The impact of short-term predominate breastfeeding on cognitive outcome at 5 years

Sonia M Lenehan1,2, Geraldine B Boylan1,2, Vicki Livingstone1,2

  • 1Irish Centre for Fetal and Neonatal Translational Research, University College Cork, Cork, Ireland.

Insights

Short-term breastfeeding significantly boosts children's IQ scores by age five. This finding supports breastfeeding's role in promoting cognitive development.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Breastfeeding offers known benefits, including links to higher IQ, school attendance, and income.
  • Global rates of exclusive breastfeeding up to six months remain low.
  • The impact of short-term breastfeeding on long-term cognitive outcomes requires further investigation.

Purpose of the Study:

  • To examine the long-term effects of short-term breastfeeding on children's intelligence quotient (IQ).

Main Methods:

  • Secondary analysis of the Cork BASELINE Birth Cohort Study.
  • Categorization of children at two months into predominantly breastfed (n=288) versus exclusively formula-fed (n=254) groups.
  • Exclusion of mixed-feeding infants (n=404); IQ assessed at five years using KBIT-II; multivariable linear regression adjusted for confounders.

Main Results:

  • Predominantly breastfed children showed a significant increase in overall IQ (2.00 points) and non-verbal IQ (1.88 points) at five years compared to never-breastfed children.
  • These associations remained significant after adjusting for confounding variables.
  • No significant relationship was observed between breastfeeding and verbal IQ.

Conclusions:

  • Short-term breastfeeding is associated with enhanced composite and non-verbal IQ at five years of age.
  • This study reinforces the evidence that early breastfeeding contributes positively to cognitive development.
  • Findings underscore the importance of promoting breastfeeding for long-term child development.
Abstract

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