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Breastfeeding, cognitive ability, and residual confounding: A comment on studies by Pereyra-Elìas et al.
Stockholm University, Faculty of Social Sciences, Department of Psychology, Psychobiology and epidemiology. Karolinska Institutet, Sweden.ORCID iD: 0000-0001-5273-0150
Number of Authors: 42024 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 19, no 3, article id e0297216Article in journal (Refereed) Published
Abstract [en]

Recent studies found positive effects of breastfeeding on the child’s cognitive ability and educational outcomes even when adjusting for maternal cognitive ability in addition to a large number of other potential confounders. The authors claimed an important role of breastfeeding for the child’s cognitive scores. However, it is well known that error in the measurement of confounders can leave room for residual confounding. In the present reanalyses, we found incongruent effects indicating simultaneous increasing and decreasing effects of breastfeeding on the child’s cognitive ability and educational outcomes. We conclude that findings in the reanalyses may have been due to residual confounding due to error in the measurement of maternal cognitive ability. Consequently, it appears premature to assume a genuine increasing effect of breastfeeding on the child’s cognitive ability and educational outcomes and claims in this regard may be challenged.

Place, publisher, year, edition, pages
2024. Vol. 19, no 3, article id e0297216
Keywords [en]
breastfeeding, cognitive ability, educational outcomes, residual confounding
National Category
Public Health, Global Health and Social Medicine
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-228715DOI: 10.1371/journal.pone.0297216ISI: 001194693800075PubMedID: 38536796Scopus ID: 2-s2.0-85189037001OAI: oai:DiVA.org:su-228715DiVA, id: diva2:1854454
Available from: 2024-04-25 Created: 2024-04-25 Last updated: 2025-02-20Bibliographically approved

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Nilsonne, Gustav

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