{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:28:31Z","timestamp":1781519311219,"version":"3.54.1"},"reference-count":44,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Human milk is considered the gold standard for infant nutrition, but more data are needed that examine the constellation of weight-related concerns as barriers to exclusive breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research aims:<\/jats:title>\n                    <jats:p>The aim of this study was to examine how mothers\u2019 concerns regarding their own and their infants\u2019 weight, as well as disordered eating behaviors, were associated with breastfeeding self-efficacy and exclusive breastfeeding at 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective, quantitative, and self-report online survey design was used. Participants included 206 women (88.30% White, 59.20% with graduate degrees), with a mean age of 33.04 years (\n                      <jats:italic>SD<\/jats:italic>\n                      = 4.31 years) and a mean prepregnancy body mass index (BMI) of 24.80 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (\n                      <jats:italic>SD<\/jats:italic>\n                      = 5.50 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), who had given birth within the past 6 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Participants who reported not exclusively breastfeeding at 6 months had significantly higher prepregnancy BMI (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), higher body dissatisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      = .003), more disordered eating (\n                      <jats:italic>p<\/jats:italic>\n                      = .036), higher child weight concerns (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001), and lower breastfeeding self-efficacy (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001). Mediation modeling revealed a direct negative relationship between prepregnancy BMI and exclusive breastfeeding at 6 months (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; .001). Indirect negative relationships between prepregnancy BMI and exclusive breastfeeding at six months via (a) body dissatisfaction, (b) disordered eating, and (c) child weight concern, as well as breastfeeding self-efficacy (entered as concurrent mediators), were all significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Mothers\u2019 weight, body image and eating concerns, concern regarding their children\u2019s weight, and breastfeeding self-efficacy may constitute critical barriers to exclusive breastfeeding at 6 months. Interventions to improve breastfeeding duration and confidence should target maternal body image and eating concerns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0890334418797312","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T18:24:03Z","timestamp":1537381443000},"page":"284-291","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":27,"title":["Weight-Related Concerns as Barriers to Exclusive Breastfeeding at 6 Months"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1096-3623","authenticated-orcid":false,"given":"Emily","family":"Zimmerman","sequence":"first","affiliation":[{"name":"Northeastern University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel F.","family":"Rodgers","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, MA, USA"},{"name":"Department of Psychiatric Emergency &amp; Acute Care, Lapeyronie Hospital, CHRU Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"O\u2019Flynn","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Althea","family":"Bourdeau","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1865-0"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1006\/appe.2001.0398"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1552-6909.12297"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2017.01.006"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2015.232"},{"key":"e_1_3_3_8_1","unstructured":"Centers for Disease Control and Prevention. (2016). Breastfeeding Report Card\u2014United States. Retrieved from http:\/\/www.cdc.gov\/breastfeeding\/data\/report_card.htm"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","unstructured":"de Jager E. Broadbent J. Fuller-Tyszkiewicz M. Nagle C. McPhie S. Skouteris H. (2015). A longitudinal study of the effect of psychosocial factors on exclusive breastfeeding duration. Midwifery 31(1) 103\u2013111. doi:10.1016\/j.midw.2014.06.009","DOI":"10.1016\/j.midw.2014.06.009"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","unstructured":"de Jager E. Broadbent J. Fuller-Tyszkiewicz M. Skouteris H. (2014). The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery 30(6) 657\u2013666. doi:10.1016\/j.midw.2013.07.008","DOI":"10.1016\/j.midw.2013.07.008"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884217503258459"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-017-0142-9"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-017-0073-y"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105312462437"},{"key":"e_1_3_3_15_1","volume-title":"Eating Disorder Inventory","author":"Garner D.","year":"1991","unstructured":"Garner D. (1991). Eating Disorder Inventory (2nd ed.). Odessa, TX: Psychological Assessment Resources.","edition":"2"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2010.02.013"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334416652097"},{"key":"e_1_3_3_18_1","volume-title":"Introduction to mediation, moderation, and conditional process analysis: A regression-based approach","author":"Hayes A. F.","year":"2013","unstructured":"Hayes A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford."},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.58"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334417725032"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-018-2453-x"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2017.12.001"},{"key":"e_1_3_3_23_1","volume-title":"Manual for the Depression Anxiety & Stress Scales","author":"Lovibond S. H.","year":"1995","unstructured":"Lovibond S. H., Lovibond P. F. (1995). Manual for the Depression Anxiety & Stress Scales (2nd ed.). Sydney, Australia: Psychology Foundation.","edition":"2"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334415622638"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890117117723802"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.116.144279"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12143"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.4081\/pmc.2017.155"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2014.06.027"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1362552"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","unstructured":"Rodgers R. F. Paxton S. J. McLean S. A. Campbell K. J. Wertheim E. H. Skouteris H. Gibbons K. (2013). Do maternal body dissatisfaction and dietary restraint predict weight gain in young pre-school children? A 1-year follow-up study. Appetite 67(Suppl. C) 30\u201336. doi:10.1016\/j.appet.2013.03.009","DOI":"10.1016\/j.appet.2013.03.009"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0093"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-018-0154-0"},{"key":"e_1_3_3_34_1","first-page":"342","volume-title":"Body image: A handbook of science, practice, and prevention","author":"Skouteris H.","year":"2011","unstructured":"Skouteris H. (2011). Body image issues in obstetrics and gynecology. In Cash T. F., Smolak L. (Eds.), Body image: A handbook of science, practice, and prevention (pp. 342\u2013349). New York: Guilford."},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2005.09.002"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.16.1.60"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.12.2.123"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980016003165"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/nure.12054"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2012.735995"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000207"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198711)6:6<767::AID-EAT2260060611>3.0.CO;2-V"},{"key":"e_1_3_3_44_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2248"},{"key":"e_1_3_3_45_1","volume-title":"Health topics: breastfeeding","author":"World Health Organization","year":"2016","unstructured":"World Health Organization. (2016). Health topics: breastfeeding. Geneva, Switzerland: Author."}],"container-title":["Journal of Human Lactation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334418797312","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0890334418797312","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0890334418797312","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:32:40Z","timestamp":1777501960000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0890334418797312"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,9,19]]},"references-count":44,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/0890334418797312"],"URL":"https:\/\/doi.org\/10.1177\/0890334418797312","relation":{},"ISSN":["0890-3344","1552-5732"],"issn-type":[{"value":"0890-3344","type":"print"},{"value":"1552-5732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,9,19]]}}}