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Published on: February 15, 2018
[Intellectual development in the second year of life in healthy breast-fed children compared with formula-fed
M Santiago Burruchaga1, J I Ruiz Sanz, J I Pijoan Zubizarreta
1Equipo de Atención Primaria Miraballes-Ugao.
Insights
Breast milk provides higher docosahexaenoic acid (DHA) but does not improve infant cognitive development. Infant head circumference and maternal education are linked to cognitive outcomes.
Area of Science:
- Nutrition Science
- Developmental Pediatrics
- Neuroscience
Background:
- The impact of breast milk, specifically W3 long-chain polyunsaturated fatty acids, on infant intellectual development is debated.
- Docosahexaenoic acid (DHA) is a critical omega-3 fatty acid for brain development.
Purpose of the Study:
- To investigate the relationship between breast milk intake, docosahexaenoic acid (DHA) levels, and cognitive development in infants.
- To compare cognitive outcomes between breast-fed and formula-fed infants.
Main Methods:
- A blind-prospective trial involving 39 term infants from similar socioeconomic backgrounds.
- Infants were divided into breast-fed and standard formula-fed groups.
- Red blood cell phospholipid fatty acids were analyzed, and cognitive development was assessed using the Bailey test at two years.
Main Results:
- Formula-fed infants had significantly lower concentrations of docosahexaenoic acid (DHA) in phosphatidylethanolamine and phosphatidylcholine.
- No significant differences in cognitive function were observed between the breast-fed and formula-fed groups.
- Infant head circumference and maternal educational status were significantly correlated with cognitive development.
Conclusions:
- While maternal nutrition via breast milk increases infant red blood cell DHA, it does not correlate with enhanced developmental quotients at two years.
- Infant head circumference and maternal education level are significant predictors of cognitive development.
- Further research may be needed to elucidate the complex factors influencing infant cognitive trajectories.
Background:
The role of breast milk with regard to W3 long-chain polyunsaturated fatty acids and infant intellectual development remains controversial.
Patients And Methods:
Thirty-nine children born at term and from homogeneous sociocultural status were enrolled in a blind-prospective trial. Children were divided in two non-randomized groups: a breast-fed group and a standard formula-fed group. Red blood cell phospholipid fatty acids were analyzed at 7 and 60 days of life. Cognitive development was evaluated at the end of the second year of life through Bailey s test.
Results:
Concentrations of phosphatidylethanolamine and phosphatidylcholine docosahexaenoic acid were significantly lower in the formula-fed group. No statistically significant differences between groups were found in cognitive function. Brain development index was significantly correlated with infant head circumference and educational status of the mother.
Conclusions:
Maternal nutrition provides higher red blood cell docosahexaenoic acid, but is not related to a higher developmental quotient at the age of 2 years. However, infant head circumference and maternal educational status were correlated with developmental cognition.
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