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Lactation Information and Discussion <[log in to unmask]>
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Tue, 12 Nov 1996 09:30:47 +0000
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>>> Sears mentions a study that showed that early cereal did not cause the baby to sleep thru the night, but doesn't mention what study.<<<

Julie:
Barbara Wilson-Clay shared this info on Lactnet a year or so ago:

M.Macknin, S. VanderBrug Medendorph, M. Maier:  Infant Sleep and Bedtime
Cereal. AJDC 1989; 143:1066-1068.

"Folklore suggests that feeding infants solids prior to bedtime
increases the
duration of uninterrupted sleep..." A study done at the Cleveland Clinic
tested this hypothesis in a clinical trial in which 106 infants were
randomly
assigned to begin bedtime cereal feeding (1 tbsp per oz in a bottle) at
5 wks
or at 4 mo. of age. Caregivers recorded sleep from age 4-21 weeks for
one
24-hour period per week.  Sleeping thru the night was defined as
sleeping at
least 8 consecutive hrs, with the majority of the time between midnight
and
6AM. "There was no statistically significant trend or a consistent
tendency
of one group to have a higher proportion of sleepers than the other.
 Therefore, feeding infants rice cereal in the bottle before bedtime
does not
appear to make much difference in their sleeping through the night."

In The Children Nutrition Research Center's newsletter:  Nutrition and
Your
Child, Summer 1990, Vol. 1 No.1 on pg 1, there is a story about a CNRC
study
done by a Dr. Robert Shulman, which supports the AAP advice to begin
solids
at 4-6 mo.  Using a stable carbon isotope to tag the rice cereal, it was
offered in bottles of formula to infants.  Results showed that the
infants
(around 1 mo of age) digested nearly 90% of the cereal -- showing that
they
possess the enzymes to do so at an earlier age than had been supposed.
 However, the extra protein and calories contained in the cereal were
lost in
the stool.  "The babies actually absorbed just as much protein and
energy
when they ate only formula...[Dr.] Shulman cautions that early
introduction
of cereals may reduce absorption of needed minerals."

(Quoting Barbara's wisdom, here- thanks Barbara!) So you can offer
bedtime cereal, but it comes out the other end without providing any
particular benefit.  There is other research discussing the link between
early introduction of solids to food allergies which constitutes a
specific risk.  Why bother?

Sue Jacoby, IBCLC who agrees with Barbara- why bother????

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