Maternal infant feeding behaviors and disparities in early child obesity

Rachel S. Gross, Alan L. Mendelsohn, Arthur H. Fierman, Nicole R. Hauser, Mary Jo Messito

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: Although disparities in child obesity exist during infancy, the underlying mechanisms are unclear. Assessing dissimilarities in feeding practices, styles, and beliefs may provide a better understanding of these mechanisms. This study sought to identify modifiable maternal-infant feeding behaviors that may contribute to disparities in early child obesity. Methods: This study is a cross-sectional analysis comparing mothers with infants (2 weeks to 6 months old) in a low-risk group of high-income white mothers to a high-risk group of low-income Hispanic mothers. Regression analysis was used to explore relationships between each group and (1) infant feeding practices, including breastfeeding, giving juice, and adding cereal to bottles, (2) controlling feeding styles, (3) beliefs about infant hunger and satiety, and (4) infant weight status. Results: The sample included 412 mothers (low-risk group, n=208; high-risk group, n=204). The high-risk group was less likely to exclusively breastfeed (adjusted odds ratio [AOR], 0.43; 95% confidence interval [CI], 0.22-0.83), more likely to introduce juice (AOR, 12.25; 95% CI, 3.44-43.62), and add cereal to the bottle (AOR, 10.61; 95% CI, 2.74-41.0). The high-risk group exhibited greater restrictive and pressuring feeding styles and was more likely to believe that mothers can recognize infant hunger and satiety and less likely to believe that infants know their own hunger and satiety. High-risk infants were more likely to have a weight-for-length percentile >85th percentile (AOR, 2.66; 95% CI, 1.10-6.45). Conclusions: Differences in infant feeding behaviors may contribute to disparities in early child obesity. Longitudinal studies are needed to determine the effect of these differences on child obesity.

Original languageEnglish (US)
Pages (from-to)145-152
Number of pages8
JournalChildhood Obesity
Volume10
Issue number2
DOIs
StatePublished - Apr 1 2014

Fingerprint

Infant Behavior
Pediatric Obesity
Feeding Behavior
Mothers
Hunger
Odds Ratio
Confidence Intervals
Weights and Measures
Breast Feeding
Hispanic Americans
Longitudinal Studies
Cross-Sectional Studies
Regression Analysis

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Gross, R. S., Mendelsohn, A. L., Fierman, A. H., Hauser, N. R., & Messito, M. J. (2014). Maternal infant feeding behaviors and disparities in early child obesity. Childhood Obesity, 10(2), 145-152. https://doi.org/10.1089/chi.2013.0140

Maternal infant feeding behaviors and disparities in early child obesity. / Gross, Rachel S.; Mendelsohn, Alan L.; Fierman, Arthur H.; Hauser, Nicole R.; Messito, Mary Jo.

In: Childhood Obesity, Vol. 10, No. 2, 01.04.2014, p. 145-152.

Research output: Contribution to journalArticle

Gross, RS, Mendelsohn, AL, Fierman, AH, Hauser, NR & Messito, MJ 2014, 'Maternal infant feeding behaviors and disparities in early child obesity', Childhood Obesity, vol. 10, no. 2, pp. 145-152. https://doi.org/10.1089/chi.2013.0140
Gross RS, Mendelsohn AL, Fierman AH, Hauser NR, Messito MJ. Maternal infant feeding behaviors and disparities in early child obesity. Childhood Obesity. 2014 Apr 1;10(2):145-152. https://doi.org/10.1089/chi.2013.0140
Gross, Rachel S. ; Mendelsohn, Alan L. ; Fierman, Arthur H. ; Hauser, Nicole R. ; Messito, Mary Jo. / Maternal infant feeding behaviors and disparities in early child obesity. In: Childhood Obesity. 2014 ; Vol. 10, No. 2. pp. 145-152.
@article{978bdd3d07134f62b230493ad80ecb6d,
title = "Maternal infant feeding behaviors and disparities in early child obesity",
abstract = "Background: Although disparities in child obesity exist during infancy, the underlying mechanisms are unclear. Assessing dissimilarities in feeding practices, styles, and beliefs may provide a better understanding of these mechanisms. This study sought to identify modifiable maternal-infant feeding behaviors that may contribute to disparities in early child obesity. Methods: This study is a cross-sectional analysis comparing mothers with infants (2 weeks to 6 months old) in a low-risk group of high-income white mothers to a high-risk group of low-income Hispanic mothers. Regression analysis was used to explore relationships between each group and (1) infant feeding practices, including breastfeeding, giving juice, and adding cereal to bottles, (2) controlling feeding styles, (3) beliefs about infant hunger and satiety, and (4) infant weight status. Results: The sample included 412 mothers (low-risk group, n=208; high-risk group, n=204). The high-risk group was less likely to exclusively breastfeed (adjusted odds ratio [AOR], 0.43; 95{\%} confidence interval [CI], 0.22-0.83), more likely to introduce juice (AOR, 12.25; 95{\%} CI, 3.44-43.62), and add cereal to the bottle (AOR, 10.61; 95{\%} CI, 2.74-41.0). The high-risk group exhibited greater restrictive and pressuring feeding styles and was more likely to believe that mothers can recognize infant hunger and satiety and less likely to believe that infants know their own hunger and satiety. High-risk infants were more likely to have a weight-for-length percentile >85th percentile (AOR, 2.66; 95{\%} CI, 1.10-6.45). Conclusions: Differences in infant feeding behaviors may contribute to disparities in early child obesity. Longitudinal studies are needed to determine the effect of these differences on child obesity.",
author = "Gross, {Rachel S.} and Mendelsohn, {Alan L.} and Fierman, {Arthur H.} and Hauser, {Nicole R.} and Messito, {Mary Jo}",
year = "2014",
month = "4",
day = "1",
doi = "10.1089/chi.2013.0140",
language = "English (US)",
volume = "10",
pages = "145--152",
journal = "Childhood Obesity",
issn = "2153-2168",
publisher = "Mary Ann Liebert Inc.",
number = "2",

}

TY - JOUR

T1 - Maternal infant feeding behaviors and disparities in early child obesity

AU - Gross, Rachel S.

AU - Mendelsohn, Alan L.

AU - Fierman, Arthur H.

AU - Hauser, Nicole R.

AU - Messito, Mary Jo

PY - 2014/4/1

Y1 - 2014/4/1

N2 - Background: Although disparities in child obesity exist during infancy, the underlying mechanisms are unclear. Assessing dissimilarities in feeding practices, styles, and beliefs may provide a better understanding of these mechanisms. This study sought to identify modifiable maternal-infant feeding behaviors that may contribute to disparities in early child obesity. Methods: This study is a cross-sectional analysis comparing mothers with infants (2 weeks to 6 months old) in a low-risk group of high-income white mothers to a high-risk group of low-income Hispanic mothers. Regression analysis was used to explore relationships between each group and (1) infant feeding practices, including breastfeeding, giving juice, and adding cereal to bottles, (2) controlling feeding styles, (3) beliefs about infant hunger and satiety, and (4) infant weight status. Results: The sample included 412 mothers (low-risk group, n=208; high-risk group, n=204). The high-risk group was less likely to exclusively breastfeed (adjusted odds ratio [AOR], 0.43; 95% confidence interval [CI], 0.22-0.83), more likely to introduce juice (AOR, 12.25; 95% CI, 3.44-43.62), and add cereal to the bottle (AOR, 10.61; 95% CI, 2.74-41.0). The high-risk group exhibited greater restrictive and pressuring feeding styles and was more likely to believe that mothers can recognize infant hunger and satiety and less likely to believe that infants know their own hunger and satiety. High-risk infants were more likely to have a weight-for-length percentile >85th percentile (AOR, 2.66; 95% CI, 1.10-6.45). Conclusions: Differences in infant feeding behaviors may contribute to disparities in early child obesity. Longitudinal studies are needed to determine the effect of these differences on child obesity.

AB - Background: Although disparities in child obesity exist during infancy, the underlying mechanisms are unclear. Assessing dissimilarities in feeding practices, styles, and beliefs may provide a better understanding of these mechanisms. This study sought to identify modifiable maternal-infant feeding behaviors that may contribute to disparities in early child obesity. Methods: This study is a cross-sectional analysis comparing mothers with infants (2 weeks to 6 months old) in a low-risk group of high-income white mothers to a high-risk group of low-income Hispanic mothers. Regression analysis was used to explore relationships between each group and (1) infant feeding practices, including breastfeeding, giving juice, and adding cereal to bottles, (2) controlling feeding styles, (3) beliefs about infant hunger and satiety, and (4) infant weight status. Results: The sample included 412 mothers (low-risk group, n=208; high-risk group, n=204). The high-risk group was less likely to exclusively breastfeed (adjusted odds ratio [AOR], 0.43; 95% confidence interval [CI], 0.22-0.83), more likely to introduce juice (AOR, 12.25; 95% CI, 3.44-43.62), and add cereal to the bottle (AOR, 10.61; 95% CI, 2.74-41.0). The high-risk group exhibited greater restrictive and pressuring feeding styles and was more likely to believe that mothers can recognize infant hunger and satiety and less likely to believe that infants know their own hunger and satiety. High-risk infants were more likely to have a weight-for-length percentile >85th percentile (AOR, 2.66; 95% CI, 1.10-6.45). Conclusions: Differences in infant feeding behaviors may contribute to disparities in early child obesity. Longitudinal studies are needed to determine the effect of these differences on child obesity.

UR - http://www.scopus.com/inward/record.url?scp=84898039856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898039856&partnerID=8YFLogxK

U2 - 10.1089/chi.2013.0140

DO - 10.1089/chi.2013.0140

M3 - Article

C2 - 24665873

AN - SCOPUS:84898039856

VL - 10

SP - 145

EP - 152

JO - Childhood Obesity

JF - Childhood Obesity

SN - 2153-2168

IS - 2

ER -