Related Experiment Video
Updated: Jun 17, 2026

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
Published on: March 1, 2019
Toddler self-regulation skills predict risk for pediatric obesity
P A Graziano1, S D Calkins, S P Keane
1Department of Psychiatry, University of Florida, Gainesville, FL 32610-0165, USA. pagrazia@ufl.edu
Insights
Early self-regulation skills, like emotion regulation and inhibitory control, predict pediatric obesity. Toddlers with poor emotion regulation and inhibitory control are at higher risk for being overweight by age 5.5.
Area of Science:
- Child Development
- Pediatric Health
- Behavioral Science
Background:
- Pediatric obesity is a growing public health concern.
- Early childhood is a critical period for the development of self-regulation skills.
- Understanding predictors of pediatric obesity is crucial for early intervention.
Purpose of the Study:
- To examine the predictive role of early self-regulation skills in childhood obesity.
- To investigate specific self-regulation domains: emotion regulation, sustained attention, and inhibitory control/reward sensitivity.
- To assess these skills' impact on body mass index (BMI) development and obesity risk.
Main Methods:
- Longitudinal study of 57 children from three cohorts.
- Assessment of self-regulation skills at 2 years of age using laboratory tasks.
- Measurement of height and weight at 2 and 5.5 years of age to calculate BMI.
Main Results:
- Toddler self-regulation skills predicted BMI development and pediatric obesity.
- Emotion regulation was key for normative BMI changes; sustained attention and inhibitory control/reward sensitivity were not.
- Emotion regulation and inhibitory control/reward sensitivity predicted extreme weight problems (obesity) at 5.5 years, independent of 2-year BMI.
Conclusions:
- Difficulties in early self-regulation (behavioral and emotional) are significant risk factors for pediatric obesity.
- These findings highlight the importance of targeting self-regulation for obesity prevention.
- Further research is needed to elucidate the mechanisms linking self-regulation to obesity.
Objective:
To investigate the role of early self-regulation skills, including emotion regulation, sustained attention and inhibitory control/reward sensitivity, in predicting pediatric obesity in early childhood.
Method:
Participants for this study included 57 children (25 girls) obtained from three different cohorts participating in a larger ongoing longitudinal study. At 2 years of age, participants participated in several laboratory tasks designed to assess their self-regulation skills. Height and weight measures were collected when children were 2 and 5.5 years of age.
Results:
Self-regulation skills in toddlerhood were predictive of both normal variations in body mass index (BMI) development and pediatric obesity. Specifically, emotion regulation was the primary self-regulation skill involved in predicting normative changes in BMI as no effects were found for sustained attention or inhibitory control/reward sensitivity. However, both emotion regulation and inhibitory control/reward sensitivity predicted more extreme weight problems (that is, pediatric obesity), even after controlling for 2-year BMI. Thus, toddlers with poor emotion regulation skills and lower inhibitory control skills/higher reward sensitivity were more likely to be classified as overweight/at risk at 5.5 years of age.
Conclusion:
Early self-regulation difficulties across domains (that is, behavioral and emotional) represent significant individual risk factors for the development of pediatric obesity. Mechanisms by which early self-regulation skills may contribute to the development of pediatric obesity are discussed.
Related Concept Videos
Self-Regulation
Self-Discrepancy Theory
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Obesity
Oppositional Defiant Disorder
Diagnostic Criteria and...
Sources of Self-Esteem I: Family Experience

