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KMID : 1138720040300010045
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Korean Public Health Research
2004 Volume.30 No. 1 p.45 ~ p.56
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Relations of Infant Breast-Feeding and Neurologic and Psychosocial Development of Children
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Lee Jung-Jeung
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Abstract
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There is a considerable controversy over whether nutrition in early life has a long-term influence on neuro-developments. Several investigators have proposed that breast-fed infants may be advantaged in their subsequent development and intelligence quotient. The objective of this study was to identify the factors that influence mothers choice to provide breast milk and to analyze the effects of breast feeding on the development of the children controlling for possible confounding factors like demographic, socioeconomic, educational factors. A retrospective study was carried out in a group of 1073 healthy children, from 24 month to 60 month of age, in the 23 kindergarten in Deagu metropolitan city(male: 567, female: 506). Gross motor, language, personal-social development were measured using Korean versions of Denver Developmental Screening Test by parent´s report. Breast feeding rate was not different by sex, birth order(first born), age of father and mother, father and mothers educational level, socioeconomic status and birth weight, However mother´s having a job(odds ratio: 0.710, 95% CI: 0.515-0.978), birth weight(odds ratio : 1.768, 95% CI: 1.261-2.480) and methods of delivery(vaginary delivery vs cesarian section)(odds ratio: 0.516, 95% CI: 0.378-0.703) were associated with lower rate of breast feeding. Breast feeding was associated with gross motor development assessed by Korean DDST(odds ratio: 2.571, 95% CI: 1.072-6167), But no association was observed between breast feeing andlanguage development and personal-social development.
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KEYWORD
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breast feeding, development of children
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