Roxanna Camfferman1, Pauline W Jansen2, Ralph C A Rippe1, Judi Mesman3, Ivonne P M Derks4, Henning Tiemeier5, Vincent Jaddoe6, Shelley M C van der Veek1. 1. Centre for Child and Family Studies, Leiden University, The Netherlands. 2. Institute of Psychology, Erasmus University Rotterdam, The Netherlands; Department of Child and Adolescent Psychiatry and Psychology, Erasmus MC/Sophia, The Netherlands. 3. Centre for Child and Family Studies, Leiden University, The Netherlands. Electronic address: mesmanj@fsw.leidenuniv.nl. 4. Department of Child and Adolescent Psychiatry and Psychology, Erasmus MC/Sophia, The Netherlands; The Generation R Study Group, Erasmus MC/Sophia, The Netherlands. 5. Department of Child and Adolescent Psychiatry and Psychology, Erasmus MC/Sophia, The Netherlands; Department of Epidemiology, Erasmus MC/Sophia, The Netherlands. 6. The Generation R Study Group, Erasmus MC/Sophia, The Netherlands; Department of Epidemiology, Erasmus MC/Sophia, The Netherlands; Department of Pediatrics, Erasmus MC/Sophia, The Netherlands.
Abstract
OBJECTIVE: The aim of this study was to examine bidirectional associations between overweight and behavior problems during early childhood taking into account the adiposity rebound, which is the turning point in the nonlinear development of Body Mass Index in early childhood. METHODS: Longitudinal data from 6624 Dutch children in the Generation R Study were used to analyze the association between measured overweight and scores on the internalizing and externalizing scale of the Child Behavior Checklist between one-and-a-half, three and six years. The adiposity rebound was determined for each child by estimating the lowest point in their growth curve. Cross-lagged modeling was used to test (bi)directional associations. RESULTS: Both body mass and behavior problems were modest to highly stable from age one-and-a-half to six years. Externalizing and internalizing behavior were both associated with later overweight, although effect sizes were small (βs ranged between 0.06 and 0.07, ps < 0.05). No significant associations in the other direction were found. Controlling for adiposity rebound did not change the pattern of associations. There was a moderating effect of gender, and ethnicity, and timing of adiposity rebound. CONCLUSION: Behavior problems in early childhood may put children at risk for overweight at a later age. This implies that young children with behavior problems may benefit from careful monitoring of eating behavior and weight development. Future studies should take the adiposity rebound into account.
OBJECTIVE: The aim of this study was to examine bidirectional associations between overweight and behavior problems during early childhood taking into account the adiposity rebound, which is the turning point in the nonlinear development of Body Mass Index in early childhood. METHODS: Longitudinal data from 6624 Dutch children in the Generation R Study were used to analyze the association between measured overweight and scores on the internalizing and externalizing scale of the Child Behavior Checklist between one-and-a-half, three and six years. The adiposity rebound was determined for each child by estimating the lowest point in their growth curve. Cross-lagged modeling was used to test (bi)directional associations. RESULTS: Both body mass and behavior problems were modest to highly stable from age one-and-a-half to six years. Externalizing and internalizing behavior were both associated with later overweight, although effect sizes were small (βs ranged between 0.06 and 0.07, ps < 0.05). No significant associations in the other direction were found. Controlling for adiposity rebound did not change the pattern of associations. There was a moderating effect of gender, and ethnicity, and timing of adiposity rebound. CONCLUSION: Behavior problems in early childhood may put children at risk for overweight at a later age. This implies that young children with behavior problems may benefit from careful monitoring of eating behavior and weight development. Future studies should take the adiposity rebound into account.
Authors: Ivonne P M Derks; Koen Bolhuis; Zeynep Yalcin; Romy Gaillard; Manon H J Hillegers; Henrik Larsson; Sebastian Lundström; Paul Lichtenstein; Catharina E M van Beijsterveldt; Meike Bartels; Dorret I Boomsma; Henning Tiemeier; Pauline W Jansen Journal: Obesity (Silver Spring) Date: 2019-04-08 Impact factor: 5.002
Authors: S M C van der Veek; C de Graaf; J H M de Vries; G Jager; C M J L Vereijken; H Weenen; N van Winden; M S van Vliet; J M Schultink; V W T de Wild; S Janssen; J Mesman Journal: BMC Pediatr Date: 2019-08-01 Impact factor: 2.125
Authors: Laura Orlando; Katarina A Savel; Sheri Madigan; Marlena Colasanto; Daphne J Korczak Journal: Aust N Z J Psychiatry Date: 2021-07-27 Impact factor: 5.598