Socioeconomic Position and Picky Eating Behavior Predict Disparate Weight Trajectories in Infancy

Amy T Galloway1,2, Paul Watson2,3, Suzanne Pitama4

  • 1Department of Psychology, Appalachian State University, Boone, NC, United States.

Insights

Socioeconomic position and picky eating significantly impact infant weight gain. Low socioeconomic position combined with picky eating is linked to the lowest weight-for-length trajectories in infants.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Public Health

Background:

  • Infant weight gain is critical for long-term health outcomes.
  • Understanding factors influencing infant growth is essential for early intervention.
  • Socioeconomic position (SEP) and feeding practices may affect infant weight trajectories.

Purpose of the Study:

  • To investigate the relationship between socioeconomic position (SEP), parental pressure during feeding, and picky eating with changes in infant weight-for-length (WFL).
  • To identify how these factors interact to influence infant growth patterns over time.

Main Methods:

  • A modified developmental design was employed with 193 families in New Zealand.
  • Primary caregivers reported on child's picky eating, parental pressure, and SEP.
  • Infant weight-for-length (WFL) data were collected at birth, 8, 15, and 21 months, analyzed using multi-level modeling.

Main Results:

  • An interaction was found between SEP and picky eating: infants with low SEP and who were not picky eaters had the highest WFL trajectory, while those with low SEP and who were picky eaters had the lowest.
  • Higher levels of parental pressure were associated with lower infant WFL at all ages.
  • Parental pressure did not interact with SEP or picky eating.

Conclusions:

  • Infant growth patterns are differentially associated with the interplay of eating behaviors and socioeconomic position.
  • Interventions aimed at achieving healthy childhood weight should consider both eating behaviors and SEP.
  • Targeted strategies addressing picky eating and socioeconomic disparities are crucial for promoting healthy infant development.

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