Maternal Obesity and Breast‐feeding Practices Among White and Black Women

Liu, Jihong; Smith, M.G.H.; Dobre, Mirela; Ferguson, James

doi:10.1038/oby.2009.182

Cited by 73 publications

(97 citation statements)

References 48 publications

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“…11,15,16,[18][19][20][21][22][23] Of the 13 studies that evaluated BF duration, 10 found an association between maternal obesity or overweight and reduced duration of BF [17][18][19][20][21][23][24][25] (Table 1). For some of the studies, the results were heterogeneous (present for BF initiation but not duration, or vice versa), or the association was present only for specific population groups and not others.…”

Section: Resultsmentioning

confidence: 99%

“…21 Similarly, 2 of the 10 studies that found an association between overweight=obesity and BF duration found these relationships significant only for Hispanics but not African Americans 19 and only white Americans but not African Americans. 21 Most of the studies in the review were conducted exclusively with white, European-origin women in spite of the diverse international locations (e.g., Canada, France, Russia), with the exception of the studies by Li et al 20 and by Kitsantas and Pawloski, 18 which had sizable Hispanic and African American groups. The Australian study by Oddy et al 24 had a small Asian and Aboriginal minority group.…”

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

“…The Australian study by Oddy et al 24 had a small Asian and Aboriginal minority group. However, these three studies did not conduct a stratified analysis to assess the interaction between obesity and race=ethnicity, as did Kugyelka et al 19 and Liu et al 21 but rather adjusted for race=ethnicity in the analysis. After adjustments, Li et al, 20 Kitsantas and Pawloski, 18 and Oddy et al 24 continued to find an association between maternal overweight=obesity and reduced BF duration and increased risk for failure to initiate BF.…”

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

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Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Wojcicki

2011

Journal of Women's Health

172

122

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Background: Previous studies have found an association between maternal obesity and overweight and breastfeeding (BF) difficulties, including delayed lactogenesis and shorter duration of BF. Biological, psychological, and mechanical causes have been linked with poor BF outcomes. Other review articles on this topic have included studies that measured maternal body mass index (BMI) in the postpartum period instead of prenatally, presenting difficulties in teasing out the role of gestational weight gain and prepregnancy BMI on BF success. My objective was to evaluate the relationship between maternal prepregnancy BMI, including comorbidites associated with overweight and obesity such as diabetes mellitus, and BF initiation and duration. Methods: Four PubMed searches were conducted, retrieving 13 articles. Results: Of the 12 studies reviewed that assessed the association between prepregnancy maternal BMI category and BF initiation, 9 found an association between maternal overweight or obesity and delayed lactogenesis or failure to initiate BF. One study found increased risk for not initiating BF only in Hispanic women, and 1 found the association only among women with medical comorbidities in addition to obesity. Of the 13 studies retrieved that assessed the association between BMI category and BF duration, 10 found an association between higher BMI categories and shorter duration of BF. Ten of the 13 studies reviewed adjusted for multiple confounders, including maternal smoking status, parity, type of delivery, and infant birthweight. The studies that found an association between BMI category and reduced duration did so in some cases only for certain ethnic=racial groups or BMI categories or if other comorbidities were present in addition to overweight=obesity. Conclusions: Higher BMI levels can adversely impact BF initiation and duration. Further studies need to be conducted to better understand the role of race=ethnicity, gestational weight gain, and such comorbidities as diabetes in increasing risk for reduced BF initiation and duration in overweight and obese women.

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Section: Resultsmentioning

confidence: 99%

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

Section: Ethnic and Racial Factorsmentioning

confidence: 99%

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Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Wojcicki

2011

Journal of Women's Health

172

122

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“…Superiority of nutri onal status and BFD in Turkman children compare to other ethnic groups in north of Iran has been approved in previous studies 4,18 . Forste 19 and Liu 20 reported the low interest in BF in black women compared to non-black women and Jevi 21 was seen the BFD in black women less than in white women and Spanish women in USA. Several studies 22,23 approved the infl uence of immigra on on BFD.…”

Section: Discussionmentioning

confidence: 99%

Association Between Mother’s Age and Breastfeeding Status in the Northern Iran

Veghari

2015

J. Nepal Paedtr. Soc.

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Introduction: Breast milk provides the ideal nutrition for infant and it is more easily digested than infant formula. The main aim of this study is to determine breastfeeding status, exclusive breastfeeding, and their relation with mother's age among under-five children in the north of Iran. Material and Methods: This was a descriptive, cross-sectional study, which was carried out in 1997 persons (535 = Fars-native, 773 = Turkman and 689 = Sisstani) from 20 villages in the north of Iran. The calculated sample sizes of 1800 respondents at least were needed for a 95% confidence and a maximum marginal error 0.02. Exclusive Breastfeeding Duration (EBFD) and Breastfeeding Duration (BFD) were classified based on WHO definitions. Results: BFD is 20.16 months and statistical difference is significant among three ethnic groups (p=0.001). Post hoc test are significant between Fars-native and Turkman (p=0.001), and between Turkman and Sisstani (p=0.002) and between Fars-native and Sisstani (p=0.024). EBFD is 5.77 months and statistical difference is significant among three ethnic groups (p=0.011). Post hoc test is significant between Turkman and Sisstani (p=0.027). As whole, duration of breastfeeding positively increased with mother's age (p=0.002) but statistical association was not significant between exclusive breastfeeding duration and mother's age. Conclusion: In rural area in the north of Iran, the EBFD and BFD were 5.74 and 20.16 months, respectively and they were in Turkman group more than in others. Mother's age have a rising role for EBFD and BFD whereas in all of ethnic groups it was not the same.

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“…Only 56% of mothers currently initiate breastfeeding in Ireland compared to 81% in the UK and over 91% in Scandinavian countries (2) . Higher maternal BMI has been negatively associated with breastfeeding duration (3,4) . Other significant risk factors for early termination of breastfeeding include young maternal age, smoking and family infant feeding practices (5,6) .…”

mentioning

confidence: 99%

Factors Influencing Breastfeeding in Ireland

Mullaney

Doolan

O’Higgins³

et al. 2014

Proc. Nutr. Soc.

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The multiple maternal and infant benefits of breastfeeding are widely established (1) . Rates of breastfeeding in Ireland are very low by international standards. Only 56% of mothers currently initiate breastfeeding in Ireland compared to 81% in the UK and over 91% in Scandinavian countries (2) . Higher maternal BMI has been negatively associated with breastfeeding duration (3,4) . Other significant risk factors for early termination of breastfeeding include young maternal age, smoking and family infant feeding practices (5,6) . The aim of this study was to investigate breastfeeding initiation rates and factors associated with breastfeeding initiation.Women were recruited at their convenience in July 2012 after sonographic confirmation of a singleton pregnancy in the first trimester. Maternal body composition was then measured using 8-electrode bioelectrical impedance analysis. Maternal smoking status, ethnicity, parity and breastfeeding data were collected when the baby was 4 months of age.The mean age of the 251 women recruited was 30·1 ± 5·1 years and the mean BMI was 25·3 ± 5·0 kg/m 2 with 14·3% women classified as obese. Forty-two percent were primigravidas. Sixty percent of women reported that they breastfed from this latest pregnancy. Women who were themselves breastfed as infants were more likely to breastfeed than not to breastfed (36% vs. 5% (n = 13) respectively, p < 0·001). Women with 1 or less children were more likely to breastfeed than not to breastfed (65% vs. 35% respectively, p < 0·05). A greater percentage of non-Irish Europeans than Irish women breastfed (93% of non-Europeans breastfed, whereas 45% of Irish breastfed p < 0·001). Current smokers were less likely to breastfeed then those who never smoked (43% vs. 60% respectively, p = 0·008). 63% of women with a BMI less than 30 kg/m 2 breastfed, whereas 41% of women with a BMI greater than 30 kg/m 2 breastfed (p = 0·02). Maternal age was not associated with breastfeeding rates. In our cohort of women recruited as part of ongoing research into maternal body composition, Irish women are less likely to breastfeed than non-Irish women. Women with more children, women with a higher BMI, and women who smoke are also less likely to breastfeed. In addition, we found that women who were themselves breastfed are more likely to breastfeed their own infants. Interventions that include the family unit in the promotion of breastfeeding may therefore be beneficial.

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Maternal Obesity and Breast‐feeding Practices Among White and Black Women

Cited by 73 publications

References 48 publications

Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Maternal Prepregnancy Body Mass Index and Initiation and Duration of Breastfeeding: A Review of the Literature

Association Between Mother’s Age and Breastfeeding Status in the Northern Iran

Factors Influencing Breastfeeding in Ireland

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