Toddler self-regulation skills predict risk for pediatric obesity.

Toddler self-regulation skills predict risk for pediatric obesity.
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DOI:
10.1038/ijo.2009.288
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发表时间:
2010-04
影响因子:
4.9
通讯作者:
Keane, S. P.
Keane, S. P.
中科院分区:
医学2区
文献类型:
--
作者:
Graziano, P. A.;Calkins, S. D.;Keane, S. P.

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探讨早期自我调节技能,包括情绪调节、持续注意和抑制控制/奖赏敏感性在儿童早期肥胖预测中的作用。这项研究的参与者包括57名儿童(25名女孩),他们来自三个不同的队列,参与了一项正在进行的更大规模的纵向研究。在2岁时,参与者参与了几项旨在评估他们自我调节能力的实验室任务。身高和体重测量是在儿童2岁和5.5岁时收集的。幼儿时期的自我调节能力可以预测BMI发展的正常变化和儿童肥胖。具体地说,情绪调节是预测体重指数正常变化的主要自我调节技能,因为没有发现对持续注意或抑制性控制/奖励敏感性的影响。然而,情绪调节和抑制控制/奖励敏感性都预示着更多极端的体重问题(即儿童肥胖),即使在控制了两年的BMI之后也是如此。因此,情绪调节技能较差、抑制控制技能较低/奖励敏感度较高的幼儿在5.5岁时更有可能被归类为超重/处于危险之中。早期跨领域的自我调节困难(即,行为和情绪)是儿童肥胖发展的重要个体危险因素。对早期自我调节技能可能有助于儿童肥胖发展的机制进行了讨论。
To investigate the role of early self-regulation skills, including emotion regulation, sustained attention, and inhibitory control/reward sensitivity, in predicting pediatric obesity in early childhood. Participants for this study included 57 children (25 girls) obtained from three different cohorts participating in a larger ongoing longitudinal study. At 2 years of age, participants participated in several laboratory tasks designed to assess their self-regulation abilities. Height and weight measures were collected when children were 2 and 5.5 years of age. Self-regulation skills in toddlerhood were predictive of both normal variations in BMI development and pediatric obesity. Specifically, emotion regulation was the primary self-regulation skill involved in predicting normative changes in BMI as no effects were found for sustained attention or inhibitory control/reward sensitivity. However, both emotion regulation and inhibitory control/reward sensitivity predicted more extreme weight problems (i.e., pediatric obesity), even after controlling for 2yr BMI. Thus, toddlers with poorer emotion regulation skills and lower inhibitory control skills/higher reward sensitivity were more likely to be classified as overweight/at risk at 5.5 years of age. Early self-regulation difficulties across domains (i.e., behavioral, and emotional) represent significant individual risk factors for the development of pediatric obesity. Mechanisms by which early self-regulation skills may contribute to the development of pediatric obesity are discussed.
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