Breast is best: Positive mealtime interactions in breastfeeding mothers from Israel and the United Kingdom

Shloim, Netalie; Rudolf, Mary; Feltbower, RG; Mohebati, Lisa; Hetherington, Marion M.

doi:10.1177/2055102915579605

Cited by 10 publications

(12 citation statements)

References 50 publications

(63 reference statements)

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“…Interestingly, in an earlier study involving the same cohort of mothers it was found that BF was also associated with a more positive mealtime experience than other types of feeding in 2-6 months infants (Shloim, Rudolf, Feltbower, Mohebati & Hetherington, 2015). These findings reveal behavioural benefits of breastfeeding beyond the well characterised nutrient, flavour and antibody content of milk, suggesting that BF promotes communication between mother and infant; providing a beneficial experience compared with other modes of feeding.…”

Section: Introductionmentioning

confidence: 78%

Infant hunger and satiety cues during the first two years of life: Developmental changes of within meal signalling

et al. 2018

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Overfeeding in infancy may lead to overweight and obesity in later childhood. Mothers are advised to "tune in" to their infant's hunger, appetite and satiation cues to prevent overfeeding. The present study aimed to 1) assess stability and change in infant hunger and satiety cues (first two years of life) taken at six monthly intervals; 2) track the expression of appetite cues during the course of a meal (beginning, middle and end). Thirty-eight women (mean age 35.3 + 3.7 years) participated in the study. Mothers were within a normal weight range (BMI = 22 + 3.3 kg/m), most were married (N = 35; 95%) and for most this was not their first child. After an initial investigation (T1) follow-up visits took place every six months with filmed meals involving solid foods. A typical meal contained foods high in protein and carbohydrate plus cooked vegetables. Films were viewed and communication cues (engagement indicating appetite and disengagement indicating satiation) identified and recorded by appearance using the NCAST (Nursing Child Assessment Satellite Training). Coding included the frequency and time at which each cue appeared. Results showed that infants were more likely to communicate potent engagement cues such as babbling, mutual gaze and looking at mother with age. None of the disengagement cues showed any significant main effects of time of follow up. Most, not all, feeding cues were stable across the segment of the feed and did not show a simple linear change across the meal, rather this appeared to develop with age. Raising awareness of these cues with mothers may encourage more responsive and positive mealtime interactions.

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Section: Introductionmentioning

confidence: 78%

Infant hunger and satiety cues during the first two years of life: Developmental changes of within meal signalling

et al. 2018

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“…Infant feeding is an intimate process that determines not only the content and amount of feeding but how a mother and infant interact during feeding (Shloim et al, 2015). Early feeding experiences predict eating later in life (Nicklaus and Remy, 2013).…”

Section: Health and Homeostasismentioning

confidence: 99%

“…Parents who bottle-feed may not recognize the infant’s signals of hunger or fullness and thus overfeed their infant, potentially reducing the infant’s ability to self-regulate when older (Birch, 2006). Breastfeeding the infant can actively regulate the flow of milk from the breast, controlling the pace of the meal and the sense of fullness (Shloim et al, 2015). Long-term effects of early feeding styles have been observed at 6 years of age such that bottle-fed infants are more likely to be expected to empty their bottles and show lower satiety responsiveness compared to breast-fed infants (Li et al, 2014).…”

Section: Health and Homeostasismentioning

confidence: 99%

Homeostatic theory of obesity

Marks¹

2015

Health Psychology Open

107

156

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Health is regulated by homeostasis, a property of all living things. Homeostasis maintains equilibrium at set-points using feedback loops for optimum functioning of the organism. Imbalances in homeostasis causing overweight and obesity are evident in more than 1 billion people. In a new theory, homeostatic obesity imbalance is attributed to a hypothesized ‘Circle of Discontent’, a system of feedback loops linking weight gain, body dissatisfaction, negative affect and over-consumption. The Circle of Discontent theory is consistent with an extensive evidence base. A four-armed strategy to halt the obesity epidemic consists of (1) putting a stop to victim-blaming, stigma and discrimination; (2) devalorizing the thin-ideal; (3) reducing consumption of energy-dense, low-nutrient foods and drinks; and (4) improving access to plant-based diets. If fully implemented, interventions designed to restore homeostasis have the potential to halt the obesity epidemic.

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“…Breastfeeding mothers may be more sensitive and responsive to the hunger and satiety signals communicated by their infant and demonstrate less controlling feeding practices than formula-feeding mothers. Shloim, Rudolf, Feltbower, Mohebati, and Hetherington (2015) observed mealtime interactions between mothers and infants and found that breastfeeding mothers were more in tune with their infants' signals during feeding. Breastfeeding mothers also provided a more favourable feeding environment and fed their infants more responsively than mothers who fed solids or milk from a bottle (Shloim et al, 2015).…”

mentioning

confidence: 99%

Breastfeeding duration and its relation to weight gain, eating behaviours and positive maternal feeding practices in infancy

Rogers

Blissett

2017

Appetite

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Research examining the relationship between breastfeeding and infant weight has generated conflicting results. Few studies account for significant covariates and many suffer methodological problems such as retrospective self-report. The current study aimed to investigate relationships between breastfeeding duration, infant weight and eating and positive maternal mealtime behaviours, whilst overcoming many of the limitations of previous research. Eighty-one women on low-risk maternity units gave informed consent and were visited at home at 1-week, 1-, 6- and 12-months postpartum. Infants included 45 males and 36 females (mean birth-weight 3.52 kg [SD 0.39]). Mothers and infants were weighed and measured and feeding information was recorded at each visit. Infant weight was converted to a standard deviation score (SDS), accounting for age and sex. Mothers reported infant eating behaviours at 12-months using the Children's Eating Behaviour Questionnaire and were observed feeding their infants solid food at home at 6- and 12-months. Partial correlations (covariates: maternal age, education, BMI, smoking during pregnancy, household income, infant birth weight SDS and age introduced to solid foods) revealed negative associations between breastfeeding duration and 1- to 6- and 1- to 12-month weight gain, and 6- and 12-month weight. Breastfeeding duration was also associated with a slower rate of infant eating and greater observed maternal vocalisations, appropriateness and sensitivity. Results support a dose-response relationship between breastfeeding and infant weight and suggest that breastfeeding may encourage the development of obesity-protective eating behaviours through learning to attend to internal hunger and satiety signals. Future research should investigate whether relationships between slowness in eating and weight extend to satiety responsiveness after infancy.

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Breast is best: Positive mealtime interactions in breastfeeding mothers from Israel and the United Kingdom

Cited by 10 publications

References 50 publications

Infant hunger and satiety cues during the first two years of life: Developmental changes of within meal signalling

Infant hunger and satiety cues during the first two years of life: Developmental changes of within meal signalling

Homeostatic theory of obesity

Breastfeeding duration and its relation to weight gain, eating behaviours and positive maternal feeding practices in infancy

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