Beneficial effects of breastfeeding on cognition regardless of DDT concentrations at birth
Núria Ribas-Fitó1, Jordi Júlvez, Maties Torrent
1Centre de Recerca en Epidemiologia Ambiental, Institut Municipal Investigació Mèdica, Barcelona, Spain. nribas@imim.es
Insights
Longer breastfeeding duration improves cognitive performance in preschoolers, even with prenatal exposure to p,p'-dichlorodiphenyltrichloroethane (DDT). This study highlights breastfeeding benefits for child development.
Area of Science:
- Environmental Health
- Developmental Psychology
- Pediatrics
Background:
- Intrauterine exposure to p,p'-dichlorodiphenyltrichloroethane (DDT) has been linked to reduced cognitive performance in preschoolers.
- Breastfeeding is associated with both pollutant exposure and enhanced cognitive outcomes.
Purpose of the Study:
- To investigate the role of breastfeeding in preschooler cognitive function.
- To assess the impact of breastfeeding while accounting for prenatal DDT exposure.
Main Methods:
- Two Spanish birth cohorts (n=391) were studied.
- Cognitive abilities were assessed at age 4 using the McCarthy Scales of Children's Abilities.
- Organochlorine compounds were measured in cord serum, and breastfeeding data was collected via questionnaire.
Main Results:
- Children breastfed for over 20 weeks showed improved cognitive performance, irrespective of prenatal DDT exposure.
- A linear dose-response relationship was observed between breastfeeding duration and cognitive scores across all DDT exposure levels.
Conclusions:
- Extended breastfeeding duration is beneficial for cognitive development in children.
- Despite potential contaminant exposure, prolonged breastfeeding is recommended for infant well-being.
Abstract:
The authors previously reported that intrauterine exposure to background concentrations of p,p'-dichlorodiphenyltrichloroethane (DDT) reduces cognitive performance among preschoolers. Breastfeeding has been associated with both increased exposure to certain pollutants during infancy and better performance on cognitive tests. Thus, the authors examined the role of breastfeeding in cognitive function among preschoolers, taking prenatal DDT exposure into account. Two birth cohorts in Spain (Ribera d'Ebre and Menorca) were recruited between 1997 and 1999 (n = 391). Infants were assessed at age 4 years using the McCarthy Scales of Children's Abilities. Levels of organochlorine compounds were measured in umbilical cord serum. Information on type and duration of breastfeeding was obtained by questionnaire when the children were 1 year of age. Children who were breastfed for more than 20 weeks had better cognitive performance regardless of their in utero exposure to DDT. A linear dose response between breastfeeding and cognition was observed in all DDT groups (for children highly exposed to DDT, adjusted beta = 0.30 (standard error, 0.12) per week breastfed). Despite the possibility of harm from environmental contaminants in breast milk, breastfeeding for long periods should still be recommended as the best infant feeding method.
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