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Published on: September 22, 2023
Breastfeeding is associated with improved child cognitive development: a population-based cohort study
Maria A Quigley1, Christine Hockley, Claire Carson
1National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK. maria.quigley@npeu.ox.ac.uk
Breastfeeding is linked to better cognitive development in children. This benefit is especially pronounced in preterm infants, showing significant score increases in various cognitive tests.
Area of Science:
- Developmental Psychology
- Pediatrics
- Public Health
Background:
- Cognitive development is crucial for long-term outcomes.
- The impact of breastfeeding on cognitive development requires further investigation, particularly in diverse birth cohorts.
Purpose of the Study:
- To examine the relationship between breastfeeding duration and cognitive development in term and preterm children.
- To quantify cognitive differences based on breastfeeding status.
Main Methods:
- Analysis of the United Kingdom Millennium Cohort Study data.
- Stratification of children by gestational age: term (37-42 weeks) and preterm (28-36 weeks).
- Cognitive assessment at age 5 years using British Ability Scales (naming vocabulary, pattern construction, picture similarities).
Main Results:
- Cognitive scores across all subscales improved with longer breastfeeding duration.
- Adjusted analyses revealed significant cognitive score increases for breastfed children compared to never-breastfed children.
- Preterm children showed greater cognitive gains with breastfeeding, particularly in naming vocabulary and pattern construction.
Conclusions:
- Breastfeeding is associated with enhanced cognitive development in white, singleton UK children.
- The positive association between breastfeeding and cognitive development is more pronounced in preterm infants.
- Findings support breastfeeding as a beneficial factor for cognitive outcomes, especially for vulnerable preterm populations.
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