Evidence map›Paper›PMID 24458583›Full record

ArticleEuropean journal of pediatrics2014

Early cow's milk introduction is associated with failed personal-social milestones after 1 year of age.

William E Bennett, Kristin S Hendrix, Rachel T Thompson-Fleming, Stephen M Downs, Aaron E Carroll

Abstract read
In one paragraph

Article in European journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

William E BennettSection of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Indiana University School of Medicine, 410 W. 10th Street, Indianapolis, IN, 46202, USA, webjr@iu.edu.
Kristin S Hendrix
Rachel T Thompson-Fleming
Stephen M Downs
Aaron E Carroll

Funding

Computer Assisted Autism Care (CAAC)R01HS018453 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI DOWNS, STEPHEN M. · 2009 to 2012
$1.9M
Computer Automation for Diagnosis and Management of Childhood Type 2 DiabetesR01DK092717 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI CARROLL, AARON E., HANNON, TAMARA S · 2012 to 2015
$1.7M
Computer-Supported Management of Medical-Legal Issues Impacting Child HealthR01HS020640 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI GILBERT, AMY LEWIS · 2012 to 2014
$1.5M
Computer Automated Developmental Surveillance and Screening (CADSS)R01HS017939 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI CARROLL, AARON E. · 2009 to 2011
$899k
Computerized Decision Support for Pediatric GastroenterologyK23DK098235 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI BENNETT, WILLIAM ESTUS · 2014 to 2018
$878k
AHRQ HHS R01 HS017939AHRQ HHS R01HS017939AHRQ HHS R01 HS018453AHRQ HHS R01HS018453AHRQ HHS R01 HS020640AHRQ HHS R01HS020640NIDDK NIH HHS K23 DK098235NIDDK NIH HHS R01 DK092717NIDDK NIH HHS R01DK092717
6 · The paper itself

Abstract

unlabelledBoth the American Academy of Pediatrics (AAP) and the Institute of Medicine (IOM) recommend delaying the introduction of cow's milk until after 1 year of age due to its low absorbable iron content. We used a novel computerized decision support system to gather data from multiple general pediatrics offices. We asked families whether their child received cow's milk before 1 year of age, had a low-iron diet, or used low-iron formula. Then, at subsequent visits, we performed a modified developmental assessment using the Denver II. We assessed the effect of early cow's milk or a low-iron diet on the later failure of achieving developmental milestones. We controlled for covariates using logistic regression. Early cow's milk introduction (odds ratio (OR) 1.30, p = 0.012), as well as a low-iron diet or low-iron formula (OR 1.42, p < 0.001), was associated with increased rates of milestone failure. Only personal-social milestones (OR 1.44, p = 0.002) showed a significantly higher rate of milestone failure. Both personal-social (OR 1.42, p < 0.001) and language (OR 1.22, p = 0.009) showed higher rates of failure in children with a low-iron diet.

conclusionsThere is an association between the introduction of cow's milk before 1 year of age and the rate of delayed developmental milestones after 1 year of age. This adds strength to the recommendations from the AAP and IOM to delay cow's milk introduction until after 1 year of age.

Indexed as

Child DevelopmentInfant Nutritional Physiological PhenomenaAnimalsChildChild, PreschoolDecision Support TechniquesDevelopmental DisabilitiesFemaleHumansInfantIron, DietaryLogistic ModelsMaleMilkUnited StatesIron, Dietary

Identifiers

PMID24458583
PMCPMC4668717

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.