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Parental counseling compared with elimination of cow's milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial.

Abstract

Treating the infant colic syndrome by counseling the parents concerning more effective responses to the infant crying is compared to the elimination of soy or cow's milk protein from the infant's diet in a randomized clinical trial. Because symptoms of vomiting and diarrhea are not part of the infant colic syndrome, infants with these gastrointestinal symptoms were excluded from the study. Dietary changes were accomplished by either feeding the infants a hydrolyzed casein formula or by requiring mothers to eliminate milk from their diets. In phase 1 of the study, the group receiving counseling (n = 10) had a decrease in crying from 3.21 +/- 1.10 h/d to 1.08 +/- 0.70 h/d (P = .001). The crying in the group that received dietary changes (n = 10) decreased from 3.19 +/- 0.69 h/d to 2.03 +/- 1.07 h/d (P = .01), a level still greater than twice normal. The decrease in those receiving counseling was faster and greater than that of those given dietary changes (P less than .02). In the second phase of the study, group 2 infants were reexposed to cow's milk or soy protein and the parents received counseling. In this phase, counseling again decreased crying significantly from 2.09 +/- 1.07 h/d to 1.19 +/- 0.60 h/d (P = .05). No infant in the study who improved with changes in his or her diet had a significant increase in crying, with reexposure to soy or cow's milk protein.(

ABSTRACT

TRUNCATED AT 250 WORDS)

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  • Publisher Full Text
  • Authors+Show Affiliations

    Division of Gastroenterology and Nutrition, Children's Hospital of Philadelphia, PA.

    Source

    Pediatrics 81:6 1988 Jun pg 756-61

    MeSH

    Animals
    Breast Feeding
    Clinical Trials as Topic
    Colic
    Counseling
    Crying
    Humans
    Infant
    Infant Food
    Infant, Newborn
    Milk
    Parents
    Plant Proteins, Dietary
    Random Allocation
    Soybean Proteins
    Soybeans

    Pub Type(s)

    Clinical Trial
    Comparative Study
    Journal Article
    Randomized Controlled Trial
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    3285312

    Citation

    Taubman, B. "Parental Counseling Compared With Elimination of Cow's Milk or Soy Milk Protein for the Treatment of Infant Colic Syndrome: a Randomized Trial." Pediatrics, vol. 81, no. 6, 1988, pp. 756-61.
    Taubman B. Parental counseling compared with elimination of cow's milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial. Pediatrics. 1988;81(6):756-61.
    Taubman, B. (1988). Parental counseling compared with elimination of cow's milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial. Pediatrics, 81(6), pp. 756-61.
    Taubman B. Parental Counseling Compared With Elimination of Cow's Milk or Soy Milk Protein for the Treatment of Infant Colic Syndrome: a Randomized Trial. Pediatrics. 1988;81(6):756-61. PubMed PMID: 3285312.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Parental counseling compared with elimination of cow's milk or soy milk protein for the treatment of infant colic syndrome: a randomized trial. A1 - Taubman,B, PY - 1988/6/1/pubmed PY - 1988/6/1/medline PY - 1988/6/1/entrez SP - 756 EP - 61 JF - Pediatrics JO - Pediatrics VL - 81 IS - 6 N2 - Treating the infant colic syndrome by counseling the parents concerning more effective responses to the infant crying is compared to the elimination of soy or cow's milk protein from the infant's diet in a randomized clinical trial. Because symptoms of vomiting and diarrhea are not part of the infant colic syndrome, infants with these gastrointestinal symptoms were excluded from the study. Dietary changes were accomplished by either feeding the infants a hydrolyzed casein formula or by requiring mothers to eliminate milk from their diets. In phase 1 of the study, the group receiving counseling (n = 10) had a decrease in crying from 3.21 +/- 1.10 h/d to 1.08 +/- 0.70 h/d (P = .001). The crying in the group that received dietary changes (n = 10) decreased from 3.19 +/- 0.69 h/d to 2.03 +/- 1.07 h/d (P = .01), a level still greater than twice normal. The decrease in those receiving counseling was faster and greater than that of those given dietary changes (P less than .02). In the second phase of the study, group 2 infants were reexposed to cow's milk or soy protein and the parents received counseling. In this phase, counseling again decreased crying significantly from 2.09 +/- 1.07 h/d to 1.19 +/- 0.60 h/d (P = .05). No infant in the study who improved with changes in his or her diet had a significant increase in crying, with reexposure to soy or cow's milk protein.(ABSTRACT TRUNCATED AT 250 WORDS) SN - 0031-4005 UR - https://www.unboundmedicine.com/medline/citation/3285312/full_citation L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=3285312 DB - PRIME DP - Unbound Medicine ER -