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Maternal and Child Health Journal

, Volume 15, Issue 4, pp 469–477 | Cite as

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

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

Notes

Acknowledgments

The authors thank Will Frye and Elizabeth Hay for their assistance with manuscript preparation.

Declaration

The authors declare no conflict of interest.

References

  1. 1.
    Ogden, C. L., Carroll, M. D., & Flegal, K. M. (2008). High body mass index for age among US children and adolescents, 2003–2006. Journal of the American Medical Association, 299, 2401–2405.PubMedCrossRefGoogle Scholar
  2. 2.
    Berenson, G. S. (2005). Obesity–a critical issue in preventive cardiology: The Bogalusa Heart Study. Preventive Cardiology, 8, 234–241.PubMedCrossRefGoogle Scholar
  3. 3.
    Marcovecchio, M., Mohn, A., & Chiarelli, F. (2005). Type 2 diabetes mellitus in children and adolescents. Journal of Endocrinological Investigation, 28, 853–863.PubMedGoogle Scholar
  4. 4.
    Sinha, R., Fisch, G., Teague, B., Tamborlane, W. V., Banyas, B., Allen, K., et al. (2002). Prevalence of impaired glucose tolerance among children and adolescence with marked obesity. New England Journal of Medicine, 346, 802–810.PubMedCrossRefGoogle Scholar
  5. 5.
    Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life in severely obese children and adolescents. Journal of the American Medical Association, 289, 1813–1819.PubMedCrossRefGoogle Scholar
  6. 6.
    Zametkin, A. J., Zoon, C. K., Klein, H. W., & Munson, S. (2004). Psychiatric aspects of child and adolescent obesity: A review of the past ten years. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 134–150.PubMedCrossRefGoogle Scholar
  7. 7.
    Rothbart, M. K., & Bates, J. E. (2006). Temperament. In W. Damon, R. M. Lerner, & N. Eisenberg (Eds.), Handbook of child psychology: Vol. 3. Social, emotional, and personality development (6th ed., pp. 99–166). Hoboken, NJ: Wiley.Google Scholar
  8. 8.
    Thomas, A., & Chess, S. (1968). Temperament and behavior disorders in children. New York: University Press.Google Scholar
  9. 9.
    Dixon, W. E., Jr., & Smith, P. H. (2000). Links between early temperament and language acquisition. Merrill Palmer Quarterly, 46, 417–440.Google Scholar
  10. 10.
    Dixon, W. E., Jr., Salley, B. J., & Clements, A. D. (2006). Temperament, distraction, and learning in toddlerhood. Infant Behavior and Development, 29, 342–357.PubMedCrossRefGoogle Scholar
  11. 11.
    Guerin, D. W., Gottfried, A. W., Oliver, P. H., & Thomas, C. W. (1994). Temperament and school functioning during early adolescence. Journal of Early Adolescence, 14, 200–225.CrossRefGoogle Scholar
  12. 12.
    Maziade, M., Côté, R., Boutin, P., Bernier, H., & Thivierge, J. (1987). Temperament and intellectual development: A longitudinal study from infancy to four years. American Journal of Psychiatry, 144, 144–150.PubMedGoogle Scholar
  13. 13.
    Maziade, M., Caron, C., Côté, R., & Mérette, C. (1990). Psychiatric status of adolescents who had extreme temperaments at age 7. American Journal of Psychiatry, 147, 1531–1536.PubMedGoogle Scholar
  14. 14.
    Salley, B. J., & Dixon, W. E., Jr. (2007). Temperament and joint attentional predictors of language development. Merrill Palmer Quarterly, 53, 131–154.PubMedCrossRefGoogle Scholar
  15. 15.
    Carey, W. B., Hegvik, R. L., & McDevitte, S. C. (1988). Temperamental factors associated with rapid weight gain and obesity in middle childhood. Developmental and Behavioral Pediatrics, 9, 194–198.CrossRefGoogle Scholar
  16. 16.
    Zeller, M. H., Boles, R. E., & Reiter-Purtill, J. (2008). The additive and interactive effects of parenting style and temperament in obese youth seeking treatment. International Journal of Obesity, 32, 1474–1480.PubMedCrossRefGoogle Scholar
  17. 17.
    Carey, W. B. (1985). Temperament and increased weight gain in infants. Journal of Developmental and Behavioral Pediatrics, 6, 128–131.PubMedGoogle Scholar
  18. 18.
    Ainsworth, M. D. S. (1969). Maternal sensitivity scales. Retrieved November 18, 2008, from Stony Brook University, Psychology Department Web site: http://www.psychologysunysb.edu/ewaters/552./senscoop.htm.
  19. 19.
    Baumrind, D. (1991). The influence of parenting style on adolescent competence and substance use. Journal of Early Adolescence, 11(1), 56–95.29.CrossRefGoogle Scholar
  20. 20.
    Dodici, B. J., Draper, D. C., & Peterson, C. A. (2003). Early parent-child interactions and early literacy development. Topics in Early Childhood Special Education, 23, 124–136.CrossRefGoogle Scholar
  21. 21.
    Landry, S. H., Miller-Loncar, C. L., Smith, K. E., & Swank, P. R. (2002). The role of early parenting in children’s development of executive processes. Developmental Neuropsychology, 21, 15–41.PubMedCrossRefGoogle Scholar
  22. 22.
    Spera, C. (2005). A review of the relationship among parenting practices, parenting styles, and adolescent school achievement. Educational Psychology Review, 17, 125–145.CrossRefGoogle Scholar
  23. 23.
    Glasgow, K. L., Dornbusch, S. M., Troyer, L., Steinberg, L., & Ritter, P. L. (1997). Parenting styles, adolescents’ attributions, and educational outcomes in nine heterogeneous high schools. Child Development, 68, 507–529.PubMedCrossRefGoogle Scholar
  24. 24.
    Lamborn, S. D., Mounts, N. S., Steinberg, L., & Dornbusch, S. M. (1991). Patterns of competence and adjustment among adolescents from authoritative, authoritarian, indulgent, and neglectful families. Child Development, 62, 1049–1065.PubMedCrossRefGoogle Scholar
  25. 25.
    Radziszewska, B., Richardson, J. L., Dent, C. W., & Flay, B. R. (1996). Parenting style and adolescent depressive symptoms, smoking, and academic achievement: Ethnic, gender, and SES differences. Journal of Behavioral Medicine, 19, 289–305.PubMedCrossRefGoogle Scholar
  26. 26.
    Steinberg, L., Lamborn, S. D., Darling, N., Mounts, N. S., & Dornbusch, S. M. (1994). Over-time changes in adjustment and competence among adolescents from authoritative, authoritative, authoritarian, indulgent, and neglectful families. Child Development, 65, 754–770.PubMedCrossRefGoogle Scholar
  27. 27.
    Davison, K. K., & Birch, L. L. (2001). Childhood overweight: A contextual model and recommendations for future research. Obesity Reviews, 2, 159–171.PubMedCrossRefGoogle Scholar
  28. 28.
    Golan, M., & Crow, S. (2004). Parents are key players in the prevention and treatment of weight-related problems. Nutrition Reviews, 61, 39–50.CrossRefGoogle Scholar
  29. 29.
    The NICHD Early, & Child Care Research Network. (2005). Non-maternal care and family factors in early development: An overview of the NICHD study of early child care. In The NICHD Early Child Care Research Network (Ed.), Child care and child development: Results from the NICHD study of early child care and youth development (pp. 3–36). New York, NY: The Guilford Press.Google Scholar
  30. 30.
    Belsky, J., Steinberg, L. D., Houts, R. M., Friedman, S. L., DeHart, G., Cauffman, E., et al. (2007). Family rearing antecedents of pubertal timing. Child Development, 78, 1302–1321.PubMedCrossRefGoogle Scholar
  31. 31.
    Carey, W. B., & McDevitt, S. C. (1978). Revision of the infant temperament questionnaire. Pediatrics, 61, 735–739.PubMedGoogle Scholar
  32. 32.
    Bradley, R. H., & Corwyn, R. F. (2008). Infant temperament, parenting, and externalizing behavior in the first grade: A test of the differential susceptibility hypothesis. Journal of Child Psychology and Psychiatry, 49, 124–131.PubMedGoogle Scholar
  33. 33.
    Carnicero, J. A. C., Pérez-López, J., Salinas, M. D. C., & Martínez-Fuentes, M. T. (2000). A longitudinal study of temperament in infancy: Stability and convergence of measures. European Journal of Personality, 14, 21–37.CrossRefGoogle Scholar
  34. 34.
    Liang, K., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13–22.CrossRefGoogle Scholar
  35. 35.
    Little, R. J. A., & Rubin, D. B. (1987). Statistical analysis with missing data. New York: Wiley.Google Scholar
  36. 36.
    Niegel, S., Ystrom, E., & Vollrath, M. E. (2007). Is difficult temperament related to overweight and rapid early weight gain in infants? A prospective cohort study. Journal of Developmental and Behavioral Pediatrics, 28, 462–466.PubMedCrossRefGoogle Scholar
  37. 37.
    Wells, J. C., Stanley, M., Laidlaw, A. S., Day, J. M., Stafford, M., & Davies, P. S. (1997). Investigation of the relationship between infant temperament and later body composition. International Journal of Obesity and Related Metabolic Disorders, 21, 400–406.PubMedCrossRefGoogle Scholar
  38. 38.
    Braet, C., Claus, L., Verbeken, S., & Van Vlierberghe, L. (2007). Impulsivity in overweight children. European Child and Adolescent Psychiatry, 16, 473–483.PubMedCrossRefGoogle Scholar
  39. 39.
    Ravaja, N., & Keltikangas-Järvinen, L. (1995). Temperament and metabolic syndrome precursors in children: A three-year follow-up. Preventive Medicine, 24, 518–527.PubMedCrossRefGoogle Scholar
  40. 40.
    Räikkönen, K., Katainen, S., Keskivaara, P., & Keltikangas-Järvinen, L. (2000). Temperament, mothering, and hostile attitudes: A 12-year longitudinal study. Personality and Social Psychology Bulletin, 26, 3–12.Google Scholar
  41. 41.
    Baumrind, D. (1989). Rearing competent children. In W. Damon (Ed.), Child development today and tomorrow (pp. 349–378). San Francisco: Jossey-Bass.Google Scholar
  42. 42.
    Kremers, S. P., Brug, J., de Vries, H., & Engles, R. C. (2003). Parenting style and adolescent fruit consumption. Appetite, 41, 43–50.PubMedCrossRefGoogle Scholar
  43. 43.
    Kitzmann, K. M., Dalton, W. T., I. I. I., & Buscemi, J. (2008). Beyond parenting practices: Family context and the treatment of pediatric obesity. Family Relations, 57, 13–23.CrossRefGoogle Scholar
  44. 44.
    Agras, W. S., Hammer, L. D., McNicholas, F., & Kraemer, H. C. (2004). Risk factors for childhood overweight: A prospective study from birth to 9.5 years. Journal of Pediatrics, 145, 20–25.PubMedCrossRefGoogle Scholar
  45. 45.
    Campbell, S. B. (2002). Behavior problems in preschool children: Clinical and developmental issues (2nd ed.). New York: Guilford Press.Google Scholar
  46. 46.
    Denham, S. A., Workman, E., Cole, P. M., Weissbrod, C., Kendziora, K. T., & Zahn-Waxler, C. (2000). Prediction of externalizing behavior problems: Group and individual differences. Development and Psychopathology, 12, 23–45.PubMedCrossRefGoogle Scholar
  47. 47.
    Davis, M. M., Gance-Cleveland, B., Hassink, S., Johnson, R., Paradis, G., & Resnicow, K. (2007). Recommendations for prevention of childhood obesity. Pediatrics, 120, S229–S253.PubMedCrossRefGoogle Scholar
  48. 48.
    Guerin, D. W., Gottfried, A. W., Oliver, P. H., & Thomas, C. W. (2003). Temperament: Infancy through adolescence. New York: Kluwer Academic/Plenum.Google Scholar
  49. 49.
    Carey, W. B. (1998). Teaching parents about infant temperament. Pediatrics, 102, 1311–1316.PubMedGoogle Scholar
  50. 50.
    Carey, W. B., & Jablow, M. M. (1997). Understanding your child’s temperament. New York: Macmillan.Google Scholar
  51. 51.
    Sheeber, L. B., & McDevitt, S. C. (1998). Temperament focused parent training. In J. M. Briesmeister & C. E. Shaefer (Eds.), Handbook of parent training: Parents as co-therapists for children’s behavior problems. New York: Wiley.Google Scholar

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

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