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Neurodevelopmental Outcomes in Infants Fed with Soy Formula: A Retrospective, National Population-Based Observational
Eun Kyo Ha1,2, Seung Won Lee2, Ju Hee Kim3
1Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
Insights
Soy infant formula consumption showed no increased risk for epilepsy, ADHD, or ASD in children. This study found no significant neurodevelopmental differences compared to cow
Area of Science:
- Pediatric Nutrition
- Neurodevelopmental Pediatrics
- Public Health
Background:
- Soy-based infant formulas are increasingly common.
- Limited data exists on their long-term neurodevelopmental effects in early childhood.
Purpose of the Study:
- To investigate the impact of soy formula consumption (9-12 months) on epilepsy, neurodevelopmental disorders, and developmental status.
- To compare outcomes between soy formula and cow's milk formula fed infants.
Main Methods:
- Nationwide retrospective administrative study in Korea (2008-2009 births).
- Propensity score matching used to compare soy vs. cow's milk formula groups.
- Outcomes included epilepsy, ADHD, ASD, and developmental status, followed until 2017.
Main Results:
- No significant difference in epilepsy risk between soy (29.8/100k PY) and cow's milk formula (22.6/100k PY) groups.
- No significant associations found between soy formula and ADHD, ASD, or developmental delays.
- 11,535 children received soy formula, 142,864 received cow's milk formula.
Conclusions:
- Soy formula feeding is not associated with increased risks of epilepsy, ADHD, ASD, or developmental issues.
- Findings are based on a large cohort of the general pediatric population.
- This suggests soy formula is a safe alternative regarding neurodevelopmental outcomes.
Background:
Soy-based infant formulas are increasingly popular, but data regarding their effects on neurodevelopmental outcomes during early childhood is scanty.
Objective:
This study investigated the effect of consuming soy-based infant formula at 9-12 mo after birth on the subsequent development of epilepsy, neurodevelopmental disorders, and developmental status.
Methods:
This nationwide retrospective administrative study used health screening examinations and linked insurance claims data of children born in Korea during 2008 and 2009. Infants who received soy formula were compared with those who received cow's milk formula using propensity score matching that considered birth history, economic status, clinical conditions, and drug prescription records. Exposure was defined as soy formula feeding determined from questionnaires completed by the parents when children were 9-12 mo old. Outcomes were epilepsy, attention-deficit hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and developmental status. Children were followed until 31 December, 2017.
Results:
A total of 153,841 eligible participants were enrolled; 11,535 (7.5%) children received soy formula, while 142,864 (92.5%) received cow's milk formula. The incidence rate of epilepsy during the follow-up period was 29.8 per 100,000 person-years (95% CI: 19.48, 41.65) in the soy formula group and 22.6 per 100,000 person-years (95% CI: 31.97, 59.07) in the cow's milk formula group, with no significant difference (aHR: 1.318; 95% CI: 0.825, 2.106). The 2 groups also had no difference based on prespecified analysis using different definitions of epilepsy. Likewise, no significant associations of soy formula with ADHD (aHR: 1.26; 95% CI: 1.00, 1.60) or ASD (aHR: 0.99; 95% CI: 0.54, 1.83), or delays of developmental stages were observed.
Conclusions:
Feeding with soy formula rather than cow's milk formula had no apparent association with increased risks of epilepsy, ADHD, ASD, and developmental status, according to this cohort composed of a general pediatric population.
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