Breastfeeding, long-chain polyunsaturated fatty acids in colostrum, and infant mental development
Mònica Guxens1, Michelle A Mendez, Carolina Moltó-Puigmartí
1Center for Research in Environmental Epidemiology, Barcelona, Spain. mguxens@creal.cat
Insights
Longer breastfeeding duration is linked to better child mental development, independent of parental factors. Breast milk
Area of Science:
- Pediatric Neurodevelopment
- Nutritional Neuroscience
- Human Lactation Studies
Background:
- Breastfeeding is associated with enhanced child neurodevelopment.
- The specific contribution of breast milk's nutritional components remains unclear.
Purpose of the Study:
- To investigate the influence of parental psychosocial factors on the breastfeeding-neurodevelopment link.
- To assess the role of colostrum long-chain polyunsaturated fatty acid (LC-PUFA) levels.
Main Methods:
- Population-based birth cohort study (Sabadell, Spain; n=657).
- Parental characteristics and breastfeeding data collected via questionnaire.
- Child mental and psychomotor development assessed using Bayley Scales at 14 months (n=504).
Main Results:
- Higher accumulated breastfeeding positively correlated with child mental development.
- Maternal education, social class, and IQ partially mediated the association.
- Higher colostrum n-3/n-6 PUFA ratios combined with longer breastfeeding duration showed significantly higher mental scores.
Conclusions:
- Accumulated breastfeeding in the first year strongly predicts higher mental development at 14 months.
- This association is largely independent of parental psychosocial factors.
- LC-PUFA levels in breast milk may enhance cognitive benefits of breastfeeding.
Background:
Breastfeeding has been associated with improved neurodevelopment in children. However, it remains unknown to what extent nutritional advantages of breast milk may explain this relationship.
Objective:
We assessed the role of parental psychosocial factors and colostrum long-chain polyunsaturated fatty acid (LC-PUFA) levels in the relationship between breastfeeding and children's neurodevelopment.
Methods:
A population-based birth cohort was established in the city of Sabadell (Catalonia, Spain) as part of the INMA-INfancia y Medio Ambiente Project. A total of 657 women were recruited during the first trimester of pregnancy. Information about parental characteristics and breastfeeding was obtained by using a questionnaire, and trained psychologists assessed mental and psychomotor development by using the Bayley Scales of Infant Development in 504 children at 14 months of age.
Results:
A high percentage of breastfeeds among all milk feeds accumulated during the first 14 months was positively related with child mental development (0.37 points per month of full breastfeeding [95% confidence interval: 0.06-0.67]). Maternal education, social class, and intelligence quotient only partly explained this association. Children with a longer duration of breastfeeding also exposed to higher ratios between n-3 and n-6 PUFAs in colostrum had significantly higher mental scores than children with low breastfeeding duration exposed to low levels.
Conclusions:
Greater levels of accumulated breastfeeding during the first year of life were related to higher mental development at 14 months, largely independently from a wide range of parental psychosocial factors. LC-PUFA levels seem to play a beneficial role in children's mental development when breastfeeding levels are high.
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