Do Infants Fed From Bottles Lack Self-regulation of Milk Intake Compared With Directly Breastfed Infants?
Ruowei Li, MD, PhDa, Sara B. Fein, PhDb, Laurence M. Grummer-Strawn, PhDa aDivision of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; and bCenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, Maryland Objective How breastfeeding reduces the risk of childhood obesity is unclear, and 1 hypothesis pertains to the ability of breastfed infants to self-regulate. We studied whether infants’ self-regulation of milk intake is affected by feeding mode (bottle versus breast) and the type of milk in the bottle (formula versus expressed breast milk). Patients and Methods Participants in the 2005–2007 Infant Feeding Practices Study II received monthly questionnaires during their infant’s first year, and compete data were available for 1250 infants. We tested the impact of feeding mode and type of milk during early infancy on self-regulati