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Published on: July 29, 2020
Associations of Child Temperament with Child Overweight and Breakfast Habits: A Population Study in Five-Year-Olds
Thea Steen Skogheim1, Margarete Erika Vollrath2,3
1Norwegian Institute of Public Health, Oslo 0403, Norway. theaskogheim@gmail.com.
Insights
Children with externalizing temperament show higher odds of being overweight and skipping breakfast. This study highlights early temperament links to child weight and eating habits, suggesting further research into underlying mechanisms.
Area of Science:
- Child Psychology
- Pediatric Nutrition
- Developmental Epidemiology
Background:
- Child temperament is increasingly recognized as a factor influencing health behaviors.
- Early childhood overweight/obesity and irregular breakfast habits are significant public health concerns.
- Understanding the interplay between temperament and lifestyle in early development is crucial.
Purpose of the Study:
- To investigate the associations between child temperament (externalizing, internalizing, sociable) and overweight/obesity status.
- To examine the relationship between child temperament and breakfast consumption frequency.
- To explore these associations in a large cohort of five-year-old children.
Main Methods:
- A cross-sectional study of 17,409 five-year-olds from the Norwegian Mother and Child Cohort Study (MoBa).
- Temperament assessed via questionnaire (externalizing, internalizing, sociable).
- Breakfast habits categorized (daily, frequent, infrequent); weight status determined by BMI-percentiles (normal vs. overweight/obese).
Main Results:
- Children with externalizing temperament had higher odds of being overweight and not eating breakfast daily.
- Internalizing temperament was associated with higher odds of not eating breakfast daily, but not overweight.
- Average sociability was linked to higher odds of being overweight with normal breakfast habits.
Conclusions:
- Externalizing temperament in five-year-olds is associated with an increased risk of being overweight.
- The link between externalizing temperament and breakfast habits at this early age warrants further investigation into mediating mechanisms.
- Parental influence on eating patterns does not fully explain the observed temperament-breakfast habit association.
Abstract:
This study examines the associations of child temperament with overweight/obesity and breakfast habits. Participants were 17,409 five-year-olds whose mothers partake in the Norwegian Mother and Child Cohort Study (MoBa), and completed a questionnaire at the child's 5th birthday. Temperament was assessed as externalizing, internalizing and sociable temperament. Breakfast habits differentiated between "every day", "4 to 6 times a week", and "0 to 3 times a week". The child's weight status was determined by Body Mass Index-percentiles and categorized as normal weight versus overweight/obese. Children with externalizing temperament had higher odds of being overweight and higher odds of not eating breakfast daily. Children high in internalizing temperament had higher odds of not eating breakfast daily, but not of being overweight. Children with average scores of sociability were more prone to being overweight but had normal breakfast habits. All results were adjusted for key confounders. That five-year-olds high in externalizing temperament had a higher risk to be overweight adds important information to the literature. The association of externalizing temperament with child breakfast habits so early in life is intriguing, as parents mostly control eating patterns in children that young. Mechanisms mediating this association should be explored.
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