From: A systematic review of maternal obesity and breastfeeding intention, initiation and duration
Authors, Year of Publication, Country, and Year(s) of Study | Participants | Definitions | Results |
---|---|---|---|
Barnes et al, 1997 [34], Bristol, UK, 1991-112 | Birth cohort, (Avon Longitudinal Study of Parents and Children) n = 11,907 Multivariate analysis, n = 8431 for 1st week and n = 8392 for 4 months | Intention: asked at 32 weeks (4 time periods, 4 options for each) Eating Disorder Examination Questionnaire, including 'shape concern' and 'weight concern' items (> 2 indicated marked concern) | Intention to bf 1 week old infant: Shape concern normal OR 1.22 (95%CI: 1.10, 1.35) Weight concern normal OR 1.20 (95%CI, 1.07, 1.35) Intention to bf infant up to 4 months: Shape concern normal OR 1.30 (95%CI: 1.19, 1.42) Weight concern normal OR 1.26 (95%CI: 1.14, 1.40) Multivariate analysis: Intention to bf 1 week old infant: Shape concern normal OR 1.25 (95%CI: 1.09, 1.42) Weight concern normal NS Intention to bf infant up to 4 months: Shape concern normal OR 1.26 (95%CI: 1.13, 1.42) Weight concern normal OR 1.16 (95%CI: 1.02, 1.32) (Adjusted for demographic variables, smoking, maternal attitudes to baby) |
Foster et al 1996 [41], Manchester, UK, yr of study not stated | Antenatal cohort n = 38 | Eating Disorder Examination: Shape Concern (SC). Body Satisfaction Scale: General Satisfaction (GS). Measurement of BMI not mentioned in text | Bf intention and BMI: NS Shape concern: Intended to bf median 0.29 Intended to formula feed median 1.05 (i.e. higher concern) (p = 0.02) General Satisfaction: Intended to bf median 38.5 Intended to formula feed median 47.5 (i.e. higher dissatisfaction) (p = 0.004) Multivariate analysis: body shape satisfaction independent predictor of infant feeding intention. (Adjusted for social class, GS, SC and maternal-fetal attachment) |
Hilson et al 2004 [42], Cooperstown, NY, USA, 1998 | Antenatal cohort Eligibility: intended to bf, singleton infant n = 114 | IOM definition of obesity Self-reported height and weight | Planned intention (months, mean, sd) Underweight/normal weight 9.3 (5.7) Overweight 9.8 (3.0) Obese 6.9 (4.6) (p < 0.05) |