Behavioral Associations with Overweight in Low-Income Children

OBJECTIVES: Food reinforcement (modified relative reinforcement value (RRV)), self-control (the ability to delay gratification (ATDG)), and eating outside of homeostatic need (eating in the absence of hunger (EAH)) are associated with overweight/obesity. These constructs have typically been studied in isolation in children and little is known about how they interrelate and whether these associations differ by sex. METHODS: In a low-income sample of 230 seven- to ten-year-old children, we assessed RRV, ATDG, and EAH. We separately tested by sex the model that elevated RRV, lower ATDG and greater EAH are each independent direct predictors of overweight in middle childhood. We predicted that greater RRV and less ATDG would also have indirect effects on overweight through EAH. We investigated the association between RRV and ATDG. RESULTS: For girls, higher RRV was indirectly associated with overweight through EAH. For boys, no associations of RRV, ATDG, or EAH with overweight were significant. Finally, for girls RRV and ATDG were significantly positively associated. CONCLUSIONS: In girls, higher food reinforcement appears to be an important contributor to overweight. During middle childhood, ATDG may be assessing food reinforcement rather than self-control. Future studies are needed to identify the mechanisms underlying childhood overweight in boys.