
Illnesses in Breast- and Bottle-fed Infants
RANDALL R. REVES, MD, MSc
The University of Texas Medical School at Houston Program in Infectious Diseases and Clinical Microbiology, and the School of Public Health Houston, TX 77225
Am J Dis Child. 1986;140(3):185-186.
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Sir.—Myers et al1 concluded in a published study that formula-fed infants have more gastrointestinal tract illnesses than do breast-fed infants. Although the authors noted that bottle-feeding was associated with a greater likelihood of exposure to other infants in day-care (DC) settings, there was no attempt to deal with this confounding variable. Further analysis of the data reveals an equally plausible conclusion that the apparent adverse effects of bottle-feeding are due to other confounding variables, specifically, exposure to other infants in DC settings.
Our Table is derived from the data in Tables 1 and 3 of Myers et al.1 This was feasible only by ignoring the matching process and pooling data on patients by DC use and breast- or bottle-feeding. The Table shows the number of
Illness in Infants Classified by Day-care Center Attendance and Feeding Mode Feeding Mode No. of Infants No. of Illnesses by Type* Resp
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