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Updated: Jun 9, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Infant temperament and eating style predict change in standardized weight status and obesity risk at 6 years of age
1Department of Psychiatry, Center for Weight and Eating Disorders, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. mfaith@mail.med.upenn.edu
Insights
Infant temperament influences childhood obesity risk. Boys with less attention and girls with higher soothability or negative food reactions showed increased weight gain and obesity by age 6.
Area of Science:
- Pediatric obesity research
- Infant development and behavior
- Childhood health and nutrition
Background:
- Limited research exists on the interplay between infant temperament, eating habits, and the development of obesity.
- Understanding these early-life factors is crucial for identifying potential intervention points for pediatric obesity.
Purpose of the Study:
- To investigate the association between infant temperament and eating patterns at 1 year of age with changes in standardized weight status and obesity risk at 6 years of age.
- To explore sex-specific relationships between infant characteristics and later obesity development.
Main Methods:
- Prospective analysis of the Colorado Adoption Study involving 262 boys and 225 girls assessed from ages 1 to 6 years.
- Key predictors included infant temperament (emotionality, activity, attention span-persistence, reaction to food, soothability) and eating behaviors (reactivity to food, appetite predictability, mealtime distractibility) at 1 year.
- Outcomes included standardized weight status (z-scores, percentiles) and overweight/obesity status calculated annually up to age 6.
Main Results:
- In boys, greater attention span-persistence was linked to reduced weight status gain and lower obesity risk.
- In girls, higher soothability and negative reactions to food were associated with increased weight status gain and higher obesity risk.
- Maternal obesity status was a significant predictor of obesity risk in both boys and girls.
Conclusions:
- Infant temperament plays a role in pediatric obesity onset, with specific traits correlating with increased risk in a sex-dependent manner.
- Male infants with shorter attention spans and female infants with higher soothability or negative food reactions are at greater risk for overweight/obesity.
- Further research into infant temperament's role in pediatric obesity is warranted.
Objective:
Little research has addressed the relationships among infant temperament, eating styles and obesity risk. To address this gap, we tested whether infant temperament and eating patterns at the age of 1 year are associated with a greater increase in standardized weight status, and greater obesity risk at 6 years of age.
Design:
A secondary, prospective analysis of the Colorado Adoption Study was conducted. The main predictor variables were infant temperament (that is, emotionality, activity, attention span-persistence, reaction to food and soothability) and eating domains (that is, reactivity to food, predictable appetite and distractability at mealtime) at the age of 1 year, along with the body mass index (BMI) of biological mothers. The outcome measures were child weight and height (length) assessed at ages 1 through 6 years, from which weight-for-length and BMI were computed along with the standardized indexes (z-scores) and percentiles. Overweight/obesity status was computed at each year as well.
Participants:
A primarily White sample of 262 boys and 225 girls, assessed at ages 1 through 6 years, along with their mothers.
Results:
Among boys, greater attention span-persistence was associated with reduced standardized weight status gain (β=-0.15, P<0.05) and reduced obesity risk (odds ratio (OR)=0.46, P=0.06). Among girls, greater soothability and negative reaction to food were associated with greater standardized weight status gain (β=0.19, P<0.01; and β=0.16, P<0.05, respectively) and increased obesity risk (OR=3.72, P=0.03; and OR=2.81, P=0.08, respectively). Biological mothers' obesity status predicted obesity risk in boys (OR=3.07, P=0.01) and girls (OR=5.94, P=0.03).
Conclusions:
Male infants with less attention span, and female infants with greater soothability or a more negative food reaction, showed greater increases in standardized weight and were more likely to be overweight/obese at the age of 6 years. The role of infant temperament in pediatric obesity onset warrants greater research.
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