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Associations Between Household Chaos and Appetitive Traits in Preschoolers and Preadolescents
Zhuoya Zhang1, Delaina Carlson1, Caroline Borowy1
1Dartmouth College.
Insights
Household chaos is linked to children
Area of Science:
- Child Psychology
- Pediatric Nutrition
- Obesity Research
Background:
- Household chaos is a potential risk factor for childhood obesity.
- Mechanisms linking chaos to obesity require further investigation.
- This study examines chaos and appetitive traits in preschoolers and preadolescents.
Purpose of the Study:
- To evaluate cross-sectional associations between household chaos and appetitive traits.
- To analyze these associations in two distinct age groups: preschoolers and preadolescents.
- To identify potential pathways through which household chaos influences eating behaviors.
Main Methods:
- Parents completed validated questionnaires on household chaos and child eating behaviors.
- Appetitive traits, including eating in the absence of hunger (EAH), were assessed.
- Linear mixed-effect models analyzed associations, adjusting for covariates like age, sex, income, sleep, and parenting style.
Main Results:
- Household chaos and appetitive traits demonstrated moderate to high stability over time.
- Chaos positively correlated with emotional overeating in both age groups.
- In preadolescents, chaos linked to higher food responsiveness and lower satiety responsiveness.
Conclusions:
- Household chaos may contribute to childhood obesity risk.
- This contribution appears to be mediated by alterations in children's appetitive traits.
- Interventions addressing household environments could mitigate obesity risk.
Background:
Previous research suggests household chaos may relate to greater childhood obesity risk, though mechanisms are unclear. This study aimed to evaluate the cross-sectional associations between household chaos and appetitive traits in 92 preschoolers (Study A) and 184 preadolescents (Study B).
Methods:
Parents completed the Confusion, Hubbub, and Order Scale and the Child Eating Behavior Questionnaire. Eating in the absence of hunger (EAH) was assessed in the lab. Data were collected at baseline and either a six-month (Study A) or one-year (Study B) follow-up. Intra-class correlation coefficients (ICC) were computed to assess the stability of household chaos and appetitive traits. Associations of household chaos with appetitive traits were examined via linear mixed-effect models, adjusting for child age, sex, and annual household income. Sensitivity analyses further adjusted for child nighttime sleep duration, number of children in the household, and parenting style.
Results:
Household chaos (preschoolers: 6-month ICC = 0.93; preadolescents: 1-year ICC = 0.85) and child appetitive traits (preschoolers ICC: 0.56-0.77; preadolescents ICC: 0.51-0.74) showed moderate to high stability. In both cohorts, chaos was positively associated with emotional overeating (preschoolers: standardized beta coefficient β_s= 0.18, 95% CI: 0.00, 0.35; preadolescents: β_s= 0.19, 95% CI: 0.07, 0.31). In preadolescents, more household chaos was related to higher food responsiveness (β_s= 0.21, 95% CI: 0.09, 0.32) and lower satiety responsiveness (SR, β_s = -0.14, 95% CI: -0.25, -0.02). Chaos was positively related to SR in preschoolers (β_s = 0.20, 95% CI: 0.03, 0.37); however, this association became statistically non-significant after adjusting for sleep. No associations were found for enjoyment of food, emotional undereating, and EAH.
Conclusions:
Our findings suggest that household chaos may contribute to childhood obesity by affecting children's appetitive traits.
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