Exclusive Breastfeeding Predicts Higher Hearing-Language Development in Girls of Preschool Age
Maria Angela Guzzardi1, Federico Granziera1, Elena Sanguinetti1
1Institute of Clinical Physiology, National Research Council (CNR), 56124 Pisa, Italy.
Insights
Exclusive breastfeeding benefits girls' cognitive development, particularly hearing and language skills by age five. This early nutrition may offer protective effects against cognitive disorders later in life.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Cognitive disorders are rising, with early life stressors and female sex as risk factors.
- Breastfeeding's impact on neurocognitive development is debated.
- Early life nutrition is crucial for brain development.
Purpose of the Study:
- To investigate the association between exclusive breastfeeding and cognitive development in children up to five years old.
- To examine potential sex differences in this association.
- To identify if early breastfeeding duration influences cognitive outcomes.
Main Methods:
- Studied 80 mother-child pairs from the Pisa birth cohort (PISAC).
- Assessed cognitive development using Griffiths Mental Development Scales at multiple ages (6-60 months).
- Collected data on maternal intelligence quotient (IQ), anthropometrics, and infant parameters.
Main Results:
- Exclusive breastfeeding correlated with enhanced hearing-language development in five-year-old girls.
- This association was independent of maternal IQ, age, and BMI (body mass index).
- Exclusive breastfeeding within the first three months appeared sufficient for this benefit.
Conclusions:
- Exclusive breastfeeding is a positive predictor of cognitive development in preschool-aged girls.
- Findings support sex-specific strategies for cognitive disease risk detection and prevention.
- Further research is needed to confirm causality and long-term effects.
Abstract:
Cognitive disorders are increasing in prevalence. Nutritional or metabolic stressors during early life, and female sex, are predisposing conditions towards the development of cognitive diseases, including Alzheimer's disease. Though there is evidence that breastfeeding may play a beneficial role in children's neurocognitive development, the literature remains controversial. In this study we aimed at assessing the association between exclusive breastfeeding and children's cognitive development from six months to five years of age, addressing sex differences. In 80 mother-child pairs from the Pisa birth cohort (PISAC), we measured cognitive development in groups of children of 6, 12, 18, 24, 36, and 60 months by Griffiths Mental Development Scales, parents' intelligence quotient (IQ) by Raven's progressive matrices, and maternal and infants' anthropometric parameters. We found that exclusive breastfeeding was associated with higher hearing-language development in five years old girls, independent of maternal IQ, age and BMI (body mass index). Exclusive breastfeeding in the first three months of life seemed sufficient to establish this positive relationship. In conclusion, our data indicate that exclusive breastfeeding is a positive predictor of cognitive development in preschool-age girls, paving the way for the implementation of sex-specific cognitive disease risk detection and prevention strategies from early life. Further studies are warranted to explore causality and longer term effects.
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