Breastfeeding Duration and Cognitive Development at 2 and 3 Years of Age in the EDEN Mother–Child Cohort

To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. In the French EDEN Mother–Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall...

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Published in:	The Journal of pediatrics Vol. 163; no. 1; pp. 36 - 42.e1
Main Authors:	Bernard, Jonathan Y., De Agostini, Maria, Forhan, Anne, Alfaiate, Toni, Bonet, Mercedes, Champion, Valérie, Kaminski, Monique, de Lauzon-Guillain, Blandine, Charles, Marie-Aline, Heude, Barbara
Format:	Journal Article
Language:	English
Published:	United States Mosby, Inc 01.07.2013
Subjects:	Adult breast feeding Breast Feeding - statistics & numerical data Child Development Child, Preschool Cognition cognitive development Cohort Studies dose response education Female Humans inventories linear models Male motor development Pediatrics preschool children problem solving Prospective Studies questionnaires socioeconomic status statistics & numerical data Time Factors LCPUFA CDI ASQ Ages and Stages Questionnaire Long-chain poly-unsaturated fatty acids Communicative Development Inventory
ISSN:	0022-3476, 1097-6833, 1097-6833
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Abstract	To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. In the French EDEN Mother–Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity. After adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration. Longer breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose–response relationship was suggested.
AbstractList	OBJECTIVE: To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. STUDY DESIGN: In the French EDEN Mother–Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity. RESULTS: After adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration. CONCLUSION: Longer breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose–response relationship was suggested. To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. In the French EDEN Mother–Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity. After adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration. Longer breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose–response relationship was suggested. OBJECTIVE: To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. STUDY DESIGN: In the French EDEN Mother–Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity. RESULTS: After adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration. CONCLUSION: Longer breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose–response relationship was suggested. To investigate the dose-response relationship between breastfeeding duration and cognitive development in French preschool children.OBJECTIVETo investigate the dose-response relationship between breastfeeding duration and cognitive development in French preschool children.In the French EDEN Mother-Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity.STUDY DESIGNIn the French EDEN Mother-Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity.After adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration.RESULTSAfter adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration.Longer breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose-response relationship was suggested.CONCLUSIONLonger breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose-response relationship was suggested. To investigate the dose-response relationship between breastfeeding duration and cognitive development in French preschool children. In the French EDEN Mother-Child Cohort Study, we evaluated language ability with the Communicative Development Inventory (CDI) in 1387 2-year-old children and overall development with the Ages and Stages Questionnaire (ASQ) in 1199 3-year-old children. Assessments were compared between breastfed and non-breastfed children and also according to breastfeeding duration in multivariable linear models, controlling for a wide range of potential confounders. We tested departure from linearity. After adjustments, ever-breastfed children scored 3.7 ± 1.8 (P = .038) points higher than never-breastfed children on the CDI and 6.2 ± 1.9 (P = .001) points higher on the ASQ. Among breastfed children, exclusive and any-breastfeeding durations were positively associated with both CDI and ASQ scores. The fine motor domain of ASQ was associated with any-breastfeeding duration, and the problem solving domain with exclusive-breastfeeding duration. We did not observe significant departures from linearity. No interactions were found between the child's sex, parental education or socioeconomic status, and breastfeeding duration. Longer breastfeeding duration was associated with better cognitive and motor development in 2- and 3-year-old children and a dose-response relationship was suggested.
Author	Forhan, Anne De Agostini, Maria Bonet, Mercedes de Lauzon-Guillain, Blandine Kaminski, Monique Heude, Barbara Charles, Marie-Aline Alfaiate, Toni Bernard, Jonathan Y. Champion, Valérie
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Snippet	To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. In the French EDEN... Objective To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. Study design In... OBJECTIVE: To investigate the dose–response relationship between breastfeeding duration and cognitive development in French preschool children. STUDY DESIGN:... To investigate the dose-response relationship between breastfeeding duration and cognitive development in French preschool children. In the French EDEN... To investigate the dose-response relationship between breastfeeding duration and cognitive development in French preschool children.OBJECTIVETo investigate the...
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SubjectTerms	Adult breast feeding Breast Feeding - statistics & numerical data Child Development Child, Preschool Cognition cognitive development Cohort Studies dose response education Female Humans inventories linear models Male motor development Pediatrics preschool children problem solving Prospective Studies questionnaires socioeconomic status statistics & numerical data Time Factors
Title	Breastfeeding Duration and Cognitive Development at 2 and 3 Years of Age in the EDEN Mother–Child Cohort
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