1.Appetite and early behaviours predict growth during the first 4 months of life among infants in Klang Valley, Malaysia
Nurul Husna Mohd Shukri ; Jonathan C Wells ; Mary Fewtrell
Malaysian Journal of Nutrition 2026;32(No. 2):217-229
Introduction: Early infant behaviour and nutrition are linked to health and development.
While appetite and temperament relate to growth, they are highly inter-correlated.
Using a prospective longitudinal design, we hypothesise that early behavioural traits are
longitudinally associated with infant growth. Methods: Breastfeeding mothers (n=64),
recruited during pregnancy at antenatal clinics in Klang Valley, Malaysia, were followed up
during home visits (HV) after birth at 2, 6-8, 12-14, and 16-18 weeks of infant age. Mothers
completed validated questionnaires assessing infant appetite (Baby Eating Behaviour
Questionnaire) and temperament (Revised Rothbart’s Infant Behaviour Questionnaire),
while infant weight and length were measured at each HV. At the final follow-up, 62
infants were included in the regression analyses. Results: Appetite and temperament
traits were shown to be associated with infant growth outcomes at different time points
(n=63 at HV3 and n=62 at HV4). Specifically, food responsiveness and effortful control were
positively correlated with infant growth (e.g., weight standard deviation, SD gain: B=0.50,
p=0.01). Conversely, slowness in eating was negatively associated with infant weight
outcomes across time points (e.g., weight SD HV4: B=-0.45, p<0.01). Multivariate analyses
consistently demonstrated appetite and temperament traits as predictors of infant growth
measurements at different time points. Conclusion: Early determination of appetite and
temperament traits was associated with early infant growth trajectories. Further research
with a longer follow-up and larger sample size is needed to ascertain the influence of
possible infant behavioural programming on later health outcomes.


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