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Breast-Feeding and Risk for Childhood Obesity

Response to Plagemann et al.

  1. Elizabeth J. Mayer-Davis, PHD1,
  2. Sheryl L. Rifas-Shiman, MPH2,
  3. Li Zhou, BS1,
  4. Frank B. Hu, MD, PHD345,
  5. Graham A. Colditz, MD, PHD34 and
  6. Matthew W. Gillman, MD, SM245
  1. 1Center for Research in Nutrition and Health Disparities, Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina
  2. 2Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts
  3. 3Channing Laboratory, Brigham and Women’s Hospital, Boston, Massachusetts
  4. 4Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts
  5. 5Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts
  1. Address correspondence to Elizabeth J. Mayer-Davis, PhD, Center for Research in Nutrition and Health Disparities, University of South Carolina, Arnold School of Public Health, 2718 Middleburg Dr., Columbia, SC 29208. E-mail: ejmayer{at}gwm.sc.edu

We appreciate the interest and comments of Plagemann et al. (1) regarding our study (2) on maternal status as a potential modifier of association of breast-feeding on childhood obesity. As noted, for the contrast of breast milk only versus formula only, the 95% CI excluded the null value, thus necessarily including values >1.0. From a statistical perspective, however, the best estimate for this contract is an odds ratio (OR) of 0.79, not a value >1.0. Furthermore, the test for dose …

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