Does breastfeeding alter early brain development?
The prevailing
consensus from large epidemiological studies suggests that early exclusive
breastfeeding is associated with improved measures of IQ and cognitive
functioning in later childhood and adolescence.
Brain
imaging studies support these findings, revealing increased white
matter and sub-cortical gray matter volume, and parietal lobe cortical
thickness (associated with IQ) in adolescents who were breastfed as
infants compared to those who were exclusively formula-fed.
However, it
remains unknown when these structural differences first manifest and
when developmental differences that predict later performance
improvements can be detected.
In a recent study (
Breastfeeding and early white matter development: a cross-sectional study. Deoni SC, Dean DC, Piryatinsky I, et al.), MRI scans were used to compare measures of white matter
microstructure in 133
healthy children from 10months through 4years of age, who were either
exclusively breastfed a minimum of 3months; exclusively formula-fed; or
received a mixture of breast milk and formula.
The study also examined the
relationship between breastfeeding duration and white matter
microstructure.
Breastfed children exhibited increased white matter
development in later maturing frontal and association brain regions.
Positive relationships between white matter microstructure and
breastfeeding duration are also exhibited in several brain regions, that
are anatomically consistent with observed improvements in cognitive and
behavioral performance measures.
While the mechanisms underlying these
structural differences remains unclear, our findings provide new insight
into the earliest developmental advantages associated with
breastfeeding, and support the hypothesis that breast milk constituents
promote healthy neural growth and white matter development.
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