Journal of Pediatric Nursing
Volume 40, 2018, Pages 27-33

Institute of Medicine Early Infant Feeding Recommendations for Childhood Obesity Prevention: Implementation by Immigrant Mothers From Central America (Article)

Gaffney K.F.* , Brito A.V. , Kitsantas P. , Kermer D.A. , Pereddo G. , Ramos K.M.
  • a School of Nursing, George Mason University, Fairfax, VA, United States
  • b Inova Cares Clinic for Children, Falls Church, VA, United States
  • c Health Administration and Policy Department, George Mason University, Fairfax, VA, United States
  • d University Libraries, Data Services, George Mason University, Fairfax, VA, United States
  • e Global and Community Health Department, George Mason University, Fairfax, VA, United States
  • f School of Nursing, George Mason University, Fairfax, VA, United States

Abstract

Purposes: Describe implementation of Institute of Medicine (IOM) early infant feeding recommendations for child obesity prevention by immigrant mothers from Central America; examine potential relationships with food insecurity and postpartum depressive symptoms. Design and Methods: Using a cross-sectional, descriptive design, face-to-face interviews were conducted with 318 mothers of 2 month old infants at a large pediatric setting for low income families. Logistic regression models assessed feeding practices, food insecurity and postpartum depressive symptoms. Results: Exclusive breastfeeding rates were low (9.4%); most mothers (62.7%) both breastfed and bottle fed their infants. Mothers who bottle fed at moderate and high intensity were twice as likely to affirm that if you give a baby a bottle, you should always make sure s/he finishes it (OR = 2.30, 95% CI = 1.13, 4.69; OR = 2.29, 95% CI = 1.26, 4.14). Food insecurity was experienced by 57% of mothers but postpartum depressive symptoms were low (Possible range = 0–30; M = 2.96, SD =3.6). However, for each increase in the postpartum depressive symptoms score, the likelihood of affirming a controlling feeding style increased by 11–13%. Conclusions: Immigrant mothers from Central America were more likely to both breastfeed and bottle feed (las dos cosas) than implement exclusive breastfeeding. Bottle feeding intensity was associated with a controlling feeding style. Practice Implications: Infant well visits provide the ideal context for promoting IOM recommendations for the prevention of obesity among children of immigrant mothers from Central America. © 2018 Elsevier Inc.

Author Keywords

Infant Immigrant Childhood obesity Central America Institute of Medicine Feeding style

Index Keywords

Infant Nutrition human statistics and numerical data Maternal Behavior feeding behavior Bottle Feeding Central America Infant Nutritional Physiological Phenomena Hispanic Americans Breast Feeding Humans psychology Hispanic Infant, Newborn male female Infant newborn Mothers mother Pediatric Obesity childhood obesity
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046988202&doi=10.1016%2fj.pedn.2018.02.017&partnerID=40&md5=56155927ce330bd419516ebc50c1ba8b
DOI: 10.1016/j.pedn.2018.02.017
ISSN: 08825963
Cited by: 1
Original Language: English