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Lactation Information and Discussion <[log in to unmask]>
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Wed, 30 Sep 2015 13:33:30 +0100
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http://onlinelibrary.wiley.com/doi/10.1111/mcn.12200/abstract


Huang, J., Vaughn, M. G. and Kremer, K. P. (2015), Breastfeeding and 
child development outcomes: an investigation of the nurturing 
hypothesis. Maternal & Child Nutrition. doi: 10.1111/mcn.12200



Really interesting study.

The 'nurturing hypothesis' suggests that because in Western settings, 
especially, breastfeeding is more likely to be done by parents i) of 
higher socio-economic status and ii) who are more likely to have a 
certain set of nurturing, parenting behaviours,  it acts as a proxy 
for nurturing behaviour and it is this nurturing behaviour that 
explains positive outcomes in academic ability in bf kids.

That is - because parents who bf are 'different' from parents who 
don't breastfeed, their kids turn out to be 'different' ie perform 
better on cognition tests.

But this study challenges this hypothesis by re-exmining the stats 
and the outcomes.

For sure, they say, parents who breastfeed *are* different.

But the *behaviour* of their kids is no different from the kids who 
were not breastfed.

Incidence of behaviour problems is lower in parents of higher SES and 
those who show nurturing behaviours. But when you slice the stats to 
look at breastfeeding, it makes no difference.....and because 
breastfeeding has no impact either way on behaviour problems, the 
inference is that its impact on academic performance is *independent 
of* parental SES (defined by educational attainment and income) and 
parental behaviour.

So breastfeeding *is* working on these kids' cognitive development - 
it's nothing to do with coming from a wealthier, more educated 
background, or having  more 'caring' parents.

(Duration of breastfeeding was recorded, but I can't see a 'dose 
response' analysis, unfortunately).

Heather Neil
NCT bfc, tutor, UK
-- 

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