After reviewing 27 of the human IQ studies, a team of Harvard scientists concluded that fluoride’s effect on the young brain should now be a “high research priority.” (Choi, et al 2012). Other reviewers have reached similar conclusions, including the prestigious National Research Council (NRC), and scientists in the Neurotoxicology Division of the Environmental Protection Agency (Mundy, et al). In the table below, we summarize the results from the 50 studies that have found associations between fluoride and reduced IQ and provide links to full-text copies of the studies. For a discussion of the 7 studies that did not find an association between fluoride and IQ, click here.
Quick Facts About the 50 Studies:
Location of Studies: China (32), India (13), Iran (4), and Mexico (1).
Sources of Fluoride Exposure: 41 of the 50 IQ studies involved communities where the predominant source of fluoride exposure was water; seven studies investigated fluoride exposure from coal burning.
Fluoride Levels in Water: IQ reductions have been significantly associated with fluoride levels of just 0.7 to 1.2 mg/L (Sudhir 2009); 0.88 mg/L among children with iodine deficiency. (Lin 1991) Other studies have found IQ reductions at 1.4 ppm (Zhang 2015); 1.8 ppm (Xu 1994); 1.9 ppm (Xiang 2003a,b); 0.3-3.0 ppm (Ding 2011); 2.0 ppm (Yao 1996, 1997); 2.1 ppm (Das 2016); 2.1-3.2 ppm (An 1992); 2.2 ppm (Choi 2015); 2.3 ppm (Trivedi 2012); 2.38 ppm (Poureslami 2011); 2.4-3.5 ppm (Nagarajappa 2013); 2.45 ppm (Eswar 2011); 2.5 ppm (Seraj 2006); 2.5-3.5 ppm (Shivaprakash 2011); 2.85 ppm (Hong 2001); 2.97 ppm (Wang 2001, Yang 1994); 3.1 ppm (Seraj 2012); 3.15 ppm (Lu 2000); 3.94 ppm (Karimzade 2014); and 4.12 ppm (Zhao 1996).
Fluoride Levels in Urine: About a quarter of the IQ studies have provided data on the level of fluoride in the children’s urine, with the majority of these studies reporting that the average urine fluoride level was below 3 mg/L. To put this level in perspective, a study from England found that 5.6% of the adult population in fluoridated areas have urinary fluoride levels exceeding 3 mg/L, and 1.1% have levels exceeding 4 mg/L. (Mansfield 1999) Although there is an appalling absence of urinary fluoride data among children in the United States, the excess ingestion of fluoride toothpaste among some young children is almost certain to produce urinary fluoride levels that exceed 2 ppm in a portion of the child population.
Methodological Limitations
As both the NRC and Harvard reviews have correctly pointed out, many of the fluoride/IQ studies have used relatively simple designs and have failed to adequately control for all of the factors that can impact a child’s intelligence (e.g., parental education, socioeconomic status, lead and arsenic exposure). For several reasons, however, it is unlikely that these limitations can explain the association between fluoride and IQ.
First, some of the fluoride/IQ studies have controlled for the key relevant factors, and significant associations between fluoride and reduced IQ were still observed. This fact was confirmed in the Harvard review, which reported that the association between fluoride and IQ remains significant when considering only those studies that controlled for certain key factors (e.g., arsenic, iodine, etc). Indeed, the two studies that controlled for the largest number of factors (Rocha Amador 2007; Xiang 2003a,b) reported some of the largest associations between fluoride and IQ to date.
Second, the association between fluoride and reduced IQ in children is predicted by, and entirely consistent with, a large body of other evidence. Other human studies, for example, have found associations between fluoride, cognition, and neurobehavior in ways consistent with fluoride being a neurotoxin. In addition, animal studies have repeatedly found that fluoride impairs the learning and memory capacity of rats under carefully controlled laboratory conditions. An even larger body of animal research has found that fluoride can directly damage the brain, a finding that has been confirmed in studies of aborted human fetuses from high-fluoride areas.
Finally, it is worth considering that before any of the studies finding reduced IQ in humans were known in the western world, a team of U.S. scientists at a Harvard-affiliated research center predicted (based on behavioral effects they observed in fluoride-treated animals) that fluoride might be capable of reducing IQ in humans. (Mullenix 1995)
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