A biopsychosocial model of body image, disordered eating, and breastfeeding among postpartum women

Rodgers, Rachel F.; O’Flynn, Jennifer L.; Bourdeau, Althea; Zimmerman, Emily

doi:10.1016/j.appet.2018.04.007

Cited by 55 publications

(64 citation statements)

References 38 publications

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“…A number of studies showed similar findings; women with positive body image with higher body satisfaction and who are less concerned with their shape and weight during postpartum are more likely to initiate breastfeeding and maintain it for a longer duration. 17,18,26,27 For example, a study by Brown et al, 26 followed 128 pregnant women in the United Kingdom for 6 months, found that higher body image concerns during pregnancy and after delivery were associated both with an intention to use and actual use of baby formula starting at birth and with shorter breastfeeding duration.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 Given its body-focused nature, unsurprisingly, breastfeeding has been found to be associated with body image concerns. 17,18 It involves exposing a woman's body, sometimes publicly, causing some to avoid breastfeeding ever or for longer duration. 18 A previous study in Mexico showed an inverse relation; women with higher body dissatisfaction scores were less likely to initiate breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

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The Associations Between Breastfeeding Duration and Body Dissatisfaction, Ethnicity, and Obesity Among Mexican Women, a Cross-Sectional Study, ENSANUT 2012

Bigman

Wilkinson

Homedes

et al. 2020

Breastfeeding Medicine

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Introduction: Body image dissatisfaction (BID) has been inversely associated with breastfeeding initiation particularly among women with obesity. However, less is known on BID and the association with maintaining breastfeeding in Mexico, where breastfeeding rate is decreasing across ethnic subgroups. Therefore, we explore this gap of knowledge in diverse ethnic subgroups across levels of maternal weight status. Methods: Data were derived from the Mexican National Health and Nutrition Survey (Encuesta Nacional de Salud y Nutrición [ENSANUT] 2012), and 10,466 women aged 20-49 years were included. Breastfeeding (<6 months versus ‡6 months) of the last child, BID (Stunkard Figure Rating Scale), anthropometric (body mass index, BMI), sociodemographics, and biological variables were collected. Crude and adjusted target associations and effect modifiers were assessed using weighted-logistic regression models. Results: Overall, 72.4% of ever breastfeeding mothers breastfed a minimum of 6 months, 22% were indigenous, 74% were dissatisfied with their body image (BID >0), and 37% had obesity (BMI ‡30 kg/m 2 ). In the multivariable analysis, for each one-unit increase in the BID score, the adjusted odds of breastfeeding ( ‡6 months) decreased by 6% (odds ratio [OR] = 0.94, 95% confidence interval [CI]: 0.89-0.99). After stratifications, only among women with obesity, a greater BID score was associated with lower odds of breastfeeding duration by 24% (OR = 0.76, 95% CI: 0.64-0.89) in indigenous and by 10% (OR = 0.90, 95% CI: 0.82-0.98) in nonindigenous women. Conclusions: Mexican women with a higher BID score reported lower odds of breastfeeding duration ( ‡6 months). Body image concerns should be integrated into a health promotion curriculum to mitigate their negative effect particularly in certain segments of the populations, such as women with obesity and among indigenous women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Associations Between Breastfeeding Duration and Body Dissatisfaction, Ethnicity, and Obesity Among Mexican Women, a Cross-Sectional Study, ENSANUT 2012

Bigman

Wilkinson

Homedes

et al. 2020

Breastfeeding Medicine

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show abstract

“…4 Dissatisfaction with the body and anxiety about body shape and size may be associated with high levels of stress that may contribute to eating concerns and irregular eating. 5 It is observed in many studies conducted today that males' perception of the ideal body has changed, and lean body mass has become more important. The popularity of bodybuilding has been increasing with the desire to have a lean and muscular body.…”

Section: Introductionmentioning

confidence: 99%

Relationship between orthorexia nervosa, muscle dysmorphic disorder (bigorexia), and self‐confidence levels in male students

Duran

Çiçekoğlu

Kaya

2020

Perspect Psychiatr Care

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Purpose: This study aims to determine the prevalence of muscular dysmorphic disorder (bigorexia) and orthorexia nervosa in male students and to evaluate the relationship between these conditions and self-esteem. Design and methods: This cross-sectional study included 430 male students. Findings: While the tendency of orthorexia among faculty of sports sciences (FSSs)' students was 28.8%, this rate was 16.3% for nursing department (ND); for tendency to bigorexia, it was found to be 16.3% in FSS students and 6% in ND. There was a negative correlation between the ortorexia scale and self-confidence scales. And, there was a week negative correlation between the bigorexia Inventory and the selfconfidence scale. Practice implications: This study is thought to help understand the factors affecting body image perception and to identify risky situations especially in young university students. It is thought that health professionals will guide the planning of initiatives that will help individuals gain healthy lifestyle behaviors.

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“…Participants were primarily recruited from hospitals, antenatal clinics or resident health district areas (Barnes et al, 1997; de Jager et al, 2014; Foster et al, 1996; Hauff and Demerath, 2012; Huang et al, 2004; Swanson et al, 2017), as well as online (Brown et al, 2015; de Jager et al, 2013; Rodgers et al, 2018) and local mother–infant groups and nurseries (Brown et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…A mixture of data was provided for participant data. Only one study examined all age groups (Barnes et al, 1997), whereas eight studies only allowed over 18s (Brown et al, 2015; de Jager et al, 2013, 2014; Foster et al, 1996; Hauff and Demerath, 2012; Huang et al, 2004; Rodgers et al, 2018; Swanson et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

A systematic review examining the association between female body image and the intention, initiation and duration of post-partum infant feeding methods (breastfeeding vs bottle-feeding)

Morley-Hewitt

Owen

2019

J Health Psychol

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A systematic review was conducted to examine female body image in relation to the intention, initiation and duration of post-partum infant feeding methods. A search of 10 databases was conducted to identify studies. A total of nine studies were included in the systematic review. All studies were of a non-randomised control design with a total of 13,046 participants. Findings suggest that exclusive breastfeeding is more likely in pregnant women with a higher body image, while those with body concerns had less intention to breastfeed or initiate, with those who start having a shorter duration.

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A biopsychosocial model of body image, disordered eating, and breastfeeding among postpartum women

Cited by 55 publications

References 38 publications

The Associations Between Breastfeeding Duration and Body Dissatisfaction, Ethnicity, and Obesity Among Mexican Women, a Cross-Sectional Study, ENSANUT 2012

The Associations Between Breastfeeding Duration and Body Dissatisfaction, Ethnicity, and Obesity Among Mexican Women, a Cross-Sectional Study, ENSANUT 2012

Relationship between orthorexia nervosa, muscle dysmorphic disorder (bigorexia), and self‐confidence levels in male students

A systematic review examining the association between female body image and the intention, initiation and duration of post-partum infant feeding methods (breastfeeding vs bottle-feeding)

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