In a new study from the UK, kids who were breastfed as babies had higher scores on tests of vocabulary and reasoning at age five than those who weren't breastfed.
Breastfeeding seemed to make the biggest difference for babies who were born early and therefore had more catching up to do in their brain development.
"There are essential fatty acids in breast milk which are good for cell development and brain development in particular," said Amanda Sacker, one of the authors of the new study from the Institute for Social and Economic Research at the University of Essex.
Also, she said, "There could be differences in hormones and growth factors which are lacking in formula."
"The third (possibility) is a purely social explanation. Perhaps children who are breastfed get cuddled more, and this confers some sort of advantage to them as well."
Although Sacker and her colleagues were able to account for many factors, such as moms' education and how well-off the families were, the study can't prove that breastfeeding caused improved cognition in kids.
For example, the researchers didn't have data on parents' IQs, which may have affected both whether or not moms breastfed and how well their kids did on thinking and reasoning tests.
But the findings, published online in The Journal of Pediatrics, point toward a cause-and-effect relationship, Sacker said.
The data came from roughly 12,000 babies born in the UK between 2000 and 2002. When babies were nine months old and again at a later visit, parents were asked whether their child was breastfed and until what age.
Then at five years, kids were brought in for tests that measured their vocabulary, reasoning and spatial skills. Six or seven of every 10 babies were breastfed for some period of time.
Whether they were born on time or as preemies, kids tended to do better on the tests when they had been breastfed.
Those who were born on time and breastfed for four or six months were a few months ahead of their non-breastfed peers on vocabulary and picture-related reasoning tests.
Preemies who had been breastfed for as little as two months were also a few months ahead on picture and spatial tests compared to the other once-premature five-year-olds, and those who were breastfed for four months saw a vocabulary boost.
Breastfeeding and thinking skills
"These differences were very small when you think about it," Sacker told Reuters Health. However, for "kids who start off at a disadvantage, the gaps tend to get wider rather than narrower as they get older."
Some, but not all, previous studies that looked for a link between breastfeeding and thinking skills or IQ have reported similar results.
Dr David McCormick, a paediatrician at The University of Texas Medical Branch at Galveston, said breastfeeding may benefit the immune system, development and brain function.
"There are so many advantages other than just the IQ advantage," Dr McCormick, who was not involved in the new study, said.
While the current study could not look at differences between babies who were only fed breast milk and those who got a mix of breast milk and formula, "the evidence has always been that exclusive breastfeeding is best," he said.
(Reuters Health, Genevra Pittman, September 2011)