Maternal and Child Health Journal

, Volume 15, Issue 4, pp 469–477

Joint Effects of Child Temperament and Maternal Sensitivity on the Development of Childhood Obesity

  • Tiejian Wu
  • Wallace E. DixonJr.
  • William T. DaltonIII
  • Fred Tudiver
  • Xuefeng Liu
Article

DOI: 10.1007/s10995-010-0601-z

Cite this article as:
Wu, T., Dixon, W.E., Dalton, W.T. et al. Matern Child Health J (2011) 15: 469. doi:10.1007/s10995-010-0601-z

Abstract

The interplay between child characteristics and parenting is increasingly implicated as crucial to child health outcomes. This study assessed the joint effects of children’s temperamental characteristics and maternal sensitivity on children’s weight status. Data from the National Institute of Child Health and Human Development’s Study of Early Child Care and Youth Development were utilized. Infant temperament, assessed at child’s age of 6 months by maternal report, was categorized into three types: easy, average, and difficult. Maternal sensitivity, assessed at child’s age of 6 months by observing maternal behaviors during mother-child semi-structured interaction, was categorized into two groups: sensitive and insensitive. Children’s height and weight were measured longitudinally from age 2 years to Grade 6, and body mass index (BMI) was calculated. BMI percentile was obtained based on the Centers for Disease Control and Prevention’s BMI charts. Children, who had a BMI ≥ the 85th percentile, were defined as overweight-or-obese. Generalized estimating equations were used to analyze the data. The proportions of children overweight-or-obese increased with age, 15.58% at 2 years old to 34.34% by Grade 6. The joint effects of children’s temperament and maternal sensitivity on a child’s body mass status depended on the child’s age. For instance, children with difficult temperament and insensitive mothers had significantly higher risks for being overweight-or-obese during the school age phase but not during early childhood. Specific combinations of child temperament and maternal sensitivity were associated with the development of obesity during childhood. Findings may hold implications for childhood obesity prevention/intervention programs targeting parents.

Keywords

Childhood obesity Temperament Maternal sensitivity Parenting 

Abbreviations

BMI

Body mass index

NICHD

Study of Early Child Care and Youth Development

SECCYD

Study of Early Child Care and Youth Development

CDC

Centers for Disease Control and Prevention

GEE

Generalized estimating equation

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Tiejian Wu
    • 1
    • 2
  • Wallace E. DixonJr.
    • 3
  • William T. DaltonIII
    • 3
  • Fred Tudiver
    • 2
  • Xuefeng Liu
    • 1
  1. 1.Department of Biostatistics and EpidemiologyEast Tennessee State UniversityJohnson CityUSA
  2. 2.Department of Family MedicineEast Tennessee State UniversityJohnson CityUSA
  3. 3.Department of PsychologyEast Tennessee State UniversityJohnson CityUSA

Personalised recommendations