Infant formula composition and educational performance: a protocol to extend follow-up for a set of randomised

Maximiliane Verfürden1, Katie Harron2, John Jerrim3

  • 1Great Ormond Street Institute of Child Health, University College London, London, UK m.verfuerden@ucl.ac.uk.

BMJ Open
|July 26, 2020
PubMed

Insights

This study links infant formula trials to educational records to assess long-term cognitive effects. It provides unbiased insights into infant nutrition

Area of Science:

  • Pediatric Nutrition
  • Cognitive Development
  • Educational Psychology

Background:

  • Infant nutrition significantly impacts long-term cognitive development.
  • Existing clinical trials often lack sufficient long-term follow-up and suffer from high attrition rates, leading to biased results.
  • Educational performance serves as a reliable, unbiased marker for cognitive function in children.

Purpose of the Study:

  • To evaluate the long-term educational performance of children randomized to nutritionally modified infant formula versus standard formula.
  • To provide unbiased, long-term follow-up data on the effects of infant nutrition on cognitive outcomes.
  • To investigate the impact of infant formula interventions on academic achievement and special educational needs support.

Main Methods:

  • Utilized data from 1923 participants across seven randomized infant formula trials.
  • Linked trial data to the English National Pupil Database (NPD) for educational records.
  • Analyzed primary outcomes (Math exam z-scores at age 16) and secondary outcomes (English exam z-scores at ages 11 and 16, and special educational needs support).

Main Results:

  • The study is designed to provide new insights into the effect of infant nutrition on school achievement.
  • Primary analysis will focus on differences in mathematics exam z-scores at age 16.
  • Secondary analyses will examine English exam performance and the likelihood of receiving special educational needs support.

Conclusions:

  • This research addresses the critical need for unbiased, long-term follow-up in infant nutrition studies.
  • Linking administrative education records to infant trials offers a robust method for assessing long-term cognitive impacts.
  • Findings will contribute valuable evidence for parents, policymakers, and the scientific community regarding infant feeding practices.
Abstract

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