking them to health risks in children. Finally, we will offer practical advice for parents and suggestions for how-to advocate in an effective, meaningful way to improve the safety of the American food supply.

A Brief History of Food Color Additives in the United States

The history of food dyes in the United States began in the late 19th century when synthetic dyes, initially derived from coal tar and later from petroleum, were introduced to enhance food appearance affordably and consistently. As mass production increased, synthetic dyes became popular due to their ability to create standardized products. However, safety concerns arose, leading to the United States Food and Drugs Act of 1906, which banned harmful food colors. This was strengthened by the Food, Drug, and Cosmetic Act of 1938, establishing a certification system for food colors still in use today. Over time, several dyes were banned due to health risks, but nine synthetic dyes remain FDA-approved for food use.

Definition and Terminology of Food Color Additives

Food colorings can be classified into two main categories:

  • Natural Colorants: Derived from plant, animal, or mineral sources (e.g., beet juice, turmeric).
  • Synthetic Colorants: Chemically synthesized compounds that do not occur naturally.

Synthetic dyes are favored by manufacturers because they are cheaper and more stable than natural alternatives. However, their chemical composition has raised concerns about potential health risks.

FDA Classification of Food Color Additives

The FDA classifies food colorings into two groups:

  1. Certified Colors: These are synthetic dyes that must meet strict safety standards before being approved for use.
  2. Exempt from Certification: These are generally natural colorants that do not require certification but must still comply with safety regulations.

Currently, there are nine certified color additives approved by the FDA for use in food:

  1. FD&C Blue No. 1 (Brilliant Blue FCF)
  2. FD&C Blue No. 2 (Indigotine)
  3. FD&C Green No. 3 (Fast Green FCF)
  4. FD&C Red No. 3 (Erythrosine)
  5. FD&C Red No. 40 (Allura Red AC)
  6. FD&C Yellow No. 5 (Tartrazine)
  7. FD&C Yellow No. 6 (Sunset Yellow FCF)
  8. Orange B
  9. Citrus Red No. 2

Color additives that are exempt from certification under U.S. FDA regulations are typically derived from natural sources such as plants, minerals, or animals. These additives do not require batch-by-batch certification but must still meet specific identity and purity standards as outlined in 21 CFR Part 73. Below is a list of some common color additives that are exempt from certification:

  • Annatto extract – Derived from the seeds of the achiote tree, used for yellow to orange coloring (§73.30).
  • Astaxanthin – A carotenoid pigment found in marine organisms, used for reddish hues (§73.35).
  • Dehydrated beets (beet powder) – Provides a bluish-red to brown color (§73.40).
  • Beta-carotene – A precursor to vitamin A, used for yellow to orange coloring.
  • Caramel – Used for yellow to tan shades, commonly found in soft drinks and baked goods.
  • Grape skin extract – Provides red or purple hues, derived from grape skins.
  • Turmeric – A spice that gives a bright yellow color (§73.600).
  • Titanium dioxide – A white pigment used for opacity and brightness (§73.575).
  • Cochineal extract (and carmine) – Derived from insects, used for red coloring.

These additives are considered safe by the FDA when used according to their specified conditions and do not require the same rigorous batch certification process as synthetic colors, making them popular in products marketed as “natural.”

Why are Food Color Additives Used in our Food Supply?

Food manufacturers use dyes for several reasons, including:

  • Color enhancement
  • Standardization of appearance
  • Brand identity
  • Shelf life extension
  • Consumer appeal

Synthetic food dyes offer advantages over natural alternatives, including longer shelf life and a wider range of colors. Food manufacturers often use color additives to enhance naturally occurring colors or to make food more appetizing and fun to eat.

Health and FDA Approval of Food Color Additives

Recent research has raised concerns about the potential health effects of synthetic food dyes, particularly in children. Studies have linked these dyes to various issues, including:

  • Hyperactivity and attention problems in children
  • Allergic reactions
  • Potential carcinogenic, mutagenic, and cytotoxic effects

Despite these concerns, the FDA continues to allow the use of the approved synthetic food dyes, considering them safe when used as directed. The FDA’s approval process includes factors such as the properties of the ingredient, the amount likely to be consumed, any possible health effects that could result immediately or on a longer-term basis, and other numerous factors that address the product’s safety.

Table. FDA Approved Food Colorings, Common Uses, and Their Potential HealthRisks

Food Coloring Common Uses Potential Health Risks
FD&C Blue No. 1 Drinks, candies, and baked goods Allergic reactions, hyperactivity in sensitive children
FD&C Blue No. 2 Confections, pet food Allergic reactions
FD&C Green No. 3 Ice cream, candies Allergic reactions
FD&C Red No. 3 Candy, baked goods Potential carcinogenic effects
FD&C Red No. 40 Drinks, snacks, and confections Hyperactivity in sensitive children
FD&C Yellow No. 5 Soft drinks, candies Allergic reactions, hyperactivity
FD&C Yellow No. 6 Snack foods, beverages Allergic reactions
Orange B Meat products Allergic reactions
Citrus Red No. 2 Citrus fruits Potential carcinogenic effects

How Much Food Color Additive is Considered Safe?

Current guidelines suggest that the upper limit for artificial food dye consumption is about 100 milligrams per day. However, many parents may not be aware of how to track this intake.

The most common foods containing artificial dyes include:

  • Soft drinks
  • Fruit-flavored beverages
  • Ice cream and popsicles
  • Breakfast cereals
  • Snack foods.

Here are some examples of how a child could consume 100 milligrams or more of food color additives in a day:

  1. One serving of Kool-Aid Burst Cherry (52.3 mg) + one serving of Target Mini Green Cupcakes (55.3 mg) = 107.6 mg
  2. One serving of Cap’n Crunch’s Oops! All Berries cereal (41 mg) + one 8 oz serving of Sunny D Orange Strawberry drink (41.5 mg) = 82.5 mg
  3. One serving of Skittles (33.3 mg) + one serving of Trix cereal (36.4 mg) + one 8 oz serving of Crush Orange soda (33.6 mg) = 103.3 mg
  4. One serving of M&M’s Milk Chocolate (29.5 mg) + one serving of Fruity Cheerios (31 mg) + one 8 oz serving of Powerade Orange Sports Drink (22.1 mg) + one serving of Kraft Macaroni & Cheese (17.6 mg) = 100.2 mg
  5. Two 8 oz servings of Kool-Aid Burst Cherry (52.3 mg x 2) = 104.6 mg

This list is not exhaustive, but meant to provide you with examples. According to researchers, some children could potentially consume more than 200 mg of synthetic food color additives in a day.

If you notice behavioral changes in your child after consuming products with synthetic food dyes, it may be worth limiting their intake. Some parents have reported significant improvements in their children’s behavior after eliminating these dyes from their diets.

What are the Health Effects of Food Color Additives in Children?

Most certified food color additives are derived from petroleum-based chemicals and have been linked to various health risks. Concerns include behavioral and developmental issues in some children, as well as a potential increased risk of cancer.

The possibility of food additives influencing hyperactivity in children became a popular theory in the 1970s, primarily due to the work of Dr. Benjamin Feingold. Several decades later, a landmark study published in The Lancet in 2007, commissioned by the United Kingdom’s Food Standards Agency, suggested that specific mixtures of food additives might increase hyperactivity in certain children, including those without a diagnosis of ADHD. This study led to a ban on six artificial food colorings in the UK. However, the FDA currently maintains that the link between these ingredients and hyperactive behavior is inconsistent and weak at best.

Subsequently, a study conducted by the California Environmental Protection Agency in April 2021 found that synthetic food dyes are associated with adverse neurobehavioral effects, including inattentiveness and hyperactivity, particularly in sensitive children. It is essential to recognize that not all children with ADHD are sensitive to food colorings, and conversely, not all children who exhibit sensitivities have ADHD. However, research indicates that up to 8% of children may experience negative behavioral effects from exposure to these dyes.

In addition to behavioral concerns, synthetic food dyes have been linked to other health issues:

  • Allergic Reactions: Certain dyes like Yellow No. 5 have been associated with allergic responses such as hives or asthma attacks.
  • Carcinogenic Potential: Animal studies have shown that some dyes may increase the risk of cancer when consumed in large quantities over time.
  • Gastrointestinal Issues: Some children may experience digestive discomfort after consuming foods with artificial colors.

Should Food Color Additives Be Banned in the United States?

As concerns about synthetic food dyes grow, there’s an increasing demand for alternatives. The United States has a unique opportunity to learn from Europe’s experience in this transition, potentially avoiding pitfalls and accelerating progress. The European food industry has demonstrated that investment in research and development can yield significant improvements in natural colorings’ performance and stability. The United States, with its robust food industry and research capabilities, is well-positioned to build on these advancements and potentially surpass them.

This approach can lead to innovative solutions that benefit consumers, industry, and public health alike, while maintaining the appeal and quality of our food products.

Some alternatives food manufacturers can consider:

  • Natural colorants: Carotenoids, chlorophyll, anthocyanin, and turmeric are examples of natural dyes.
  • Color-free products: Some consumers may prefer products without added colors.
  • Innovative natural solutions: Investing in research to develop new, stable natural colorants.

While the debate on synthetic food dyes grows contentious on social media, what is needed a multifaceted strategy that includes more comprehensive research, improved labeling, increased availability of natural alternatives, and empowering parents with information. This nuanced approach balances safety concerns with consumer choice and industry practices. However, to effectively transition away from synthetic food dyes, it’s essential to engage key stakeholders and partner with food manufacturers. By fostering collaboration between researchers, policymakers, industry leaders, and consumer advocacy groups, we can drive innovation in natural coloring alternatives. This collaborative effort could lead to the development of cost-effective, stable, and vibrant natural dyes that meet both consumer preferences and industry standards. Additionally, creating incentives for companies to invest in research and development of these alternatives could accelerate the shift towards safer, more natural food coloring options.

What Can Concerned Parents Do to Lower Risk of Food Color Additives?

If you’re worried about synthetic food dyes in your child’s diet, here are some steps you can take:

  • Read Labels Carefully: Familiarize yourself with the names and numbers of synthetic dyes so you can avoid products containing them.
  • Choose Naturally Colored Foods: Opt for foods colored with natural ingredients like beet juice or turmeric. Click here for a full list of natural food colors that are exempt from FDA certification.
  • Limit Highly Processed Foods: Reduce your child’s intake of highly processed snacks and beverages that often contain synthetic food colors. Use consumer purchasing power and choose brands that only use natural food colors.
  • Track Behavior Changes: Keep a journal documenting any changes in your child’s behavior during elimination period of synthetic food colors, and after consuming foods with synthetic food colors.
  • Consult a Healthcare Provider: If your child shows signs of hyperactivity or allergic reactions after consuming synthetic dyes, consult your pediatrician or a registered dietitian nutritionist.

Final Thoughts on Food Color Additives

For many parents, understanding the potential effects of synthetic food dyes on their child’s behavior is important. While research on this topic continues to evolve, many families with concerns have found that limiting or eliminating synthetic food colorings from their home brings peace of mind, and for some children, have led to positive behavioral changes. Choosing natural food colorings can easily be achieved by reading ingredients lists on food packages. 

The debate over the safety of synthetic food colors is ongoing, and more research is needed to reach definitive evidence-baed conclusions. In the meantime, parents concerned about the potential effects of these additives can take proactive steps to reduce their children’s exposure. This includes reading food labels, opting for whole foods or over highly processed options, and consulting with a registered dietitian nutritionist for tailored guidance. As the food industry continues to evolve, we may see more companies moving towards natural colorants or color-free products in response to consumer demand. The ultimate goal should be to ensure both the safety, access, equity, and enjoyment of our food supply, while prioritizing the well-being of our children.

This blog post was written by Beth Conlon, PhD, RDN, a leading expert in pediatric and family nutrition. Dr. Conlon holds a PhD in Biomedical Science and is a Registered Dietitian Nutritionist (RDN) by training. She has extensive experience in both academia and industry, having worked as a postdoctoral fellow at Nestlé Health Science, where she gained firsthand knowledge of food additives and their effects on health. Dr. Conlon has authored over 15 peer-reviewed publications and textbook chapters, contributing significantly to the field of clinical nutrition research. She is also an adjunct professor, educating future healthcare professionals, and the owner of From the Start Nutrition, a private practice dedicated to helping families achieve optimal health through personalized nutrition strategies. As a mother of four, Dr. Conlon combines her professional expertise with her personal experience to offer practical, evidence-based advice on raising healthy children.

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References
  1. U.S. Food and Drug Administration. Color additives questions and answers for consumers. Updated April 1, 2022. Accessed November 16, 2024. https://www.fda.gov/food/color-additives-information-consumers/color-additives-questions-and-answers-consumers
  2. U.S. Food and Drug Administration. Color Additives in Foods. FDA. Updated March 31, 2023. Accessed November 17, 2024. https://www.fda.gov/food/color-additives-information-consumers/color-additives-foods
  3. U.S. Food and Drug Administration. Color Additives Information for Consumers. FDA. Updated March 31, 2023. Accessed November 17, 2024. https://www.fda.gov/food/food-ingredients-packaging/color-additives-information-consumers
  4. U.S. Food and Drug Administration. Understanding How FDA Regulates Color Additives. FDA. Updated March 31, 2023. Accessed November 17, 2024. https://www.fda.gov/food/color-additives-information-consumers/understanding-how-fda-regulates-color-additives
  5. Center for Science in the Public Interest. First-ever study reveals amounts of food dyes in brand-name foods. Published May 7, 2014. Accessed November 16, 2024. https://www.cspinet.org/new/201405071.html.
  6. California Office of Environmental Health Hazard Assessment. Health effects assessment: potential neurobehavioral effects of synthetic food dyes in children. Published April 16, 2021. Accessed November 16, 2024. https://oehha.ca.gov/media/downloads/risk-assessment/report/healthefftsassess041621.pdf 
  7. Center for Science in the Public Interest. Synthetic food dyes: a rainbow of risks. Published April 15, 2024. Accessed November 16, 2024. https://www.cspinet.org/cspi-news/synthetic-food-dyes-rainbow-risks
  8. Center for Science in the Public Interest. Synthetic Food Dyes: Health Risks, History, and Policy. CSPI. Accessed November 17, 2024. https://www.cspinet.org/page/synthetic-food-dyes-health-risks-history-and-policy
  9. Center for Science in the Public Interest. Artificial Colorings (Synthetic Food Dyes). CSPI. Accessed November 17, 2024. https://www.cspinet.org/article/artificial-colorings-synthetic-food-dyes
  10. Hartley S. Are synthetic food dyes bad for you? Here’s what the science says. Science News. Published October 28, 2024. Accessed November 16, 2024
  11. Huang W, Lee SL, Lu LX. Mechanistic approaches to predicting oral drug absorption. AAPS J. 2018;20(5):93
  12. Nigg JT, Holton K. Restriction and elimination diets in ADHD treatment. Child Adolesc Psychiatr Clin N Am. 2014;23(4):937-953.
 

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  1. I quickly read the article, but promise to read it in more detail soon. So these moms that we thought were a bit crazy were right? Or do we try to do a better job of listening to parents who are concerned about food coloring and its affect on their child’s behavior. I would love to hear what other RDNs have to say.
    As an aside, I saw a box of cereal at the grocery this week being promoted as having NO food coloring. I don’t remember the brand, but thought it was unusual.

beth conlon dietitian nutritionist new jersey

Hi! I’m Beth Conlon, PhD, MS, RDN


I'm so glad you're here!

As a Pediatric and Family Nutrition Expert and mom of 4, I truly understand the ups and downs of feeding children. This is a space where you can get tips and tricks that will help you with any feeding challenges, from picky eaters to eating disorders, and more. Additionally, I'm excited to share recipes that are perfect for families.

I can't wait to share this journey with you. If you need extra assistance, please contact me today and we can explore ways to work together.

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