Research Article
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The Relationship of the Breastfeeding Attitude with Eating Attitude and Body Image of Obese and Non-Obese Mothers with Babies Hospitalized in the Neonatal Intensive Care Unit

Year 2022, Volume: 7 Issue: 4, 560 - 566, 10.12.2022
https://doi.org/10.26453/otjhs.1086869

Abstract

Objective: The research was conducted to determine the relationship between obese and non-obese mothers' breastfeeding attitudes with eating attitudes and body perception.
Materials and Methods: The sample of the descriptive study consisted of 248 mothers (obese:120; non-obese=128). The data were collected with the Personal Information Form, Breastfeeding Attitudes of the Evaluation Scale (BAES), Eating Attitudes Test (EAT) and Body Perception Scale (BPS).
Results: It was determined that 14.2% of obese mothers and 14.1% of non-obese mothers were prone to eating attitude disorders. There was a weak statistically significant negative relationship between BAES and the EAT scores of obese (r=–0.284; p=0.002) and non-obese women (r=–0.371; p=0.000). A statistically significant relationship was not determined between the BAES and BPS scores (p>0.05).
Conclusion: While there was no relationship between breastfeeding attitude and body perception of obese and non-obese women, the tendency to eating attitude disorder decreased as obese and non-obese mothers’ positive breastfeeding attitudes increased. According to these findings, it is recommended to support a positive breastfeeding attitude in mothers. 

Thanks

As authors, we would like to thank health professionals who gave support during data collection process and mothers who participated in the research.

References

  • World Health Organization (WHO). Obesity and overweight. World Health Organization. 2021. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed date 9 July 2021.
  • Portela DS, Vieira TO, Matos SM, de Oliveira NF, Vieira GO. Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: Results from a cohort. BMC Pregnancy and Childbirth. 2015;15(94):2-10. doi:10.1186/s12884-015-0518-z
  • Turcksin R, Bel S, Galjaard S, Devlieger R. Maternal obesity and breastfeeding intention, initiation, intensity and duration: A systematic review. Maternal & Child Nutrition. 2014;10(2):166-183. doi:10.1111/j.1740-8709.2012.00439.x
  • Erem C. Prevalence of overweight and obesity in Türkiye. IJC Metabolic and Endocrine. 2015;8(2015):38-41. doi:10.1016/j.ijcme.2015.07.002
  • Berkiten Ergin A. Evaluation of obesity in perspective of women health and gender roles. Journal of Women's Health Nursing Jowhen. 2014;1(1):41-54
  • Davies GAL, Maxwell C, McLeod L. No. 239-Obesity in pregnancy. Journal of Obstetrics and Gynaecology Canada. 2018;40(8):e630-e639. doi:10.1016/j.jogc.2018.05.018
  • Marshall NE, Lau B, Purnell JQ, Thornburg KL. Impact of maternal obesity and breastfeeding intention on lactation intensity and duration. Maternal and Child Nutrition. 2019;15(2). doi:10.1111/MCN.12732
  • Hauff LE, Leonard SA, Rasmussen KM. Associations of maternal obesity and psychosocial factors with breastfeeding intention, initiation, and duration. The American Journal of Clinical Nutrition. 2014;99(3):524-534. doi:10.3945/ajcn.113.071191
  • Lau Y, Htun TP, Lim PI, et al. Breastfeeding attitude, health-related quality of life and maternal obesity among multi-ethnic pregnant women: A multi-group structural equation approach. International Journal of Nursing Studies. 2017;67:71-82. doi:10.1016/j.ijnurstu.2016.12.004
  • Bigman G, Wilkinson AV, Homedes N, Pérez A. Body image dissatisfaction, obesity and their associations with breastfeeding in mexican women, a cross-sectional study. Maternal and Child Health Journal. 2018;22(12):1815-1825. doi:10.1007/s10995-018-2583-1
  • Brown A, Rance J, Warren L. Body image concerns during pregnancy are associated with a shorter breast feeding duration. Midwifery. 2015;31(1):80-89. doi:10.1016/j.midw.2014.06.003
  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. doi:10.3758/BRM.41.4.1149
  • Polit D, Beck C. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th ed. PA: Lippincott Williams & Wilkins; 2017.
  • Arslan H, Development of breastfeeding attitude scale. Nursing Forum. 1999;2(3):132-136.
  • Garner D, Garfinkel P. The Eating Attitudes Test an index of. Psychological Medicine. 1979;9(2):273-279. doi:10.1017/s0033291700030762
  • Savasir I, Erol N. Eating attitude test: Anorexia nervosa symptoms index. Turkish Journal of Psychology. 1989;7(23):19-25.
  • Secord PF, Jourard SM. The appraisal of body-cathexis: body-cathexis and the self. Journal of Consulting Psychology. 1953;17(5):343-347. doi:10.1037/h0060689.
  • Hovardaoglu S. Body perception scale. Journal of Psychiatry, Psychology, Psychopharmacology (3P). 1993;1(1):26-27.
  • Iliadou M, Lykeridou K, Prezerakos P, Swift EM, Tziaferi SG. Measuring the Effectiveness of a Midwife-led Education Programme in Terms of Breastfeeding Knowledge and Self-efficacy, Attitudes Towards
  • Breastfeeding, and Perceived Barriers of Breastfeeding Among Pregnant Women. Mater Sociomed. 2018;30(4):240-245. doi: 10.5455/msm.2018.30.240-245.
  • Davie P, Bick D, Chilcot J. To what extent does maternal body mass index predict intentions, attitudes, or practices of early infant feeding? Maternal & Child Nutrition. 2019;15(4):e12837. doi:10.1111/MCN.12837
  • Claesson IM, Larsson L, Steen L, Alehagen S. “You just need to leave the room when you breastfeed” Breastfeeding experiences among obese women in Sweden-A qualitative study. BMC Pregnancy and Childbirth. 2018;18(1):1-10. doi:10.1186/s12884-017-1656-2
  • Perez MR, Sant’ L, de Castro A, et al. Breastfeeding practices and problems among obese women compared with nonobese women in a Brazilian hospital. 2021;2(1):219-226. doi:10.1089/WHR.2021.0021
  • Bider-Canfield Z, Martinez MP, Wang X, et al. Maternal obesity, gestational diabetes, breastfeeding and childhood overweight at age 2 years. Pediatric Obesity. 2017;12(2):171-178. doi:10.1111/ijpo.12125
  • Nguyen AN, de Barse LM, Tiemeier H, et al. Maternal history of eating disorders: Diet quality during pregnancy and infant feeding. Appetite. 2017;109(2017):108-114. doi:10.1016/j.appet.2016.11.030
  • Kadioglu M, Oskay Ü. The effects of eating disorders on pregnancy and postpartum period. Journal of Women's Health Nursing (Jowhen). 2017;3(1):40-53.
  • Kaß A, Dörsam AF, Weiß M, Zipfel S, Giel KE. The impact of maternal eating disorders on breastfeeding practices: A systematic review. Archives of Women’s Mental Health. 2021;24(5):693-708. doi:10.1007/S00737-021-01103-W/TABLES/3
  • Stuebe, A. M., Meltzer-Brody, S., Propper, C., Pearson, B., Beiler, P., Elam, M., ... & Grewen, K. (2019). The mood, mother, and infant study: associations between maternal mood in pregnancy and breastfeeding outcome. Breastfeeding Medicine, 14(8), 551-559.
  • Han SY, Brewis AA. Influence of weight concerns on breastfeeding: Evidence from the Norwegian mother and child cohort study. American Journal of Human Biology. 2018;30(2):3-4. doi:10.1002/ajhb.23086 Güney E, Ucar T. Breastfeeding attitude of body image in pregnancy and effect on breastfeeding process. Zeynep Kamil Medical Journal. 2018;49(1):49-53. doi:10.16948/zktipb.338783

Yenidoğan Yoğun Bakım Servisinde Bebeği Yatan Obez ve Obez Olmayan Annelerin Emzirme Tutumlarının Yeme Tutumları ve Beden Algısı ile İlişkisi

Year 2022, Volume: 7 Issue: 4, 560 - 566, 10.12.2022
https://doi.org/10.26453/otjhs.1086869

Abstract

Amaç: Araştırma obez ve obez olmayan annelerin emzirme tutumlarının, yeme tutumu ve beden algısı ile ilişkisini belirlemek amacıyla yapılmıştır.
Materyal ve Metot: Tanımlayıcı araştırmanın örneklemini 248 kadın (obez=120; obez olmayan=128) oluşturmuştur. Veriler Kişisel Bilgi Formu, Emzirme Tutumunu Değerlendirme Ölçeği (ETDÖ), Yeme Tutumu Testi (YTT) ve Beden Algısı Ölçeği (BAÖ) ile toplanmıştır.
Bulgular: Obez annelerin %14.2'sinin, obez olmayan annelerin ise %14.1'inin yeme tutum bozukluğuna yatkın olduğu saptanmıştır. ETDÖ puanları ile YTT puanları arasında obez (r=–0,284; p=0,002) ve obez olmayan kadınlarda (r=–0,371; p=0,000) istatistiksel olarak anlamlı zayıf negatif ilişki vardır. ETDÖ ile BAÖ puanları arasında istatistiksel olarak anlamlı ilişki saptanmamıştır (p>0.05).
Sonuç: Obez ve obez olmayan kadınların emzirme tutumu ile beden algısı arasında ilişki bulunmazken hem obez hem de obez olmayan kadınların olumlu emzirme tutumları arttıkça yeme davranışı bozukluğuna yatkınlık da azalmaktadır. Bu bulgulara göre kadınlarda olumlu emzirme davranışlarının desteklenmesi önerilmektedir. 

References

  • World Health Organization (WHO). Obesity and overweight. World Health Organization. 2021. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed date 9 July 2021.
  • Portela DS, Vieira TO, Matos SM, de Oliveira NF, Vieira GO. Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: Results from a cohort. BMC Pregnancy and Childbirth. 2015;15(94):2-10. doi:10.1186/s12884-015-0518-z
  • Turcksin R, Bel S, Galjaard S, Devlieger R. Maternal obesity and breastfeeding intention, initiation, intensity and duration: A systematic review. Maternal & Child Nutrition. 2014;10(2):166-183. doi:10.1111/j.1740-8709.2012.00439.x
  • Erem C. Prevalence of overweight and obesity in Türkiye. IJC Metabolic and Endocrine. 2015;8(2015):38-41. doi:10.1016/j.ijcme.2015.07.002
  • Berkiten Ergin A. Evaluation of obesity in perspective of women health and gender roles. Journal of Women's Health Nursing Jowhen. 2014;1(1):41-54
  • Davies GAL, Maxwell C, McLeod L. No. 239-Obesity in pregnancy. Journal of Obstetrics and Gynaecology Canada. 2018;40(8):e630-e639. doi:10.1016/j.jogc.2018.05.018
  • Marshall NE, Lau B, Purnell JQ, Thornburg KL. Impact of maternal obesity and breastfeeding intention on lactation intensity and duration. Maternal and Child Nutrition. 2019;15(2). doi:10.1111/MCN.12732
  • Hauff LE, Leonard SA, Rasmussen KM. Associations of maternal obesity and psychosocial factors with breastfeeding intention, initiation, and duration. The American Journal of Clinical Nutrition. 2014;99(3):524-534. doi:10.3945/ajcn.113.071191
  • Lau Y, Htun TP, Lim PI, et al. Breastfeeding attitude, health-related quality of life and maternal obesity among multi-ethnic pregnant women: A multi-group structural equation approach. International Journal of Nursing Studies. 2017;67:71-82. doi:10.1016/j.ijnurstu.2016.12.004
  • Bigman G, Wilkinson AV, Homedes N, Pérez A. Body image dissatisfaction, obesity and their associations with breastfeeding in mexican women, a cross-sectional study. Maternal and Child Health Journal. 2018;22(12):1815-1825. doi:10.1007/s10995-018-2583-1
  • Brown A, Rance J, Warren L. Body image concerns during pregnancy are associated with a shorter breast feeding duration. Midwifery. 2015;31(1):80-89. doi:10.1016/j.midw.2014.06.003
  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. doi:10.3758/BRM.41.4.1149
  • Polit D, Beck C. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th ed. PA: Lippincott Williams & Wilkins; 2017.
  • Arslan H, Development of breastfeeding attitude scale. Nursing Forum. 1999;2(3):132-136.
  • Garner D, Garfinkel P. The Eating Attitudes Test an index of. Psychological Medicine. 1979;9(2):273-279. doi:10.1017/s0033291700030762
  • Savasir I, Erol N. Eating attitude test: Anorexia nervosa symptoms index. Turkish Journal of Psychology. 1989;7(23):19-25.
  • Secord PF, Jourard SM. The appraisal of body-cathexis: body-cathexis and the self. Journal of Consulting Psychology. 1953;17(5):343-347. doi:10.1037/h0060689.
  • Hovardaoglu S. Body perception scale. Journal of Psychiatry, Psychology, Psychopharmacology (3P). 1993;1(1):26-27.
  • Iliadou M, Lykeridou K, Prezerakos P, Swift EM, Tziaferi SG. Measuring the Effectiveness of a Midwife-led Education Programme in Terms of Breastfeeding Knowledge and Self-efficacy, Attitudes Towards
  • Breastfeeding, and Perceived Barriers of Breastfeeding Among Pregnant Women. Mater Sociomed. 2018;30(4):240-245. doi: 10.5455/msm.2018.30.240-245.
  • Davie P, Bick D, Chilcot J. To what extent does maternal body mass index predict intentions, attitudes, or practices of early infant feeding? Maternal & Child Nutrition. 2019;15(4):e12837. doi:10.1111/MCN.12837
  • Claesson IM, Larsson L, Steen L, Alehagen S. “You just need to leave the room when you breastfeed” Breastfeeding experiences among obese women in Sweden-A qualitative study. BMC Pregnancy and Childbirth. 2018;18(1):1-10. doi:10.1186/s12884-017-1656-2
  • Perez MR, Sant’ L, de Castro A, et al. Breastfeeding practices and problems among obese women compared with nonobese women in a Brazilian hospital. 2021;2(1):219-226. doi:10.1089/WHR.2021.0021
  • Bider-Canfield Z, Martinez MP, Wang X, et al. Maternal obesity, gestational diabetes, breastfeeding and childhood overweight at age 2 years. Pediatric Obesity. 2017;12(2):171-178. doi:10.1111/ijpo.12125
  • Nguyen AN, de Barse LM, Tiemeier H, et al. Maternal history of eating disorders: Diet quality during pregnancy and infant feeding. Appetite. 2017;109(2017):108-114. doi:10.1016/j.appet.2016.11.030
  • Kadioglu M, Oskay Ü. The effects of eating disorders on pregnancy and postpartum period. Journal of Women's Health Nursing (Jowhen). 2017;3(1):40-53.
  • Kaß A, Dörsam AF, Weiß M, Zipfel S, Giel KE. The impact of maternal eating disorders on breastfeeding practices: A systematic review. Archives of Women’s Mental Health. 2021;24(5):693-708. doi:10.1007/S00737-021-01103-W/TABLES/3
  • Stuebe, A. M., Meltzer-Brody, S., Propper, C., Pearson, B., Beiler, P., Elam, M., ... & Grewen, K. (2019). The mood, mother, and infant study: associations between maternal mood in pregnancy and breastfeeding outcome. Breastfeeding Medicine, 14(8), 551-559.
  • Han SY, Brewis AA. Influence of weight concerns on breastfeeding: Evidence from the Norwegian mother and child cohort study. American Journal of Human Biology. 2018;30(2):3-4. doi:10.1002/ajhb.23086 Güney E, Ucar T. Breastfeeding attitude of body image in pregnancy and effect on breastfeeding process. Zeynep Kamil Medical Journal. 2018;49(1):49-53. doi:10.16948/zktipb.338783
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research article
Authors

Hilal Özbek 0000-0001-6368-2633

Şükran Ertekin Pınar 0000-0002-5431-8159

Early Pub Date December 3, 2022
Publication Date December 10, 2022
Submission Date March 12, 2022
Acceptance Date October 4, 2022
Published in Issue Year 2022 Volume: 7 Issue: 4

Cite

AMA Özbek H, Ertekin Pınar Ş. The Relationship of the Breastfeeding Attitude with Eating Attitude and Body Image of Obese and Non-Obese Mothers with Babies Hospitalized in the Neonatal Intensive Care Unit. OTJHS. December 2022;7(4):560-566. doi:10.26453/otjhs.1086869

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