Childhood Self-Control and Adolescent Obesity: Evidence from Longitudinal Data on a National Cohort

Child Obes. May/Jun 2018;14(4):238-247. doi: 10.1089/chi.2017.0217. Epub 2018 May 29.

Abstract

Background: Whether self-control at school entry and changes in self-control in the early school years are predictive of BMI change and obesity onset over the next 8 years using longitudinal data on a nationally representative sample of US children.

Methods: Data from the Early Childhood Longitudinal Study-Kindergarten Class 1998 were analyzed. The analysis sample included 7060 children with data from kindergarten (mean age = 6 years) until eighth grade (mean age = 14 years). Self-control was assessed using teacher-reported scales. Child BMI and obese status (BMI ≥95th percentile for age and gender) were computed from height and weight measurements. Weighted linear and logistic regression models were estimated, adjusting for child's cognitive ability and a rich set of child and family covariates.

Results: High self-control in kindergarten was associated with lesser BMI increase (p < 0.05) and 43% lower odds (adjusted OR [AOR] = 0.57, 95% confidence interval [CI]: 0.38-0.86) of new onset obesity over the subsequent 8 years. The beneficial effect of high self-control in kindergarten emerged between fifth and eighth grade. Among children with low self-control in kindergarten, increase in self-control between kindergarten and fifth grade was associated with a 1.42 kg/m2 (95% CI: -2.82 to -0.02) lesser increase in BMI and 66% lower odds of new obesity onset (AOR = 0.34; 95% CI: 0.14-0.83), between kindergarten and eighth grade.

Conclusions: Low self-control at school entry is an important risk factor for unhealthy BMI increase during the transition to adolescence. Increase in self-control in the early school years may prevent unhealthy BMI increase and obesity in adolescence.

Keywords: BMI; BMI change; childhood obesity; obesity onset; self-control.

MeSH terms

  • Adolescent
  • Body Mass Index
  • Child
  • Child Development
  • Diet / psychology
  • Diet / statistics & numerical data
  • Family Characteristics
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Life Style
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / psychology*
  • Schools
  • Self-Control / psychology*
  • Socioeconomic Factors
  • Students / psychology*
  • Students / statistics & numerical data
  • United States / epidemiology
  • Weight Gain / physiology