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- W4252051264 abstract "To the Editor.—In this large randomized trial on breastfeeding by Kramer et al,1 early breastfeeding did not have any significant effect on behavioral outcomes at the age of 6.5 years. The effects of breastfeeding were assessed by comparing the outcomes in 2 cohorts: 1 with an intervention to promote breastfeeding and 1 with standard care. The biggest impact of the intervention was an enhanced rate of exclusive breastfeeding at 3 months (43.3% vs 6.4%). However, the majority of infants in both groups were still partially breastfed at 3 months (72.7% in the intervention group vs 60% in the controls). Subsequently, the rates of breastfeeding declined in both groups, so that at 12 months it was 19.7% in the intervention group and 11.4% in the control group, a difference of only 8.3%.These data were analyzed by cohorts of infants, defined by whether they received breastfeeding promotion. Given the relatively modest differences in breastfeeding rates between the cohorts, for any impact of breastfeeding on behavior to be identifiable by using this methodology the effect would have to have been profound. A more logical approach would be to compare those children who were exclusively breastfed or breastfed for longer with those who were never breastfed. Selection bias could be addressed by using logistic regression analysis of socioeconomic factors and maternal education to identify whether there is an independent effect of breastfeeding on behavior. This would be feasible given the impressive sample size of this study." @default.
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- W4252051264 date "2008-08-01" @default.
- W4252051264 modified "2023-09-30" @default.
- W4252051264 title "Effects of Prolonged and Exclusive Breastfeeding on Childhood Behavior and Maternal Adjustment: Evidence From a Large Randomized Trial" @default.
- W4252051264 doi "https://doi.org/10.1542/peds.2008-1476" @default.
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