SYSTEMATIC LITERATURE REVIEW OF DETERMINANTS OF OBESITY IN BREASTFEEDING MOTHERS

Abstract

Maternal obesity can potentially lead to weight gain and the risk of various disease problems.This article aims to provide a synthesis of research evaluating the determinants of maternal obesity. Medline/PubMed, Scopus and Springer databases were searched to find relevant articles. Two authors performed screening, data extraction and quality assessment independently. Objective To review the determinants of obesity in breastfeeding mothers with interventions of diet, physical activity, counseling and use of the Mhealth app among obese breastfeeding mothers. Methods Three databases were searched for randomized controlled trials (RCTs) published from 2019 to 2024 that reported weight change outcomes for diet, physical activity, combined diet and physical activity, counseling and use of the MHealth app. Overall, we found that diet and physical activity or exercise interventions were effective for postpartum women. Weight Loss The diet group showed significant weight loss of -2.3 kg at 3 months and -4.2 kg at 12 months, compared with the control group who gained weight over the same period. Fasting Blood Glucose Decrease There was a significant reduction in fasting blood glucose levels in the diet group after 12 months (P=0.007), suggesting improved insulin sensitivity and potential There was a significant reduction in fasting blood glucose levels in the diet group after 12 months (P=0.007), suggests improved insulin sensitivity and potential benefits to glucose metabolism. Waist Circumference Difference The dietary intervention group showed better reduction in waist circumference and weight retention than the control group, indicating that dietary intervention is effective in managing fat distribution and weight retention in obese postpartum women. Conclusion-Dietary intervention, physical activity, breastfeeding counseling, Mhealth application can reduce postpartum women weight retention.