Relationship Between Duration of Exclusive Breastfeeding and Cognitive Development in Children: A Systematic Study
DOI:
https://doi.org/10.59188/eduvest.v5i10.52197Keywords:
Duration, Exclusive breastfeeding, cognitive enhancement, intelligencequotientAbstract
Cognitive development is a crucial aspect of a child's overall growth. This process refers to the stages in which the child undergoes changes that help them remember, understand, process information, and solve problems. One of the key factors in enhancing cognitive development in children is exclusive breastfeeding, defined as breastfeeding without any complementary foods since birth. This systematic review aims to determine the optimal duration of exclusive breastfeeding for cognitive development in children. This research is a systematic review focusing on journals published between 2012 and 2022, using the keywords ("duration" OR "month" OR "months") AND ("exclusive breastfeeding" OR "exclusive breastmilk feeding") AND ("cognitive development" OR "intelligence quotient" OR "cognitive abilities") in the PubMed, ScienceDirect, and ProQuest databases. The review was conducted based on the PRISMA guidelines and evaluated using the JBI Critical Appraisal tools. The results identified three relevant journals. Research by Jedrychowski et al. (2012) and Cando reported that exclusive breastfeeding for six months led to greater cognitive development improvements in children compared to durations of less than six months. In contrast, Choi et al. (2018) found that exclusive breastfeeding for less than six months resulted in higher cognitive development gains compared to six months. This systematic review indicates a relationship between exclusive breastfeeding and improvements in cognitive development in children. This association is likely attributed to the nutrients found in mother's milk, such as omega-3, which are beneficial for supporting children's cognitive development.
References
Alotiby, A. A. (2023). The role of breastfeeding as a protective factor against immunological diseases. Cureus, 15(1), e9981158. https://doi.org/10.7759/cureus.9981158
Atyeo, C., Pullen, K. M., Bordt, E. A., Fischinger, S., Burke, J., Michell, A., & Lauffenburger, D. A. (2021). Compromised SARS-CoV-2-specific placental antibody transfer. Cell, 184(3), 628–642. https://doi.org/10.1016/j.cell.2020.12.027
Black, M. M., Walker, S. P., Fernald, L. C. H., Andersen, C. T., DiGirolamo, A. M., Lu, C., et al. (2017). Early childhood development coming of age: Science through the life course. The Lancet, 389(10064), 77–90. https://doi.org/10.1016/S0140-6736(16)31389-7
Chade, E. S., Júnior, O. R., Souza, N. M. P., da Silva, A. J. de O. K., Ferreira, L. M., Reolon, J. B., Bonini, J. S., Rego, F. G. de M., & Sari, M. H. M. (2024). The influence of nutritional status on brain development: Benefits of exclusive breastfeeding. Pediatric Reports, 16(3), 724–735.
Choi, H. J., Kang, S. K., & Chung, M. R. (2018). The relationship between exclusive breastfeeding and infant development: A 6- and 12-month follow-up study. Early Human Development, 127, 1–6. https://doi.org/10.1016/j.earlhumdev.2018.09.010
Cusick, S. E., & Georgieff, M. K. (2016). The role of nutrition in brain development: The golden opportunity of the first 1000 days. The Journal of Pediatrics, 175, 16–21. https://doi.org/10.1016/j.jpeds.2016.05.013
Dağ, H., Aksoy, A., Tunca, M., & Erol, M. (2020). Vitamin B12 serum levels of six to nine-month-old infants according to feeding practices. Journal of Pediatric Research, 8(3), 177–182. https://doi.org/10.4274/jpr.galenos.2019.00377
Dulal, S., Prost, A., Karki, S., Saville, N., & Merom, D. (2021). Characteristics and effects of integrated nutrition and stimulation interventions to improve the nutritional status and development of children under 5 years of age: A systematic review and meta-analysis. BMJ Global Health, 6(7), e003872. https://doi.org/10.1136/bmjgh-2020-003872
Gayatri, M. (2021). Exclusive breastfeeding practice in Indonesia: A population-based study. Korean Journal of Family Medicine, 42(5), 395.
Henjum, S., Lilleengen, A. M., Aakre, I., Dudareva, A., Gjengedal, E. L. F., Meltzer, H. M., et al. (2020). Vitamin B12 concentrations in milk from Norwegian women during the six first months of lactation. European Journal of Clinical Nutrition. https://doi.org/10.1038/s41430-020-0567-x
Hopkins Medicine. (2023). Breast milk: Nutrition and health benefits for your baby. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/breastfeeding-your-baby
Horta, B. L., Loret de Mola, C., & Victora, C. G. (2015). Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure, and type 2 diabetes: A systematic review and meta-analysis. Public Health Nutrition, 17(1), 137–150. https://doi.org/10.1017/S1368980013002030
Jedrychowski, W., Perera, F., Jankowski, J., Butscher, M., Mroz, E., Flak, E., et al. (2012). Effect of exclusive breastfeeding on the development of children’s cognitive function in the Krakow prospective birth cohort study. European Journal of Pediatrics, 171(1), 151–158. https://doi.org/10.1007/s00431-011-1508-3
Lokossou, G. A. G., Tinto, H., Adegnika, A. A., & Mordmüller, B. (2022). Human breast milk: From food to active immune defense. Frontiers in Immunology, 13, 849012. https://doi.org/10.3389/fimmu.2022.849012
Mohammed, S., Oakley, L. L., Marston, M., Glynn, J. R., & Calvert, C. (2022). The association of breastfeeding with cognitive development and educational achievement in sub-Saharan Africa: A systematic review. Journal of Global Health, 12, 4071.
Prasanna Kumar, A., & Lukman, S. (2019). Dual benefits, composition, and recommended duration of mother’s milk intake. arXiv Preprint, arXiv:1905.12405.
Roberts, M., Tolar-Peterson, T., Reynolds, A., Wall, C., Reeder, N., & Rico Mendez, G. (2022). The effects of nutritional interventions on the cognitive development of preschool-age children: A systematic review. Nutrients, 14(3), 532. https://doi.org/10.3390/nu14030532
Sanghvi, P. (2020). Piaget’s theory of cognitive development: A review. Indian Journal of Mental Health, 7(2), 90–96. https://indianmentalhealth.com
Tosolini, K. E., Damen, S., Janssen, M. J., & Minnaert, A. E. M. G. (2025). A Piagetian lens on cognitive development of children and youths with congenital deafblindness: A scoping review. Frontiers in Education, 10, 1479668. https://doi.org/10.3389/feduc.2025.1479668
Verhasselt, V. (2024). Antibodies in breast milk: Pro-bodies designed for a healthy start. Frontiers in Immunology, 15, 11659933. https://doi.org/10.3389/fimmu.2024.11659933
Victora, C. G., Bahl, R., Barros, A. J. D., França, G. V. A., Horton, S., Krasevec, J., ... & Rollins, N. C. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01024-7
Williams, A. M., Chan, W. Y., & Allen, L. H. (2023). Vitamin B-12 concentrations in breast milk are low and are associated with maternal factors. Journal of Nutrition, 153(5), 1234–1241. https://doi.org/10.1016/j.jnut.2023.01.016
World Health Organization. (2019). Breastfeeding [World Health Topic page]. World Health Organization. https://www.who.int/health-topics/breastfeeding
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ruth Olivia Widianto, Johannes Cancius Prihadi, Ellen Wijaya, Laurentius Aswin

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.