Infant temperament and eating style predict change in standardized weight status and obesity risk at 6 years of age

M S Faith1, J B Hittner

  • 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.
Abstract

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