Childhood Nutrition Research Centre, UCL Institute of Child Health, 30 Guilford Street, London WC1N 1EH, UK.
Appetite. 2011 Oct;57(2):504-9. doi: 10.1016/j.appet.2011.07.002. Epub 2011 Jul 13.
Increasing evidence suggests that rapid postnatal weight gain is associated with increased risks of being overweight or obese later in life and of co-morbidities, such as diabetes, the metabolic syndrome and cardiovascular disease. In children as young as two years of age, as well as in adults, an appetitive system-linked impulsivity trait has been demonstrated to be linked with increased overweight, and postulated to act via increased food intake, through greater responsiveness to food and lower self-inhibitory control skills. In this study, we hypothesized that growth in infancy, a critical window for metabolic programming, would be predicted by measures of infant surgency/extraversion, assessed using the Rothbart Infant Behaviour Questionnaire (revised version). Anthropometry was measured at birth and at 3, 6 and 12 months, and weight gains expressed as increases in standardized scores, allowing for adjustment for gender and age, including gestational age. We used conditional weight (CW), a residual of current weight regressed on prior weights, to represent deviations from expected weight gains, from 0 to 3, 3 to 6 and 6 to 12 months. Controlling for significant sociodemographic correlations, multiple regression analyses showed significant prediction of CWs at 3 months but not of CWs at 6 or 12 months by surgency/extraversion. These pilot findings of association between infant growth, during a critical period, and surgency/extraversion, early correlates of impulsivity, warrant further investigation, to ascertain implications for childhood and later weight and body composition.
越来越多的证据表明,快速的产后体重增加与日后超重或肥胖的风险增加以及合并症(如糖尿病、代谢综合征和心血管疾病)有关。在两岁以下的儿童以及成年人中,已经证明与食欲系统相关的冲动特质与超重有关,并推测通过增加食物摄入量、对食物的反应更大以及自我抑制控制技能降低来发挥作用。在这项研究中,我们假设婴儿期的生长,即代谢编程的关键窗口,将通过使用罗思巴特婴儿行为问卷(修订版)评估的婴儿机敏/外向性的测量来预测。在出生时和 3、6 和 12 个月时测量了人体测量学,体重增加以标准化得分的增加表示,允许根据性别和年龄(包括胎龄)进行调整。我们使用条件体重(CW),即当前体重减去先前体重的残差,来表示从 0 到 3、3 到 6 和 6 到 12 个月的体重增加的偏差。控制了重要的社会人口统计学相关性,多元回归分析表明,3 个月时的 CW 与机敏/外向性显著相关,但 6 个月和 12 个月时的 CW 与机敏/外向性不相关。这些关于婴儿生长(在关键时期)与机敏/外向性之间关联的初步发现,机敏/外向性是冲动的早期相关因素,值得进一步研究,以确定其对儿童期及以后体重和身体成分的影响。