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From:
Virginia <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 6 Mar 2003 11:12:25 +1000
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On Mon, 3 Mar 2003 Sheila Humphreys wrote:
There is, apparently, only one formal prospective study of food and colic in bf babies, done here at the U of Minnesota.... [Lust et al, 1996].

That was the study I was thinking of.  Thank you for citing it and providing details.  A strength of the study, as I recall, was the recruitment of exclusively breastfeeding infants.  A weakness, in my view, and which it would be difficult to eliminate in the study design, was that mothers knew what they were ingesting, and thus these was the risk of bias.  If I recall, other food intakes, such as high dairy, were not studied, even though this has been linked to colicky behaviour.(1)  Until we have a study where mothers are on similar diets and have the food intervention and placebo in capsule form, so that they are unaware of whether they are receiving the cabbage or a placebo, we can't altogether rule out cultural perceptions.  The study cited is the best we have - so far.   I'd like to see a double-blind crossover study before I am convinced.
   We also need to remember that moderation and eating widely is a good rule of thumb, i.e. a little of a lot.
   Virginia
   in Brisbane
Reference:
(1) Jakobsson I, Lindberg T. Cow's milk proteins cause infantile colic in breastfed infants: a double blind crossover study. Pediatrics 
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1983;71(2):268-271.

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