medigraphic.com
ISSN 0187-5337 (Print)
Instituto Nacional de Perinatología

2003, Number 1

<< Back Next >>

Perinatol Reprod Hum 2003; 17 (1)

Efecto de la lactancia sobre el desarrollo neuroconductual del niño

Perroni ME, Schnaas L, Arteaga A, Martínez A, Hernández C, Osorio E

Language: Spanish
References: 18
Page: 20-27
PDF size: 89.45 Kb.


ABSTRACT

Objective: Describe the temporal pattern in the effect lactation type on mental and motor development of children during the first six months of life. Materials and methods: We performed a cohort study of 79 healthy children, evaluated at 1, 3 and 6 months of age with the Bayley Scales of Infant Development II. We constructed models with the Mental (IDM) and the Motor (IDP) Developmental Indexes, evaluating the three stages with a covariance analysis for repeated measures, using the general lineal models procedure. The sequences of de Mental and the Motor Indexes were tested at the different ages with the type of lactancy, categorized in two types: exclusive breast-feeding and other type of lactation (mixed or formula fed). We included birth weight, sex, socioeconomic level, and maternal IQ as covariables. Results: Only 45.6% of the children were exclusively breast-fed until three months of age, and this type of lactation was associated to an increase in the IDM (F1,73 = 6.517, p = 0.002) and the PDI (F1,73 = 5.424, p = 0.005) as age increased. The main predictors of mental and motor development were birth weight and type of lactancy. Conclusions: Results confirm the benefits of maternal milk for child’s mental and motor development.


REFERENCES

  1. Jumpsen J, Clandinin M. Brain development: relationship to dietary and lipid metabolism. Illinois: OACS Press; 1995, p. 1-85. 2. Papalia D, Wendkos S. Psicología del desarrollo de la infancia a la adolescencia. 5ª Ed. México: Mc. Graw Hill; 1992, p. 157-69.

  2. Martínez M. Requerimientos de ácidos grasos insaturados y desarrollo cerebral del niño. En: Araniz CJ, Gamboa JD, Aparicio E. (eds). Temas de Pediatría. Nutrición. Asociación Mexicana de Pediatría, A.C. México, D.F.: Editorial Interamericana-McGraw Hill; 1996, p. 23-40.

  3. Crawford MA, Doyle W, Leaf A, Leighfield M, Ghebremeskel K, Phylactos A. Nutrition and neurodevelopmental disorders. Nutr Health 1993; 9: 81-97.

  4. Lucas A, Morley R, Cole TJ, Lister G, Leeson-Payne C. Breast milk and subsequent intelligence quotient in children born preterm. Lancet 1992; 339: 261-4.

  5. Hay WW. Neonatal Nutrition and Metabolism. USA: Mosby Year Book Inc; 1991, p. 122-42.

  6. Wainwright PE, Ward GR. Early nutrition and behaviour: a conceptual framework for critical analysis of research. John Dobbing. (Ed.). In: Developing brain and behaviour: the role of lipids in infant formula. London UK: London Academic Press Limited; 1997, p. 387-426.

  7. Lucas A. Long chain polyunsaturated fatty acids, infant feeding and cognitive development. John Dobbing (Ed.). In: Development brain and behavior. The role lipids in infant formula. London, UK: Academic Press Limited; 1997, p. 3-40.

  8. Anderson J, Johnstone B, Remley D. Breastfeeding and cognitive development: a metaanalysis. Am J Clin Nutr 1999; 70: 525-35.

  9. Lucas A, Morley R, Cole TJ, Gore SM. A randomised multicentre study of human milk versus formula and later development in preterm infants. Arch Dis Child 1994; 70: 141-6.

  10. Morley R, Cole TL, Powell R, Lucas A. Mothers choice to provide breast milk and development outcome. Arch Dis Child 1988; 63: 1382-5.

  11. Florey CV, Leech AM, Blackhall A. Infant feeding and mental and motor development al 18 months of age in first born singletons. Int J Epidemiol 1995; 24: 21-6.

  12. Lawrence R. Tratamiento de la lactancia como proceso fisiológico. Clínica de Perinatología. México: Ed. Interamericana; 1987, p. 1-9.

  13. Mahan K, Escott-Stump S. Nutrición y dietoterapia de Krause. 9a Ed. México: McGraw Hill; 1998.

  14. Villalpando S, Del Prado M, Lance A, Alfonso E, Rodríguez M, Demmelmair H, Koletzko B. Linoleic acid oxidation and transfer into milk in stunted lactating women with contrasting body mass index. Am J Clin Nutr 2001; 74: 827-32.

  15. Maccoby EE, Jacklin CN. The psychology of sex differences. Stanford, Calif.: Stanford University Press; 1974.

  16. Flehmig I. Desarrollo normal del lactante y sus desviaciones. Diagnóstico y tratamiento temprano. Buenos Aires: Editorial Médica Panamericana; 1988.

  17. Bayley N. Manual Bayley Scales of Infant Development. The Psychological Corporation. San Antonio: Hartcourt Brace & Company; 1993.

  18. Escala de Inteligencia Wechsler para Adultos. México: El Manual Moderno; 1989.




2020     |     www.medigraphic.com