In a message dated 10/12/2005 2:05:09 AM Pacific Standard Time,  
[log in to unmask] writes:

The net  caloric intake would be influenced by at least two things:

1 - the  amount of formula or breastmilk consumed (or forced down)
2 - the energy  used to extract the formula or breastmilk from the bottle
or  breast

Right?



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Right.  Breastfeeding is an active effort on the part of the  baby.  With 
bottle-feeding, the milk intake is determined by gravity, the  size of the hole 
in the nipple, the aggressiveness of the caregiver and how fast  and 
efficiently a baby can swallow and breath.  
 
I completely agree that ALL the studies show that physiologically (heart  
rate, respiratory pattern, apnea, bradycardia, oxygen saturation, etc.) the  
breastfed infant is more stable  - he is also taking in LESS.   Physiologic stress 
and energy intake and output are two different concepts, and  not necessarily 
related.  Yes, you can be more stable, but also consume  less energy while 
exerting more effort.
 
Nancy
Nancy E. Wight MD, IBCLC, FABM,  FAAP

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