A prospective study of weight development and behavior problems in toddlers: the Norwegian Mother and Child Cohort
Susan Garthus-Niegel1, Knut A Hagtvet, Margarete E Vollrath
1Department of Psychosomatics and Health Behavior, Norwegian Institute of Public Health, Postbox 4404, Nydalen, 0403 Oslo, Norway. susanniegel@gmail.com
Insights
In toddlers up to 36 months, behavior problems were not linked to higher body mass index (BMI). This study found no evidence that behavior issues cause overweight or vice versa in early childhood.
Area of Science:
- Child psychology
- Pediatric health
- Developmental science
Background:
- Previous studies suggest a link between overweight and behavior problems in children, but causality is unclear.
- The relationship between child behavior and body mass index (BMI) in early development requires further investigation.
Purpose of the Study:
- To examine the association between child behavior problems and BMI in toddlers.
- To determine if overweight is a risk factor for behavior problems or if behavior problems lead to overweight in toddlers.
Main Methods:
- Prospective population study of 10,860 toddlers from the Norwegian Mother and Child Cohort Study.
- Data collected via maternal questionnaires and the Medical Birth Registry of Norway up to 36 months.
- Behavior problems assessed using the Child Behavior Checklist; BMI calculated from height and weight measurements.
Main Results:
- No cross-sectional association was found between behavior problems and BMI at 18 or 36 months.
- No evidence indicated that behavior problems influenced BMI over time, or that BMI influenced behavior problems.
Conclusions:
- The link between behavior problems and BMI observed in older children is not present in toddlers up to 36 months.
- Future research should investigate the 3-6 year age range, including the adiposity rebound period.
Background:
Previous research has suggested that overweight children have a higher risk of behavior problems, but the causal direction of this relationship remains unclear. In a large prospective population study, we investigated whether child behavior problems and body mass index are associated in toddlers and whether overweight is a risk for behavior problems or vice versa.
Methods:
The study was part of the Norwegian Mother and Child Cohort Study. The sample consisted of 10 860 toddlers, followed up to age 36 months. We used data from maternal questionnaires from gestation week 17 and at child ages 18 and 36 months, and data from the Medical Birth Registry of Norway. Child height and weight were assessed at child health stations and recorded by mothers. Behavior problems were assessed using shortened subscales from the Child Behavior Checklist. Statistical analyses were conducted using structural equation modeling.
Results:
Behavior problems in toddlers were not associated with higher body mass index cross-sectionally at either age 18 or 36 months, and there was no indication that behavior problems caused increasing body mass index over time or vice versa.
Conclusions:
The association between behavior problems and body mass index found in older children did not appear in toddlers up to age 36 months. Future studies should focus on the age span from 3 to 6 years, which includes the period of adiposity rebound.
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