Susan writes:

I think  that these completely abnormal feeding patterns as much as the 
content of the  formula which we already know is inadequate, increases the risk 
of obesity.  So, we are now ALSO seeing an increase in the risk of obesity 
among infants  who are being bottle fed their own mother's milk in patterns 
that are similar  to the old recommendations for formula followed by feeding 
patterns and foods  that contribute to obesity as well.  
~~~
Susan brings up an interesting issue. I also wonder if we will see any  
difference in obesity among children who, as infants,  needed to super-size  
feeds after being trained to ignore their nighttime needs by sleep training. 
If  the need among breastfeeding infants is quite stable between 4-6 weeks 
and 6  months ( or even up to 9ish months by extrapolating from the 
information from  studies in Breastfeeding Management for the Clinician, which I 
reference  constantly regarding this issue,) then it would make sense that babies 
who are  no longer allowed to be nourished ( physiologically or 
emotionally) for 10-12  hours in any 24 hour cycle, would have to either feed more at 
every feeding, or  feed up to twice as often. I have not heard of many babies 
coping with this kind  of strict scheduling by nursing twice as often, so 
it stands to reason that a  baby would have to make up the difference by 
doubling at each feeding ( unless  they are allowed to breastfeed more often and 
also take in a little bit more and  split the difference somehow.) I wonder 
what ramifications on future eating  patterns, understanding of hunger and 
satiety, etc, that might have over  time. This is a timely topic as I just 
spent a chain of emails trying to  repeatedly explain to a second-time mom ( 
whose first child became FTT after  being sleep-trained at 3 months) that 
her second child, now 6 months and   waking up once between 7 PM and 4AM, is 
actually a normal baby for waking up at  night, and that her "goal to nurse 5 
times a day" does not usually match normal  needs of a child this age...
Peace, and a Happy Thanksgiving to all celebrating that,
Judy 

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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