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

Abstract Objectives To examine whether: 1) birthweight was associated with child appetite traits (AT) at age 2 years; and 2) ATs mediated the link between birthweight and weight at age 3 years among Hispanic children. Methods This study is a secondary longitudinal analysis of data collected from the “Starting Early Program” randomized controlled obesity prevention trial of low-income, Hispanic mother-child pairs (n = 533). Birthweight-for-gestational-age z-scores (BWGAz) were determined using Fenton growth curves; weight-for-age z-scores (WFAz) were determined using World Health Organization growth charts. Four ATs, including Food Responsiveness (FR), Enjoyment of Food (EF), Satiety Responsiveness (SR), and Slowness in Eating (SE), were assessed using the Child Eating Behavior Questionnaire at age 2 years. Simple linear regression analysis was used to assess direct associations between BWGAz and each AT. Bootstrapping analyses were used to assess whether ATs were significantly associated with BWGAz, and mediated the relationship between BWGAz and later child WFAz. Results Of the 401 children with both BWGAz and AT measures, 49% were male with mean birthweight of 3.4 kg. After adjusting for covariates related to child weight, infants with higher BWGAz had lower SR scores at age 2 years (B = −0.11, 95%CI = −0.18 to − 0.04, P < 0.01) and higher WFAz at age 3 years (B = 0.39, 95%CI = 0.26 to 0.53; P < 0.001). Lower SR was also associated with higher WFAz at age 3 years (B = −0.42, 95%CI = −0.62 to −0.22, P < 0.001). A significant indirect effect of BWGAz on WFAz at age 3 years through SR at age 2 years was detected (B = 0.04, 95%CI = 0.01 to 0.08; P < 0.01 [indirect effect]); however, only 10% of the total effect was mediated by this indirect pathway. Therefore, SR partially mediated the positive relationship between BWGAz and child WFAz at age 3 years. BWGAz was not associated with other ATs. Conclusions Higher BWGAz was associated with lower SR scores at age 2 years and higher WFAz at age 3 years. SR partially mediated the link between BWGAz and child WFAz. Our findings warrant exploring additional pathways through which birthweight effects appetite traits, as well as later child weight. Funding Sources USDA AFRI.

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Grandparent coresidence and risk of early child overweight and obesity in low-income, Hispanic families in New York City.

Academic Pediatrics ◽

10.1016/j.acap.2021.05.020 ◽

2021 ◽

Author(s):

Michelle W. Katzow ◽

Mary Jo Messito ◽

Alan L. Mendelsohn ◽

Marc A. Scott ◽

Rachel S. Gross

Keyword(s):

New York ◽

New York City ◽

Low Income ◽

York City ◽

Overweight And Obesity ◽

Hispanic Families ◽

Early Child ◽

Child Overweight

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Food insecurity, food parenting practices, and child eating behaviors among low-income Hispanic families of young children

Appetite ◽

10.1016/j.appet.2021.105857 ◽

2021 ◽

pp. 105857

Author(s):

Karen McCurdy ◽

Kim M. Gans ◽

Patricia Markham Risica ◽

Katelyn Fox ◽

Alison Tovar

Keyword(s):

Young Children ◽

Food Insecurity ◽

Low Income ◽

Parenting Practices ◽

Eating Behaviors ◽

Hispanic Families ◽

Child Eating ◽

Child Eating Behaviors

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Longitudinal associations between early child weight gain, parent feeding, child self‐regulation , and later child body mass index

Pediatric Obesity ◽

10.1111/ijpo.12864 ◽

2021 ◽

Author(s):

Marisol Perez ◽

Laura K. Winstone ◽

Sarah G. Curci ◽

Juan C. Hernández ◽

Jennifer A. Somers ◽

...

Keyword(s):

Body Mass Index ◽

Weight Gain ◽

Body Mass ◽

Self Regulation ◽

Early Child ◽

Child Weight ◽

Child Body Mass Index ◽

Longitudinal Associations ◽

Parent Feeding

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NP10 Obesity Risk, Parenting and Diet Quality Tools for Hispanic Families with Preschoolers: EFNEP, Head Start, Medical Clinic-Year 4

Journal of Nutrition Education and Behavior ◽

10.1016/j.jneb.2019.05.334 ◽

2019 ◽

Vol 51 (7) ◽

pp. S14

Author(s):

Marilyn Townsend ◽

Mical Shilts ◽

Lenna Ontai ◽

Cristiana Drake ◽

Louise Lanoue ◽

...

Keyword(s):

Head Start ◽

Diet Quality ◽

Medical Clinic ◽

Obesity Risk ◽

Hispanic Families ◽

Quality Tools

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The contribution of grandmother involvement to child growth and development: an observational study in rural Pakistan

BMJ Global Health ◽

10.1136/bmjgh-2019-002181 ◽

2020 ◽

Vol 5 (8) ◽

pp. e002181

Author(s):

Esther O Chung ◽

Ashley Hagaman ◽

Katherine LeMasters ◽

Nafeesa Andrabi ◽

Victoria Baranov ◽

...

Keyword(s):

Low Income ◽

Growth And Development ◽

Linear Models ◽

Child Outcomes ◽

Child Growth ◽

Socioemotional Development ◽

Fine Motor ◽

Early Child ◽

Rural Pakistan ◽

Z Scores

IntroductionEarly childhood interventions primarily focus on the mother–child relationship, but grandmothers are often critical in childcare in low-resource settings. Prior research is mixed on how grandmother involvement influences child outcomes and there is a paucity of research on grandmother caregiving in low-income and middle-income countries. We examined the role of grandmother involvement on child growth and development in the first 2 years of life cross sectionally and longitudinally in rural Pakistan.MethodsWe used data from the Bachpan Cohort, a longitudinal birth cohort in rural Pakistan. Maternally reported grandmother involvement in daily instrumental and non-instrumental caregiving was collected at 3 and 12 months. A summed score was created and categorised into non-involved, low and high. Outcomes included 12-month and 24-month child growth, 12-month Bayley Scales of Infant and Toddler Development and 24-month Ages and Stages Questionnaire—Socioemotional. We used multivariable generalised linear models to estimate mean differences (MD) at 12 months (n=727) and 24 months (n=712). Inverse probability weighting was used to account for missingness and sampling.ResultsIn our sample, 68% of children lived with a grandmother, and most grandmothers were involved in caregiving. Greater 3-month grandmother involvement was positively associated with 12-month weight z-scores; however, greater involvement was associated with lower 24-month weight z-scores. High 12-month grandmother involvement was associated with improved 12-month cognitive (MD=0.38, 95% CI −0.01 to 0.76), fine motor skills (MD=0.45, 95% CI 0.08 to 0.83) and 24-month socioemotional development (MD=−17.83, 95% CI −31.47 to –4.19). No meaningful associations were found for length z-scores or language development.ConclusionIn rural Pakistan, grandmothers provide caregiving that influences early child development. Our findings highlight the complex relationship between grandmother involvement and child weight, and suggest that grandmothers may positively promote early child cognitive, fine motor and socioemotional development. Understanding how grandmother involvement affects child outcomes in early life is necessary to inform caregiving interventions.

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Maternal attachment style, sensitivity, and infant obesity risk in low-income, Latino families

Attachment & Human Development ◽

10.1080/14616734.2020.1729214 ◽

2020 ◽

pp. 1-15

Author(s):

Allison D. Hepworth ◽

Lisa J. Berlin ◽

Tiffany L. Martoccio ◽

Brenda Jones Harden

Keyword(s):

Attachment Style ◽

Low Income ◽

Latino Families ◽

Maternal Attachment ◽

Obesity Risk ◽

Infant Obesity ◽

Maternal Attachment Style

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Maternal Behaviors during Pregnancy Impact Offspring Obesity Risk

Experimental Diabetes Research ◽

10.1155/2011/985139 ◽

2011 ◽

Vol 2011 ◽

pp. 1-9 ◽

Cited By ~ 28

Author(s):

Suzanne Phelan ◽

Chantelle Hart ◽

Maureen Phipps ◽

Barbara Abrams ◽

Andrew Schaffner ◽

...

Keyword(s):

Physical Activity ◽

Depressive Symptoms ◽

Eating Behaviors ◽

Independent Predictor ◽

Normal Weight ◽

Obesity Risk ◽

Child Weight ◽

Weight Outcomes ◽

Weight For Age ◽

In Pregnancy

This study investigated the effects of maternal changes during pregnancy in diet, exercise, and psychosocial factors on offspring weight parameters at birth and 6 months. In overweight/obese (OW/OB;n=132) mothers, greater % kcal from sweets early in pregnancy was the strongest, independent predictor of higher weight for age (WFA) (beta=0.19;P=0.004), higher odds of macrosomia (OR = 1.1 (1.0–1.2);P=0.004) andWFA>90th percentile at birth (OR = 1.2 (1.1–1.3);P=0.002) and higher WFA at 6 months (beta=0.30;P=0.002). In normal weight (n=153) mothers, higher intake of soft drinks was the strongest predictor of higher offspring WFA at birth (beta = 0.16;P=0.04) but not at 6 months. Prenatal physical activity, depressive symptoms, and sleep-related variables did not significantly predict offspring weight outcomes. Mothers’ eating behaviors during pregnancy, especially intake of sweets in OW/OB mothers, may have a lasting effect on child weight.

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