scholarly journals Maternal Eating Behavior in Low-Income Mothers Influences Attitudes Toward Infant Feeding

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 767-767
Author(s):  
Maryam Kebbe ◽  
Abby Altazan ◽  
Robbie Beyl ◽  
Anne Gilmore ◽  
Leanne Redman
Keyword(s):  
Infant Feeding ◽  
Eating Behavior ◽  
Low Income ◽  
Fixed Effects ◽  
Infant Development ◽  
Eating Behaviors ◽  
Dietary Restraint ◽  
Formula Feeding ◽  
Feeding Mode ◽  
Feeding Styles

Abstract Objectives Eating behavior is established early in life, influences infant development and health, and is likely to originate with the mother. We examined if maternal eating behaviors influenced attitudes towards infant feeding styles and whether these associations differed by infant feeding mode (breastfeeding and formula-feeding). Methods This was an observational study in 35 low-income mother-infant dyads. Postpartum women (≥18 years old, 25 ≤ BMI < 40 kg/m2) in the Louisiana Women, Infants, and Children (WIC) program completed the Eating Inventory and Infant Feeding Styles Questionnaire to assess maternal eating behavior (dietary restraint, disinhibition, and perceived hunger) and infant feeding styles (restrictive feeding, responsive feeding, and pressuring/overfeeding), respectively, 8 weeks after delivery. Linear models with fixed effects were computed with maternal age, BMI, and maternal eating behavior as covariates using SPSS (p < 0.05 to indicate significance). Results Thirty-four % of the mothers were breastfeeding (n = 12) and 66.0% were formula-feeding (n = 23). Infant feeding styles were not predicted by maternal eating behaviors (all p > 0.05). In mothers who breastfed, maternal dietary restraint was positively associated with infant pressuring/overfeeding (β = 0.91, p < 0.05) and was different from those in the formula fed group (Δ = 1.37, p = 0.02). In addition, maternal disinhibition was negatively associated with restrictive infant feeding (β = −0.53, p < 0.05) and was different from those in the formula fed group (Δ = −0.95, p = 0.003). Comparatively, in mothers who formula-fed, restrictive infant feeding was predicted by maternal disinhibition (β = 0.42, p < 0.01; Δ = −0.95, p = 0.003) and maternal perceived hunger (β = 0.43, p < 0.01; Δ = 0.71, p = 0.007). Conclusions Maternal eating behavior is associated with infant feeding styles only when feeding mode is considered. Interventions educating mothers on how their own eating behaviors have the potential to influence eating behaviors of their children are needed. Funding Sources USDA Small Grants Program and the NIH (T32DK064584, and U54 GM104940).

Parental intuitive eating behaviors and their association with infant feeding styles among low-income families

2019 ◽  
Vol 32 ◽  
pp. 78-84 ◽  
Author(s):  
Amrik Singh Khalsa ◽  
Jessica G. Woo ◽  
Roohi Y. Kharofa ◽  
Sheela R. Geraghty ◽  
Thomas G. DeWitt ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Eating Behaviors ◽  
Intuitive Eating ◽  
Feeding Styles ◽  
Low Income Families

scholarly journals The Relationship Between Feeding Styles and BMI Z-score in Infants (P11-014-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Amrik Khalsa ◽  
Kristen Copeland ◽  
Roohi Kharofa ◽  
Sheela Geraghty ◽  
Thomas DeWitt ◽  
...  
Keyword(s):  
Higher Education ◽  
Infant Feeding ◽  
Low Income ◽  
Z Score ◽  
Feeding Styles ◽  
Feeding Style ◽  
Modifiable Factors ◽  
Z Scores ◽  
Laissez Faire ◽  
The Relationship

Abstract Objectives The objective of this study was to determine the relationship between infant feeding styles (the attitudes and behaviors parents use to direct their child's eating) and infant BMI z-score in a low-income, predominately non-Hispanic Black population. Methods Parent-infant dyads were recruited during the infant's 6, 9, or 12 month well-child visits from two urban primary care clinics that primarily serve a Medicaid population (89%). Feeding styles were measured using the Infant Feeding Style Questionnaire (IFSQ) and categorized into: pressuring, restrictive, responsive, or laissez-faire. Predominant feeding style was defined by selecting the style with the greatest deviation from the mean score of each style. Infant anthropometrics were extracted from the electronic medical record from birth through 18 months. Infant BMI z-scores were calculated based on WHO growth charts. Associations between feeding styles and BMI z-scores were examined using mixed models controlling for multiple measures per person, demographics and feeding covariates. Results Data from 198 dyads were analyzed for this study (Table 1). Parents identified as mothers (n = 196), non-Hispanic Black (n = 136), with a median age of 27 years (IQR 23.0 – 30.0). Half the infants were male (n = 99) with a median age at enrollment of 8.98 months [IQR 6.8-10.3]. Parent's predominant feeding style were (in descending order): Laissez-faire: 30%; Restrictive: 28%; Responsive: 23%; and Pressuring: 19%. Predominant feeding style at enrollment was not associated with BMI z-score between 0–18 months, but there was a significant sex differences in BMI z-score for the Laissez-faire and Restrictive feeding styles (Figure 1). Additionally, parents with higher education and a predominately Restrictive feeding style had children with higher BMI z-scores whereas parents with higher education and a Laissez-faire or Pressuring feeding style had children with lower BMI z-score (Figure 2). Conclusions Parent's predominant feeding style during infancy in a low-income population is not associated with infant's BMI in the first two years of life, but some styles demonstrate differences by sex or parental education. Further studies are needed to better understand the modifiable factors for increased BMI in the first 2 years. Funding Sources NIH T32 Institutional grant. Supporting Tables, Images and/or Graphs

scholarly journals Parental Influence in Forming Preschool Children’s Eating Behaviors—A Cross-Sectional Survey in Chongqing, China

Healthcare ◽  
2019 ◽  
Vol 7 (4) ◽  
pp. 140 ◽  
Author(s):  
Hu ◽  
Yang ◽  
Tan ◽  
Zhao ◽  
Du ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Preschool Children ◽  
Eating Behavior ◽  
Low Income ◽  
Body Shape ◽  
Parental Influence ◽  
Eating Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Ordinal Logistic Regression Analysis

Children’s eating habits are closely related to their health problems and the outlook for children’s nutritional statuses appears poor. A cross-sectional survey was conducted among parents of preschool children from December 2018 to January 2019. Sixteen representative kindergartens in 6 districts of Chongqing, China, were included in the study. We took 2200 samples and collected information by questionnaire and after screening, 1781 questionnaires were valid and finally included in the data analysis (n = 1781). Ordinal logistic regression analysis found that age, fathers’ education level, forced diet and perception of children’s body shape were factors associated with children’s eating behaviors (ordered logistic regression/three-level eating behavior; odds ratios p < 0.05). 80.24% of preschool children may have unhealthy eating behavior in this survey and 80.35% of parents had forced their children to eat. Eating behaviors of preschool children in Chongqing are closely related to family factors. This study provides important insight for parents and health care workers in China to improve preschool-aged children’s nutritional behaviors. Intervention programs should focus on parents with low income, low education levels, coercive dietary behaviors and deviated body shape perceptions to reduce children’s eating behavioral problems.

scholarly journals Assessment of infant feeding styles among low-income African-American mothers: Comparing reported and observed behaviors

Appetite ◽  
2007 ◽  
Vol 49 (1) ◽  
pp. 131-140 ◽  
Author(s):  
Lisa M. Sacco ◽  
Margaret E. Bentley ◽  
Kenitra Carby-Shields ◽  
Judith B. Borja ◽  
Barbara D. Goldman
Keyword(s):  
African American ◽  
Infant Feeding ◽  
Low Income ◽  
African American Mothers ◽  
Feeding Styles

scholarly journals Changes in Food Cravings and Eating Behavior after a Dietary Carbohydrate Restriction Intervention Trial

Nutrients ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 52 ◽  
Author(s):  
Katherene O.-B. Anguah ◽  
Majid M. Syed-Abdul ◽  
Qiong Hu ◽  
Miriam Jacome-Sosa ◽  
Colette Heimowitz ◽  
...  
Keyword(s):  
Eating Behavior ◽  
Eating Behaviors ◽  
Dietary Restraint ◽  
Time Frame ◽  
Restricted Diet ◽  
High Fat ◽  
Food Cravings ◽  
Before And After ◽  
Sweet Cravings ◽  
Fat Diets

Compared to low-fat diets, low-carbohydrate (CHO) diets cause weight loss (WL) over a faster time frame; however, it is unknown how changes in food cravings and eating behavior contribute to this more rapid WL in the early phases of dieting. We hypothesized that reductions in food cravings and improved eating behaviors would be evident even after a relatively short (4-week) duration of CHO-restriction, and that these changes would be associated with WL. Adult participants (n = 19, 53% males, mean ± SD: BMI = 34.1 ± 0.8 kg/m2; age 40.6 ± 1.9 years) consumed a CHO-restricted diet (14% CHO, 58% fat, 28% protein) for 4 weeks. Before and after the intervention, specific and total cravings were measured with the Food Craving Inventory (FCI) and eating behaviors assessed with the Three-Factor Eating questionnaire. Food cravings were significantly reduced at week 4, while women had significantly greater reductions in sweet cravings than men. Dietary restraint was significantly increased by 102%, while disinhibiton and hunger scores were reduced (17% and 22%, respectively, p < 0.05). Changes in cravings were unrelated to changes in body weight except for the change in high-fat cravings where those who lost the most weight experienced the least reductions in fat cravings (r = −0.458, p = 0.049). Changes in dietary restraint were inversely related to several FCI subscales. A short-term, low-CHO diet was effective in reducing food cravings. These data suggest that in subjects that have successfully lost weight on a low-CHO diet, those who craved high-fat foods at the onset were able to satisfy their cravings—potentially due to the high-fat nature of this restricted diet.

scholarly journals Pressuring and restrictive feeding styles influence infant feeding and size among a low-income African-American sample

Obesity ◽  
2013 ◽  
Vol 21 (3) ◽  
pp. 562-571 ◽  
Author(s):  
Amanda L. Thompson ◽  
Linda S. Adair ◽  
Margaret E. Bentley
Keyword(s):  
African American ◽  
Infant Feeding ◽  
Low Income ◽  
Feeding Styles ◽  
American Sample ◽  
African American Sample

Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study on Infant Feeding

2016 ◽  
Vol 33 (2) ◽  
pp. 368-378 ◽  
Author(s):  
Cecilia E. Barbosa ◽  
Saba W. Masho ◽  
Kellie E. Carlyle ◽  
Maghboeba Mosavel
Keyword(s):  
African American ◽  
African American Women ◽  
Infant Feeding ◽  
Low Income ◽  
Self Efficacy ◽  
Formula Feeding ◽  
Short Term ◽  
American Women ◽  
Breastfeeding Intention ◽  
Breastfeeding In Public

Background: Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors. Objective: This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed. Methods: Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who had breastfed for 3 months or less. Results: Positive deviant women had more schooling, higher income, breastfeeding intention, positive breastfeeding and unfavorable formula-feeding attitudes, higher self-efficacy, positive hospital and Special Supplemental Nutrition Program for Women, Infants, and Children experiences, more exclusive breastfeeding, and greater comfort breastfeeding in public. Short-term breastfeeding women varied in breastfeeding intention and self-efficacy, seemed to receive insufficient professional breastfeeding support, and supplemented breastfeeding with formula. Some showed ambivalence, concern with unhealthy behaviors, and discomfort with breastfeeding in public. Formula-feeding women intended to formula feed, feared breastfeeding, thought their behaviors were incompatible with breastfeeding, were comfortable with and found formula convenient, and received strong support to formula feed. Conclusion: Tapping into the strengths of positive deviants; tailoring interventions to levels of general and breastfeeding self-efficacy; increasing social, institutional, and community supports; and removing inappropriate formula promotion may offer promising strategies to increase breastfeeding among low-income African American women.

Association Between Infant Feeding Modes and Gastroesophageal Reflux: A Repeated Measurement Analysis of the Infant Feeding Practices Study II

2017 ◽  
Vol 33 (2) ◽  
pp. 267-277 ◽  
Author(s):  
Pei-Lin Chen ◽  
Nelís Soto-Ramírez ◽  
Hongmei Zhang ◽  
Wilfried Karmaus
Keyword(s):  
Gastroesophageal Reflux ◽  
Human Milk ◽  
Infant Feeding ◽  
Repeated Measurement ◽  
Formula Feeding ◽  
Solid Food ◽  
Infant Feeding Practices ◽  
Feeding Mode ◽  
Feeding Modes ◽  
Risk Ratios

Background: Gastroesophageal reflux in neonates is frequently reported by parents, potentially motivating changes in infant feeding mode and/or addition of solid food. Objective: The authors prospectively analyzed associations between repeated measurement of feeding modes and reflux in infancy. Methods: The Infant Feeding Practices Study II, conducted between 2005 and 2007 (2,841 infants), provides data on reflux and feeding modes at nine time points from months 1 to 12. Feeding modes were defined based on direct breastfeeding, feeding of bottled human milk, formula feeding, their combinations, and use of solid food. Repeated measurements were investigated using 1-month delayed models to estimate risk ratios (RRs) and their 95% confidence intervals (CIs). Risk ratios of different feeding modes were estimated for reflux; addressing a reverse association, RRs for feeding mode were estimated as responses to prior reflux. Results: Compared to direct breastfeeding, combinations with formula feeding showed a statistically significant risk for reflux (bottled human milk plus formula feeding: RR = 2.19, 95% CI [1.11, 4.33]; formula feeding: RR = 1.95, 95% CI [1.39, 2.74]; and mixed breastfeeding plus formula feeding: RR = 1.59, 95% CI [1.40, 2.42]). Addition of solid food was not protective (RR = 1.21, 95% CI [0.86, 1.70]). Analyses of reverse association (reflux → feeding) showed fewer breastfed infants among those with reflux in the prior month. Conclusion: Any combination of infant feeding with formula seems to be a risk for reflux. Although breastfeeding was protective, mothers with a child with reflux were more likely to wean their child.

scholarly journals Epigenome-Wide Association of Infant Feeding and Changes in DNA Methylation from Birth to 10 Years

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 99
Author(s):  
Yamini Mallisetty ◽  
Nandini Mukherjee ◽  
Yu Jiang ◽  
Su Chen ◽  
Susan Ewart ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Infant Feeding ◽  
Formula Feeding ◽  
Future Research ◽  
Blood Collection ◽  
Mixed Feeding ◽  
Linear Regression Models ◽  
Future Health ◽  
Feeding Mode ◽  
Feeding Modes

Epigenetic factors have been suggested as mediators of early-life nutrition to future health. Prior studies focused on breastfeeding effects on DNA methylation (DNAm), ignoring other feeding modes. In this analysis of the Isle of Wight birth cohort, feeding modes were categorized as exclusive breastfeeding (EBF), exclusive formula feeding (EFF), and mixed feeding based on whether the respective feeding mode lasted for at least 3 months. In addition, in the past, infant feeding modes were assessed using DNAm at one time point in childhood, not changes of DNAm. In this paper, methylation differences (delta DNAm) were calculated by subtracting residual methylation values at birth from age 10 years (adjusting for cell types and season of blood collection at both ages). These deltas were estimated for all methylation sites where cytosine was followed by guanine (cytosine guanine dinucleotide (CpG) sites). Then, we performed an epigenome-wide association study contrasting EBF, EFF, and mixed feeding with delta DNAm that represents changes in methylation from birth to 10 years. A total of 87 CpGs (EBF: 27 CpGs, EFF: 48 CpGs, mixed: 12 CpGs) were identified using separate linear regression models adjusting for confounders and multiple testing. The sum of all changes in methylation from birth to age 10 years was significantly lower in the EFF group. Correspondingly, the number of CpGs with a methylation decline was 4.7% higher reflecting 13,683 CpGs. Lower methylation related to exclusive formula feeding and its adverse potential for the child’s development needs future research to reduce adverse health effects.

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