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Pregnancy and Childbirth Postpartum

Breast-Fed Babies May Be Leaner


Author:

Steven Schwarz, MD

The Long Island College Hospital

Medically Reviewed On: May 22, 2001

Most of us have heard about the benefits of breast milk, and two recent studies are pointing to new reasons why breast is better than bottle. One study, by Harvard researchers, showed that the longer infants were breast-fed, the less likely they were to be overweight in adolescence. The second study, by government researchers, indicates that breast-fed infants tend to be leaner between the ages of three to five than formula-fed infants. The studies are published in the May 16 issue of the Journal of the American Medical Association.

But there are a number of reasons why some mothers are unable, or choose not to breast feed. Below, pediatrician Dr. Steven Schwarz offers parents some infant formula advice.

Commercial infant formula manufacturers have come very close to providing a similar content of amino acids (the building blocks of protein) fats and carbohydrate, to human breast milk. However, these human milk substitutes lack many compounds found in human milk, such as natural anti-infective agents, enzymes that aid in the digestion of nutrients, and trophic factors, which are proteins that stimulate cell growth and division.

Breast-fed infants have been shown to have a lower incidence of certain infections than formula-fed infants, and they may also have fewer allergies later in life. Clearly, breast is best. However, if you decide to use formula for your baby, commercially available products will support normal growth and development.

Choosing The Right Formula For Your Baby
Casein, whey, soy, hydrolyzed, lactose, sucrose, disaccharide-free, lactose-free, hypoallergenic-these are but a few of the unfamiliar words on formula labels. The vast majority of babies fed a human milk substitute are given modified cow milk or soy protein-based formula.

Cow milk protein contains two major componentscasein and whey. Remember the childhood fable, "Little Miss Muffett, sat on a tuffet, eating her curds and whey?" Well, she was eating cottage cheese. The "curds" are actually casein, and the more digestible "whey" is the liquid protein that floats on top.

Soy protein is significantly different in composition from cow milk protein, but both are modified to more closely resemble the amino acid content of human milk (human milk protein is actually 40 percent casein and 60 percent whey). The carbohydrate in whole cow milk-based formulas is lactose. This disaccharide, which is comprised of two basic carbohydrate units, is the naturally occurring sugar in all mammalian milks, including human milk. Lactose, in addition to providing an important energy source, also enhances the absorption of calcium. Soy formulas generally contain either sucrose (table sugar) or corn syrup. Fats in all formulas are "engineered" from a variety of sources.

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