Zanardo Vincenzo, Gambina Irene, Nicoló Maria Elena, Giustardi Arturo, Cavallin Francesco, Straface Gianluca, Trevisanuto Daniele
Department of Pediatrics, University of Padua School of Medicine, Via Giustiniani 3, 35128, Padua, Italy,
Eat Weight Disord. 2014 Mar;19(1):89-93. doi: 10.1007/s40519-013-0061-8. Epub 2013 Sep 15.
This study analyzed body image perceptions and breastfeeding practices in obese mothers.
Prospective, case-control study on 25 obese (BMI >30 kg/m(2)) and 25 normal-weight puerperae, matched for parity and delivery route. The participants completed the Body Uneasiness Test, a two-part, self-report questionnaire, investigating body image perception before they were discharged from hospital and participated in telephone interviews concerning breastfeeding practices.
Obese women demonstrated body image dissatisfaction related to their obesity. On average, they reported significantly higher scores on Global Severity Index (p < 0.0001) and on all of the BUT-A subscales: Weight Phobia (p < 0.02), Body Image Concerns (p < 0.0001), Avoidance (p < 0.0001), Compulsive Self-Monitoring (p < 0.01), and Depersonalization (p = 0.002) than did normal-weight puerperae. Moreover, they also had higher BUT-B scores and the Positive Symptom Total was significantly higher (p < 0.002). Finally, while breastfeeding practices at discharge were similar in the two groups, the obese mothers were more likely to maintain full breastfeeding at 6 months (p < 0.04).
Obese mothers have negative body image perceptions but they maintain full breastfeeding longer.
本研究分析肥胖母亲的身体形象认知和母乳喂养行为。
对25名肥胖（BMI>30 kg/m²）产妇和25名体重正常的产妇进行前瞻性病例对照研究，根据产次和分娩方式进行匹配。参与者完成了身体不安测试，这是一份两部分的自我报告问卷，在出院前调查身体形象认知，并参与了关于母乳喂养行为的电话访谈。
肥胖女性表现出对自身肥胖的身体形象不满。平均而言，她们在总体严重程度指数（p<0.0001）以及身体不安测试A部分的所有子量表上的得分显著更高：体重恐惧症（p<0.02）、身体形象关注（p<0.0001）、回避（p<0.0001）、强迫性自我监测（p<0.01）和人格解体（p = 0.002），均高于体重正常的产妇。此外，她们的身体不安测试B部分得分也更高，阳性症状总分显著更高（p<0.002）。最后，虽然两组出院时的母乳喂养行为相似，但肥胖母亲在6个月时更有可能保持纯母乳喂养（p<0.04）。
肥胖母亲有负面的身体形象认知，但她们保持纯母乳喂养的时间更长。
