Breastfeeding and long-chain polyunsaturated fatty acid intake in the first 4 post-natal months and infant cognitive
Sarah A Keim1, Julie L Daniels, Anna Maria Siega-Riz
1Department of Epidemiology Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina , USA. sarah.keim@nationwidechildrens.org
Insights
This study found no link between infant feeding, breast milk, or formula long-chain polyunsaturated fatty acid (LCPUFA) levels and infant development. Early nutrition, including docosahexaenoic acid (DHA) and arachidonic acid (AA), did not impact developmental outcomes.
Area of Science:
- Nutrition Science
- Developmental Pediatrics
- Human Lactation
Background:
- Long-chain polyunsaturated fatty acids (LCPUFAs), such as docosahexaenoic acid (DHA) and arachidonic acid (AA), are crucial for infant development.
- Understanding the impact of LCPUFA concentrations in breast milk and infant formulas on neurodevelopment is essential.
Purpose of the Study:
- To investigate the relationship between infant feeding practices, LCPUFA levels in breast milk and formula, and infant development.
- To assess if specific LCPUFA concentrations correlate with developmental milestones in infants up to 12 months of age.
Main Methods:
- Prospective cohort study (Pregnancy, Infection and Nutrition Study) with 358 mother-infant pairs.
- Collection of breastfeeding data, breast milk samples, and formula information up to 4 months postpartum.
- Infant development assessed at 12 months using the Mullen Scales of Early Learning; statistical analysis via linear regression.
Main Results:
- Breastfeeding exclusivity was not associated with infant development after adjusting for confounding factors.
- No significant association was found between breast milk LCPUFA (DHA, AA) concentrations and infant development in exclusively breastfed infants.
- Combined LCPUFA intake from breast milk and formula, weighted by dietary contribution, did not correlate with developmental outcomes.
Conclusions:
- This study found no evidence that the LCPUFA content of breast milk or formula consumed in the first four months postpartum enhances infant development.
- Infant feeding practices and LCPUFA levels, including DHA and AA, do not appear to be critical determinants of early childhood development based on these findings.
Abstract:
The aim of this study was to examine infant feeding and the long-chain polyunsaturated fatty acid (LCPUFA) concentration of breast milk and formulas in relation to infant development. The prospective Pregnancy, Infection and Nutrition Study (n=358) collected data on breastfeeding, breast milk samples and the formulas fed through 4months post-partum. At 12months of age, infants' development was assessed (Mullen Scales of Early Learning). Linear regression was used to examine development in relation to breastfeeding, breast milk docosahexaenoic acid (DHA) and arachidonic acid (AA) concentration, and DHA and AA concentration from the combination of breast milk and formula. The median breast milk DHA concentration was 0.20% of total fatty acids [interquartile range (IQR)=0.14, 0.34]; median AA concentration was 0.52% (IQR=0.44, 0.63). Upon adjustment for preterm birth, sex, smoking, race and ethnicity and education, breastfeeding exclusivity was unrelated to development. Among infants exclusively breastfed, breast milk LCPUFA concentration was not associated with development (Mullen composite, DHA: adjusted β=-1.3, 95% confidence interval: -10.3, 7.7). Variables combining DHA and AA concentrations from breast milk and formula, weighted by their contribution to diet, were unassociated with development. We found no evidence of enhanced infant development related to the LCPUFA content of breast milk or formula consumed during the first four post-natal months.
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