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Relationship Between Breastfeeding Duration and Exclusivity on Various Language Milestones in United States Children
Malika Goel1, Sowmya Jayachandran2, Sandhya J Kadam3
1Department of Pediatrics, University of California, San Franciso, CA 94143, USA.
Insights
Breastfeeding is linked to better language development in children aged 3-5. Children who were breastfed, especially exclusively, showed stronger language milestones and school readiness indicators compared to those never breastfed.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Breastfeeding is associated with positive developmental and cognitive outcomes.
- Mechanisms include psychosocial, environmental, and nutritional factors like docosahexaenoic acid.
- Limited research exists on individual language milestones and school readiness in a nationally representative sample of 3-5 year olds.
Purpose of the Study:
- To analyze the association between breastfeeding and language milestones in children aged 3-5 years.
- To investigate the relationship between breastfeeding duration/exclusivity and school readiness indicators.
- To contribute to the understanding of breastfeeding's impact on early language development using a large-scale dataset.
Main Methods:
- Secondary analysis of the National Survey of Child Health (NSCH) 2022-2023 data.
- Inclusion of 22,866 children meeting specific criteria.
- Multinomial regression models comparing four breastfeeding categories (never, <6 months, 6 months not exclusive, exclusive) with 16 language variables.
Main Results:
- Children in breastfeeding categories (6 months not exclusive, exclusive) showed a positive association with numerous language variables.
- Significant associations were observed for language variables related to school readiness.
- Adjusted odds ratios and significance levels were analyzed for individual language milestones.
Conclusions:
- Study findings support a positive association between breastfeeding and language development.
- This research provides comprehensive analysis of multiple individual language variables in a nationally representative sample.
- Results highlight the importance of breastfeeding for early language acquisition and school readiness.
Abstract:
Background/Objectives: Breastfeeding has been positively associated with development of various developmental and cognitive outcomes. Although not fully understood, psychosocial, environmental, nutrients (docosahexaenoic acid) etc., have been proposed as reasons. There is a paucity of studies that have looked at individual language milestones and language milestones associated with school readiness in the age group of 3-5 years old in a nationally representative sample. This study aimed to analyze the language milestones association with breastfeeding in this group of children. Methods: The dataset was obtained from the National Survey of Child Health (NSCH) 2022-2023 combined sample. Overall, 22,866 children met the inclusion criteria. Secondary analysis of the NCSCH data was done using multinomial regression models amongst four breastfeeding categories (never breastfed, breastfed less than 6 months, breastfed until 6 months but not exclusively, exclusive breastfeeding) with 16 language variables. Results: The results of the study show that children in the breastfeeding categories (breastfed until 6 months but not exclusively and exclusive breastfeeding until 6 months) had a positive association across many language variables including variables used to analyze school readiness. Individual language variables' adjusted odds ratio and significance has been analyzed. The reference category was never breastfed. Conclusions: The study results support positive association of breastfeeding with language variables. Per our review, limited research has been reported where so many individual language variables have been analyzed in a nationally representative sample across four different breastfeeding categories.
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