Influence of breastfeeding type and gender on child development: differences in global and fine motor skills.

Abstract

Background: There are few studies that approach the subject of breastfeeding related to the development of motor skills. The study aimed to verify if there are differences in the global and fine motor skills, considering the variables gender and type of breastfeeding, in children from 18 to 44 months.

Methods: We developed a quantitative correctional typology, being a cross-sectional study with a sample of 128 children of both genders. The instruments used in the study were the Peabody Developmental Motor Scales-2, and to assess the profile of the children a questionnaire was delivered to the parents. To test the normality of the sample, we applied the Kolmogorov-Smirnov Test and the Shapiro-Wilk Test. The Mann-Whitney U-Test was used for independent samples, also calculating the effect size.

Results: The boys obtained higher mean values in all motor skills, except for the fine motor skills and fine motricity, and in these, the girls obtainied the higher mean values. With respect to the inferential analysis, concerning the variable gender, there are statistically significant differences (P<0.00) in the variables: locomotor skills, object handling skills, global motricity and global motor quotient (P=0.017) the boys exhibiting the higher values, which means the better performances. We also verify that children who were not breastfed with breast milk, through feeding bottle with replacement milk, obtained higher mean values in all motor skills when compared to the ones who were breastfed with breast milk, and there is a statistically significant difference in the variable fine manipulation skills (P=0.024).

Conclusions: Male children obtained better results in all motor skills, except for fine motricity, comparing with female children. Regarding breastfeeding, the children who were not breastfed with breast milk, show better results, mainly in Fine manipulation skills, which may be due to the previous need to handle the bottle on early age.