Houston Chronicle

Cranky baby? Feeding may not be the right answer

- By Perri Klass, M.D. |

Feeding a hungry baby can seem like one of the most basic tasks of parent hood, but right from the beginning, the way an individual baby eats, gains weight and grows is a complicate­d parent-child mix of behavior and biology.

Part of the equation is whether the baby is actually hungry, or whether parents are providing food at any sign of distress. Dr. Ian Paul, a professor of pediatrics and public health sciences at Penn State College of one of the leaders of the Insight Study, an interventi­on that started in 2011 to look at the effects of helping parents learn “responsive parenting” strategies that help them read their babies’ signals .“Many people tellfeed on demand, but they never define what‘ on demand’ is, ”he said.

In the interventi­on, he said, parents learn to recognize what is actually hunger, since hungry babies, of course, need to be fed, and they also learn alternativ­e strategies for soothing babies who are crying for other reasons.

A new study just showed that more than 10 percent of the world’ s population is obese, with major public health and medical consequenc­es. Among the many factors to consider is the science of how individual people eat and gain weight, right from the beginning.

Different babies may make different demand son their parents.“A lot of my research is on what is the infant is bringing to the table ,” said Dr. Julie L um eng, a professor of pediatric sat the University of Michigan. She emphasized­that obesity is not well understood by scientists; many researcher­s believed that childhood obesity could be prevented by breast-feeding, or by changingst­rategies for introducin­g solid foods, but that has not been borne out in studies.

She hailed the responsive parenting interventi­on as a well conducted trialthat shed important light on feeding dynamics in early life, but argued for more research on the baby side of the equation .“Babies are born with different temperamen­ts, and I don’ t think it’ s crazy to say that some babies are voracious eaters and some are not and they require different kinds of parenting ,” she said.

The Gemini study in Britain, which has been tracking 2,400 set soft wins born in Britain in 2007, offers useful insight son difference­s in appetite. The study design allows researcher­s to compare identical twins, who have the same genetic makeup, with non identical twins, who are more different geneticall­y, but grow up in the same family environmen­t at the same time.

“We were actually quite surprised by how much variationt­here was in appetite ,” said Dr. Clare Llewellyn, a lecturer in behavioral obesity research at University College London whole ads the study .“We found that difference­s between babies in their appetite have a really important genetic component to them.”

 ?? Ruth Fremson/The New York Times ?? Some scientists speculate that factors that could lead to obesity start as early as infanthood, but obesity is still not well understood.
Ruth Fremson/The New York Times Some scientists speculate that factors that could lead to obesity start as early as infanthood, but obesity is still not well understood.

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