Associations between exclusive breastfeeding duration and children's developmental outcomes: Evidence from Siaya
Silas Onyango1,2,3, Elizabeth Kimani-Murage3, Patricia Kitsao-Wekulo3
1Swiss Tropical and Public Health Institute, Allschwil, Switzerland.
Insights
Exclusive breastfeeding (EBF) for 3-6 months in Kenya significantly boosts child development, particularly communication, gross motor skills, and problem-solving abilities. Continued EBF offers substantial benefits for early childhood development.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Exclusive breastfeeding (EBF) is promoted for child health and development.
- Evidence on EBF's developmental benefits in Kenya during the first year is limited.
- This study addresses the gap by examining EBF and early childhood development in Kenya.
Purpose of the Study:
- To establish the association between exclusive breastfeeding (EBF) and early childhood developmental outcomes.
- To investigate developmental benefits in Kenyan children under 6 months.
- To provide evidence for programs promoting EBF.
Main Methods:
- Data from a cluster-randomized controlled trial in Bondo, Kenya, were used.
- Exclusive breastfeeding (EBF) was the primary exposure variable.
- Child development was measured using the Ages and Stages Questionnaire-Third Edition (ASQ-3).
Main Results:
- Analysis included 570 children under 6 months.
- EBF between 3-6 months was linked to 0.61 SD higher ASQ-3 scores (adjusted).
- Significant associations were found in communication (0.44 SD), gross motor (0.34 SD), and problem-solving (0.36 SD) domains.
Conclusions:
- Exclusive breastfeeding (EBF) during 3-6 months shows positive associations with child development.
- Communication, gross motor, and problem-solving domains showed the most significant improvements.
- Promoting EBF in this period can yield substantial developmental benefits for children.
Background:
Exclusive breastfeeding (EBF) during the first 6 months of life is widely promoted as a key strategy to enhance child health, growth, and development. Even though a high proportion of children in Kenya are currently breastfed exclusively, there is little evidence regarding the developmental benefits during the first year of life. This paper aims to fill this gap by establishing an association between EBF and early childhood developmental outcomes among children below the age of 6 months in Kenya.
Methods:
We used data collected as part of a cluster-randomized controlled trial conducted in Bondo sub-county in the western part of Kenya to assess the associations between EBF and development in the first year of life. The primary exposure variable was EBF, and the outcome variable was child development as measured by the Ages and Stages Questionnaire-Third Edition (ASQ-3).
Results:
We analyzed data from 570 children aged below 6 months at the time of the interview. Breastfeeding children exclusively between 3 and 6 months was associated with 0.61 standard deviation (SD) higher ASQ-3 scores in the adjusted model. When specific domains were considered, in the adjusted models, EBF in the 3-6 months period was associated with 0.44 SD, 0.34 SD and 0.36 SD higher ASQ-3 scores in communication, gross motor, and problem solving domains, respectively. There were weak associations in the fine motor and social-emotional domains.
Conclusion:
EBF in the 3- to 6-month age range has significant positive associations with child development, especially for communication, gross motor, and problem-solving. Programs encouraging mothers to continue EBF in this period may have substantial benefits for children.
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