The Effect of Breastfeeding Duration on Executive and Cognitive Functions at Healthy School Age Children
Research Article
DOI:
https://doi.org/10.5281/zenodo.8283719Keywords:
Breastfeeding, , Executive Functions,, Cognition, Intelligence, , Child and Adolescent.Abstract
Breast milk is a natural food and contains all the nutrients the baby needs for healthy growth. The last trimester of the intrauterine period and the first 2 years of life are the periods which brain development peaks. Docosahexaenoic Acid (DHA) and Arachidonic Acid (AA) accumulate in the membranes of brain cells during these periods when brain development peaks. DHA is particularly involved in the myelination process of the frontal lobe. In addition to DHA and AA, breast milk also contains cholesterol, sphingomyelin, phosphoditylcholine, which are necessary for myelin synthesis. The aim of this study is to evaluate the effect of duration of exclusively breastfeeding on cognitive level and executive functions in school–aged children with no psychiatric complaint. A total of 71 children aged 8-13 years without any diagnosis constituted the study group. According to the duration of receiving only breast milk, they were separated into 2 groups as those who receive only breast milk for less than 6 months and those who receive breast milk for 6 months or more. The children’s executive functions were assessed with Stroop Test and Wisconsin Card Sorting Test (WCST) respectively. After the executive function tests, verbal subtests of the WISC-R including general knowledge and vocabulary and Performance subtests of the WISC-R including Picture Completion, Picture Arrangement were applied to the children. In our study, the parent form of the Strengths and Difficulties Questionnaire (SDQ) was used to screen the mental status of children. In our study, we found that the duration of exclusively breastfeeding did not have an effect on the cognitive level and executive functions of the child.
References
Organization WH. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. World Health Organization; 2009.
Atıcı A, Polat S, Turhan AH. Anne sütü ile beslenme. Türkiye Klinikleri J Pediatr Sci. 2007;3(6):1-5.
Kolb B, Whishaw IQ, Teskey GC, Whishaw IQ, Teskey GC. An Introduction to Brain and Behavior. Worth New York; 2001.
Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. J Pediatr. 1992;120(4):S129-S138.
Deoni S, Dean III D, Joelson S, O’Regan J, Schneider N. Early nutrition influences developmental myelination and cognition in infants and young children. Neuroimage. 2018;178:649-659.
Kafouri S, Kramer M, Leonard G, et al. Breastfeeding and brain structure in adolescence. Int J Epidemiol. 2013;42(1):150-159.
Isaacs EB, Fischl BR, Quinn BT, Chong WK, Gadian DG, Lucas A. Impact of breast milk on intelligence quotient, brain size, and white matter development. Pediatr Res. 2010;67(4):357-362.
Deoni SCL, Dean III DC, Piryatinsky I, et al. Breastfeeding and early white matter development: A cross-sectional study. Neuroimage. 2013;82:77-86.
Grossmann T, Johnson MH. The development of the social brain in human infancy. European Journal of Neuroscience. 2007;25(4):909-919.
Johnson MH. Development of human brain functions. Biol Psychiatry. 2003;54(12):1312-1316.
Gibson-Davis CM, Brooks-Gunn J. Breastfeeding and verbal ability of 3-year-olds in a multicity sample. Pediatrics. 2006;118(5):e1444-e1451.
Stroop JR. Studies of interference in serial verbal reactions. J Exp Psychol Gen. 1992;121(1):15.
Kiliç BG, Koçkar İA, Irak M, Şener Ş, Karakaş S. Stroop testi TBAG formu’nun 6-11 yaş grubu çocuklarda standardizasyon çalışması. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2002;9(2):86-99.
Karakaş S, Erdoğan E, Sak L, et al. Stroop Testi TBAG Formu: Türk kültürüne standardizasyon çalışmaları, güvenirlik ve geçerlik. Klinik Psikiyatri. 1999;2(2):75-88.
Berg EA. A simple objective technique for measuring flexibility in thinking. J Gen Psychol. 1948;39(1):15-22.
Karakas S. Bilnot Bataryasl El Kitabl: Nöropsikolojik Testler Için Arastlrma Ve Gelistirme Çallsmalarl (2. baskl). Ankara: Eryllamaz Ofset. Published online 2006.
Wechsler D. Wechsler Intelligence Scale for Children; manual. Published online 1949.
Savaşır I, Şahin N. Wechsler çocuklar için zeka ölçeği (WISC-R) uygulama kitapçığı. Türk Psikologlar Derneği, Ankara. Published online 1995.
Goodman R. The Strengths and Difficulties Questionnaire: A research note. Child Psychology & Psychiatry & Allied Disciplines, 38 (5), 581–586. Published online 1997.
Güvenir T, Özbek A, Baykara B, Arkar H, Şentürk B, İncekaş S. Güçler ve güçlükler anketi’nin (gga) Türkçe uyarlamasinin psikometrik özellikleri. Turkish Journal of Child and Adolescent Mental Health. 2008;15(2):65-74.
Demographic T. Health Survey. Hacettepe University Institute of population studies. 2014. Turkey Demographic and Health Survey Report. Published online 2018.
Bernard JY, De Agostini M, Forhan A, et al. Breastfeeding duration and cognitive development at 2 and 3 years of age in the EDEN mother–child Cohort. J Pediatr. 2013;163(1):36-42.
Kramer MS, Fombonne E, Igumnov S, et al. Effects of prolonged and exclusive breastfeeding on child behavior and maternal adjustment: evidence from a large, randomized trial. Pediatrics. 2008;121(3):e435-e440.
Horta BL, Loret de Mola C, Victora CG. Breastfeeding and intelligence: a systematic review and meta‐analysis. Acta Paediatr. 2015;104:14-19.
Kramer MS, Aboud F, Mironova E, et al. Breastfeeding and child cognitive development: new evidence from a large randomized trial. Arch Gen Psychiatry. 2008;65(5):578-584.
Yang S, Martin RM, Oken E, et al. Breastfeeding during infancy and neurocognitive function in adolescence: 16-year follow-up of the PROBIT cluster-randomized trial. PLoS Med. 2018;15(4):e1002554.
Der G, Batty GD, Deary IJ. Effect of breast feeding on intelligence in children: prospective study, sibling pairs analysis, and meta-analysis. Bmj. 2006;333(7575):945.
Lopez DA, Foxe JJ, Mao Y, Thompson WK, Martin HJ, Freedman EG. Breastfeeding duration is associated with domain-specific improvements in cognitive performance in 9–10-year-old children. Front Public Health. 2021;9:657422.
Tozzi AE, Bisiacchi P, Tarantino V, et al. Effect of duration of breastfeeding on neuropsychological development at 10 to 12 years of age in a cohort of healthy children. Dev Med Child Neurol. 2012;54(9):843-848.
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