Symptoms of eating disorders and feeding practices in obese mothers

Zanardo, Vincenzo; Straface, Gianluca; Benevento, Barbara; Gambina, Irene; Cavallin, Francesco; Trevisanuto, Daniele

doi:10.1016/j.earlhumdev.2013.12.006

Cited by 7 publications

(9 citation statements)

References 23 publications

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“…One study examined eating disorder symptoms . This study found that women with a BMI ≥30 kg m −2 scored significantly higher than those with a BMI ≤30 kg m −2 on body dissatisfaction, ineffectiveness, interoceptive awareness, maturity fears and impulse regulation.…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of included studies are summarized in Table . Most were conducted in the USA , with some in Europe , Australia and one in Canada . Sample characteristics were reported infrequently; of 20 included studies, 13 reported participant ethnicity or race , 9 reported mean age and 5 reported mean BMI .…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of included studies are summarized in Table 3. Most were conducted in the USA (18)(19)(20)23,(31)(32)(33)(35)(36)(37)(38)42), with some in Europe (34,39,43,45,46), Australia (40,41) and one in Canada (44). Sample characteristics were reported infrequently; of 20 included studies, 13 (31,35,36,38,43).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Nine studies (18,20,(36)(37)(38)41,43,45,46) explored the impact of psychological well-being on breastfeeding behaviour. Several symptoms were investigated: body image, depressive symptoms, stress, psychological distress, anxiety and eating disorder symptoms.…”

Section: Psychological Well-beingmentioning

confidence: 99%

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The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m⁻²: a systematic review

et al. 2018

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Breastfeeding can play a key role in the reduction of obesity, but initiation and maintenance rates in women with a body mass index (BMI) of ≥30 kg m are low. Psychological factors influence breastfeeding behaviours in the general population, but their role is not yet understood in women with a BMI ≥30 kg m . Therefore, this review aimed to systematically search and synthesize the literature, which has investigated the association between any psychological factor and breastfeeding behaviour in women with a BMI ≥30 kg m . The search identified 20 eligible papers, reporting 16 psychological factors. Five psychological factors were associated with breastfeeding behaviours: intentions to breastfeed, belief in breast milk's nutritional adequacy and sufficiency, belief about other's infant feeding preferences, body image and social knowledge. It is therefore recommended that current care should encourage women to plan to breastfeed, provide corrective information for particular beliefs and address their body image and social knowledge. Recommendations for future research include further exploration of several psychological factors (i.e. expecting that breastfeeding will enhance weight loss, depression, anxiety and stress) and evidence and theory-based intervention development.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Psychological Well-beingmentioning

confidence: 99%

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The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m⁻²: a systematic review

et al. 2018

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“…A qualitative study of Keely, Lawton, Swanson, and Denison (2015) echoed this finding: lack of privacy for breastfeeding discouraged new mothers from continued breastfeeding. By contrast, a case‐control study by Zanardo et al (2014) of 25 overweight/obese and 25 nonoverweight/obese Italian mothers found women with higher BMI had more body dissatisfaction, yet were more likely to still be breastfeeding at six months postpartum. However, analysis of longitudinal data for 2824 women in the Infant Feeding Practices Study II showed overweight/obese women had similar intention to breastfeed as peers, but were less likely to initiate breastfeeding, and terminated breastfeeding sooner (Hauff, Leonard, & Rasmussen, 2014).…”

Section: Introductionmentioning

confidence: 86%

Influence of weight concerns on breastfeeding: Evidence from the Norwegian mother and child cohort study

Han

Brewis

2017

American J Hum Biol

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ObjectivesHigh body mass index (BMI) often predicts truncated breastfeeding, although why is unclear. We test a proposed mediating role of body concerns on breastfeeding initiation and child's age at weaning using longitudinal data for 55,522 mothers from the Norwegian Mother and Child Cohort Study (MoBa).MethodsA linear regression‐based mediation analysis with bootstrapping estimates the indirect effects of BMI on breastfeeding decisions (ever‐initiation of breastfeeding, child's age at weaning, and duration of any breastfeeding beyond six months) through the variables of concern around prepregnancy weight and weight gains due to pregnancy.ResultsContrary to prediction, Norwegian mothers with greater prepregnancy weight concerns had a higher likelihood of initiating breastfeeding. Concerns about weight gain during pregnancy, however, predicted earlier weaning. This relationship was the same for higher and lower BMI mothers.ConclusionIn this very large sample, body image affects some breastfeeding decisions. However, this effect is independent of mother's body size.

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Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

Tarchi,

Merola,

Selvi

et al. 2023

Eat Weight Disord

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Purpose Pregorexia is a phenomenon posited to occur in the peripartum, characterized by an attempt to counter pregnancy’s physiological changes in body shape through reduced calorie intake or increased physical activity. Methods In this pre-registered systematic review and meta-analysis, body image dissatisfaction and eating psychopathology in the peripartum according to gestational age were formally assessed. PubMed was searched up to May 2023. Selection criteria were represented by studies on body image concerns or eating psychopathology in the peripartum (up to 1 year after delivery). The population needed to include women from the general population or among patients with a history of (or current) eating disorder. For the meta-analysis, 17 studies were included: 10 for body image dissatisfaction (2625 individuals overall), 7 for eating behaviors (2551 individuals overall). The interplay between body image and the following themes was examined in depth: the adoption of breastfeeding, peripartum depression, sociocultural influences on body image, sexual disturbances, experiencing or reporting an altered food intake. Results Progressive dissatisfaction with body image during pregnancy by gestational age was observed, stably elevated for at least 12 months postpartum. Eating psychopathology was observed as elevated only at 12 months in the postpartum, but not during pregnancy. Discussion The current work offers normative values of body image satisfaction and eating psychopathology in the peripartum by gestational age. The relevance of current results was discussed, in order to inform both current clinical practice and future public policies. Level of Evidence Level I—Evidence obtained from: systematic reviews and meta-analyses.

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Symptoms of eating disorders and feeding practices in obese mothers

Cited by 7 publications

References 23 publications

The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m⁻²: a systematic review

The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m⁻²: a systematic review

Influence of weight concerns on breastfeeding: Evidence from the Norwegian mother and child cohort study

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

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Symptoms of eating disorders and feeding practices in obese mothers

Cited by 7 publications

References 23 publications

The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m−2: a systematic review

The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m−2: a systematic review

Influence of weight concerns on breastfeeding: Evidence from the Norwegian mother and child cohort study

Pregorexia: a systematic review and meta-analysis on the constructs of body image dissatisfaction and eating disturbances by gestational age in the peripartum

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The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m⁻²: a systematic review

The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m⁻²: a systematic review