Protective effect of breastfeeding with regard to children's behavioral and cognitive problems
Subin Park, Bung-Nyun Kim, Jae-Won Kim
1Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, 101 Daehak-No, Chongno-Gu, Seoul, Korea. soochurl@snu.ac.kr.
Insights
Breastfeeding protects against childhood behavioral issues and attention-deficit hyperactivity disorder (ADHD). It also enhances child intelligence, with the child's IQ partially mediating these positive effects.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Public Health Nutrition
Background:
- Breastfeeding is linked to reduced childhood behavioral problems.
- The mediating roles of child and maternal IQ in this association remain unclear.
Purpose of the Study:
- To investigate the association between breastfeeding and behavioral outcomes, including ADHD.
- To assess the mediating influence of child's and mother's IQ on this relationship.
Main Methods:
- Study involved 874 children aged 8-11 years in South Korea.
- Mothers reported breastfeeding status; behavioral problems and ADHD diagnoses were compared.
- Statistical analyses adjusted for demographic and socioeconomic factors, and IQ measures.
Main Results:
- Lack of breastfeeding correlated with increased internalizing, externalizing, and overall behavioral problems, and ADHD diagnosis.
- These associations persisted after controlling for child and maternal IQ.
- Breastfeeding was associated with higher child IQ, even after adjusting for maternal IQ and ADHD diagnosis.
Conclusions:
- Breastfeeding offers a protective effect on childhood behavioral outcomes, partially mediated by child IQ.
- Breastfeeding positively impacts childhood intelligence, with child attention problems partially mediating this effect.
Background:
Breastfeeding has been associated with a lower risk for behavioral problems in childhood. However, it is uncertain whether these associations are mediated by the mother's or child's IQ. We examined the association between breastfeeding and attention-deficit hyperactivity disorder (ADHD) and other behavioral problems in childhood and assessed the role of the child's IQ and the mother's IQ in generating this association.
Findings:
The current study included 874 children (8-11 years) recruited from schools in five Korean cities. Mothers were asked about nursing, and the prevalence of attention-deficit hyperactivity disorder (ADHD) and behavioral problems were compared between children who were breastfed and those who were not breastfed. After adjusting for age, gender, area of residence, and yearly family income, a lack of breastfeeding was associated with increased internalizing, externalizing, and overall behavioral problems as well as the diagnosis of ADHD. These associations weakened but mostly remained significant after adjusting for child's IQ and maternal IQ. In addition, a lack of breastfeeding was associated with low child's IQ and this association weakened, but remained significant even after adjusting for maternal IQ and the diagnosis of ADHD.
Conclusions:
This study suggests that there is a protective effect of breastfeeding on childhood behavioral outcomes with a partial mediation of this effect by the child's IQ, and there is a positive effect of breastfeeding on childhood intelligence with a partial mediation of this effect by the child's attention problem.
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