title: Maternal weight status and responsiveness to preterm infant behavioral cues during feeding.
abstract: Parental obesity is highly predictive of child obesity, and preterm infants are at greater risk of obesity, but little is known about obese and non-obese mothers' responsiveness to preterm infant cues during feeding. The relationship between maternal weight status and response to preterm infant behavioral cues during feeding at 6-weeks corrected age was examined.
  
  
  
  This secondary analysis used data from a randomized clinical trial. Maternal weight was coded during a play session. Mother-infant interaction during feeding was coded using the Nursing Child Assessment Satellite Training Feeding Scale (NCAST). We used multivariate linear regressions to examine NCAST scores and multivariate logistic regressions for the two individual items, satiation cues and termination of feeding.
  
  
  
  Of the 139 mothers, 56 (40.3%) were obese, two underweight women were excluded. Obese mothers did not differ from overweight/normal weight mothers for overall NCAST scores, but they had higher scores on response to infant's distress subscale (mean = 10.2 vs. 9.6, p = 0.01). The proportion of infants who exhibited satiation cues did not differ by maternal weight. Obese mothers were more likely than overweight/normal weight mothers to terminate the feeding when the infant showed satiation cues (82.1% vs. 66.3%, p = 0.04, adjusted OR = 2.31, 95% CI = 0.97, 5.48).
  
  
  
  Limitations include lack of BMI measures and small sample size. Additional research is needed about maternal weight status and whether it influences responsiveness to preterm infant satiation cues. Results highlight the need for educating all mothers of preterm infants regarding preterm infant cues.
  
  
  
  NCT02041923 . Feeding and Transition to Home for Preterms at Social Risk (H-HOPE). Registered 15 January 2014.
authors.affiliation: Department of Women, Children and Family Health Science, University of Illinois at Chicago, College of Nursing, (MC 802) 845 South Damen Avenue, Chicago, IL, 60612-7350, USA. earian2@uic.edu.
authors.forename: Evanthia A
authors.initials: EA
authors.lastname: Arianas
authors.affiliation: Division of Epidemiology and Biostatistics, University of Illinois at Chicago, School of Public Health, Chicago, IL, USA.
authors.forename: Kristin M
authors.initials: KM
authors.lastname: Rankin
authors.affiliation: Department of Women, Children and Family Health Science, University of Illinois at Chicago, College of Nursing, (MC 802) 845 South Damen Avenue, Chicago, IL, 60612-7350, USA.
authors.forename: Kathleen F
authors.initials: KF
authors.lastname: Norr
authors.affiliation: Department of Women, Children and Family Health Science, University of Illinois at Chicago, College of Nursing, (MC 802) 845 South Damen Avenue, Chicago, IL, 60612-7350, USA.|Department of Nursing Research, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
authors.forename: Rosemary C
authors.initials: RC
authors.lastname: White-Traut
mesh_terms: D000293:Adolescent; D000328:Adult; D001835:Body Weight; D003463:Cues; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D007223:Infant; D007224:Infant Care / Q000523:psychology*; D007231:Infant, Newborn; D007234:Infant, Premature / Q000523:psychology*; D008875:Middle Aged; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009765:Obesity / Q000523:psychology*; D055815:Young Adult
keywords: Maternal responsiveness to preterm infant feeding; Maternal weight status; Preterm infants