Eating Behaviours of Lactating Women Differ by Infant Age and Maternal BMI
Year 2022,
, 280 - 285, 15.03.2022
Gizem Köse
,
Eftal Geçgil Demir
Abstract
Purpose: In lactation, women experience major changes in their lives as new internal and external demands for attention and care for themselves and the baby, also body mass index due to eating behaviours. Our aim was to define relationships between mindful eating and eating behaviours of breastfeeding mothers by baby’s age and maternal BMI.
Methods: This cross-sectional study was conducted between October-November 2021 with 302 lactating mothers without chronic disease. Our study was approved by Ethics Committee of the Acibadem Mehmet Ali Aydinlar University. A questionnaire form that examined demographic data and Mindful Eating Questionnaire (MEQ-30) were applied. A questionnaire form that examined demographic data and Mindful Eating Questionnaire (MEQ-30) were applied. Anthropometric variables were reported by participants due to Covid-19 pandemic.
Results: Mean age of our participants was 30.6±4.2 years. Mothers with obesity had lowest scores in MEQ-30 (p<0.001). Lactating mothers who were underweight had highest MEQ-30 score (p<0.001). It was shown that lactating mothers have highest MEQ-30 score in the first 6 months, and MEQ-30 scores decreased as baby grows (p<0.001).
Conclusion: Lactation period can be an appropriate time to bring about long-term changes in eating behaviour. Healthcare professionals and teams can apply treatments focused on eating behaviour and mindful eating for mothers with obesity in terms of their physical and emotional health, especially after the 6th month of breastfeeding.
References
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Year 2022,
, 280 - 285, 15.03.2022
Gizem Köse
,
Eftal Geçgil Demir
References
- 1. Dikmen HA, Çankaya S. Maternal obezitenin prenatal bağlanma üzerine etkisi. Acibadem Univ Saglik Bilim Derg. 2018;2:118-23. DOI: 10.31067/0.2018.1
- 2. Most J, Altazan, AD, Amant MS, et al. Increased energy intake after pregnancy determines postpartum weight retention in women with obesity. J Clin Endocrinol Metab. 2020;105:1601-11. DOI:10.1210/clinem/dgz330
- 3. Skouteris H, Hartley-Clark L, McCabe M, et al. Preventing excessive gestational weight gain: A systematic review of interventions. Obes Rev. 2010;11:757–68. DOI:10.1111/j.1467-789X.2010.00806.x
- 4. Bijlholt M, Van Uytsel H, Ameye L, et al. Eating behaviors in relation to gestational weight gain and postpartum weight retention: A systematic review. Obes Rev. 202;21:1–18. DOI:10.1111/obr.13047
- 5. French SA, Mitchell NR, Finlayson G, et al. Questionnaire and laboratory measures of eating behavior: Associations with energy intake and BMI in a community sample of working adults. Appetite. 2014;72:50–8. DOI:10.1016/j.appet.2013.09.020
- 6. van Strien T, Konttinen H, Homberg JR, et al. Emotional eating as a mediator between depression and weight gain. Appetite. 2016;100:216–24. DOI:10.1016/j.appet.2016.02.034
- 7. Mento C, Le Donne M, Crisafulli S, et al. BMI at early puerperium: Body image, eating attitudes and mood states. J Obstet Gynaecol. 2017;37:428–34. DOI:10.1080/01443615.2016.1250727
- 8. Beccia AL, Ruf A, Druker S, et al. Women’s experiences with a mindful eating program for binge and emotional eating: A qualitative investigation into the process of change. J Altern Complement Med. 2020;26:937–44. DOI: 10.1089/acm.2019.0318
- 9. Framson C, Kristal AR, Schenk JM, et al. Development and validation of the mindful eating questionnaire. J Am Diet Assoc. 2009;109:1439-44. DOI:10.1016/j.jada.2009.05.006
- 10. Kose G, Tayfur M, Birincioglu I, et al. Adaptation Study of the Mindful Eating Questiionnare (MEQ) into Turkish. J Cogn Psychother. 2017;5:125-34. DOI:10.5455/jcbpr.250644
- 11. World Health Organization. Obesity and overweight. Last Modified April 1, 2020. Accessed January 9, 2021. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
- 12. Klohe-Lehman DM, Freeland-Graves J, Anderson ER, et al. Nutrition knowledge is associated with greater weight loss in obese and overweight low-income mothers. J Am Diet Assoc. 2006;106:65–75. DOI:10.1016/j.jada.2005.09.047
- 13. Fraser AB, Grimes DA. Effect of Lactation on Maternal Body Weight: A Systematic Review. Obstet Gynecol Surv. 2003;58:265–9. DOI:10.1097/01.OGX.0000058116.93935.61
- 14. Raynor M. Pregnancy and the puerperium: the social and psychological context. Psychiatry. 2006;5:1–4. DOI:10.1383/psyt.2006.5.1.1
- 15. Phelan S, Phipps MG, Abrams B, et al. Does behavioral intervention in pregnancy reduce postpartum weight retention? Twelve-month outcomes of the Fit for Delivery randomized trial1-3. Am J Clin Nutr. 2014;99:302–11. DOI:10.3945/ajcn.113.070151
- 16. Quansah DY, Gilbert L, Gross J, et al. Intuitive eating is associated with improved health indicators at 1-year postpartum in women with gestational diabetes mellitus. J Health Psychol. 2019;1:1-17 DOI:10.1177/1359105319869814
- 17. Phelan S, Wing RR, Brannen A, et al. Does Partial Meal Replacement During Pregnancy Reduce 12-Month Postpartum Weight Retention? Obesity. 2019;27:226–36. DOI:10.1002/oby.22361
- 18. Blau LE, Orloff NC, Flammer A, et al. Food craving frequency mediates the relationship between emotional eating and excess weight gain in pregnancy. Eat Behav. 2018;31:120–4. DOI:10.1016/j.eatbeh.2018.09.004
- 19. Dalrymple KV, Flynn AC, Relph SA, et al. Lifestyle interventions in overweight and obese pregnant or postpartum women for postpartum weight management: A systematic review of the literature. Nutrients. 2018;10:1–26. DOI:10.3390/nu10111704