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Updated: Jan 4, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Early Nonfood Parent-Infant Interactions and Development of Obesity in a High-Risk, Diverse Sample
Kai Ling Kong1, Rina D Eiden2, Rocco A Paluch1
1Division of Behavioral Medicine, Department of Pediatrics, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York, USA.
Insights
Positive interactions during play, specifically maternal warmth and child positive affect, are linked to lower obesity risk in children. Feeding interactions did not show a significant protective effect against obesity development.
Area of Science:
- Child Development
- Public Health
- Pediatrics
Background:
- Maternal substance use during pregnancy increases obesity risk in children.
- Understanding protective factors in early development is crucial for mitigating long-term health risks.
Purpose of the Study:
- To examine the role of mother-infant interactions in food and nonfood behaviors on obesity risk.
- To investigate protective factors against obesity in a high-risk cohort.
Main Methods:
- Longitudinal study of 216 mother-infant dyads with high prenatal risk.
- Assessed mother-infant interactions during feeding and play at 1 and 7 months.
- Tracked child BMI trajectories from infancy to second grade.
Main Results:
- No association found between feeding interactions and child BMI trajectories.
- Maternal warmth and child positive affect during play were linked to normative BMI growth.
- These play-based interactions showed a protective effect against obesity risk.
Conclusions:
- High maternal warmth and child positive affect during play, not feeding, are associated with reduced obesity risk.
- Early positive interactions during play may buffer against obesity in high-risk children.
- Findings highlight the importance of play-based interactions for long-term child health.
Objective:
This study aimed to understand the protective role of positive mother-infant interactions in the context of food and nonfood behaviors against obesity risk later in life among a cohort of low-income children at high prenatal risk due to maternal substance use during pregnancy.
Methods:
The sample consisted of 216 mother-infant dyads (49% boys) participating in an ongoing longitudinal study. Mother-infant interactions during a feeding episode and a free-play task were measured at child age 1 and 7 months, respectively. Children's length/height and weight were measured at 1, 7, 13, 24, 36, and 48 months of age; at kindergarten age (approximately 60 months); and in second grade (approximately 84 months). BMI growth trajectories were modeled.
Results:
No significant associations were found between mother-child feeding interactions and child BMI trajectories. Maternal warmth (95% CI: -0.020 to -0.0005; P = 0.04) and child positive affect (95% CI: -0.020 to -0.002; P = 0.014) during free play were associated with a more normative child BMI trajectory.
Conclusions:
Results from this study indicated that high maternal warmth and child positive affect during play, but not feeding interactions, are associated with reduced obesity risk from infancy to middle childhood in the context of high pre- and postnatal risks.
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