Main Article Content
and development. There are many reasons for discontinuation of
exclusive breastfeeding (BF).
Objective To evaluate the impact of exclusive breastfeeding on
babies' cognitive development.
Methods A cohort study was conducted for full term newborn
babies. They were evaluated for cognitive development using
Mullen scale test at of 6 and 9 months; t test was used to obtain
mean difference of cognitive values. Logistic regression analysis
was performed to distinguish factors associated with the cognitive
Results One hundred and forty babies were enrolled to this study
(70 babies with exclusive BF and 70 babies with non-exclusive
BF). There were 34 boys (49%) in exclusive and 37 boys (53%) in
non-exclusive BF group. Mean cognitive score at age six months
was 1.41 points higher for exclusive BF group, mean rate 174.31
(SO 4.89) and 172.90 (SO 4.19) for exclusive and non-exclusive BF,
respectively. Mean cognitive score at nine months was 1.49 point
higher in exclusive BF group with mean rate 175.28 (SO 4.39) and
173.82 (SO 3.80) for exclusive and non-exclusive BF respectively.
Logistic regression analysis showed that exclusively breastfed babies
had higher mean Mullen cognitive score of 4. 761 (95% CI 1.341;
16.907) and 4.431 (95% CI 1.313; 14.949) times at sixth and ninth
month respectively than non-exclusive BE
Conclusion Exclusively breastfed babies may have higher mean
score of Mullen cognitive score at sixth and ninth months when
compared with those who are non exclusively breastfed.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
tor. ASI: Petunjuk untuk Tenaga Kesehatan. 2nd ed. Jakarta:
EGC; 1997. p. 16-28.
2. Nancy EW The Benefits ofBreastfeeding (cited 2006 January
19]. Available from: http: //www.breastfeeding.org/.
3. Nancy EW Breastfeeding and early childhood development.
Available from: http://www.breastfeeding.org/Hurley WL.
4. Riordan J, Auebach KG. Breastfeeding and Human Lactation.
2nd ed. Canada: Jones and Bartlett Pub; 1998. p. 91-145.
5. Ruowei L, Zhao Z, Mokdad A, Barker L, Grummer-Strawn
L. Prevalence of Breastfeeding in the United States: the
2001 National Immunization Survey. Pediatrics 2003;
6. Ryan AS, Wenjun Z, Acosta A Breastfeeding Continues to
Increase into the Millennium. Pediatrics 2002;110: 1103-9.
7. Anonim. Analisis Situasi dan Kendal a Pemberian AS I.
Strategi Nasional Peningkatan Pemberian ASI sampai tahun
2005. Jakarta: Depkes; 2002. p. 4-12.
8. Suandi IKG. Asupan Gizi untuk Peningkatan Kecerdasan
Anak (Aspek Peranan Air Susu Ibu). Presented at Menjadikan
anak pintar sekaligus kreatif, Denpasar; 2003 Agustus 2.
9. Kathryn GD, Cohen RJ, Brown KH, Leonardo LR. Effect
of Exlusive Breastfeeding for Four versus Six Month on
Maternal Nutrional Status and Infant Motor Development:
result at two Randomized Trial in Hunduras. Am Soc Nutr
10. Anderson JW, Johnstone BM, Remlet DT. Breastfeeding
and Cognitive Development: Meta-analysis. Am Clin Nutr
11. Horwood W, Ferguson DM. Breastfeeding and Later Cognitive
and Academic Outcomes. Pediatrics 1998; 101:9-15.
12. Angelsen NK, Vik T, Bakketeig LS. Breast feeding and
Cognitive Development at age 1 and 5 years. Arch Dis Child
13. Nancy A, David TS, Jeri SJ, Cynthia J, Robin EC, Mantallo
MB, et al. Visual Cognitive and Language Assessments at 39
month a follow up study of Children fed Formulas Containing
Long Chain Polyunsaturated Fatty Acid to 1 year of age.
Pediatrics 2003; 112: 177-83.
14. Gomez-Sanchiz M, Ramon C, Rodero I, Enrique BJ, Avila
O. Influence of Breastfeeding on Mental and Psychomotor
Development. Clin Pediatr 2003;42:35-42.