Attention behaviour and hyperactivity at age 4 and duration of breast-feeding
Jordi Julvez1, Núria Ribas-Fitó, Maria Forns
1Centre for Research in Environmental Epidemiology, Institut Municipal d'Investigació Mèdica, Barcelona, Spain. jjulvez@imim.es
Insights
Long-term breast-feeding is linked to better behavior in children. Extended breastfeeding is associated with improved executive function, social skills, and fewer attention and hyperactivity issues.
Area of Science:
- Child Development
- Behavioral Science
- Pediatrics
Background:
- Previous studies link longer breastfeeding to enhanced cognitive development.
- The impact of prolonged breastfeeding on child behavior remains less understood.
Purpose of the Study:
- To investigate the association between long-term breastfeeding and behavioral outcomes in young children.
- To assess the relationship between breastfeeding duration and executive function, social competence, attention, and hyperactivity.
Main Methods:
- Prospective population-based birth cohorts in Spain (Menorca and Ribera d'Ebre) followed children to age 4.
- Neuropsychological functions, attention-hyperactivity behaviors (DSM-IV ADHD criteria), and social behavior were assessed by psychologists and teachers.
Main Results:
- Long-term breastfeeding (>20 weeks) correlated with higher executive function scores.
- Breastfeeding longer than 12 weeks was associated with improved social competence and reduced attention-deficit hyperactivity symptoms.
Conclusions:
- Prolonged breastfeeding is associated with positive behavioral outcomes in children.
- Findings suggest breastfeeding duration influences neuropsychological and socio-behavioral development, including attention and hyperactivity levels.
Aim:
The relation of longer duration of breast-feeding to cognitive development was been demonstrated in several previous studies, however its potential impact on behaviour is unknown. We assess which behavioural areas (executive function, social competence, attention behaviour and hyperactivity) are related to long-term breast-feeding in young children.
Methods:
Two prospective population-based birth cohorts, one from the island of Menorca (N = 421) and the second from Ribera d'Ebre county (N = 79) in Spain were followed up at the age of 4 years during a two year period (2001-2003). Children were assessed by three psychologists and their respective teachers for neuropsychological functions (McCarthy test), attention-hyperactivity behaviours (Attention-Deficit Hyperactivity Disorder Criteria of DSM-IV) and social behaviour (California Preschool Social Competence Scale).
Results:
Long-term breast-feeding was associated with executive function scores (an increase of 4.9 points after breast-feeding >20 weeks), and the improvement of social competence scores (relative risk for being in the poorest 20%, RR = 0.57; 0.52-0.66, after >12 weeks) and attention-deficit hyperactivity symptom scores (RR = 0.56; 0.37-0.85, after >12 weeks). All three outcomes remained significant when included as covariates in the regression models.
Conclusion:
Long-term breast-feeding was found to be associated with fewer attention and hyperactivity symptoms and an improvement in related behavioural areas (neuropsychological and socio-behavioural outcomes).
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