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Infant and Early Child Appetite Traits and Child Weight and Obesity Risk in Low-Income Hispanic Families

      Abstract

      Background

      Child appetite traits (ATs) are associated with later child weight and obesity risk. Less research has focused on ATs in low-income Hispanic children or included longitudinal associations with infant weight.

      Objective

      To determine stability of ATs during infancy and childhood and their relationship with subsequent weight and obesity risk at age 3 years among low-income Hispanic children.

      Design

      A secondary longitudinal analysis of data from the Starting Early Program randomized controlled obesity prevention trial.

      Participants/setting

      Three hundred twenty-two low-income, Hispanic mother–child pairs enrolled between 2012 and 2014 in a public hospital in New York City.

      Main outcome measures

      ATs, including Slowness in Eating, Satiety Responsiveness, Food Responsiveness, and Enjoyment of Food were assessed using the Baby and Child Eating Behavior Questionnaires at ages 3 months, 2 years, and 3 years. Main outcome measures were child standardized weight-for-age z score (WFAz) and obesity risk (WFA≥95th percentile) at age 3 years.

      Statistical analyses performed

      AT stability was assessed using correlations and multilevel modeling. Linear and logistic regression analyses examined associations between ATs and child WFAz and obesity risk at age 3 years.

      Results

      There was limited stability for all ATs measured over time. During infancy, Slowness in Eating was associated with lower 3-year WFAz (B = –0.18, 95% CI –0.33 to –0.04; P = 0.01). At age 2 years, Slowness in Eating and Satiety Responsiveness were associated with lower WFAz (B = –0.29, 95% CI –0.47 to –0.12; P < 0.01; B = –0.36, 95% CI –0.55 to –0.17; P < 0.01) and obesity risk (adjusted odds ratio 0.49, 95% CI 0.28 to 0.85; adjusted odds ratio 0.61, 95% CI 0.38 to 0.99) at 3 years. Increased Slowness in Eating and Satiety Responsiveness over time were associated with lower 3-year WFAz (B = –0.74, 95% CI –1.18 to –0.2 [Slowness in Eating]; B = –1.19, 95% CI –1.87 to –0.52 [Satiety Responsiveness], both P values = 0.001). Higher Enjoyment of Food over time was associated with higher 3-year WFAz (B = 0.62, 95% CI 0.24 to 1.01; P = 0.002).

      Conclusions

      Infants with lower Slowness in Eating and Satiety Responsiveness may have higher levels of obesity risk and need more tailored approaches to nutrition counseling and obesity prevention.

      Keywords

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      Biography

      S. Vandyousefi is a postdoctoral fellow, Department of Pediatrics, New York University Grossman School of Medicine, New York.

      Biography

      R. S. Gross is an assistant professor of pediatrics, Department of Pediatrics, New York University Grossman School of Medicine, New York.

      Biography

      M. W. Katzow is an assistant professor, Department of Pediatrics, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

      Biography

      M. A. Scott is chair, Department of Applied Statistics, Social Science, and Humanities, and a professor of applied statistics, New York University Steinhardt School of Culture, Education, and Human Development, New York.

      Biography

      M. J. Messito is an associate professor clinical pediatrics, Department of Pediatrics, New York University Grossman School of Medicine, New York.

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