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Highlights • Maternal blood manganese (Mn) levels during pregnancy may correlate with birth size. • A nonlinear relationship of log Mn level with male birth weight was observed. • Male infants in the lowest quartile of Mn level faced an increased risk of SGA. • Males in the highest quartile of Mn level in 3rd trimester had a high risk of SGA. • A low Mn level correlated with small head circumference in all infants.
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