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Appetite. 2014 Oct;81:337-42. doi: 10.1016/j.appet.2014.06.107. Epub 2014 Jul 8.

Better quality of mother-child interaction at 4 years of age decreases emotional overeating in IUGR girls.

Author information

1
PPG Saúde da Criança e do Adolescente, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90035-903, Brazil.
2
Department of Psychology, Simon Fraser University, 8888 University Dr, Burnaby, BC V5A 1S6, Canada.
3
Department of Psychology, University of British Columbia, BC, Canada.
4
Institute of Psychiatry, London, United Kingdom.
5
Department of Psychiatry and Behavioural Neurosciences, McMaster University.
6
Singapore Institute for Clinical Sciences, 117609, Singapore; Department of Psychiatry and Neurology, Douglas Mental Health University Institute, McGill University, Montreal, QC H4H 1R3, Canada.
7
Department of Psychiatry, University of Toronto and Centre for Addiction and Mental Health, Toronto, QC M5T 1R8, Canada.
8
PPG Saúde da Criança e do Adolescente, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul 90035-903, Brazil. Electronic address: 00032386@ufrgs.br.

Abstract

BACKGROUND/OBJECTIVES:

While most "fetal programming" area focused on metabolic disease, intrauterine growth restriction (IUGR) is also associated with a preference for less healthy food. Post-natal factors such as strained maternal-child interactions are equally related to obesogenic eating behaviors. We investigated if IUGR and the quality of the mother/child relationship affect emotional overeating in children.

SUBJECTS/METHODS:

Participants were 196 children from a prospective birth cohort (the MAVAN project). As part of the protocol at 4 years of age, mothers completed the Children Eating Behavior Questionnaire (CEBQ) and mother-child interactions were scored during a structured task. A GLM adjusted for BMI examined the interaction between the "Atmosphere" score (ATM) task, sex and IUGR on the emotional over-eating domain of the CEBQ.

RESULTS:

There was a significant interaction of BWR vs. sex vs. ATM (P = .02), with no effects of IUGR, sex or ATM. The model was significant for girls with low ATM scores (B = -2.035, P = .014), but not for girls with high (P = 0.94) or boys with high (P = .27) or low (P = .19) ATM scores. Only in IUGR girls, 48 months emotional over-eating correlated with BMI at that age (r = 0.560, P = 0.013) and predicted BMI in the subsequent years (r = 0.654, P = 0.006 at 60 months and r = 0.750, P = 0.005 at 72 months).

CONCLUSIONS:

IUGR and exposure to a negative emotional atmosphere during maternal-child interactions predicted emotional overeating in girls but not in boys. The quality of mother-infant interaction may be an important target for interventions to prevent emotional overeating and overweight in early development, particularly in girls with a history of IUGR.

KEYWORDS:

Appetite; Emotional overeating; IUGR; Maternal care

PMID:
25014742
DOI:
10.1016/j.appet.2014.06.107
[Indexed for MEDLINE]

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