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Increased Breastfeeding Proportion Is Associated with Improved Gross Motor Skills at 3-5 Years of Age: A Pilot Study
Erica E D'Souza1, Rutvi Vyas1,2, Michaela Sisitsky2
1Division of Newborn Medicine, Boston Children's Hospital, Boston, MA 02115, USA.
Insights
Higher breastfeeding duration and specific breast milk nutrients like alpha-tocopherol, lutein, and zeaxanthin are linked to better psychomotor and problem-solving skills in children. This highlights the importance of maternal nutrition for infant neurodevelopment.
Area of Science:
- Nutritional Neuroscience
- Developmental Pediatrics
- Human Lactation
Background:
- Breast milk is crucial for infant neurodevelopment.
- Maternal nutrition may further enhance psychomotor outcomes.
- The link between breast milk composition and long-term neurodevelopment requires further study.
Purpose of the Study:
- To investigate the correlation between breastfeeding extent and breast milk nutrients with psychomotor outcomes at school age.
- To assess the impact of maternal nutrition on child neurodevelopment.
- To explore the role of specific vitamins and carotenoids in breast milk for cognitive and motor development.
Main Methods:
- Observational cohort pilot study of 33 newborns.
- Recorded breastfeeding proportion at 3 months and neurodevelopmental outcomes at 3-5 years.
- Used Spearman correlation, controlling for parental education and income, to analyze associations. Measured Vitamin E and carotenoid levels in breast milk samples.
Main Results:
- Positive correlation found between motor skill scores and breast milk levels of alpha-tocopherol, translutein, total lutein, and zeaxanthin, after adjusting for parental factors.
- Problem-solving skills showed a negative correlation with the RSR enantiomer of alpha-tocopherol.
- Increased breastfeeding exposure was associated with enhanced gross motor and problem-solving skills.
Conclusions:
- Breastfeeding duration and specific nutrients in breast milk, including alpha-tocopherol, lutein, and zeaxanthin, are associated with improved psychomotor development.
- Maternal nutrition and breast milk composition may play a significant role in long-term neurodevelopmental outcomes.
- Further research into the neuroprotective potential of these nutrients is warranted.
Abstract:
Breastmilk provides key nutrients and bio-active factors that contribute to infant neurodevelopment. Optimizing maternal nutrition could provide further benefit to psychomotor outcomes. Our observational cohort pilot study aims to determine if breastfeeding extent and breastmilk nutrients correlate with psychomotor outcomes at school age. The breastfeeding proportion at 3 months of age and neurodevelopmental outcomes at 3-5 years of age were recorded for 33 typically developing newborns born after uncomplicated pregnancies. The association between categorical breastfeeding proportion and neurodevelopmental outcome scores was determined for the cohort using a Spearman correlation with and without the inclusion of parental factors. Vitamin E and carotenoid levels were determined in breastmilk samples from 14 of the mothers. After the inclusion of parental education and income as covariates, motor skill scores positively correlated with breastmilk contents of α-tocopherol (Spearman coefficient 0.88, p-value = 0.02), translutein (0.98, p-value = 0.0007), total lutein (0.92, p-value = 0.01), and zeaxanthin (0.93, p-value = 0.0068). Problem solving skills negatively correlated with the levels of the RSR enantiomer of α-tocopherol (-0.86, p-value = 0.03). Overall, higher exposure to breastfeeding was associated with improved gross motor and problem-solving skills at 3-5 years of age. The potential of α-tocopherol, lutein, and zeaxanthin intake to provide neurodevelopmental benefit is worthy of further investigation.
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