A new study suggests that babies who are breast-fed or bottle-fed to a schedule do not perform academically as well at school as their demand-fed peers. The finding is based on the results of IQ tests and school-based SATs tests carried out between the ages of five and 14, which show that demand-feeding was associated with higher IQ scores. The IQ scores of eight-year-old children who had been demand-fed as babies were between four and five points higher than the scores of schedule-fed children, says the study published in the European Journal of Public Health.
This is the finding from the first ever large-scale study to investigate the long-term outcomes of schedule versus demand-fed babies. The study was carried out by researchers at the Institute for Social and Economic Research (ISER) at the University of Essex, and at the University of Oxford. However, the researchers urged caution in interpreting the findings.
Dr Maria Iacovou, who led the research from ISER, said:
“At this stage, we must be very cautious about claiming a causal link between feeding patterns and IQ. We cannot definitively say why these differences occur, although we do have a range of hypotheses. This is the first study to explore this area and more research is needed to understand the processes involved.”
Taking into account a wide range of background factors that include parents’ educational level, family income, the child’s sex and age, maternal health and parenting styles, the research finds that demand-feeding is associated with higher IQ scores at age eight, and this difference is also evident in the results of SATs tests at ages five, seven, 11 and 14. The study found that scheduled feeding times did have benefits for the mothers, however, who reported feelings of confidence and high levels of well-being.
“The difference between schedule and demand-fed children is found both in breastfed and in bottle-fed babies,“ explains Dr Iacovou.
“The difference in IQ levels of around four to five points, though statistically highly significant, would not make a child at the bottom of the class move to the top, but it would be noticeable. To give a sense of the kind of difference that four or five higher IQ points might make, in a class of 30 children, for example, a child who is right in the middle of the class, ranked at 15th, might be, with an improvement of four or five IQ points, ranked higher, at about 11th or 12th in the class."
The research, funded by the Economic and Social Research Council, is based on data from the Avon Longitudinal Study of Parents and Children (ALSPAC), a child development study of more than 10,000 children born in the early 1990s in the Bristol area.
The research looked at three types of mother and baby pairs: those where the baby was fed to a schedule at four weeks of age, those where the mother tried but did not manage to feed to a schedule, and those that fed on demand.
The children of mothers who had tried to feed to a schedule, but did not, were found to have similar higher levels of attainment in SATs tests and IQ scores as demand-fed babies.
Dr Iacovou said:
“This is significant because the mothers who tried but did not manage to feed to a schedule are similar to schedule-feeding mothers in that they tend to be younger, more likely to be single, more likely to be social tenants and likely to be less well-educated or to read to their child. These social characteristics are all understood to increase a child’s likelihood of performing less well at school."
“It seems that it is actually having been fed to a schedule, rather than having the type of mother who attempted to feed to a schedule (successfully or not) which makes the difference. This research is based on large-scale data and we are confident that there is a very low risk that the results arose by chance. Nonetheless, this is the first and only study of its kind, and further research is needed before we can say categorically that how you feed your baby has a long-term impact on his or her IQ and academic attainment, and before we can say definitively what the mechanisms are by which this relationship comes about.”
For further information or an interview with Dr Iacovou please contact Fran Abrams at the University of Essex on 07939 262001.
Notes to Editors
- This research is published online as Infant feeding: the effects of scheduled versus on-demand feeding on mothers’ wellbeing and children’s cognitive development, by Maria Iacovou and Almudena Sevilla, in the European Journal of Public Health.
- The research was funded by the Economic and Social Research Council (ESRC) under research grant RES-062-23-1693: Effects of breastfeeding on children, mothers and employers
- The research used a sample of 10,419 children from the Avon Longitudinal Study of Parents and Children, a cohort study of children born in the 1990s in Bristol, UK. When babies were four weeks old, mothers were asked: “Is your baby fed (either by breast or bottle) on a regular schedule (e.g. every 4 hours)?” Mothers were asked to reply “yes, always” (7.2%); “yes, try to” (23.4%) or “no, fed on demand” (69.4%). Maternal wellbeing indicators include measures of sleep sufficiency, irritability and exhaustion, maternal confidence and depression, collected when babies were between 8 weeks and 33 months. Children’s outcomes are measured by standardized tests at ages 5, 7, 11 and 14, and by IQ tests at age 8.
- Babies fed to a schedule are more likely to have been admitted to a SCBU unit (12.0% versus 5.3% for demand-fed babies); they are smaller (3277g versus 3462g), of lower gestational age, and their mothers are more likely to have smoked during pregnancy. Breastfeeding rates are lower among schedule-fed babies, as is the mean duration of breastfeeding (7.5 weeks, versus 21.6 weeks for demand-fed babies). Schedule-feeding mothers are younger; more likely to be single, more likely to be social tenants, and less well educated. They are more likely to report poor health prior to and during pregnancy, and, when their children are older, they are more likely to smack and shout at them, and less likely to read to them.
About the researchers
- Dr Maria Iacovou is a senior research fellow at ISER and part of the research team on the ESRC project The Effects of Breastfeeding on Children, Mothers and Employers. As well as infant feeding, her current research interests include the quality of family relationships and their effects on children’s wellbeing; young people and the transition to adulthood.
- Dr Almudena Sevilla-Sanz is an economist based in the Centre for Time Use Research at the University of Oxford. Her research interests include: household and population economics; economics of time use; consumption theory; and labour economics.
ISER is a Department of the University of Essex. Its world-class team of survey and research experts specialises in the production and analysis of longitudinal data – evidence which tracks changes in the lives of the same people over time. It houses the ESRC Centre on Micro-Social Change and the ESRC UK Longitudinal Studies Centre. It is responsible for the design and management of both the British Household Panel Survey and its successor, Understanding Society.
About the ESRC
The Economic and Social Research Council (ESRC) is the UK’s largest organisation for funding research on economic and social issues. It supports independent, high quality research which has an impact on business, the public sector and the third sector. The ESRC’s total budget for 2011/12 is £203 million. At any one time the ESRC supports over 4,000 researchers and postgraduate students in academic institutions and independent research institutes.