Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Modelling the effect of temperament on BMI through appetite reactivity and self-regulation in eating: a Structural Equation Modelling approach in young adolescents

Abstract

Background/Objective:

Appetitive traits and general temperament traits have both been correlated with adiposity and obesity in children. However, very few studies have tested structural models to identify the links between temperament, appetitive traits and adiposity in children. A validated structural model would help suggesting mechanisms to explain the impact of temperament on body mass index (BMI). In this study, we used Rothbart’s heuristic definition of temperament as a starting point to define four appetitive traits, including two appetite reactivity dimensions (Appetite Arousal and Appetite Persistence) and two dimensions of self-regulation in eating (Self-regulation In Eating Without Hunger and Self-regulation in Eating Speed). We conducted a cross-sectional study in young adolescents to validate a structural model including these four appetitive traits, Effortful Control (a general temperament trait) and adiposity.

Subjects/Methods:

A questionnaire assessing the four appetitive trait dimensions and Effortful Control was completed by adolescents from 10 to 14 years old (n=475), and their BMI-for-age was calculated (n=441). In total, 74% of the study participants were normal weight, 26% were overweight and 8% were obese. We then used structural equation modelling to test the structural model.

Results:

We identified a well-fitting structural model (Comparative Fit Index=0.91; Root Mean Square Error of Approximation=0.04) that supports the hypothesis that Effortful Control impacts both dimensions of self-regulation in eating, which in turn are linked with both appetite reactivity dimensions. Moreover, Appetite Persistence is the only appetitive trait that was significantly related to adiposity (B=0.12; P<0.05).

Conclusions:

Our model shows that Effortful Control is related to adiposity through the mediation of an individual’s ‘eating temperament’ (appetite reactivity and self-regulation in eating). Results suggest that young adolescents who exhibit high appetite reactivity but a low level of self-regulation in eating are at higher risk for excess adiposity.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Barsh GS, Farooqi IS, O'Rahilly S . Genetics of body-weight regulation. Nature 2000; 404: 644–651.

    Article  CAS  Google Scholar 

  2. Blundell JE, Stubbs RJ, Golding C, Croden F, Alam R, Whybrow S et al. Resistance and susceptibility to weight gain: individual variability in response to a high-fat diet. Physiol Behav 2005; 86: 614–622.

    Article  CAS  Google Scholar 

  3. Flier JS . Obesity wars: molecular progress confronts an expanding epidemic. Cell 2004; 116: 337–350.

    CAS  Google Scholar 

  4. Hill JO . Obesity and the environment: where do we go from here? Science 2003; 299: 853–855.

    Article  CAS  Google Scholar 

  5. Carnell S, Wardle J . Appetitive traits and child obesity: measurement, origins and implications for intervention. Proc Nutr Soc 2008; 67: 343.

    Article  PubMed Central  Google Scholar 

  6. Carnell S, Wardle J . Appetitive traits in children. New evidence for associations with weight and a common, obesity-associated genetic variant. Appetite 2009; 53: 260–263.

    Article  Google Scholar 

  7. Wardle J, Guthrie CA, Sanderson S, Rapoport L . Development of the children's eating behaviour questionnaire. J Child Psychol Psychiatry 2001; 42: 963–970.

    Article  CAS  PubMed Central  Google Scholar 

  8. van Strien T, Oosterveld P . The children's DEBQ for assessment of restrained, emotional, and external eating in 7- to 12-year-old children. Int J Eat Disord 2008; 41: 72–81.

    Article  PubMed Central  Google Scholar 

  9. Fisher JO, BIRCH LL . Eating in the absence of hunger and overweight in girls from 5 to 7 y of age. Am J Clin Nutr 2002; 76: 226–231.

    Article  CAS  PubMed Central  Google Scholar 

  10. Sleddens EF, Kremers SP, Thijs C . The children's eating behaviour questionnaire: factorial validity and association with Body Mass Index in Dutch children aged 6-7. Int J Behav Nutr Phys Act 2008; 5: 49.

    Article  PubMed Central  Google Scholar 

  11. Viana V, Sinde S, Saxton JC . Children's eating behaviour questionnaire: associations with BMI in Portuguese children. Br J Nutr 2008; 100: 445–450.

    Article  CAS  Google Scholar 

  12. Braet C, van Strien T . Assessment of emotional, externally induced and restrained eating behaviour in nine to twelve-year-old obese and non-obese children. Behav Res Ther 2003; 35: 863–873.

    Article  Google Scholar 

  13. BIRCH LL, Fisher JO, Davison KK . Learning to overeat: maternal use of restrictive feeding practices promotes girls’ eating in the absence of hunger. Am J Clin Nutr 2003; 78: 215–220.

    Article  CAS  PubMed Central  Google Scholar 

  14. van Jaarsveld CH, Llewellyn CH, Johnson L, Wardle J . Prospective associations between appetitive traits and weight gain in infancy. Am J Clin Nutr 2011; 94: 1562–1567.

    Article  CAS  Google Scholar 

  15. Graziano PA, Calkins SD, Keane SP . Toddler self-regulation skills predict risk for pediatric obesity. Int J Obes (Lond) 2010; 34: 633–641.

    Article  CAS  Google Scholar 

  16. Niegel S, Ystrom E, Vollrath ME . Is difficult temperament related to overweight and rapid early weight gain in infants? A prospective cohort study. J Dev Behav Pediatr 2007; 28: 462–466.

    Article  Google Scholar 

  17. Wu T, Dixon WE, Dalton WT, Tudiver F, Liu X . Joint effects of child temperament and maternal sensitivity on the development of childhood obesity. Matern Child Health J 2010; 15: 469–477.

    Article  Google Scholar 

  18. Zeller MH, Boles RE, Reiter-Purtill J . The additive and interactive effects of parenting style and temperament in obese youth seeking treatment. Int J Obes (Lond) 2008; 32: 1474–1480.

    Article  CAS  Google Scholar 

  19. Burton P, Wells JCK, Kennedy K, Nicholl R, Khakoo A, Fewtrell MS . Association between infant correlates of impulsivity—surgency (extraversion)—and early infant growth. Appetite 2011; 57: 504–509.

    Article  CAS  Google Scholar 

  20. Darlington A-SE, Wright CM . The influence of temperament on weight gain in early infancy. J Dev Behav Pediatr 2006; 27: 329–335.

    Article  Google Scholar 

  21. Graziano PA, Kelleher R, Calkins SD, Keane SP, Brien MO . Predicting weight outcomes in preadolescence: the role of toddlers’ self-regulation skills and the temperament dimension of pleasure. Int J Obes (Lond) 2012; 37: 937–942.

    Article  Google Scholar 

  22. Anzman SL, BIRCH LL . Low inhibitory control and restrictive feeding practices predict weight outcomes. J Pediatr 2009; 155: 651–656.

    Article  PubMed Central  Google Scholar 

  23. Tan CC, Holub SC . Children’s self-regulation in eating: associations with inhibitory control and parents’ feeding behavior. J Pediatr Psychol 2011; 36: 340–345.

    Article  Google Scholar 

  24. Haycraft E, Farrow C, Meyer C, Powell F, Blissett J . Relationships between temperament and eating behaviours in young children. Appetite 2011; 56: 689–692.

    Article  Google Scholar 

  25. Simonds J, Kieras JE, Rueda MR, Rothbart MK . Effortful control, executive attention, and emotional regulation in 7–10-year-old children. Cogn Dev 2007; 22: 474–488.

    Article  Google Scholar 

  26. Caspi A, Henry B, McGee RO, Moffitt TE . Temperamental origins of child and adolescent behavior problems: from age three to age fifteen. Child Dev 1995; 66: 55–68.

    Article  CAS  Google Scholar 

  27. Manfredi C, Caselli G, Rovetto F, Rebecchi D, Ruggiero GM, Sassaroli S et al. Temperament and parental styles as predictors of ruminative brooding and worry. Personal Individ Differ 2011; 50: 186–191.

    Article  Google Scholar 

  28. Rothbart MK . Temperament in childhood: a framework. In Kohnstamm GA, Bates JE, Rothbart MK (eds). Temperament In Childhood. John Wiley & Sons: Australia, 1989, pp 59–73.

    Google Scholar 

  29. Posner MI, Rothbart MK . Developing mechanisms of self-regulation. Dev Psychopathol 2000; 12: 427–441.

    Article  Google Scholar 

  30. Dietz WH . Critical periods in childhood for the development of obesity. Am J Clin Nutr 1994; 59: 955–959.

    Article  CAS  Google Scholar 

  31. de Onis M . Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007; 85: 660–667.

    Article  PubMed Central  Google Scholar 

  32. Kringelbach ML, Stein A, van Hartevelt TJ . Physiology & Behavior. Physiol Behav 2012; 106: 307–316.

    Article  CAS  PubMed Central  Google Scholar 

  33. Rothbart MK, Rueda MR . The development of effortful control. In Mayr U, Awh E, Keele S (eds). Developing Individuality In The Human Brain: A Tribute To Michael I. Posner. American Psychological Association: Washington, DC, USA, 2005, pp 167–188.

    Chapter  Google Scholar 

  34. Berridge KC, Robinson TE, Aldridge JW . Dissecting components of reward: ‘liking’, “wanting”, and learning. Curr Opin Pharmacol 2009; 9: 65–73.

    Article  CAS  PubMed Central  Google Scholar 

  35. Kokkinos A, le Roux CW, Alexiadou K, Tentolouris N, Vincent RP, Kyriaki D et al. Eating slowly increases the postprandial response of the anorexigenic gut hormones, peptide YY and glucagon-like peptide-1. J Clin Endocrinol Metab 2010; 95: 333–337.

    Article  CAS  PubMed Central  Google Scholar 

  36. Capaldi DM, Rothbart MK . Development and validation of an early adolescent temperament measure. J Early Adolesc 1992; 12: 153–173.

    Article  Google Scholar 

  37. Ellis LK, Rothbart MK . Revision of the Early Adolescent Temperament Questionnaire Poster presented at the 2001 Biennial Meeting of the Society for Research in Child Development Minneapolis, Minnesota 2001.

  38. Rosseel Y . Lavaan: An R Package for Structural Equation Modeling and More Version 0.3-1 Ghent University: Belgium, 2010.

    Google Scholar 

  39. Bollen KA . Structural Equations with Latent Variables. Wiley-Interscience: New York, NY, USA, 1989.

    Book  Google Scholar 

  40. Byrne BM . Structural Equation Modeling With Lisrel, Prelis, and Simplis. Psychology Press: New York, NY, USA, 2013.

    Book  Google Scholar 

  41. Hu LT, Bentler PM . Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model Multidiscip J 1999; 6: 1–55.

    Article  Google Scholar 

  42. Christopher Westland J . Lower bounds on sample size in structural equation modeling. Electron Commer Res Appl 2010; 9: 476–487.

    Article  Google Scholar 

  43. Monnery-Patris S, Rigal N, Chabanet C, Boggio V, Lange C, Cassuto DA et al. Parental practices perceived by children using a French version of the Kids’Child Feeding Questionnaire. Appetite 2011; 57: 161–166.

    Article  Google Scholar 

  44. Carper JL, Orlet Fisher J, Birch LL . Young girls' emerging dietary restraint and disinhibition are related to parental control in child feeding. Appetite 2000; 35: 121–129.

    Article  CAS  Google Scholar 

  45. Kenny DA, Kashy DA . Analysis of the multitrait multimethod matrix by confirmatory factor analysis. Psychol Bull 1992; 112: 165–172.

    Article  Google Scholar 

  46. Huang TT-K, Howarth NC, Lin B-H, Roberts SB, McCrory MA . Energy intake and meal portions: associations with BMI percentile in U.S. children. Obes Res 2004; 12: 1875–1885.

    Article  Google Scholar 

  47. Berridge KC . Physiology & behavior. Physiol Behav 2009; 97: 537–550.

    Article  CAS  PubMed Central  Google Scholar 

  48. Epstein LH, Paluch R, Coleman KJ . Differences in salivation to repeated food cues in obese and nonobese women. Psychosom Med 2005; 58: 160–164.

    Article  Google Scholar 

  49. Feur E, Labeyrie C, Boucher J, Eïd A, Cabut S, Dib S et al. Indicateurs de santé chez les collégiens et lycéens du Val-de-Marne, France, en 2005: excès pondéral, atteinte carieuse et risque de dépression. Bull Épidémiol Hebd 2007; 4: 29–33.

    Google Scholar 

  50. Ashcroft J, Semmler C, Carnell S, van Jaarsveld CHM, Wardle J . Continuity and stability of eating behaviour traits in children. Eur J Clin Nutr 2007; 62: 985–990.

    Article  PubMed Central  Google Scholar 

  51. Farrow C, Blissett J . Stability and continuity of parentally reported child eating behaviours and feeding practices from 2 to 5 years of age. Appetite 2012; 58: 151–156.

    Article  CAS  Google Scholar 

  52. Webber L, Cooke L, Hill C, Wardle J . Associations between children’s appetitive traits and maternal feeding practices. J Am Diet Assoc 2010; 110: 1718–1722.

    Article  Google Scholar 

  53. Johnson SL . Improving preschoolers' self-regulation of energy intake. Pediatrics 2000; 106: 1429–1435.

    Article  CAS  PubMed Central  Google Scholar 

  54. Perels F, Merget-Kullmann M, Wende M, Schmitz B, Buchbinder C . Improving self-regulated learning of preschool children: evaluation of training for kindergarten teachers. Br J Educ Psychol 2010; 79: 311–327.

    Article  Google Scholar 

  55. Nelis D, Kotsou I, Quoidbach J, Hansenne M, Weytens F, Dupuis P et al. Increasing emotional competence improves psychological and physical well-being, social relationships, and employability. Emotion 2011; 11: 354–366.

    Article  Google Scholar 

Download references

Acknowledgements

VG and NR designed the research; VG conducted the research; VG and LT analysed the data; VG wrote the paper; VG had primary responsibility for the final content. All authors read and approved the final manuscript. We would like to express our gratitude to N. Darcel, S. Monnery-Patris, M-L Frelut and Emily Crow for their attentive reading of the manuscript. We also thank the FFAS (Fonds Français pour l’Alimentation et la Santé) and the Institut Benjamin Delessert for their financial support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to V Godefroy.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Godefroy, V., Trinchera, L., Romo, L. et al. Modelling the effect of temperament on BMI through appetite reactivity and self-regulation in eating: a Structural Equation Modelling approach in young adolescents. Int J Obes 40, 573–580 (2016). https://doi.org/10.1038/ijo.2016.6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ijo.2016.6

This article is cited by

Search

Quick links