Objective
To determine if longer breastfeeding is associated with higher infant lead concentrations.
Study design
Data were analyzed from 3 studies of developmental effects of iron deficiency in infancy: Costa Rica (1981–1984), Chile (1991–1996), and Detroit (2002–2003). Pearson product-moment or partial correlation coefficients assessed the relation between duration of breastfeeding and lead levels.
Results
Over 93% of Costa Rica and Chile samples was breastfed, n = 179 and 323 breastfed infants, respectively (mean weaning age, 8–10 months), as was 35.6% of the Detroit sample, n = 53 breastfed infants (mean weaning age, 4.5 months). Lead concentrations averaged 10.8 μg/dL (Costa Rica, 12–23 months), 7.8 μg/dL (Chile, 12 months), and 2.5 μg/dL (Detroit, 9–10 months). Duration of breastfeeding as sole milk source and total breastfeeding correlated with lead concentration in all samples (r values = .14 to .57, p values = .06 to <.0001).
Conclusions
Longer breastfeeding was associated with higher infant lead concentration in 3 countries, in 3 different decades, in settings differing in breastfeeding patterns, environmental lead sources, and infant lead levels. The results suggest that monitoring lead concentrations in breastfed infants be considered.