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Some studies suggest fluoride exposure in children is associated with lower IQ, while other studies indicate no clear link between community water fluoridation and IQ loss.
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Several systematic reviews and meta-analyses have consistently found a significant association between high fluoride exposure and reduced IQ in children. A meta-analysis of 16 case-control studies in China revealed that children in areas with endemic fluorosis had five times higher odds of developing low IQ compared to those in non-fluorosis or slight fluorosis areas. Another comprehensive review, which included 27 epidemiological studies, found that children in high-fluoride areas had significantly lower IQ scores than those in low-fluoride areas, with a standardized weighted mean difference of -0.45.
Cross-sectional studies have also supported these findings. For instance, a study in Shanyin County, China, found that children exposed to high concentrations of fluoride had significantly lower IQ scores compared to those in the control group. Another study in Tianjin, China, demonstrated that fluoride exposure was inversely associated with IQ scores, with significant modifications by dopamine-related genes.
Research has indicated that genetic factors may modify the impact of fluoride on intelligence. A study involving dopamine-related genes found that children with certain genotypes had significantly lower IQ scores when exposed to fluoride, suggesting a gene-environment interaction.
Fluoride exposure has also been linked to alterations in thyroid function, which may further impact children's intelligence. A study found that higher fluoride levels were associated with increased thyroid-stimulating hormone (TSH) and decreased thyroxine (T4) levels, which were inversely related to IQ scores.
Not all studies have found a negative impact of fluoride on IQ. A prospective study in New Zealand, which followed participants from birth to adulthood, found no clear differences in IQ due to fluoride exposure, even after adjusting for various confounding factors. Another study concluded that the fluoride levels tested did not show a connection with IQ loss.
Research has also explored the dose-response relationship between fluoride exposure and IQ. A study found that every 0.5 mg/L increment in water fluoride levels was associated with a reduction in IQ scores, indicating a threshold effect. Another study suggested that prenatal and childhood excessive fluoride exposures could impair intelligence development, with prenatal exposure having a more significant impact.
The economic implications of IQ loss due to fluoride exposure have been quantified, with estimates suggesting a significant economic burden due to reduced cognitive abilities in affected populations.
The majority of studies indicate a strong association between high fluoride exposure and reduced IQ in children, with genetic and thyroid function factors potentially modifying this effect. However, some studies have found no significant impact, highlighting the need for further research to clarify these discrepancies. Public health policies should consider these findings to mitigate potential risks associated with fluoride exposure.
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