Association of Self-regulation With Obesity in Boys vs Girls in a US National Sample

JAMA Pediatrics
Sarah E Anderson, Robert C Whitaker

Abstract

Poor self-regulation in childhood is associated with increased risk of obesity. However, studies have assumed that greater self-regulation is associated with a lower obesity risk and have rarely examined differences in the association by sex. To examine how different levels of toddler self-regulation are associated with the prevalence of obesity at kindergarten age and whether the pattern of association is different between boys and girls. This was a prospective cohort study using data from the Early Childhood Longitudinal Study, Birth Cohort, a nationally representative sample of 10 700 US children born in 2001 and followed up through kindergarten entry (2006-2007). The analytic sample included 6400 children with observed toddler self-regulation. Data collection occurred in children's homes and consisted of a parent interview and direct assessment of the child. Data analysis took place between May 2016 and March 2018. During a standardized, in-home, developmental assessment at 24 months of age, observers scored 4 dimensions of children's self-regulation: adaptability, attention, persistence, and frustration tolerance. Self-regulation scores ranging from a low of 4 to a high of 20 were grouped into quartiles. With use of measur...Continue Reading

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Citations

Mar 30, 2019·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Anna FogelCiarán G Forde
Jul 25, 2021·International Journal of Environmental Research and Public Health·Katelin M Hudak, Sara E Benjamin-Neelon

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