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.
Abstract

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