Abstract
Background:
Poor inhibitory control is associated with overeating and/or obesity in school-age children, adolescents and adults. The current study examined whether an objective and reliable marker of response inhibition, the stop-signal reaction time (SSRT), is associated with body mass index (BMI) z-scores and/or food intake during a snack test in pre-school children.
Methods:
The current sample consisted of 193 pre-school children taking part in a longitudinal study of early brain development (Maternal Adversity, Vulnerability and Neurodevelopment (the MAVAN project)). Linear mixed-effect models were used to examine whether the SSRT measured at age 48 months associated with BMI z-scores and/or dietary intake during a laboratory-based snack test.
Results:
After controlling for significant covariates including maternal BMI, there was a significant gender by SSRT interaction effect in predicting 48-month BMI z-scores. Post-hoc analysis revealed an association between longer SSRTs (poor response inhibition) and higher BMIs in girls but not boys. Across both girls and boys, longer SSRTs were associated with greater intake of carbohydrates and sugars during the snack test. The association between SSRT scores and BMI z-scores in girls was not statistically mediated by carbohydrate or sugar intake.
Conclusions:
At 48 months of age, slower response inhibition on the Stop-Signal Task associates with higher BMI z-scores in girls, and with higher intake of carbohydrates and sugars during a snack test across both genders. Ongoing follow-up of these children will help clarify the implications of these associations for longer term macronutrient intake, eating-related pathology and/or pathological weight gain over time.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Wang Y, Beydoun MA, Liang L, Caballero B, Kumanyika SK . Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity 2008; 16: 2323–2330.
Ogden CL, Carroll MD, Kit BK, Flegal KM . Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA 2012; 307: 483–490.
Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 1997; 337: 869–873.
Liang J, Matheson BE, Kaye WH, Boutelle KN . Neurocognitive correlates of obesity and obesity-related behaviors in children and adolescents. Int J Obes 2013; 38: 494–506.
Thamotharan S, Lange K, Zale EL, Huffhines L, Fields S . The role of impulsivity in pediatric obesity and weight status: a meta-analytic review. Clin Psychol Rev 2013; 33: 253–262.
Vainik U, Dagher A, Dube L, Fellows LK . Neurobehavioural correlates of body mass index and eating behaviours in adults: a systematic review. Neurosci Biobehav Rev 2013; 37: 279–299.
Nederkoorn C, Braet C, Van Eijs Y, Tanghe A, Jansen A . Why obese children cannot resist food: the role of impulsivity. Eat Behav 2006; 7: 315–322.
Francis LA, Susman EJ . Self-regulation and rapid weight gain in children from age 3 to 12 years. Arch Pediatr Adolesc Med 2009; 163: 297–302.
Seeyave DM, Coleman S, Appugliese D, Corwyn RF, Bradley RH, Davidson NS et al. Ability to delay gratification at age 4 years and risk of overweight at age 11 years. Arch Pediatr Adolesc Med 2009; 163: 303–308.
Puder JJ, Munsch S . Psychological correlates of childhood obesity. Int J Obes 2010; 34: S37–S43.
Pauli-Pott U, Albayrak O, Hebebrand J, Pott W . Does inhibitory control capacity in overweight and obese children and adolescents predict success in a weight-reduction program? Eur Child Adolesc Psychiatry 2010; 19: 135–141.
van den Berg L, Pieterse K, Malik JA, Luman M, Willems van Dijk K, Oosterlaan J et al. Association between impulsivity, reward responsiveness and body mass index in children. Int J Obes 2011; 35: 1301–1307.
Hendrick OM, Luo X, Zhang S, Li CS . Saliency processing and obesity: A preliminary imaging study of the Stop Signal Task. Obesity 2011; 20: 1796–1802.
Hartmann AS, Rief W, Hilbert A . Laboratory snack food intake, negative mood, and impulsivity in youth with ADHD symptoms and episodes of loss of control eating. Where is the missing link? Appetite 2012; 58: 672–678.
Graziano PA, Calkins SD, Keane SP . Toddler self-regulation skills predict risk for pediatric obesity. Int J Obes 2010; 34: 633–641.
Statistics Canada. Live births, mean age of mother, Canada, provinces and territories, annual years, (CANSIM Table 102-4504, record number 3231). Ottawa, ON, Canada, 2012.
Statistics Canada. Low income cut offs for 2005 and low income measures for 2004 (vol 4). Ottawa, ON, Canada, 2005. Catalogue no. 75F0002MIE.
Statistics Canada. Survey of labour and income dynamics. Ottawa, ON, Canada, 2009, Catalogue number 75F0026X2009.
Statistics Canada. Education indicators in Canada. An international perspective. Ottawa, ON, Canada, 2011, Catalogue number 81-604-X.
Schachar R, Logan G . Are hyperactive children deficient in attentional capacity? J Abnorm Child Psychol 1990; 18: 493–513.
Pliszika SR, Borcherding SH, Spratley K, Leon S, Irick S . Measuring inhibitory control in children. J Dev Behav Pediatr 1997; 18: 254–259.
Clark L, Blackwell AD, Aron AR, Turner DC, Dowson J, Robbins TW et al. Association between response inhibition and working memory in adult ADHD: A link to right frontal cortex pathology? Biol Psychiatry 2007; 61: 1395–1401.
Nandam LS, Hester R, Wagner J, Cummins TD, Garner K, Dean AJ et al. Methylphenidate but not atomoxetine or citalopram modulates inhibitory control and response time variability. Biol Psychiatry 2011; 69: 902–904.
Logan GD . On the ability to inhibit thought and action: a user’s guide to the stop signal paradigm. In: Dagenbach D, Carr TH (eds). Inhibitory Processes in Attention, Memory, and Language. Academic Press: San Diego, CA, USA, 1994, pp 189–239.
WHO Multicentre Growth Reference Study Group: WHO Child Growth Standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva, 2006. http://www.who.int/childgrowth/standards/chart_catalogue/en/.
Westerterp-Plantenga MS, Wijckmans-Duijsens NE . The role of macronutrient selection in determining patterns of food intake in obese and non-obese women. Eur J Clin Nutr 1996; 50: 580–591.
Zandstra EH, Mathey MF, Graaf C, Van Staveren WA . Short-term regulation of food intake in children, young adults and the elderly. Eur J Clin Nutr 2000; 54: 239–246.
Baron RM, Kenny DA . The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986; 51: 1173–1182.
Nederkoorn C, Jansen E, Mulkens S, Jansen A . Impulsivity predicts treatment outcome in obese children. Behav Res Ther 2006; 45: 1071–1075.
Crosbie J, Arnold P, Paterson A, Swanson J, Dupuis A, Li X et al. Response inhibition and ADHD traits: correlates and heritability in a community sample. J Abnorm Child Psychol 2013; 41: 497–507.
Acknowledgements
We thank Patricia Szymkow and Jessica Grummitt for their extensive help with data collection and data management, and Tamara Arenovich for her advice on the statistical methods. This work is funded by the Canadian Institutes of Health Research (CIHR).
Author information
Authors and Affiliations
Consortia
Corresponding author
Ethics declarations
Competing interests
JLK has received an honorarium from Lilly and has been a consultant to Roche in the past 3 years.
Rights and permissions
About this article
Cite this article
Levitan, R., Rivera, J., Silveira, P. et al. Gender differences in the association between stop-signal reaction times, body mass indices and/or spontaneous food intake in pre-school children: an early model of compromised inhibitory control and obesity. Int J Obes 39, 614–619 (2015). https://doi.org/10.1038/ijo.2014.207
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/ijo.2014.207
This article is cited by
-
Bariatric surgery induces alterations in effective connectivity between the orbitofrontal cortex and limbic regions in obese patients
Science China Information Sciences (2020)
-
Laparoscopic sleeve gastrectomy improves brain connectivity in obese patients
Journal of Neurology (2020)
-
Associations between inhibitory control, eating behaviours and adiposity in 6-year-old children
International Journal of Obesity (2019)
-
Disrupted topological organization of the frontal-mesolimbic network in obese patients
Brain Imaging and Behavior (2018)
-
Preserving Cardiovascular Health in Young Children: Beginning Healthier by Starting Earlier
Current Atherosclerosis Reports (2018)