Infant Breastfeeding and Behavioral Disorders in School-Age Children
Tingting Huang1, Yihuan Yue2, Hui Wang2
11 Xiamen Mental Health Center (Xiamen Xianyue Hospital) , Xiamen, China .
Insights
Longer breastfeeding durations, especially over six months, significantly reduce internalizing behavioral problems like depression in school-aged children. This highlights breastfeeding
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Public Health
Background:
- Behavioral disorders in school-aged children are a growing concern.
- The impact of early life experiences, such as breastfeeding, on long-term behavioral outcomes requires further investigation.
Purpose of the Study:
- To investigate the association between breastfeeding duration and behavioral disorders in school-aged children.
- To determine if breastfeeding influences internalizing and externalizing behaviors.
Main Methods:
- A study involving 1,979 school-aged children (6-11 years) in Xiamen, China.
- Utilized Pearson chi-square tests and multivariable logistic regression to analyze data.
- Assessed internalizing behaviors (depression, withdrawal, somatic complaints) and externalizing behaviors (aggression, rule-breaking).
Main Results:
- A significant inverse relationship was found between breastfeeding duration and internalizing behaviors, including depression and somatic complaints.
- Children breastfed for over six months showed a significantly reduced risk of internalizing behavioral problems and depression compared to never-breastfed children.
- No statistically significant differences in externalizing behavioral problems were observed based on breastfeeding duration.
Conclusions:
- Extended breastfeeding, defined as ≥6 months, is associated with a lower prevalence of internalizing behavioral problems, particularly depression, in school-aged children.
- Promoting longer breastfeeding durations may serve as a crucial preventive strategy for children's internalizing behavioral disorders.
Objective:
To explore the effects of breastfeeding on behavioral disorders of school-age children.
Materials And Methods:
Totally 1,979 children of 6-11 years old from three primary schools in Xiamen, China, were assessed and included for further analysis. The Pearson chi-square test and multivariable logistic regression model were used to analyze the effects of breastfeeding on internalizing behaviors such as depression, withdrawn, and somatic complaints, and externalizing behaviors such as aggression and rule-breaking behavior.
Results:
The Pearson chi-square test revealed that the percentages in internalizing behavioral problems (χ2 = 21.693, p < 0.001), depression (χ2 = 12.713, p = 0.002), and somatic complains (χ2 = 12.850, p = 0.002) were significantly lower with the decrease of the duration of breastfeeding. However, there were no statistically significant differences in externalizing behavioral problems. After adjusting the potential covariates, children who were breastfed for >6 months were significantly associated with the reduced risk of internalizing behavioral problems (Odds ratio = 0.446, 95%CI: 0.228-0.873) and depression (Odds ratio = 0.452, 95% CI: 0.225-0.906) compared with those who were never breastfed, whereas differences were not found in externalizing behavioral problems.
Conclusion:
Increased duration of breastfeeding (≥6 months) could help lower internalizing behavioral problems, particularly depression, in school-age children. Breastfeeding with longer duration will play an important role to prevent and reduce children's internalizing behavioral disorders.
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