TY - JOUR
T1 - Earlier Onset of Maternal Excess Adiposity Associated with Shorter Exclusive Breastfeeding Duration
AU - Hawkins, Misty A.W.
AU - Colaizzi, Janna
AU - Rhoades-Kerswill, Sarah
AU - Fry, Emily D.
AU - Keirns, Natalie G.
AU - Smith, Caitlin E.
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2019/5/1
Y1 - 2019/5/1
N2 -
Background: Exclusive breastfeeding for 6 months is recommended; however, women with obesity have lower exclusive breastfeeding rates than their normal weight peers. The impact of the timing of maternal excess adiposity onset is unknown. Research aim: We examined whether the timing of onset of excess weight was related to exclusive breastfeeding duration. Methods: Snowball sampling was used for the cross-sectional Breastfeeding Opinions, Outcomes, Behaviors, and Services online survey. The sample was 1,570 mothers who reported their breastfeeding and weight history. Exclusive breastfeeding duration (for first biological child only) was calculated in months and dichotomously (0=< 6 months exclusive breastfeeding; 1=⩾ 6 months exclusive breastfeeding). Participants self-reported their excess weight onset (0=before/during puberty or 1=after puberty). Results: Analysis of covariance results indicated that earlier onset of excess weight was associated with shorter exclusive breastfeeding (F (1, 1518) = 11.29, p<.001, η
2
=.01). Those with excess adiposity onset before or during puberty were 1.6 times more likely to experience exclusive breastfeeding failure (< 6 months exclusive breastfeeding) than those with onset after puberty (OR = 1.57, β =.46, Wald = 11.81, p =.001). Conclusion: Earlier onset of excess adiposity had an adverse influence on exclusive breastfeeding duration. Women with a history of excess adiposity before or during puberty who want to breastfeed may require additional intervention to promote their breastfeeding success.
AB -
Background: Exclusive breastfeeding for 6 months is recommended; however, women with obesity have lower exclusive breastfeeding rates than their normal weight peers. The impact of the timing of maternal excess adiposity onset is unknown. Research aim: We examined whether the timing of onset of excess weight was related to exclusive breastfeeding duration. Methods: Snowball sampling was used for the cross-sectional Breastfeeding Opinions, Outcomes, Behaviors, and Services online survey. The sample was 1,570 mothers who reported their breastfeeding and weight history. Exclusive breastfeeding duration (for first biological child only) was calculated in months and dichotomously (0=< 6 months exclusive breastfeeding; 1=⩾ 6 months exclusive breastfeeding). Participants self-reported their excess weight onset (0=before/during puberty or 1=after puberty). Results: Analysis of covariance results indicated that earlier onset of excess weight was associated with shorter exclusive breastfeeding (F (1, 1518) = 11.29, p<.001, η
2
=.01). Those with excess adiposity onset before or during puberty were 1.6 times more likely to experience exclusive breastfeeding failure (< 6 months exclusive breastfeeding) than those with onset after puberty (OR = 1.57, β =.46, Wald = 11.81, p =.001). Conclusion: Earlier onset of excess adiposity had an adverse influence on exclusive breastfeeding duration. Women with a history of excess adiposity before or during puberty who want to breastfeed may require additional intervention to promote their breastfeeding success.
KW - breastfeeding
KW - breastfeeding barriers
KW - breastfeeding duration
KW - exclusive breastfeeding
KW - maternal health
UR - http://www.scopus.com/inward/record.url?scp=85059698732&partnerID=8YFLogxK
U2 - 10.1177/0890334418799057
DO - 10.1177/0890334418799057
M3 - Article
C2 - 30326196
AN - SCOPUS:85059698732
SN - 0890-3344
VL - 35
SP - 292
EP - 300
JO - Journal of Human Lactation
JF - Journal of Human Lactation
IS - 2
ER -