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Published on: March 11, 2011
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.
Aim:
Breastfeeding is associated with IQ, school attendance and income. Despite the known benefits of breastfeeding, the rate of exclusive breastfeeding up to 6 months is low globally. We examined the effect of short-term breastfeeding on long-term IQ.
Methods:
In this secondary analysis of the prospective Cork BASELINE Birth Cohort Study, children were categorised as predominantly breastfed (n = 288) versus exclusively formula-fed (n = 254) at 2-months of age. Infants (n = 404) receiving mixed feeding were excluded. Outcome was assessed using the KBIT-II at 5 years. Multivariable linear regression was used to adjust for confounding variables.
Results:
Following adjustment for confounding variables, children, predominately breastfed at 2 months of age, demonstrated increased overall IQ (2.00 points (95% CI: 0.35 to 3.65); P = .018) and non-verbal IQ at 5 years of age (1.88 points (95% CI: 0.22 to 3.54); P = .027) compared with those never breastfed. No significant relationship was found with verbal IQ (P = .154).
Conclusion:
A significant increase in composite and non-verbal IQ at 5 years of age was associated with short-term breastfeeding. This study adds to a growing body of evidence that short-term breastfeeding promotes healthy cognitive development.
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