Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers?
Objectives Obese women have lower breastfeeding initiation and maintenance rates than healthy weight women. Research generally focuses on biomedical explanations for this. Psychosocial factors including body image and well‐being after childbirth are less well understood as predictors of breastfeedin...
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| Veröffentlicht in: | British journal of health psychology 2017-09, Vol.22 (3), p.557-576 |
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| creator | Swanson, Vivien Keely, Alice Denison, Fiona C. |
| description | Objectives
Obese women have lower breastfeeding initiation and maintenance rates than healthy weight women. Research generally focuses on biomedical explanations for this. Psychosocial factors including body image and well‐being after childbirth are less well understood as predictors of breastfeeding. In obese and healthy weight women, we investigated changes in body image between 72 hrs post‐delivery and 6–8 weeks post‐natal, studying how women's body image related to breastfeeding initiation and maintenance. We also investigated how psychological distress was related to body image.
Design
Longitudinal semi‐structured questionnaire survey.
Methods
Body image and psychological distress were assessed within 72 hrs of birth and by postal questionnaire at 6–8 weeks, for 70 obese and 70 healthy weight women initiating exclusive (breastmilk only) breastfeeding or mixed feeding (with formula milk) in hospital. Breastfeeding was re‐assessed at 6–8 weeks.
Results
Obese women were less likely to exclusively breastfeed in hospital and maintain breastfeeding to 6–8 weeks. Better body image was related to maintaining breastfeeding and to lower post‐natal psychological distress for all women, but education level was the most significant predictor of maintenance in multivariate regression including body image and weight status. Body image mediated, but did not moderate the relationship between weight and breastfeeding maintenance. Body image was lower overall in obese women, but all women had low body image satisfaction around childbirth, reducing further at 6–8 weeks.
Conclusions
Health professionals should consider women's body image when discussing breastfeeding. A focus on breast function over form may support breastfeeding for all women.
Statement of contribution
What is already known on this subject?
Obesity can negatively affect breastfeeding initiation and maintenance, but there is little information about how psychosocial factors affect this relationship. Body image may be an important factor, but has not been studied in relation to breastfeeding maintenance.
What does this study add
This article examines the influence of body image on obese and healthy‐weight women's breastfeeding maintenance at 6–8 weeks.
Different aspects of body image mediated but did not moderate the relationship between weight status and breastfeeding maintenance, but in multivariate regression, maternal education level was the most significant predictor.
Obese women had poorer body image |
| doi_str_mv | 10.1111/bjhp.12246 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1903166718</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1903166718</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3936-d64116f582cc6f7e70c411d5e10d6c2947c6a4039a2789718180356879c54d703</originalsourceid><addsrcrecordid>eNp9kU1r3DAQhkVJabZpL_0BRZBLKDjRlyX5FJJtmw8C7aGF3oQsj3e12PJGsln230dbpzn0kLkMDM88DPMi9ImSc5rrot6st-eUMSHfoAUjQhSaaXWEFpSXVUGJ-nOM3qe0IYRyTsp36JjpUijN1QJ1XwdIuB6aPfa9XQH2oe0mCA7wuAYcobOjH0Ja-y2uYdwBhJnegV-tR2xDg-sINo0tQOPDCvfWhxGCPSh8wAF2uB-yK6bLD-hta7sEH5_7Cfr9_duv5W3x8OPmbnn1UDhecVk0UlAq21Iz52SrQBGXB00JlDTSsUooJ60gvLJM6UpRTTXhpdSqcqVoFOEn6Gz2buPwOEEaTe-Tg66zAYYpGVoRTqXMmxk9_Q_dDFMM-TrDKBNCKalZpr7MlItDShFas435XXFvKDGHDMwhA_M3gwx_flZOdQ_NC_rv6RmgM7DzHexfUZnr-9ufs_QJTZqQdg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2124477682</pqid></control><display><type>article</type><title>Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers?</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Swanson, Vivien ; Keely, Alice ; Denison, Fiona C.</creator><creatorcontrib>Swanson, Vivien ; Keely, Alice ; Denison, Fiona C.</creatorcontrib><description>Objectives
Obese women have lower breastfeeding initiation and maintenance rates than healthy weight women. Research generally focuses on biomedical explanations for this. Psychosocial factors including body image and well‐being after childbirth are less well understood as predictors of breastfeeding. In obese and healthy weight women, we investigated changes in body image between 72 hrs post‐delivery and 6–8 weeks post‐natal, studying how women's body image related to breastfeeding initiation and maintenance. We also investigated how psychological distress was related to body image.
Design
Longitudinal semi‐structured questionnaire survey.
Methods
Body image and psychological distress were assessed within 72 hrs of birth and by postal questionnaire at 6–8 weeks, for 70 obese and 70 healthy weight women initiating exclusive (breastmilk only) breastfeeding or mixed feeding (with formula milk) in hospital. Breastfeeding was re‐assessed at 6–8 weeks.
Results
Obese women were less likely to exclusively breastfeed in hospital and maintain breastfeeding to 6–8 weeks. Better body image was related to maintaining breastfeeding and to lower post‐natal psychological distress for all women, but education level was the most significant predictor of maintenance in multivariate regression including body image and weight status. Body image mediated, but did not moderate the relationship between weight and breastfeeding maintenance. Body image was lower overall in obese women, but all women had low body image satisfaction around childbirth, reducing further at 6–8 weeks.
Conclusions
Health professionals should consider women's body image when discussing breastfeeding. A focus on breast function over form may support breastfeeding for all women.
Statement of contribution
What is already known on this subject?
Obesity can negatively affect breastfeeding initiation and maintenance, but there is little information about how psychosocial factors affect this relationship. Body image may be an important factor, but has not been studied in relation to breastfeeding maintenance.
What does this study add
This article examines the influence of body image on obese and healthy‐weight women's breastfeeding maintenance at 6–8 weeks.
Different aspects of body image mediated but did not moderate the relationship between weight status and breastfeeding maintenance, but in multivariate regression, maternal education level was the most significant predictor.
Obese women had poorer body image and were less likely to maintain breastfeeding; however, for all women, body image became more negative in this postpartum period.
Interventions should normalize positive aspects of women's postnatal bodies, including function rather than form. Addressing body concerns could encourage new mothers to maintain breastfeeding, irrespective of weight status.</description><identifier>ISSN: 1359-107X</identifier><identifier>EISSN: 2044-8287</identifier><identifier>DOI: 10.1111/bjhp.12246</identifier><identifier>PMID: 28547837</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Body image ; Body Image - psychology ; Body Weight ; Breast Feeding - psychology ; Breast Feeding - statistics & numerical data ; Breastfeeding & lactation ; breastfeeding maintenance ; Childbirth & labor ; Female ; health behaviour ; Humans ; Longitudinal Studies ; longitudinal study ; maternal obesity ; Medical personnel ; Milk ; Mothers ; Mothers - psychology ; Mothers - statistics & numerical data ; Obesity ; Obesity - complications ; Obesity - psychology ; Postpartum Period ; Postpartum women ; Psychological distress ; Psychosocial factors ; Questionnaires ; Self image ; Stress, Psychological - complications ; Stress, Psychological - psychology ; Surveys and Questionnaires ; Well being ; Womens health</subject><ispartof>British journal of health psychology, 2017-09, Vol.22 (3), p.557-576</ispartof><rights>2017 The British Psychological Society</rights><rights>2017 The British Psychological Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3936-d64116f582cc6f7e70c411d5e10d6c2947c6a4039a2789718180356879c54d703</citedby><cites>FETCH-LOGICAL-c3936-d64116f582cc6f7e70c411d5e10d6c2947c6a4039a2789718180356879c54d703</cites><orcidid>0000-0002-1685-2991</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjhp.12246$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjhp.12246$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28547837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Swanson, Vivien</creatorcontrib><creatorcontrib>Keely, Alice</creatorcontrib><creatorcontrib>Denison, Fiona C.</creatorcontrib><title>Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers?</title><title>British journal of health psychology</title><addtitle>Br J Health Psychol</addtitle><description>Objectives
Obese women have lower breastfeeding initiation and maintenance rates than healthy weight women. Research generally focuses on biomedical explanations for this. Psychosocial factors including body image and well‐being after childbirth are less well understood as predictors of breastfeeding. In obese and healthy weight women, we investigated changes in body image between 72 hrs post‐delivery and 6–8 weeks post‐natal, studying how women's body image related to breastfeeding initiation and maintenance. We also investigated how psychological distress was related to body image.
Design
Longitudinal semi‐structured questionnaire survey.
Methods
Body image and psychological distress were assessed within 72 hrs of birth and by postal questionnaire at 6–8 weeks, for 70 obese and 70 healthy weight women initiating exclusive (breastmilk only) breastfeeding or mixed feeding (with formula milk) in hospital. Breastfeeding was re‐assessed at 6–8 weeks.
Results
Obese women were less likely to exclusively breastfeed in hospital and maintain breastfeeding to 6–8 weeks. Better body image was related to maintaining breastfeeding and to lower post‐natal psychological distress for all women, but education level was the most significant predictor of maintenance in multivariate regression including body image and weight status. Body image mediated, but did not moderate the relationship between weight and breastfeeding maintenance. Body image was lower overall in obese women, but all women had low body image satisfaction around childbirth, reducing further at 6–8 weeks.
Conclusions
Health professionals should consider women's body image when discussing breastfeeding. A focus on breast function over form may support breastfeeding for all women.
Statement of contribution
What is already known on this subject?
Obesity can negatively affect breastfeeding initiation and maintenance, but there is little information about how psychosocial factors affect this relationship. Body image may be an important factor, but has not been studied in relation to breastfeeding maintenance.
What does this study add
This article examines the influence of body image on obese and healthy‐weight women's breastfeeding maintenance at 6–8 weeks.
Different aspects of body image mediated but did not moderate the relationship between weight status and breastfeeding maintenance, but in multivariate regression, maternal education level was the most significant predictor.
Obese women had poorer body image and were less likely to maintain breastfeeding; however, for all women, body image became more negative in this postpartum period.
Interventions should normalize positive aspects of women's postnatal bodies, including function rather than form. Addressing body concerns could encourage new mothers to maintain breastfeeding, irrespective of weight status.</description><subject>Adult</subject><subject>Body image</subject><subject>Body Image - psychology</subject><subject>Body Weight</subject><subject>Breast Feeding - psychology</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>Breastfeeding & lactation</subject><subject>breastfeeding maintenance</subject><subject>Childbirth & labor</subject><subject>Female</subject><subject>health behaviour</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>longitudinal study</subject><subject>maternal obesity</subject><subject>Medical personnel</subject><subject>Milk</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Mothers - statistics & numerical data</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - psychology</subject><subject>Postpartum Period</subject><subject>Postpartum women</subject><subject>Psychological distress</subject><subject>Psychosocial factors</subject><subject>Questionnaires</subject><subject>Self image</subject><subject>Stress, Psychological - complications</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Well being</subject><subject>Womens health</subject><issn>1359-107X</issn><issn>2044-8287</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kU1r3DAQhkVJabZpL_0BRZBLKDjRlyX5FJJtmw8C7aGF3oQsj3e12PJGsln230dbpzn0kLkMDM88DPMi9ImSc5rrot6st-eUMSHfoAUjQhSaaXWEFpSXVUGJ-nOM3qe0IYRyTsp36JjpUijN1QJ1XwdIuB6aPfa9XQH2oe0mCA7wuAYcobOjH0Ja-y2uYdwBhJnegV-tR2xDg-sINo0tQOPDCvfWhxGCPSh8wAF2uB-yK6bLD-hta7sEH5_7Cfr9_duv5W3x8OPmbnn1UDhecVk0UlAq21Iz52SrQBGXB00JlDTSsUooJ60gvLJM6UpRTTXhpdSqcqVoFOEn6Gz2buPwOEEaTe-Tg66zAYYpGVoRTqXMmxk9_Q_dDFMM-TrDKBNCKalZpr7MlItDShFas435XXFvKDGHDMwhA_M3gwx_flZOdQ_NC_rv6RmgM7DzHexfUZnr-9ufs_QJTZqQdg</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Swanson, Vivien</creator><creator>Keely, Alice</creator><creator>Denison, Fiona C.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1685-2991</orcidid></search><sort><creationdate>201709</creationdate><title>Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers?</title><author>Swanson, Vivien ; Keely, Alice ; Denison, Fiona C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3936-d64116f582cc6f7e70c411d5e10d6c2947c6a4039a2789718180356879c54d703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Body image</topic><topic>Body Image - psychology</topic><topic>Body Weight</topic><topic>Breast Feeding - psychology</topic><topic>Breast Feeding - statistics & numerical data</topic><topic>Breastfeeding & lactation</topic><topic>breastfeeding maintenance</topic><topic>Childbirth & labor</topic><topic>Female</topic><topic>health behaviour</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>longitudinal study</topic><topic>maternal obesity</topic><topic>Medical personnel</topic><topic>Milk</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Mothers - statistics & numerical data</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - psychology</topic><topic>Postpartum Period</topic><topic>Postpartum women</topic><topic>Psychological distress</topic><topic>Psychosocial factors</topic><topic>Questionnaires</topic><topic>Self image</topic><topic>Stress, Psychological - complications</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Well being</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Swanson, Vivien</creatorcontrib><creatorcontrib>Keely, Alice</creatorcontrib><creatorcontrib>Denison, Fiona C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Swanson, Vivien</au><au>Keely, Alice</au><au>Denison, Fiona C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers?</atitle><jtitle>British journal of health psychology</jtitle><addtitle>Br J Health Psychol</addtitle><date>2017-09</date><risdate>2017</risdate><volume>22</volume><issue>3</issue><spage>557</spage><epage>576</epage><pages>557-576</pages><issn>1359-107X</issn><eissn>2044-8287</eissn><abstract>Objectives
Obese women have lower breastfeeding initiation and maintenance rates than healthy weight women. Research generally focuses on biomedical explanations for this. Psychosocial factors including body image and well‐being after childbirth are less well understood as predictors of breastfeeding. In obese and healthy weight women, we investigated changes in body image between 72 hrs post‐delivery and 6–8 weeks post‐natal, studying how women's body image related to breastfeeding initiation and maintenance. We also investigated how psychological distress was related to body image.
Design
Longitudinal semi‐structured questionnaire survey.
Methods
Body image and psychological distress were assessed within 72 hrs of birth and by postal questionnaire at 6–8 weeks, for 70 obese and 70 healthy weight women initiating exclusive (breastmilk only) breastfeeding or mixed feeding (with formula milk) in hospital. Breastfeeding was re‐assessed at 6–8 weeks.
Results
Obese women were less likely to exclusively breastfeed in hospital and maintain breastfeeding to 6–8 weeks. Better body image was related to maintaining breastfeeding and to lower post‐natal psychological distress for all women, but education level was the most significant predictor of maintenance in multivariate regression including body image and weight status. Body image mediated, but did not moderate the relationship between weight and breastfeeding maintenance. Body image was lower overall in obese women, but all women had low body image satisfaction around childbirth, reducing further at 6–8 weeks.
Conclusions
Health professionals should consider women's body image when discussing breastfeeding. A focus on breast function over form may support breastfeeding for all women.
Statement of contribution
What is already known on this subject?
Obesity can negatively affect breastfeeding initiation and maintenance, but there is little information about how psychosocial factors affect this relationship. Body image may be an important factor, but has not been studied in relation to breastfeeding maintenance.
What does this study add
This article examines the influence of body image on obese and healthy‐weight women's breastfeeding maintenance at 6–8 weeks.
Different aspects of body image mediated but did not moderate the relationship between weight status and breastfeeding maintenance, but in multivariate regression, maternal education level was the most significant predictor.
Obese women had poorer body image and were less likely to maintain breastfeeding; however, for all women, body image became more negative in this postpartum period.
Interventions should normalize positive aspects of women's postnatal bodies, including function rather than form. Addressing body concerns could encourage new mothers to maintain breastfeeding, irrespective of weight status.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28547837</pmid><doi>10.1111/bjhp.12246</doi><tpages>20</tpages><orcidid>https://orcid.org/0000-0002-1685-2991</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of health psychology, 2017-09, Vol.22 (3), p.557-576 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Body image Body Image - psychology Body Weight Breast Feeding - psychology Breast Feeding - statistics & numerical data Breastfeeding & lactation breastfeeding maintenance Childbirth & labor Female health behaviour Humans Longitudinal Studies longitudinal study maternal obesity Medical personnel Milk Mothers Mothers - psychology Mothers - statistics & numerical data Obesity Obesity - complications Obesity - psychology Postpartum Period Postpartum women Psychological distress Psychosocial factors Questionnaires Self image Stress, Psychological - complications Stress, Psychological - psychology Surveys and Questionnaires Well being Womens health |
| title | Does body image influence the relationship between body weight and breastfeeding maintenance in new mothers? |
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