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The Straight Story

(48,121 posts)
Fri Feb 28, 2014, 06:43 AM Feb 2014

Study: Breast Feeding No Better Than Bottle Feeding For Kids’ Health

COLUMBUS, Ohio (CBS Cleveland) – Breast feeding may not be best for raising healthy children, says a new study.

Researchers at Ohio State University looked at siblings who were fed differently as infants.

The study measured 11 outcomes that are common to other studies of breast-feeding’s effects: body mass index, obesity, asthma, hyperactivity, parental attachment and behavior compliance, as well as scores predicting academic achievement in vocabulary, reading recognition, math ability, intelligence and scholastic competence.

They found breast-feeding was no more beneficial than bottle-feeding for 10 of the 11 long-term health and well-being outcomes in children age 4 to 14. The 11th was asthma, which was associated more with breast-feeding than with bottle-feeding.

The study also included an analysis of families from different races and socioeconomic circumstances. Those results matched other studies suggesting that breast-feeding’s benefits to children outweigh bottle-feeding.

“Many previous studies suffer from selection bias. They either do not or cannot statistically control for factors such as race, age, family income, mother’s employment – things we know that can affect both breast-feeding and health outcomes,” said lead author Cynthia Colen, an assistant professor of sociology at Ohio State University. “Moms with more resources, with higher levels of education and higher levels of income, and more flexibility in their daily schedules are more likely to breast-feed their children and do so for longer periods of time.”

http://cleveland.cbslocal.com/2014/02/27/study-breast-feeding-no-better-than-bottle-feeding-for-kids-health/

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Study: Breast Feeding No Better Than Bottle Feeding For Kids’ Health (Original Post) The Straight Story Feb 2014 OP
Brace yourselves Recursion Feb 2014 #1
That was my first thought! get the red out Feb 2014 #10
I wonder if the study was funded by a company that produces baby formula. bulloney Feb 2014 #2
Science with an agenda jollyreaper2112 Feb 2014 #9
Moms Rule WovenGems Feb 2014 #19
Key sentence regarding the study here: PotatoChip Feb 2014 #3
Actually - the immunological benefits is one the study still acknowledges Ms. Toad Feb 2014 #6
Well that's just it. PotatoChip Feb 2014 #12
The immunological benefits go away pretty quickly. jeff47 Feb 2014 #29
Jeff47? Google is your friend. You've got to stop vanlassie Mar 2014 #85
Are you now going to claim antibodies are enzymes too? (nt) jeff47 Mar 2014 #87
No. vanlassie Mar 2014 #88
I'd be curious to know about REAL long term outcomes Crunchy Frog Mar 2014 #42
It's clear. Bottle feeding pumps more money postulater Feb 2014 #4
Nailed it. Ilsa Feb 2014 #7
Yeah, because... pipi_k Feb 2014 #18
Sometimes it is. postulater Feb 2014 #20
I don't think this is one of them. HappyMe Feb 2014 #21
Of course it is up to the mother. postulater Feb 2014 #23
And they get to decide under the heavy influence Crunchy Frog Mar 2014 #43
Yes, and also the HappyMe Mar 2014 #44
I wish we could have traded. Crunchy Frog Mar 2014 #49
I don't know the effects of anesthesia HappyMe Mar 2014 #52
It was a spinal. Crunchy Frog Mar 2014 #56
I had the full knocked out cold anesthesia. HappyMe Mar 2014 #57
lmao! nt ecstatic Mar 2014 #60
Do you support businesses bombarding them with false info? joeglow3 Mar 2014 #47
Bombarding? HappyMe Mar 2014 #48
My wife has 15 years experience and sees it a lot joeglow3 Mar 2014 #50
I can only speak for my ob/gyn and myself. HappyMe Mar 2014 #53
What I Get Out of This Is Dirty Socialist Feb 2014 #5
Exactly: paid leave & free breast pump & supplies. CottonBear Feb 2014 #14
Just feed them. My Good Babushka Feb 2014 #8
It was only within families that the benefits of breast feeding were less observable. morningfog Feb 2014 #11
Basically, it's telling mothers to relax because the kids will be all right mainer Feb 2014 #13
I agree. HappyMe Feb 2014 #17
But it doesn't address the health of babies from 0 - 4, which mothers presumably pnwmom Feb 2014 #27
The Study is here but it is pay to view (I think it is $39). I am interested but not $39 interested. stevenleser Feb 2014 #15
Several who have read the study are saying vanlassie Feb 2014 #16
Yep, when I hadn't heard of the journal I looked at it more closely. moriah Mar 2014 #64
This is a response to the study by someone well qualified to respond. vanlassie Mar 2014 #67
Bottle feeding Aerows Feb 2014 #22
Yeah, but you'll never see a bottle of formula on the cover of Sports Illustrated. aikoaiko Feb 2014 #24
Real irony: years ago, there was a boycott of Nestles for handing out free samples hedgehog Feb 2014 #25
How many "poor" women in this country have the novelty to even spend more than glowing Feb 2014 #28
Unfortunately, there are still a lot of young mothers in some places who hedgehog Mar 2014 #36
Message auto-removed Name removed Mar 2014 #40
yeah. laundry_queen Mar 2014 #61
I work with people from Canada, Brazil, England, South Korea and Switzerland. hedgehog Mar 2014 #63
'more modern, scientific' of course you don't mean that our science DebJ Mar 2014 #45
Yes - "more scientific" was used as a sales point throughout the hedgehog Mar 2014 #62
So? Why didn't they study the health of babies and toddlers who were being breastfed pnwmom Feb 2014 #26
Because they were studying long-term effects. jeff47 Feb 2014 #30
That's not true. Older babies still benefit from antibodies, just not to the same extent pnwmom Feb 2014 #31
That doesn't come from antibodies. jeff47 Feb 2014 #33
Yes, it does. The breastmilk continues to contain antibodies, although, yes, it is less dense pnwmom Feb 2014 #34
That's why I said after about 3 months jeff47 Mar 2014 #37
Link please? I've searched for anything backing up your theory, and haven't found it. pnwmom Mar 2014 #39
Lysozyme isn't an antibody. jeff47 Mar 2014 #69
Babies are still "infants" when they're 4, 5, and 6 months old. Even older. pnwmom Mar 2014 #72
The official label stops at 3 months. jeff47 Mar 2014 #74
Let's suppose you're right. The infant/baby is still protected by factors in the mother's milk pnwmom Mar 2014 #78
No, the OP study isn't talking about that either. jeff47 Mar 2014 #80
They only measured some long-term benefits. And they stopped at age 14. pnwmom Mar 2014 #82
The idea was to look for things that are frequent secondary effects jeff47 Mar 2014 #83
My sister was the biggest talker in the family, and still is. pnwmom Mar 2014 #84
Jeff37. What evidence do you have for your beliefs about the human immune system? vanlassie Mar 2014 #65
Every single book and pamphlet doctors have been handing me jeff47 Mar 2014 #68
Surely you must have a link then. n/t pnwmom Mar 2014 #70
Because you think I scan and upload them? (nt) jeff47 Mar 2014 #71
Because I think you can google as well as anyone else, and cut and paste a link. pnwmom Mar 2014 #73
You mean like this link, showing lysozyme isn't an antibody? jeff47 Mar 2014 #75
But some enzymes are antibodies. pnwmom Mar 2014 #76
Nope. jeff47 Mar 2014 #77
I did not say that all antibodies did that. Logically, there is a key difference pnwmom Mar 2014 #79
If you say antibodies are enzymes, then you are saying that. jeff47 Mar 2014 #81
They also didn't define the duration, or look at the morningfog Feb 2014 #32
I think either are fine. And Mothers should feel no guilt Autumn Feb 2014 #35
The last paragraph in the article says it all. LiberalAndProud Mar 2014 #38
We have had one of each hack89 Mar 2014 #41
Did the article discuss the psychological impact of breast-feeding? DebJ Mar 2014 #46
I agree, no better, no worse for average mother and child…Mom's who want and can't/don't prob feel Tikki Mar 2014 #51
I would imagine that if the mom is feeling pressured, HappyMe Mar 2014 #54
My poor daughter in law tried and tried to breastfeed mainer Mar 2014 #58
Jaundice in breastfed babies, if it raises above normal limits, (because bilirubin has what is now vanlassie Mar 2014 #66
Did they account for whether or not the breastfeeding was done at Olive Garden? Silent3 Mar 2014 #55
Disagree. ananda Mar 2014 #59
as a Michigan fan I find this Ohio State produced study flawed nt alp227 Mar 2014 #86

jollyreaper2112

(1,941 posts)
9. Science with an agenda
Fri Feb 28, 2014, 08:10 AM
Feb 2014

That was my first thought. Second thought was egg studies. The scientists mean well but keep contradicting themselves. Eggs are bad, eggs are good, maybe eggs are bad again? Ugh!

PotatoChip

(3,186 posts)
3. Key sentence regarding the study here:
Fri Feb 28, 2014, 07:10 AM
Feb 2014
They found breast-feeding was no more beneficial than bottle-feeding for 10 of the 11 long-term health and well-being outcomes in children age 4 to 14.
.

They are looking at long term outcomes, starting at age 4. I'm no medical expert, but I've always understood the benefits of breastfeeding to be most evident from infancy to toddler age because of the immunities provided by colostrum. By about age 3 or 4, I would assume there is a leveling of immunological benefits to that of the child's peers.

Ms. Toad

(34,126 posts)
6. Actually - the immunological benefits is one the study still acknowledges
Fri Feb 28, 2014, 07:25 AM
Feb 2014

And the other things the study looks at are long term benefits (not short term), which are associated with breast feeding.

But I couldn't find the article itself - and I never trust reporting on an article to be accurate. All sorts of things may impact whether the report matches the article (reporters often get things wrong), or (if it does) whether the article itself has any validity.

In this case, I would wonder about the fact that the researcher is a sociologist, the size of the study, the order of birth, and changed family circumstances from one child to the next, accuracy of memory (it appears to be a retroactive study).

PotatoChip

(3,186 posts)
12. Well that's just it.
Fri Feb 28, 2014, 08:27 AM
Feb 2014

I'm glad you pointed out that the researcher is a sociologist, as well as reiterating the fact that this is a study about long term, as opposed to short term benefits.

I don't think anyone can dispute the fact that there is definitely, from a biological standpoint, short term benefit which makes breastfeeding well worth it. If the mother can do it. (Many can't for a variety of reasons, and there should be no shame in that). But while the study may acknowledge the immunological benefits, I don't see how it can play much of a positive role in research that is focusing on long term outcomes.

In other words, I've always been of the opinion that most, if not all, of the benefits are short term in nature anyway.

I've heard of studies in the past that suggested long term benefit, but have always been much more dubious about those, for the same reasons the researcher lays out. However, I too would like to know more about the particulars.

jeff47

(26,549 posts)
29. The immunological benefits go away pretty quickly.
Fri Feb 28, 2014, 07:07 PM
Feb 2014

After 2-3 months, the baby's digestive tract is developed enough to destroy the antibodies in breast milk. So they can't help provide immunity after that point, they can only provide protein.

vanlassie

(5,695 posts)
88. No.
Tue Mar 4, 2014, 12:00 AM
Mar 2014

I'm "claiming" that you have made a silly, easily refuted statement about breastmilk.
Here it is:

"The immunological benefits go away pretty quickly.
After 2-3 months, the baby's digestive tract is developed enough to destroy the antibodies in breast milk. So they can't help provide immunity after that point, they can only provide protein."

You have no evidence to back this up. Is that why you want to change the subject?

Crunchy Frog

(26,713 posts)
42. I'd be curious to know about REAL long term outcomes
Sat Mar 1, 2014, 01:30 PM
Mar 2014

Like 50 or 60 years or more. Are there different rates of things like type 2 diabetes or heart disease? Differences in age at onset of dementia? Things like that. We have no idea of the true long term effects of suboptimal nutrition in infancy.

And I say this as someone who had to mostly formula feed due to low milk production.

postulater

(5,075 posts)
4. It's clear. Bottle feeding pumps more money
Fri Feb 28, 2014, 07:10 AM
Feb 2014

through the economy, so it's better.

Anything to make a profit. It's all that matters.

Ilsa

(61,712 posts)
7. Nailed it.
Fri Feb 28, 2014, 07:27 AM
Feb 2014

The message is intended to mislead the target market of new mothers. Infants and toddlers who are breastfed have lower rates of many other childhood illnesses, fewer doctor visits, etc. And it is quite essential for preemies for brain and retinal development. Plus, preemies fed artificial formulas are more likely to develop severe intestinal problems.

Someone has formula to sell.

pipi_k

(21,020 posts)
18. Yeah, because...
Fri Feb 28, 2014, 11:16 AM
Feb 2014

pumping more money through the economy so people have jobs that support them and their families is a very bad thing...


postulater

(5,075 posts)
23. Of course it is up to the mother.
Fri Feb 28, 2014, 06:09 PM
Feb 2014

My wife is a certified nurse midwife and a lactation consultant. She helps new moms with their decisions.
Just saying there's money in marketing formula and there is way less available to help mom's figure it out, one way or another.

HappyMe

(20,277 posts)
44. Yes, and also the
Sat Mar 1, 2014, 01:42 PM
Mar 2014

pressure and near bullying of the la leche people. I wasn't even awake yet (c section, cut from the navel down) and there they were! I opened my eyes expecting to see my sister, my cousin and my new sons. Nope. I had them removed.

Crunchy Frog

(26,713 posts)
49. I wish we could have traded.
Sat Mar 1, 2014, 01:53 PM
Mar 2014

They didn't even send a lactation consultant or breast pump for almost two days after they delivered my twins via c-section, and I believe that had something to do with my failure to ever build up a decent supply.

Of course, I should have taken the initiative and said something right away, but I was a little disoriented, what with the premature delivery, c-section and preeclampsia.

It would be nice if they could find some sort of middle ground between bullying and total neglect.

HappyMe

(20,277 posts)
52. I don't know the effects of anesthesia
Sat Mar 1, 2014, 02:09 PM
Mar 2014

or how long it stays in the body. Maybe that's why they didn't send someone to you sooner.

I was in the hospital for 5 days, because I was a single mom they wanted to make sure I could get around without pain or yanking out the staples. I saw them again on one of my walks down the hall. One of them started to say something to me, but didn't.

Please don't think of yourself in terms of "failure". You didn't fail anything.

Crunchy Frog

(26,713 posts)
56. It was a spinal.
Sat Mar 1, 2014, 02:32 PM
Mar 2014

I was a doula for a woman who had twins via c-section with exactly the same anesthetic and in the same hospital. They had her breastfeeding both babies within the hour. They as much as admitted to me later on that the reason for the delay was that I got lost in the shuffle and they simply forgot about me.

And I'm not thinking of myself in terms of "failure". Only my ability to build up a decent milk supply, which certainly was a failure. I don't feel any "guilt" or "failure" about my breastfeeding difficulties (and I did still partially breastfeed for around 6 months) but I do feel a sense of loss and regret, and will not allow anyone to tell me how I "should" feel about it.

HappyMe

(20,277 posts)
57. I had the full knocked out cold anesthesia.
Sat Mar 1, 2014, 02:36 PM
Mar 2014

I'm sorry that you took what I said about failure the wrong way. I wasn't trying to tell you how to feel, I misunderstood what you said.

HappyMe

(20,277 posts)
48. Bombarding?
Sat Mar 1, 2014, 01:48 PM
Mar 2014

I was never bombarded with false info during my pregnancy or after.

My sons are no less healthy for being bottle fed.

 

joeglow3

(6,228 posts)
50. My wife has 15 years experience and sees it a lot
Sat Mar 1, 2014, 01:55 PM
Mar 2014

She worked in newborn nursery at a hospital for a number of years and now works at an OB/GYN office. She sees the misleading info from lots of reps.

Dirty Socialist

(3,252 posts)
5. What I Get Out of This Is
Fri Feb 28, 2014, 07:24 AM
Feb 2014

Among other things, this is another reason for more leave for new mothers, esp. PAID leave.

CottonBear

(21,597 posts)
14. Exactly: paid leave & free breast pump & supplies.
Fri Feb 28, 2014, 08:45 AM
Feb 2014

Poor & working moms can't afford to breast feed. All new moms should have access to lactation nurses, receive a breast pump, bottles, storage containers, & all of the other supplies necessary to continue breastfeeding after the return to work. All work places should provide a room to feed or pump & a fridge to store pumped milk.

It is almost impossible for many moms to continue to breastfeed after 6 weeks.

The access to lactation counseling & support is critical. I think home visits would be great.

I was fortunate to be able to breastfeed my child. It was harder than I thought it would be. My lactation nurse & my pediatrician helped us to learn together. (my little guy did not want to nurse efficiently at first.) We did great after a bumpy start. He weaned himself at 18 months. We did supplement with formula as needed. He is now a big and healthy preschooler!

My Good Babushka

(2,710 posts)
8. Just feed them.
Fri Feb 28, 2014, 07:38 AM
Feb 2014

They'll be all right. I was on 2% milk as an infant because I threw everything else up. I should be a gibbering, sickly dullard, by some accounts but I've done all right. I breast fed one of my sons for half a year, the other son had reflux, refused to nurse, and it took us a while to find a formula he would accept. I don't even remember what it was we landed on. They are both doing fine, healthy, A students. Just feed them and love them.

 

morningfog

(18,115 posts)
11. It was only within families that the benefits of breast feeding were less observable.
Fri Feb 28, 2014, 08:25 AM
Feb 2014

Another thing, this study doesn't take into account the physical, mental and emotional health benefits to the mother.

Nor does it consider the effect of breast-feeding on infant and toddler health and development (i.e. number of sicknesses, ear infections, etc.).

mainer

(12,037 posts)
13. Basically, it's telling mothers to relax because the kids will be all right
Fri Feb 28, 2014, 08:40 AM
Feb 2014

Young moms feel guilty when they can't maintain breastfeeding, for whatever reason. This study will at least help them not feel guilty, which is a good thing.

I felt like such a failure when I couldn't exclusively breastfeed my kids beyond a few weeks. Exhaustion from every-two-hour feedings, 24 hours a day, took its toll. I'm sure sleep deprivation is the main reason for postpartum depression.

HappyMe

(20,277 posts)
17. I agree.
Fri Feb 28, 2014, 10:07 AM
Feb 2014

I had twins. It was just too many mouths to feed and my body couldn't keep up. My sons are happy, healthy 27 year olds.

This is one of those issues that I think others should just not poke their noses into. It doesn't do any new mom any good to be made to feel guilty or like she's a bad person.

pnwmom

(109,024 posts)
27. But it doesn't address the health of babies from 0 - 4, which mothers presumably
Fri Feb 28, 2014, 06:26 PM
Feb 2014

also care about.

vanlassie

(5,695 posts)
16. Several who have read the study are saying
Fri Feb 28, 2014, 09:30 AM
Feb 2014

that as is often the case, the term "breastfed" is not clearly defined among the siblings, nor was duration nailed down.

The article is sensationalized, naturally.

moriah

(8,311 posts)
64. Yep, when I hadn't heard of the journal I looked at it more closely.
Sat Mar 1, 2014, 04:28 PM
Mar 2014

JMHO but if there's no difference and breastfeeding is cheaper and other studies have shown it to be better for early childhood development, that's what I'd choose.

 

Aerows

(39,961 posts)
22. Bottle feeding
Fri Feb 28, 2014, 04:57 PM
Feb 2014

affects the development of teeth, and can cause jaw problems in developing infants. That is undisputed in dentistry.

hedgehog

(36,286 posts)
25. Real irony: years ago, there was a boycott of Nestles for handing out free samples
Fri Feb 28, 2014, 06:21 PM
Feb 2014

of baby formula to new mothers in the 3rd world. The mothers used the formula because it was more modern, scientific and (for some) allowed them to work and leave the baby with others. The problems were that the formula was mixed with impure water and/or was watered down because the mother couldn't afford to buy enough. 3rd world babies were better off being nursed - human milk from the breast was generally safer and more nutritious.

So - for irony - Welcome to the new 1st World: the convenience store in town keeps the formula under the counter - too many people were stealing it because they didn't have the cash to buy it. (and BTW - we're talking mostly poor whites here). If someone had taken the time and effort to offer proper teaching, maybe some of these mothers could have nursed their babies.

 

glowing

(12,233 posts)
28. How many "poor" women in this country have the novelty to even spend more than
Fri Feb 28, 2014, 06:29 PM
Feb 2014

6 wks away from work, let alone, have the privelege of being able to nurse their babies or have a job that allow them to pump their milk thru their shift, store the breast milk in a work fridge, and also afford a pump (they aren't cheap).

hedgehog

(36,286 posts)
36. Unfortunately, there are still a lot of young mothers in some places who
Sat Mar 1, 2014, 12:17 PM
Mar 2014

are not employed. Truthfully, they need an opportunity to be in school somewhere with a day care center.

Response to glowing (Reply #28)

laundry_queen

(8,646 posts)
61. yeah.
Sat Mar 1, 2014, 04:03 PM
Mar 2014

I'll start out here with a preface - I was once upon a time a 'militant' breastfeeding advocate. I breastfed all 4 of my kids in terms of years. And although their dad has allergies, as do I (and I have asthma too) our kids are insanely health and no asthma in any of them, even though statistically with 2 parents with allergies, there should be something with allergies of some kind in at least half of them. But nothing. I think breastfeeding babies is one of the best decisions you can make for your kids - and I had to work hard at it too, it didn't come easy for me, that's for sure. Name the breastfeeding problem, I had it. But I was determined. I think too many women give up too easily.

That said - what you say is also true. 6 weeks away from work is fucking pitiful. I live in Canada where mat leave is a whole YEAR. Honestly, if I had a baby and knew I had to get back to work in 6 weeks, I'm not sure I'd bother with breastfeeding. At 6 weeks we were JUST getting 'in the groove' of breastfeeding. Going to work at that point would've destroyed the 'relationship' anyway. It would've been beyond stressful to try to keep it up. Also, my kids ALL refused a bottle at that point...I can't imagine having to switch them to a bottle while I was at work...there would've been a week or 2 of total, all out screaming 'round the clock while they starved themselves. No, if I knew I had to go back to work that early, I would've pumped but started them on a bottle right away and probably supplemented. I cannot see, even myself, a 'militant', trying to breastfeed in those circumstances.

To me, I think the problem is a lot of women, as you said, don't really HAVE a 'choice'. Breastfeeding should be a 'choice' but if, like you said, a woman has to go back to work before the breastfeeding relationship is solidified, a woman isn't accommodated at work, works shift work, isn't getting paid enough for a proper breastpump, has no where to store breastmilk, etc then it's no longer a 'choice'...she's being forced to do things a certain way as a means of survival and in this day and age, I see it as a woman's rights issue. Women should at least have the choice.

hedgehog

(36,286 posts)
63. I work with people from Canada, Brazil, England, South Korea and Switzerland.
Sat Mar 1, 2014, 04:26 PM
Mar 2014

To a person, they are fascinated and appalled at our lousy social safety net!

DebJ

(7,699 posts)
45. 'more modern, scientific' of course you don't mean that our science
Sat Mar 1, 2014, 01:43 PM
Mar 2014

is better than thousands of years of evolution? You were just referring to how this profit-making concept
was sold, right?

hedgehog

(36,286 posts)
62. Yes - "more scientific" was used as a sales point throughout the
Sat Mar 1, 2014, 04:25 PM
Mar 2014

20th century.

Of course, those supporting GMO crops have much better reasons than "it's more scientific".


Understand, I support real science, but object to anything new and/or man-made being labeled "more scientific".

pnwmom

(109,024 posts)
26. So? Why didn't they study the health of babies and toddlers who were being breastfed
Fri Feb 28, 2014, 06:24 PM
Feb 2014

instead of older children who were no longer benefiting from the mother's antibodies?

jeff47

(26,549 posts)
30. Because they were studying long-term effects.
Fri Feb 28, 2014, 07:11 PM
Feb 2014

And the baby's digestive tract breaks down mom's antibodies after about 3 months. So the benefit of those is only early on.

pnwmom

(109,024 posts)
31. That's not true. Older babies still benefit from antibodies, just not to the same extent
Fri Feb 28, 2014, 07:21 PM
Feb 2014

as infants, depending on how much they're still nursing.

The study in the OP doesn't change this research, because it only applies to children from 4 - 14, who are no longer breastfeeding.

From a government web site:

http://www.womenshealth.gov/breastfeeding/why-breastfeeding-is-important/

Breast milk fights disease – The cells, hormones, and antibodies in breast milk protect babies from illness. This protection is unique; formula cannot match the chemical makeup of human breast milk. In fact, among formula-fed babies, ear infections and diarrhea are more common. Formula-fed babies also have higher risks of:
Necrotizing (nek-roh-TEYE-zing) enterocolitis (en-TUR-oh-coh-lyt-iss), a disease that affects the gastrointestinal tract in preterm infants.
Lower respiratory infections
Asthma
Obesity
Type 2 diabetes
Some research shows that breastfeeding can also reduce the risk of Type 1 diabetes, childhood leukemia, and atopic dermatitis (a type of skin rash) in babies. Breastfeeding has also been shown to lower the risk of SIDS (sudden infant death syndrome).
Return to top

jeff47

(26,549 posts)
33. That doesn't come from antibodies.
Fri Feb 28, 2014, 09:31 PM
Feb 2014

Breast milk is less nutritionally dense, so the baby drinks more of it. Which means the baby is better hydrated. That is what helps with ear infections, diarrhea and similar diseases.

Or so we've been told 2 years ago, and again 4 months ago.

pnwmom

(109,024 posts)
34. Yes, it does. The breastmilk continues to contain antibodies, although, yes, it is less dense
Fri Feb 28, 2014, 10:35 PM
Feb 2014

with antibodies. On the other hand, the baby consumes a larger volume of milk, so continues to receive protection from the antibodies. It is a misconception that these antibodies are destroyed in the baby's digestive system.



http://blogs.plos.org/publichealth/2013/01/08/how-does-breastfeeding-protect-against-hiv/

Without human milk, infants are effectively missing a piece of their immune system; secretory IgA antibodies, for example, are abundant in milk and act in the infant’s gut. Proteins like lactoferrin have antimicrobial activity. The component that has been highlighted recently as preventing HIV transmission is a family of molecules made of strings of sugars. They’re called Human Milk Oligosaccharides.

Although they are made of sugar, HMOs aren’t digested by the infant.We used to think they must be “prebiotics” consumed by the bacteria that live in the baby’s gut, and that’s often true; one bug, Bifidobacterium infantis, consumes the lion’s share of the short-chain HMOs.

By tailoring the exact mix, moms are selecting particular types of bacteria for their child’s gut, in much the same way you can attract certain birds to your yard by the types of seed you put in your bird feeder. This explains, at least in part, why breastfed babies have dramatically different gut flora than babies that drink formula – even one bottle of formula can change their gut microbiome forever.

jeff47

(26,549 posts)
37. That's why I said after about 3 months
Sat Mar 1, 2014, 12:27 PM
Mar 2014
Without human milk, infants are effectively missing a piece of their immune system

Initially. That is no longer the case after about 3 months. That also corresponds to about the same time that the digestive tract really gets going.

Initially, the baby's stomach and duodenum do almost nothing. So antibodies and other proteins can pass through and get absorbed into the infant's bloodstream.

But after a few months, the stomach and duodenum start working close to an adult's stomach and duodenum. Stomach acid and digestive enzymes completely denature and digest proteins, such as antibodies. Which means those antibodies can no longer do their original job. It's also why "spit up" changes from mostly liquid to curdled goo.

pnwmom

(109,024 posts)
39. Link please? I've searched for anything backing up your theory, and haven't found it.
Sat Mar 1, 2014, 01:19 PM
Mar 2014

You said: "And the baby's digestive tract breaks down mom's antibodies after about 3 months. " According to the source below, "like many other host resistance factors in human milk, Lysozyme is relatively resistant to proteolysis and to denaturation resulting from the high acidity within the stomach."

http://books.nap.edu/openbook.php?record_id=1577&page=134

Many of the whey proteins in human milk have direct protective effects against infection. Lactoferrin, one of the dominant whey proteins in human milk throughout lactation (Table 6-5) (Butte et al., 1984a; Goldman et al., 1982, 1983a,b), inhibits the multiplication of siderophilic (iron-absorbing) bacteria by competing with these microorganisims for ferric iron (Bullen et al., 1978; Stephens et al., 1980).

SNIP

Lysozyme is a protein in human milk that affords protection in two different ways: it breaks down susceptible bacteria by cleaving peptidoglycans from their cell walls (Chipman and Sharon, 1969), and it acts in concert with other components in human milk to kill microbial pathogens. High concentrations of this protein are found in human milk throughout lactation (Butte et al., 1984b; Goldman et al., 1982, 1983a,b), whereas concentrations in cow's milk are very much lower. Like many other host resistance factors in human milk, lysozyme is relatively resistant to proteolysis and to denaturation resulting from the high acidity within the stomach.

http://pediatrics.aappublications.org/content/119/5/941.full

The protection conferred by breastfeeding was related to the levels of IgA class enterovirus antibodies in breast milk, which seemed to be more important than transplacentally acquired antibodies. This is logical, because the primary replication of enteroviruses occurs in gut mucosa, where breast milk antibodies can directly neutralize the virus in the intestine and prevent its subsequent spread to the circulation. The protective effect was related to exclusive breastfeeding rather than total breastfeeding, suggesting that there may be a dose-effect related to the greater amount of breast milk ingested by exclusively breastfed infants. In addition, protection correlated with enterovirus IgA levels, supporting true biological effect rather than the influence of potential confounding factors, like family size or socioeconomic status.

http://adc.bmj.com/content/78/3/235.full

We have shown that mothers maintain a steady output of IgA throughout the first year of lactation, that there is a difference in the concentration of IgA secreted by each breast, and there is a variation throughout the year according to season. The seasonal changes are due more to fluctuations in milk IgA concentrations than the weights of milk ingested. These findings confirm and extend those of other studies of lactating mothers in both the developing and developed world,4-6 and underline the potential value of prolonged breast feeding in infancy. Human milk has been shown to confer protection against several enteric and respiratory infections,2 8 and in circumstances of poor hygiene and high risk of infection it is likely to be of significant importance to the suckling infant.

IgA acts at the mucosal surface of the gastrointestinal tract to protect against potentially harmful microbial and food antigens. Although the infants continued to ingest a constant amount of IgA each day, the amount relative to body weight decreased. The length of the small intestine increases by 56% during the first year of postnatal life, in parallel with an increase in body weight of 55% and length of 50%.9 IgA survives passage through the gastrointestinal tract10 and its detection in the faeces of breast fed infants throughout the first year suggests that the amounts ingested remain sufficient to provide mucosal protection in spite of the increasing surface area of the gastrointestinal tract.

jeff47

(26,549 posts)
69. Lysozyme isn't an antibody.
Mon Mar 3, 2014, 01:46 PM
Mar 2014
Many of the whey proteins in human milk have direct protective effects against infection. Lactoferrin, one of the dominant whey proteins in human milk throughout lactation (Table 6-5) (Butte et al., 1984a; Goldman et al., 1982, 1983a,b), inhibits the multiplication of siderophilic (iron-absorbing) bacteria by competing with these microorganisims for ferric iron

Hey look, that's also not an antibody.

The protective effect was related to exclusive breastfeeding rather than total breastfeeding, suggesting that there may be a dose-effect related to the greater amount of breast milk ingested by exclusively breastfed infants

Guess when babies stop being labeled "infants"? 3 months.

Look, what I'm talking about is the parts of the immune system that operate in the infant's blood. Yes, breast milk can do other stuff in the digestive tract. But those chemicals can't pass into the infant's blood after about 3 months.

As for sources, I'm repeating what I've been told from multiple lactation consultants, doctors, and nurses. For some reason, they decided to chat on the subject over the last two years. Might have something to do with our kids being born during that window.

pnwmom

(109,024 posts)
72. Babies are still "infants" when they're 4, 5, and 6 months old. Even older.
Mon Mar 3, 2014, 02:06 PM
Mar 2014

And, ideally, babies are supposed to be exclusively breastfed until they're 6 months old.

Those proteins that have direct protective effects against infection continue throughout lactation, though depending on how much milk the baby is still consuming, s/he will receive less as time goes on.

Also, lysozyme is an antibody. Your conversations with your experts have left you uninformed. If you could prove your opinions with links, I'm sure you'd have done that by now.

dictionary.com

in·fant
noun
1.
a child during the earliest period of its life, especially before he or she can walk; baby.

http://en.wikipedia.org/wiki/Lysozyme

Lysozymes, also known as muramidase or N-acetylmuramide glycanhydrolase, are glycoside hydrolases. These are enzymes (EC 3.2.1.17) that damage bacterial cell walls by catalyzing hydrolysis of 1,4-beta-linkages between N-acetylmuramic acid and N-acetyl-D-glucosamine residues in a peptidoglycan and between N-acetyl-D-glucosamine residues in chitodextrins. Lysozyme is abundant in a number of secretions, such as tears, saliva, human milk, and mucus. It is also present in cytoplasmic granules of the polymorphonuclear neutrophils (PMNs). Large amounts of lysozyme can be found in egg white. C-type lysozymes are closely related to alpha-lactalbumin in sequence and structure, making them part of the same family. In humans, the lysozyme enzyme is encoded by the LYZ gene.[1][2]

http://www.antibodies-online.com/abstract/Lysozyme+(LYZ)+ELISA+Kit/

Lysozyme (LYZ) ELISA Kit Abstract
LYZ encodes human lysozyme, whose natural substrate is the bacterial cell wall peptidoglycan (cleaving the beta[1-4]glycosidic linkages between N-acetylmuramic acid and N-acetylglucosamine). antibodies-online currently ships Lysozyme (LYZ) Antibodies (158), and to destinations worldwide.

jeff47

(26,549 posts)
74. The official label stops at 3 months.
Mon Mar 3, 2014, 02:25 PM
Mar 2014

The fact that we don't generally stick with the official label when talking doesn't change the official label. An article in a journal is going to stay with the official label, or explicitly state the age.

Those proteins that have direct protective effects against infection continue throughout lactation, though depending on how much milk the baby is still consuming, s/he will receive less as time goes on.

And not in the blood. Because it can't get through the intestines into the blood after about 3 months.

You are talking about a different thing than I am talking about. They fall under the same broad heading, but we're talking about different details.

To use an example from a less-interesting field, we're both talking about income taxes. You're talking about a line on 1040A, and I'm talking about a line on 1040 schedule A. They're different in detail, despite sounding similar and being under the same overall subject.

Your conversations with your experts have left you uninformed.

No, we are talking about different subtleties of a large and complex system.

If you could prove your opinions with links, I'm sure you'd have done that by now.

Let's pretend I go dig up links that show what I'm talking about. You will first argue that they are wrong, thanks to your links that appear to differ. Then we'll have to talk about it enough to get across that you and I are talking about different details.

Frankly, I'm not interested in putting forth the effort.

pnwmom

(109,024 posts)
78. Let's suppose you're right. The infant/baby is still protected by factors in the mother's milk
Mon Mar 3, 2014, 02:32 PM
Mar 2014

throughout lactation.

The study in the OP only looked at babies POST lactation, ages 4 - 14, so it is not considering the benefits to the baby's health while it is still nursing.

jeff47

(26,549 posts)
80. No, the OP study isn't talking about that either.
Mon Mar 3, 2014, 02:39 PM
Mar 2014
The study in the OP only looked at babies POST lactation, ages 4 - 14, so it is not considering the benefits to the baby's health while it is still nursing.

They were trying to measure if there were long-term benefits. If there was something in nursing that carried through to the child's post-lactation life. There does not appear to be.

That does not say anything about the benefits while the baby is nursing. It appears those benefits are short-lived. But that does not mean there are no benefits.

pnwmom

(109,024 posts)
82. They only measured some long-term benefits. And they stopped at age 14.
Mon Mar 3, 2014, 02:46 PM
Mar 2014

My sister, who wasn't breast fed, had multiple ear infections that left her with a hearing loss in one ear. I don't see that in the list of items they were looking at.

"body mass index, obesity, asthma, hyperactivity, parental attachment and behavior compliance, as well as scores predicting academic achievement in vocabulary, reading recognition, math ability, intelligence and scholastic competence."

And there could be other factors, such as adult obesity, that wouldn't be shown in this study. I just read research appearing to show that babies who are born as a result of c-sections have an increased risk of obesity as adults.

The study in the OP only shows that certain factors in children in a certain age-range aren't affected by breastfeeding. That's all it shows.

jeff47

(26,549 posts)
83. The idea was to look for things that are frequent secondary effects
Mon Mar 3, 2014, 02:57 PM
Mar 2014

For example, that hearing loss should have affected "scores predicting academic achievement in vocabulary", which would affect "scores predicting (...) scholastic competence." Hearing loss slows language acquisition.

That's why they chose such broad categories. Instead of trying to run down every single possible effect, they picked things that can be affected by many things. If they had found a higher or lower rate of "achievement in vocabulary", then a follow-up study would try to figure out why.

As for your specific example, we could also use my sister as an example if you'd like. She was breast fed. Damn near every single cold during her childhood became an ear infection. So that would kind of indicate breast feeding wouldn't have altered your sister's outcome. Though we'd need data instead of anecdotes to really sort that out.

pnwmom

(109,024 posts)
84. My sister was the biggest talker in the family, and still is.
Mon Mar 3, 2014, 03:01 PM
Mar 2014

Last edited Mon Mar 3, 2014, 04:44 PM - Edit history (2)

She's also just as bright as everyone else, even though she was discovered to have a hearing loss in one of her ears -- the one that kept getting infected. Fortunately, she has two ears.

There have been lots of studies that show that breastfed infants have fewer ear infections. You're not really going to dispute that, are you?

Again, the study in the OP didn't make the global claims that some think it made. It studied a limited number of factors in a limited age-group. That's it.

Many other studies have shown benefits, both to this age group and to adults.

http://www.nrdc.org/breastmilk/benefits.asp

Breast-fed children are less likely to contract a number of diseases later in life, including juvenile diabetes, multiple sclerosis, heart disease, and cancer before the age of 15

pnwmom

(109,024 posts)
73. Because I think you can google as well as anyone else, and cut and paste a link.
Mon Mar 3, 2014, 02:15 PM
Mar 2014

But maybe you can't, since you think lysozyme isn't an antibody.

jeff47

(26,549 posts)
75. You mean like this link, showing lysozyme isn't an antibody?
Mon Mar 3, 2014, 02:27 PM
Mar 2014
http://en.wikipedia.org/wiki/Lysozyme

Function

The enzyme functions by attacking peptidoglycans...


Antibodies are not enzymes. They do not catalyze reactions.

pnwmom

(109,024 posts)
79. I did not say that all antibodies did that. Logically, there is a key difference
Mon Mar 3, 2014, 02:35 PM
Mar 2014

between saying an antibody is an enzyme and a certain enzyme is an antibody.

You can even buy lysozyme at antibodies-online

http://www.antibodies-online.com/abstract/Lysozyme+(LYZ)+ELISA+Kit/

Lysozyme (LYZ) ELISA Kit Abstract
LYZ encodes human lysozyme, whose natural substrate is the bacterial cell wall peptidoglycan (cleaving the betaglycosidic linkages between N-acetylmuramic acid and N-acetylglucosamine). antibodies-online currently ships Lysozyme (LYZ) Antibodies (158), and to destinations worldwide.

jeff47

(26,549 posts)
81. If you say antibodies are enzymes, then you are saying that.
Mon Mar 3, 2014, 02:44 PM
Mar 2014

Because that's what an enzyme is. A protein or protein-nucleotide hybrid that catalyzes chemical reactions.

You can even buy lysozyme at antibodies-online

Lysozyme (LYZ) ELISA Kit Abstract




An ELISA is a lab test that uses antibodies to detect a specific protein. This particular kit you linked is used to detect the presence of Lysozyme in a sample.

They are selling antibodies that bond to lysozyme. They are not saying lysozyme is an antibody.

ETA: Long story short, in an ELISA you stick an antibody to the bottom of a container. This antibody bonds to what you are looking for. You pour your solution over the container, and dump it out. Rinse with distilled water. If any of the thing you are looking for was in the solution, it is now stuck to the antibody, and thus still stuck to the container. You add another solution with marker antibodies. One end sticks to damn near any protein. The other end glows in the dark. You then rinse the container again. The marker will only be stuck where you found something. The container will glow in the dark if you found something, or not glow in the dark if you did not.
 

morningfog

(18,115 posts)
32. They also didn't define the duration, or look at the
Fri Feb 28, 2014, 07:30 PM
Feb 2014

Benefits to he mother. The study even confirms that all things being UNequal, breastfeeding is a significant benefit. In other words the benefit MAY be slight for middle class families with resources to compensate in many other ways. But the fact remains that in poor communities and these world countries, breastfeeding provides many measurable and durable advantages.

LiberalAndProud

(12,799 posts)
38. The last paragraph in the article says it all.
Sat Mar 1, 2014, 01:01 PM
Mar 2014
“I’m not saying breast-feeding is not beneficial, especially for boosting nutrition and immunity in newborns,” she added. “But if we really want to improve maternal and child health in this country, let’s also focus on things that can really do that in the long term – like subsidized day care, better maternity leave policies and more employment opportunities for low-income mothers that pay a living wage, for example.”


In the end, the argument over breast or bottle is rather petty, imo.

DebJ

(7,699 posts)
46. Did the article discuss the psychological impact of breast-feeding?
Sat Mar 1, 2014, 01:45 PM
Mar 2014

There is more face-to-face time. I wouldn't have traded breast-feeding my two children for anything.

Tikki

(14,562 posts)
51. I agree, no better, no worse for average mother and child…Mom's who want and can't/don't prob feel
Sat Mar 1, 2014, 01:58 PM
Mar 2014

sad and moms who don't want but feel pressure to do prob feel frustrated.

These emotions might affect baby more than certain nutrients or enzymes or connection time with baby.


Tikki

HappyMe

(20,277 posts)
54. I would imagine that if the mom is feeling pressured,
Sat Mar 1, 2014, 02:19 PM
Mar 2014

nervous or worried the baby would pick up on that.

I bottle fed my sons. I don't feel that there was any lack of connection time with them. I could not take my eyes off of their sweet little faces and talked to them softly the whole time. There is no love like that mama/baby love in the world.

mainer

(12,037 posts)
58. My poor daughter in law tried and tried to breastfeed
Sat Mar 1, 2014, 02:36 PM
Mar 2014

She was up every 2 hours for weeks, determined to do it. The baby didn't gain weight, got jaundiced (which is a known phenomenon among breastfed babies) and fell off the growth curve. Finally, her pediatrician told her to use the bottle.

Within 2 weeks that baby was gaining weight and sleeping 4 hours at a time. Now the baby's a healthy, chunky darling and mom isn't going psychotic from sleep deprivation.

So yeah. If you can breastfeed, that's great. But if you can't, then do what you need to do for baby to keep growing.

In caveman days, babies were raised in communities, and if a woman couldn't produce enough milk, there was probably some other nursing mother with a little extra. But today, there aren't any wet nurses handy, and if you don't have enough breast milk, your baby could starve if you don't supplement.

Breastfeeding and jaundice: http://www.nlm.nih.gov/medlineplus/ency/article/000995.htm

vanlassie

(5,695 posts)
66. Jaundice in breastfed babies, if it raises above normal limits, (because bilirubin has what is now
Sat Mar 1, 2014, 08:36 PM
Mar 2014

believed to be a normal antioxidive effect) is the result if "not enough breastmilk". In other words, it happens when mothers and babies don't get an optimal start with breastfeeding. It's too bad about your daughter in law and precious grand baby.

Silent3

(15,432 posts)
55. Did they account for whether or not the breastfeeding was done at Olive Garden?
Sat Mar 1, 2014, 02:30 PM
Mar 2014

Or perhaps in the presence of a pitbull?

ananda

(28,898 posts)
59. Disagree.
Sat Mar 1, 2014, 02:40 PM
Mar 2014

My understanding is that breast feeding is way better than bottle feeding,
unless there is some problem like a drug or toxin in the breast milk.

I think infants should have the bodily contact with the mother, feeling
her heartbeat and skin; and they get extra immunity and a lesser
propensity to obesity all during life.

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