Breastfeeding and IQ in Babies

Recent Studies Address Whether Breastfeeding Can Increase a Child's IQ

A recent study by Kramer et al. published in Arch Gen Psychiatry in May 2008 provides evidence that breastfeeding promotion to mothers can results in infants with higher IQ than infants whose mothers receive no encouragement to breastfeed.  The study design was a large randomized trial where some hospitals used baby friendly hospital practices to promote breastfeeding, whereas other hospitals did not.  The mothers in each group were similar at entry regarding maternal education.  Prolonged and exclusive breastfeeding was significantly increased in the intervention group, as was IQ of the children in this group at 6.5 years, as measured by two different scales of intelligence (Wechsler Abbreviated Scales of Intelligence (WASI) and teachers’ academic rankings).   

A strength of this study was the randomization of infants into two groups, which minimized any potential differences between infants.  The randomization and the absence of differences in maternal education suggest comparable maternal IQ in the two groups and help to ensure the validity of the relationship between breastfeeding and IQ.  One limitation due to the nature of the intervention (cluster hospital based) is that pediatricians who administered the IQ tests were not blinded to the intervention status of the children they examined.  However, the authors also conducted blinded audits among a randomly selected subsample, and assessed scores of school performance among those children who had begun school, given by teachers who were blinded to treatment; these supplemental assessments gave similar results as obtained for the full cohort follow-up.   

The mechanism of how breastfeeding and IQ are related is unknown.  Kramer states, “it remains unclear whether the observed cognitive benefits of breastfeeding are due to some constituent of breast milk or are related to the physical and social interactions inherent in breastfeeding.”  More research on this topic is needed.

*Kramer, M.S., Aboud, F., Mironova, E. et al.  Breastfeeding and Child Cognitive Development. 

Arch Gen Psychiatry.

 2008; 65: 578-584.