הנקה בחודשי חיים ראשונים כגורם מגן להתפתחות הפרעת רכוז וקשב
BREASTFEEDING MAY PROTECT FROM DEVELOPING ATTENTION DEFICIT AND HYPERACTIVITY DISORDER.
Aviva Mimouni-Bloch1*, Anna Kachevanskaya2*, Francis Benjamin Mimouni3 , Avinoam Shuper4, Eyal Raveh5, Nehama Linder2
אביבה מימוני בלוך, אנה קצבנסקיה, פרנסיס ב. מימוני, נחמה לינדר, אייל רווה, אבינועם שופר
*Two first authors have equal contribution to the research
1. The Pediatric Neurology and Developmental Unit, Loewenstein Rehabilitation Hospital, Raanana
2. Department of Neonatology, Rabin Medical Center,
3. Dana Duek Childrens Hospital
4. Pediatric Neurology Unit, Schneider Children’s Medical Center, Petach Tikva
5. Pediatric Otolaryngology Unit, Schneider Children’s Medical Center, Petach Tikva
All affiliated to Sackler Faculty of Medicine, Tel-Aviv University
Breast feeding has a positive influence on physical and mental development. Attention deficit and hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder with major social, familial and academic influence.The present study aimed to evaluate a possible association between breastfeeding and ADHD.
Patients and methods
In this retrospective study, children diagnosed at Schneider’s Children Medical Center with ADHD between 2008 and 2009 were compared to two control groups. A first control group consisted of siblings of children diagnosed with ADHD, and who had no ADHD themselves. The second control group consisted of children that consulted the otolaryngology clinic and had no ADHD. A constructed questionnaire about demographic, medical, perinatal, feeding history during the first year of life and a validated adult ADHD screening questionnaire were given to both parents in each group. The study was approved by the Institutional Review Board.
Breast feeding (exclusively or combined with formula) was significantly associated with a lower risk for ADHD. In children later diagnosed as ADHD, 43% were breastfed at three months of age compared to 69% in the sibling group and 73% in the control non-related group ( P<0.002) .
Breastfeeding during the first months of life is associated with a lower risk of ADHD. We speculate that breast feeding may have a protective effect from developing ADHD later in childhood.