title: Symptoms of eating disorders and feeding practices in obese mothers.
abstract: BACKGROUND
  The potential that obesity in pregnancy has to affect symptoms associated with eating disorders and breastfeeding is unclear.
  
  
  OBJECTIVE
  This study analyzed symptoms of eating disorders and breastfeeding practices in obese mothers.
  
  
  METHODS
  Prospective, case-control study.
  
  
  METHODS
  Participants included 25 obese (BMI > 30 kg/m(2)) and 25 normal-weight puerperae, matched for parity and delivery route.
  
  
  METHODS
  The participants completed the Eating Disorders Inventory (EDI-2), investigating cognitive, emotional, and behavioral symptoms of eating disorders before they were discharged from the maternity hospital and later participated in telephone interviews concerning breastfeeding practices which were classified according to WHO definitions.
  
  
  RESULTS
  Although none of the scores fell in the pathological range, the obese mothers had more and more pronounced symptoms of eating disorders in all EDI-2 subscales with respect to normal-weight mothers. They had, in particular, significantly higher scores in body dissatisfaction (p<.0001), ineffectiveness (p=.004), interoceptive awareness (p=.005), and maturity fear (p=.007). Finally, while breastfeeding practices were similar in the two groups, the obese mothers were more likely to maintain full breastfeeding at 6 months (20 vs 8%) and their tendency to postpone weaning was found to be significant (p<.04).
  
  
  CONCLUSIONS
  While the obese mothers studied have more pronounced symptoms of eating disorders with respect to their normal-weight counterparts, they tended to maintain breastfeeding longer, postponing weaning.
authors.affiliation: Division of Perinatal Medicine, Policlinico Abano Terme, Abano Terme, Italy. Electronic address: vincenzo.zanardo@libero.it.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Zanardo
authors.affiliation: Division of Perinatal Medicine, Policlinico Abano Terme, Abano Terme, Italy.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Straface
authors.affiliation: Division of Perinatal Medicine, Policlinico Abano Terme, Abano Terme, Italy.
authors.forename: Barbara
authors.initials: B
authors.lastname: Benevento
authors.affiliation: Department of Pediatrics, University of Padua School of Medicine, Padua, Italy.
authors.forename: Irene
authors.initials: I
authors.lastname: Gambina
authors.affiliation: Department of Pediatrics, University of Padua School of Medicine, Padua, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Cavallin
authors.affiliation: Department of Pediatrics, University of Padua School of Medicine, Padua, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Trevisanuto
mesh_terms: D000328:Adult; D001942:Breast Feeding; D016022:Case-Control Studies; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006801:Humans; D009765:Obesity / Q000523:psychology*; D011247:Pregnancy; D011446:Prospective Studies; D013997:Time Factors; D014886:Weaning
keywords: Breastfeeding; Gestational obesity; The Eating Disorders Inventory, EDI-2; Weaning