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Breastfeeding duration and non-verbal IQ in children
Ayesha Sajjad1, Anne Tharner2, Jessica C Kiefte-de Jong3
1The Generation R Study Group, Erasmus MC, Rotterdam, The Netherlands Department of Epidemiology, Erasmus MC, Rotterdam, The Netherlands.
Insights
The link between breastfeeding and child intelligence is largely explained by socioeconomic factors and maternal IQ. This study found no confirmed cognitive benefits of breastfeeding duration.
Area of Science:
- Child development
- Cognitive science
- Public health
Background:
- Breastfeeding is often linked to enhanced cognitive development in children.
- Methodological challenges like confounding and recall bias obscure the precise relationship.
- The exact nature and mechanism of this association remain debated in scientific literature.
Purpose of the Study:
- To investigate the association between breastfeeding duration and non-verbal intelligence in children.
- To identify and adjust for potential confounding factors influencing the breastfeeding-IQ relationship.
- To determine if breastfeeding confers a direct benefit on a child's intelligence.
Main Methods:
- Analysis of a population-based cohort study with 3761 participants from fetal life.
- Examination of breastfeeding duration's association with child IQ at age 6 years.
- Statistical adjustment for maternal and paternal lifestyle, sociodemographic factors, child factors, and maternal IQ.
Main Results:
- An initial association of 0.32 IQ points per additional month of breastfeeding was observed.
- This association significantly attenuated to 0.09 IQ points after adjusting for confounding variables.
- Categorical analyses of breastfeeding duration showed associations largely disappeared after controlling for confounders.
Conclusions:
- The observed association between breastfeeding and child IQ is primarily attributable to sociodemographic factors, parental lifestyle, and maternal IQ.
- The study's findings do not support a direct beneficial effect of breastfeeding duration on child intelligence.
- Further research may be needed to explore other potential influences on cognitive development.
Background:
Breastfeeding has been related to better cognitive development in children. However, due to methodological challenges, such as confounding, recall bias or insufficient power, the mechanism and nature of the relation remains subject to debate.
Methods:
We included 3761 participants of a population-based cohort study from fetal life onwards and examined the association of breastfeeding duration with non-verbal intelligence in children of age 6 years. Maternal and paternal lifestyle, sociodemographic factors, child factors and maternal IQ were tested for their confounding effects on the association.
Results:
We observed an initial association between breastfeeding duration and child IQ conferring an advantage of 0.32 (0.20 to 0.44) points for each additional month of breastfeeding. This association strongly attenuated to 0.09 (-0.03 to 0.21) points after adjustment for child factors, sociodemographic factors, parental lifestyle factors and maternal IQ. Similarly, the associations with breastfeeding duration as a categorical variable largely disappeared after confounding factors were added to the models.
Conclusions:
The association between breastfeeding and child IQ can be largely explained by sociodemographic factors, parental lifestyle and maternal IQ. Our results cannot confirm beneficial effects of breastfeeding on child intelligence.
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