Association between breastfeeding and lower risk of behavioral problems in children: a systematic review and meta-analysis - Report - MDSpire

Association between breastfeeding and lower risk of behavioral problems in children: a systematic review and meta-analysis

  • By

  • Xue Liu

  • Miao Liu

  • Hongli Chen

  • Yinan Zheng

  • Qian Zhao

  • Zhongli Li

  • Yuling Zhou

  • Lilian Chen

  • June 12, 2026

  • 0 min

Share

Link Between Breastfeeding and Reduced Behavioral Issues in Children

Overview

This comprehensive review and meta-analysis found a significant association between breastfeeding and a reduced risk of behavioral problems in children. The analysis included 10 studies with a total of 69,621 children, highlighting the importance of breastfeeding duration in mitigating these issues.

Background

Childhood behavioral problems are prevalent and can lead to long-term mental health issues if not addressed early. Identifying modifiable factors, such as breastfeeding, is crucial for early prevention strategies. The World Health Organization recommends exclusive breastfeeding for the first six months, emphasizing its importance for both physical and psychological development.

Data Highlights

OutcomeOdds Ratio (OR)95% Confidence Interval (CI)p-value
Overall Behavioral Problems0.660.51–0.860.002
Internalizing Problems0.790.69–0.89<0.001
Externalizing Problems0.780.69–0.89<0.001

Key Findings

  • Breastfeeding is associated with a lower risk of overall behavioral problems in children.
  • Significant inverse associations were found for both internalizing and externalizing behavioral problems.
  • Longer breastfeeding duration (≥6 months) showed a trend toward a lower risk of behavioral issues.
  • Subgroup analyses revealed variability in associations based on study design and geographic region.
  • No significant association was observed in cohort studies or studies conducted in China.

Clinical Implications

Healthcare providers should promote breastfeeding as a potential strategy for reducing behavioral problems in children. Understanding the nuances of breastfeeding duration and its effects can guide early intervention efforts and support for new mothers.

Conclusion

The findings underscore the potential benefits of breastfeeding in reducing behavioral issues in children, though further high-quality studies are needed to confirm these associations and explore underlying mechanisms.

Related Resources & Content

  1. JAMA Network Open, 2025 -- Video-Based Peer Support and Exclusive Breastfeeding and Maternal Self-Efficacy: A Randomized Clinical Trial
  2. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Long-Term Decrease in Subclinical Inflammation Following Breastfeeding
  3. Frontiers in Digital Health, 2025 -- Digital Resources and Interactive Multimedia Tools for Breastfeeding Promotion and Support: A Scoping Review
  4. CDC, 2025 -- Breastfeeding Recommendations and Guidance
  5. Frontiers, 2025 -- The effects of breastfeeding duration on children’s behavior problems at around 3 years of age
  6. Archives of Toxicology — Potential Risks Associated with High Dioxin Exposure Through Breastfeeding
  7. Breastfeeding Recommendations and Guidance | Breastfeeding | CDC
  8. Frontiers | The effects of breastfeeding duration on children’s behavior problems at around 3 years of age

Original Source(s)

Related Content