RT Journal Article T1 The Effects of an Infant Formula Enriched with Milk Fat Globule Membrane, Long-Chain Polyunsaturated Fatty Acids and Synbiotics on Child Behavior up to 2.5 Years Old: The COGNIS Study A1 Nieto-Ruiz, Ana A1 Diéguez, Estefanía A1 Sepúlveda-Valbuena, Natalia A1 Herrmann, Florian A1 Cerdó, Tomás A1 López-Torrecillas, Francisca A1 De-Castellar, Roser A1 Jiménez, Jesús A1 Pérez-García, Miguel A1 Miranda, María T. A1 Catena, Andrés A1 García-Santos, José A. A1 Bermúdez, Mercedes G. A1 Campoy, Cristina K1 Infant formula K1 Milk fat globule membrane K1 Long-chain polyunsaturated fatty acids K1 Bioactive compounds K1 Children behavior K1 Breastfeeding K1 Brain development K1 Neurodevelopmental disorders K1 Fórmulas infantiles K1 Lactancia materna K1 Trastornos del neurodesarrollo K1 Ácidos grasos insaturados K1 Conducta infantil AB Although early life nutrition influences brain development and mental health, the long-term effects of supplemented infant formula on children´s behavior remain unclear. We analyzed the effects of a bioactive nutrients-enriched-infant formula on children's behavior up to 2.5 years, compared to a standard infant formula or breastfeeding. Current analysis involved 70 children who were fed a standard infant formula (SF, n = 29) or a bioactive compounds enriched-infant formula (EF, n = 41), during their first 18 months of life, and 33 breastfed (BF) children (reference group) participating in the COGNIS study. Behavioral problems were evaluated using the Child Behavior Checklist at 18 months and 2.5 years. Different statistical analyses were performed using SPSS. EF children aged 2.5 years presented fewer pathological affective problems than SF children. Besides, SF children were classified more frequently as bordering on internalizing problems than BF children. Rates of externalizing problems were increased in SF infants compared to EF and BF infants. Higher maternal IQ was found to have beneficial effects on internalizing and total problem rate in their offspring at 18 months of life; finally, higher maternal educational level was related with fewer ADHD problems in children at 18 months, as well as internalizing, externalizing, total and anxiety problems in children aged 2.5 years. Our analysis suggests that enriched infant formula fed infants seem to show fewer behavioral problems up to 2.5 years compared to a standard infant formula-fed infants. In addition to type of early feeding, maternal IQ and educational level seem to play a key role on children behavioral development. PB MDPI YR 2020 FD 2020-12-15 LK http://hdl.handle.net/10668/4082 UL http://hdl.handle.net/10668/4082 LA en NO Nieto-Ruiz A, Diéguez E, Sepúlveda-Valbuena N, Herrmann F, Cerdó T, López-Torrecillas F, et al. The Effects of an Infant Formula Enriched with Milk Fat Globule Membrane, Long-Chain Polyunsaturated Fatty Acids and Synbiotics on Child Behavior up to 2.5 Years Old: The COGNIS Study. Nutrients. 2020 Dec 15;12(12):3825 DS RISalud RD Apr 10, 2025