Cognitive development in babies with exclusive breastfeeding using Mullen Scale test
Keywords:
cognitive, Mullen test, breastfeeding
Abstract
Background Breast milk is the best nutrition for babies' growthand 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
development.
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.
References
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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;
111:1198-201.
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
Sci 2002;111:262-7.
10. Anderson JW, Johnstone BM, Remlet DT. Breastfeeding
and Cognitive Development: Meta-analysis. Am Clin Nutr
1999;70:525-35.
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
2001;85: 183-8.
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.
Published
2016-09-15
How to Cite
1.
Maharditha IG, Soetjiningsih S, Suandi IK. Cognitive development in babies with exclusive breastfeeding using Mullen Scale test. PI [Internet]. 15Sep.2016 [cited 23Dec.2024];48(5):278-3. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/606
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Received 2016-09-12
Accepted 2016-09-12
Published 2016-09-15
Accepted 2016-09-12
Published 2016-09-15
