Does breast-feeding influence intelligence quotients at 9 and 10 years of age?
1University of Texas Medical Branch, Galveston, USA.
Insights
Breast-feeding showed a slight, but not statistically significant, advantage in intellectual development after adjusting for socioeconomic factors. Exclusive early breast-feeding did not demonstrate a significant link to IQ in this study population.
Area of Science:
- Pediatrics
- Developmental Psychology
- Nutritional Science
Background:
- The impact of breast-feeding on long-term intellectual development is a subject of ongoing scientific debate.
- Previous research has yielded conflicting results, necessitating further investigation in diverse populations.
Purpose of the Study:
- To investigate the association between breast-feeding and intellectual development in a high socioeconomic population.
- To assess the influence of breast-feeding duration and exclusivity on cognitive outcomes at 9-10 years of age.
Main Methods:
- A cohort of children born between 1978-1979 was studied, including those exposed to specific soy formulas and controls.
- Data on breast-feeding practices were collected, and intellectual development was assessed using the Wechsler Intelligence Scale-Revised (WISC-R).
- Statistical analyses, including linear regression, were employed to adjust for confounding variables like maternal education, paternal education, and income.
Main Results:
- Unadjusted analysis revealed a higher mean Full Scale IQ in breast-fed children (122) compared to non-breast-fed children (118).
- After adjusting for socioeconomic factors, this difference diminished, with no significant variation in adjusted mean Full Scale IQ (111 vs. 110).
- Further analysis of exclusively breast-fed infants for the first 60 days showed no significant relationship with IQ.
Conclusions:
- In this high socioeconomic population, breast-feeding did not demonstrate a significant independent effect on intellectual development when socioeconomic factors were controlled.
- The initial observed IQ difference was likely attributable to confounding variables rather than breast-feeding itself.
- Exclusive early breast-feeding did not show a significant association with cognitive outcomes in this cohort.
Abstract:
The effect of breast-feeding on intellectual development remains controversial. We explored this relationship in a high socioeconomic population in which breast-feeding was supplemented with soy containing formulas at some time during the first year of life. As part of the 1988 National Institute of Child Health and Human Development school-based survey of two metropolitan Washington, D.C. counties to identify children in the 1978 to 1979 birth cohort who had been exposed to the chloride deficient formulas Neo-Mull-Soy and Cho-Free during infancy, information on breast-feeding was also obtained on children exposed to the chloride-deficient formulas and a group of control children exposed to other soy formulas. Because no differences in intellectual development were observed between the two groups, they were combined and the effect of breast-feeding on intellectual development at 9 and 10 years was assessed. There were 176 infants that received no breast-feeding and 342 who were breast-fed. The median duration of breast-feeding was 124 days (interquartile range, 42-248 days). There were no differences in birth weight, gender or race between the infants who were breast-fed and those who were not. The mean Weschler Intelligence Scale-Revised Full Scale IQ was 122 among those breast-fed compared to 118 among those that were not (P = 0.0008). However, following adjustment by linear regression for maternal education, paternal education and annual income the adjusted mean full scale IQ was 111 among the breast-fed and 110 among the non-breast-fed (P = 0.23). Further analyses limited to those exclusively breast-fed for the first 60 days failed to demonstrate any significant relationship between breast-feeding and IQ.
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