A UK study finds that children breastfed astatine six months show measurable gains successful IQ, reading, and mathematics skills, pinch unsocial benefits for connection and conversation.
Study: Differences successful Neurocognitive Development Between Children Who Had Had No Breast Milk and Those Who Had Had Breast Milk for astatine Least 6 Months. Image Credit: fizkes / Shutterstock
In a caller article successful nan journal Nutrients, researchers astatine nan University of Bristol, UK, examined nan associations betwixt breastfeeding astatine six months of property and a wide scope of neurocognitive outcomes until precocious adolescence.
Their findings propose that, contempt demographic and societal influences, much than 40 outcomes, including amended world skills, higher intelligence quotient (IQ) scores, and improved reside skills, whitethorn beryllium associated pinch breastfeeding.
Background
Previous studies person explored nan effect of breastfeeding connected children’s cognitive and behavioral development; however, nan results person been inconsistent. Some studies person shown clear benefits, while others person reported mixed aliases nary effects, often owed to constricted sample sizes aliases variations successful measurement tools.
One of nan strongest pieces of grounds comes from a randomized controlled proceedings (RCT) successful Belarus, which demonstrated amended verbal IQ, vocabulary, writing, and reference skills successful children whose mothers received breastfeeding support, pinch improvements persisting into adolescence. However, nary behavioral differences were noted betwixt nan involution and power groups.
Systematic reviews mostly support a affirmative relation betwixt breastfeeding and IQ, and immoderate widen this to executive function, cognition, and behavior; however, nan effects are typically minor. Analyses comparing breastfeeding durations propose that breastfeeding beyond 6 months provides further benefits. Larger observational studies besides constituent to wider effects.
For example, Scottish information connected 177,000 children recovered little risks of learning difficulties among breastfed children, while Japanese and Australian cohorts reported reduced developmental delays and enhanced connection and intelligence outcomes.
However, contempt accordant findings for IQ, location has been constricted exploration of different neurocognitive consequences that trust connected ample datasets.
About nan study
The study utilized information from nan Avon Longitudinal Study of Parents and Children (ALSPAC), which recruited complete 14,500 pregnant women successful nan UK. Mothers and partners completed questionnaires during gestation and aft birth, providing information connected babe feeding and inheritance characteristics.
Breastfeeding position was assessed astatine 4 weeks, 6 months, and 15 months. For this analysis, breastfeeding astatine six months was nan main exposure, without distinguishing betwixt exclusive and partial breastfeeding.
Several confounders were included to relationship for societal and demographic influences, specifically maternal and paternal education, maternal property astatine birth, commencement order, lodging tenure, transportation mode, and maternal smoking during pregnancy. These factors are known to power some breastfeeding practices and kid outcomes.
Neurocognitive outcomes were assessed done 373 continuous measures collected from infancy done adolescence via parent, teacher, and self-reports, arsenic good arsenic nonstop testing by ALSPAC staff.
Multivariable linear regression was utilized to set for confounders. Missing information were not imputed owed to nan likelihood of non-random patterns, pinch immoderate outcomes showing up to 62% missingness (e.g., IQ astatine property 15 years). Researchers applied a two-stage statistical screening process, requiring an first unadjusted p<0.0001 and past an adjusted p<0.001 period for results to beryllium considered significant.
Key findings
Of nan 11,337 mothers who responded astatine six months, 28.7% were still breastfeeding, 24.4% had ne'er breastfed, and 46.9% had stopped earlier six months. Analyses focused connected children who were breastfed astatine 6 months compared pinch those who were ne'er breastfed; children who stopped breastfeeding earlier six months were excluded. Out of 373 neurocognitive measures, 42 outcomes showed important adjusted associations.
Early improvement tests indicated fewer lasting differences, pinch good centrifugal skills astatine ages 30 and 42 months being nan only preschool traits powerfully associated pinch breastfeeding. IQ consistently showed affirmative effects, arsenic children breastfed for six months scored higher connected verbal, performance, and full IQ astatine ages 8 and 15, pinch mean gains of astir 4.1 to 5.1 IQ points.
Reading expertise besides showed robust associations crossed aggregate measures, including nationalist assessments, while pronunciation associations were weaker. Language outcomes were mixed, but important improvements were observed successful pragmatic conversational skills astatine property nine, arsenic measured by nan Children’s Communication Checklist (CCC).
Breastfed children performed amended successful mathematics connected some coach and nationalist assessments, but akin associations for subject did not scope nan strict value period (p<0.001).
Behavioural benefits were limited, though breastfed children showed reduced hyperactivity and little activity levels successful preschool years. Additional findings included a higher likelihood of right-handedness and a much soul locus of power astatine property eight.
Conclusions
This study recovered that breastfeeding for six months was linked to higher IQ, improved reference and mathematics performance, stronger good centrifugal skills, and amended conversational abilities, pinch weaker associations for behaviour and characteristic traits.
Notably, pragmatic reside improvements astatine property 9 emerged arsenic a caller finding. Results mostly align pinch erstwhile tests and reviews, reinforcing nan intelligence benefits of breastfeeding.
Strengths see nan population-based design, nonsubjective coach and trial data, and accommodation for aggregate confounders, including some parents’ education. Recording feeding astatine six months minimized callback bias.
However, limitations see attrition, a predominantly White European cohort that limits generalizability, reliance connected continuous outcomes only, and nan anticipation that stringent statistical thresholds (p < 0.0001 followed by p < 0.001) whitethorn person obscured immoderate existent associations.
In conclusion, breastfeeding for six months was consistently associated pinch semipermanent cognitive advantages successful this cohort, without grounds of harm. While causality cannot beryllium confirmed, nan findings support nan promotion of breastfeeding arsenic beneficial for children’s neurocognitive development.
Journal reference:
- Differences successful Neurocognitive Development Between Children Who Had Had No Breast Milk and Those Who Had Had Breast Milk for astatine Least 6 Months. Goulding, N., Northstone, K., Taylor, C.M., Emmett, P., Iles-Caven, Y., Gregory, J., Gregory, S., Golding, J. Nutrients (2025). DOI: 10.3390/nu17172847, https://www.mdpi.com/2072-6643/17/17/2847