Association between breastfeeding duration and cognitive development, autistic traits and ADHD symptoms: a multicenter study in Spain

被引：80

作者：

Boucher, Olivier ^{[1
]}

Julvez, Jordi ^{[2
,3
,4
,5
]}

Guxens, Monica ^{[2
,4
,6
,7
]}

Arranz, Enrique ^{[8
,9
]}

Lbarluzea, Jesus ^{[4
,8
,10
]}

Sanchez de Miguel, Manuel ^{[9
]}

Fernandez-Sonnoano, Ana ^{[4
,11
]}

Tardon, Adonina ^{[4
,11
]}

Rebagliato, Marisa ^{[4
,12
,13
]}

Garcia-Esteban, Raquel ^{[2
,4
,6
]}

O'Connor, Giselle ^{[2
,6
]}

Ballester, Ferran ^{[4
,13
]}

Sunyer, Jordi ^{[2
,3
,4
,6
]}

机构：

[1] Univ Montreal, Dept Psychol, Montreal, PQ, Canada

[2] Inst Salut Global Barcelona ISGlobal, Barcelona, Spain

[3] Hosp del Mar, Res Inst, IMIM, Barcelona, Spain

[4] Spanish Consortium Res Epidemiol & Publ Hlth CIBE, Madrid, Spain

[5] Carlos III Hlth Inst, Madrid, Spain

[6] Pompeu Fabra Univ, Barcelona, Catalonia, Spain

[7] Erasmus Univ, Med Ctr, Sophia Childrens Hosp, Dept Child & Adolescent Psychiat Psychol, Rotterdam, Netherlands

[8] Inst Invest Biosanitaria, BIODONOSTIA, San Sebastian, Spain

[9] Univ Basque Country, Fac Psicol, San Sebastian, Basque Country, Spain

[10] Subdirecc Salud Publ Gipuzkoa, Basque Country, Spain

[11] Univ Oviedo, Dept Prevent Med & Publ Hlth, Oviedo, Spain

[12] Univ Jaume 1, Castellon de La Plana, Spain

[13] Univ Valencia, FISABIO, UJI, Joint Res Unit, Valencia, Spain

来源：

PEDIATRIC RESEARCH | 2017年 / 81卷 / 03期

基金：

加拿大健康研究院;

关键词：

CHILD-BEHAVIOR; FATTY-ACIDS; AGE; PREGNANCY; COHORT;

D O I：

10.1038/pr.2016.238

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

BACKGROUND: Several studies have related longer breastfeeding duration to better intellectual performance in children. By contrast, few studies have investigated the potential protective effects of breastfeeding against behavioral problems such as attention deficit hyperactivity disorder (ADHD) symptoms, and even fewer on autism spectrum disorders (ASD) traits. METHODS: We examined the association between breastfeeding duration and cognitive development, attention, ADHD symptoms, and autistic traits using data from the INMA Project, a Spanish multicenter birth-cohort study, and taking into account the intensity of breastfeeding. Duration of any, predominant, and exclusive breastfeeding was documented during infancy through maternal questionnaires. Children (N = 1,346; mean age = 4.9 y) were assessed using the McCarthy Scales of Children's Abilities, Conners' Kiddie Continuous Performance Test, criteria of the DSM-ADHD symptoms form list, and the Childhood Autism Spectrum Test. RESULTS: After adjustment for several confounders, longer duration of breastfeeding was independently associated with better cognitive development and with fewer autistic traits. CONCLUSION:This study provides further evidence of a positive association of breastfeeding with cognitive function apart from socio-environmental factors, and also suggests a protective role against autistic traits. Results are in agreement with recommendations for prolonged breastfeeding duration to promote child development.

引用

页码：434 / 442

页数：9

共 37 条

[1] Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system [J].