New research has found no evidence to support the claims that fluoridating water adversely affects children's mental development and adult IQ.
The researchers were testing the contentious claim that exposure to levels of fluoride used in community water fluoridation is toxic to the developing brain and can cause IQ deficits.
The Dunedin Study has followed nearly all aspects of the health and development of around 1000 people born in Dunedin in 1972-1973 up to age 38.
Lead author Dr Jonathan Broadbent says the new research focused on Study members' fluoride exposure during the first five years of their lives, as this is a critical period in brain development, after which IQ is known to be relatively stable.
Dr Broadbent and colleagues compared IQs of Study members who grew up in Dunedin suburbs with and without fluoridated water. Use of fluoride toothpaste and tablets was also taken into account.
They examined average IQ scores between the ages of 7-13 years and at age 38, as well as subtest scores for verbal comprehension, perceptual reasoning, working memory and processing speed. Data on IQ were available for 992 and 942 study members in childhood and adulthood, respectively.
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Dr Broadbent says the team controlled for childhood factors associated with IQ variation, such as socio-economic status of parents, birth weight and breastfeeding, and secondary and tertiary educational achievement, which is associated with adult IQ.
He said that their analysis showed no significant differences in IQ by fluoride exposure, even before controlling for the other factors that might influence scores. In line with other studies, they found breastfeeding was associated with higher child IQ, and this was regardless of whether children grew up in fluoridated or non-fluoridated areas.
The findings have been published in the American Journal of Public Health.