The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m(-2) : a systematic review.

The association between psychological factors and breastfeeding behaviour in women with a body mass index (BMI) ≥30 kg m(-2) : a systematic review.
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DOI:
10.1111/obr.12681
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发表时间:
2018-07
期刊:
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子:
--
通讯作者:
Smith DM
Smith DM
中科院分区:
其他
文献类型:
--
作者:
Lyons S;Currie S;Peters S;Lavender T;Smith DM

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母乳喂养可以在减少肥胖方面发挥关键作用,但体重指数(BMI)≥30 kg m−2的女性的开始和维持率较低。心理因素影响一般人群的母乳喂养行为,但其在BMI ≥30 kg m−2的女性中的作用尚不清楚。因此,本综述旨在系统地检索和综合文献,这些文献调查了BMI ≥30 kg m−2的女性中任何心理因素与母乳喂养行为之间的关联。检索确定了20篇符合条件的论文,报告了16个心理因素。五个心理因素与母乳喂养行为相关:母乳喂养的意图,母乳的营养充足性和充足性的信念,对其他婴儿喂养偏好的信念,身体形象和社会知识。因此,建议目前的护理应鼓励妇女计划母乳喂养,提供纠正特定信仰的信息,并解决其身体形象和社会知识。对未来研究的建议包括进一步探索几个心理因素(即期望母乳喂养会促进体重减轻,抑郁,焦虑和压力)以及基于证据和理论的干预措施的发展。
Breastfeeding can play a key role in the reduction of obesity, but initiation and maintenance rates in women with a body mass index (BMI) of ≥30 kg m−2 are low. Psychological factors influence breastfeeding behaviours in the general population, but their role is not yet understood in women with a BMI ≥30 kg m−2. Therefore, this review aimed to systematically search and synthesize the literature, which has investigated the association between any psychological factor and breastfeeding behaviour in women with a BMI ≥30 kg m−2. The search identified 20 eligible papers, reporting 16 psychological factors. Five psychological factors were associated with breastfeeding behaviours: intentions to breastfeed, belief in breast milk's nutritional adequacy and sufficiency, belief about other's infant feeding preferences, body image and social knowledge. It is therefore recommended that current care should encourage women to plan to breastfeed, provide corrective information for particular beliefs and address their body image and social knowledge. Recommendations for future research include further exploration of several psychological factors (i.e. expecting that breastfeeding will enhance weight loss, depression, anxiety and stress) and evidence and theory‐based intervention development.
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