Table 1

Included studies on maternal obesity and women's infant feeding intentions

Authors, Year of Publication, Country, and Year(s) of Study

Participants

Definitions

Results


Barnes et al, 1997 [34], Bristol, UK, 1991-112

Birth cohort, (Avon Longitudinal Study of Parents and Children) n = 11,907

Multivariate analysis, n = 8431 for 1st week and n = 8392 for 4 months

Intention: asked at 32 weeks (4 time periods, 4 options for each)

Eating Disorder Examination Questionnaire, including 'shape concern' and 'weight concern' items (> 2 indicated marked concern)

Intention to bf 1 week old infant:

Shape concern normal OR 1.22 (95%CI: 1.10, 1.35)

Weight concern normal OR 1.20 (95%CI, 1.07, 1.35)

Intention to bf infant up to 4 months:

Shape concern normal OR 1.30 (95%CI: 1.19, 1.42)

Weight concern normal OR 1.26 (95%CI: 1.14, 1.40)

Multivariate analysis:

Intention to bf 1 week old infant:

Shape concern normal OR 1.25 (95%CI: 1.09, 1.42)

Weight concern normal NS

Intention to bf infant up to 4 months:

Shape concern normal OR 1.26 (95%CI: 1.13, 1.42)

Weight concern normal OR 1.16 (95%CI: 1.02, 1.32)

(Adjusted for demographic variables, smoking, maternal attitudes to baby)

Foster et al 1996 [41], Manchester, UK, yr of study not stated

Antenatal cohort n = 38

Eating Disorder Examination: Shape Concern (SC).

Body Satisfaction Scale:

General Satisfaction (GS).

Measurement of BMI not mentioned in text

Bf intention and BMI: NS

Shape concern:

Intended to bf median 0.29

Intended to formula feed median 1.05 (i.e. higher concern)

(p = 0.02)

General Satisfaction:

Intended to bf median 38.5

Intended to formula feed median 47.5 (i.e. higher dissatisfaction)

(p = 0.004)

Multivariate analysis: body shape satisfaction independent predictor of infant feeding intention.

(Adjusted for social class, GS, SC and maternal-fetal attachment)

Hilson et al 2004 [42], Cooperstown, NY, USA, 1998

Antenatal cohort Eligibility: intended to bf, singleton infant n = 114

IOM definition of obesity Self-reported height and weight

Planned intention (months, mean, sd)

Underweight/normal weight 9.3 (5.7)

Overweight 9.8 (3.0)

Obese 6.9 (4.6)

(p < 0.05)


Bf = breastfeeding, BMI = body mass index, IOM = Institute of Medicine, NS = not significant

Amir and Donath BMC Pregnancy and Childbirth 2007 7:9   doi:10.1186/1471-2393-7-9

Open Data