Developmental Trajectories of Girls' BMI Across Childhood and Adolescence

This study describes qualitatively distinct trajectories of BMI change among girls participating in a longitudinal study of non‐Hispanic, white girls (n = 182) and their parents, assessed at daughters' ages 5, 7, 9, 11, 13, and 15 years. Height, weight, body fat, fasting blood glucose and lipids, blood pressure, waist circumference, and pubertal status were measured, and participants self‐reported dietary, physical activity, and television (TV) viewing patterns. Growth mixture models were used to model heterogeneity in girls' BMI trajectories over 10 years. Statistical support was strongest for four distinct BMI trajectories: (i) upward percentile crossing (UPC; n = 25, 14%); (ii) delayed downward percentile crossing (DDPC; n = 37, 20%); (iii) 60th percentile tracking (60PT; n = 52, 29%); and (iv) 50th percentile tracking (50PT; n = 68, 37%). Girls in the UPC group had more metabolic risk factors at age 15 years, even after adjusting for concurrent weight status. Girls in the UPC group had mothers with the highest BMIs at study entry and were breast‐fed for a shorter duration. This novel approach for examining differences in growth trajectories revealed four distinct BMI trajectories that predicted adolescent metabolic health outcomes in girls. The present study provides support for BMI monitoring in girls and for the potential utility of combining data on BMI tracking with data on familial characteristics for the early identification of girls at elevated risk for obesity and metabolic syndrome.     

Early Risk Factors of Overweight Developmental Trajectories during Middle Childhood

Background

Research is needed to identify early life risk factors associated with different developmental paths leading to overweight by adolescence.

Objectives

To model heterogeneity in overweight development during middle childhood and identify factors associated with differing overweight trajectories.

Methods

Data was drawn from the Quebec Longitudinal Study of Child Development (QLSCD; 1998-2010). Trained research assistants measured height and weight according to a standardized protocol and conducted yearly home interviews with the child’s caregiver (mother in 98% of cases). Information on several putative early life risk factors for the development of overweight were obtained, including factors related to the child’s perinatal, early behavioral family and social environment. Group-based trajectories of the probability of overweight (6-12 years) were identified with a semiparametric method (n=1678). Logistic regression analyses were used to identify early risk factors (5 months- 5 years) associated with each trajectory.

Results

Three trajectories of overweight were identified: “early-onset overweight” (11.0 %), “late-onset overweight” (16.6%) and “never overweight” (72.5%). Multinomial analyses indicated that children in the early and late-onset group, compared to the never overweight group, had 3 common types of risk factors: parental overweight, preschool overweight history, and large size for gestational age. Maternal overprotection (OR= 1.12, CI: 1.01-1.25), short nighttime sleep duration (OR=1.66, CI: 1.07-2.57), and immigrant status (OR=2.01, CI: 1.05-3.84) were factors specific to the early-onset group. Finally, family food insufficiency (OR=1.81, CI: 1.00-3.28) was weakly associated with membership in the late-onset trajectory group.

Conclusions

The development of overweight in childhood follows two different trajectories, which have common and distinct risk factors that could be the target of early preventive interventions.     

Developmental Pathways Among Adaptive Functioning and Externalizing and Internalizing Behavioral Problems: Cascades From Childhood Into Adolescence

Here, a 3-wave multivariate design and developmental cascade analysis were used to investigate pathways among adaptive functioning and externalizing and internalizing behavioral problems in a community sample of 134 children seen at 4, 10, and 14 years. Adaptive functioning in early adolescence was predicted by early childhood adaptive functioning and externalizing behavioral problems, with both effects mediated by late childhood adaptive functioning and internalizing behavioral problems; externalizing behavioral problems in early adolescence were predicted by early childhood internalizing behavioral problems with the effect mediated by late childhood externalizing behavioral problems. These developmental cascades were obtained independent of child intelligence. Strategically timed and targeted interventions designed to address young children's behavioral problems may return investment in terms of an enhanced epidemiology of adaptively functioning teens.     

Developmental Changes in Mismatch Responses to Mandarin Consonants and Lexical Tones from Early to Middle Childhood

The purpose of this study was to use mismatch responses (MMRs) to explore the dynamic changes of Mandarin speech perception abilities from early to middle childhood. Twenty preschoolers, 18 school-aged children, and 26 adults participated in this study. Two sets of synthesized speech stimuli varying in Mandarin consonant (alveolo-palatal affricate vs. fricative) and lexical tone features (rising vs. contour tone) were used to examine the developmental course of speech perception abilities. The results indicated that only the adult group demonstrated typical early mismatch negativity (MMN) responses, suggesting that the ability to discriminate specific speech cues in Mandarin consonant and lexical tone is a continuing process in preschool- and school-aged children. Additionally, distinct MMR patterns provided evidence indicating diverse developmental courses to different speech characteristics. By incorporating data from the two speech conditions, we propose using MMR profiles consisting of mismatch negativity (MMN), positive mismatch response (p-MMR), and late discriminative negativity (LDN) as possible brain indices to investigate speech perception development.     

Adrenarche and Middle Childhood

Middle childhood, the period from 6 to 12 years of age, is defined socially by increasing autonomy and emotional regulation, somatically by the development of anatomical structures for subsistence, and endocrinologically by adrenarche, the adrenal production of dehydroepiandrosterone (DHEA). Here I suggest that DHEA plays a key role in the coordinated development of the brain and body beginning with middle childhood, via energetic allocation. I argue that with adrenarche, increasing levels of circulating DHEA act to down-regulate the release of glucose into circulation and hence limit the supply of glucose which is needed by the brain for synaptogenesis. Furthermore, I suggest the antioxidant properties of DHEA may be important in maintaining synaptic plasticity throughout middle childhood within slow-developing areas of the cortex, including the insula, thamalus, and anterior cingulate cortex. In addition, DHEA may play a role in the development of body odor as a reliable social signal of behavioral changes associated with middle childhood.     

Empathic Differences in Adults as a Function of Childhood and Adult Pet Ownership and Pet Type

ABSTRACT

Prompted by interesting but ambiguous findings that empathic differences in children may relate to pet preference and ownership, we extended the issue to an adult population. We investigated empathic-type responses in adults who lived with cats and/or dogs in childhood (Child-Pet) and currently (Adult-Pet), using the Interpersonal Reactivity Index (IRI), the Empathy Quotient (EQ), and the Animal Attitude Scale (AAS). Multivariate analyses of covariance, with Sex as the covariate (MANCOVA), revealed differences on the AAS, the IRI-Personal Distress scale, and the EQ-Social Skills factor. For the Child-Pet data, the Dog-Only and the Both (dog and cat) groups, compared with those in the Neither (no dog or cat) group, scored lower on the IRI-Personal Distress scale and higher on the EQ-Social Skills factor. On the AAS, all three pet groups (Dog-Only, Cat-Only, and Both) had higher ratings than the Neither group. For Adult-Pet data, the analyses revealed the Dog-Only group was lower on Personal Distress than the Neither group, and higher on Social Skills than the Neither group and the Cat-Only group. On the AAS, the Neither group was lower than all three pet-owning groups, like the childhood data, but strikingly, adults with both dogs and cats were higher on the AAS. The findings support research linking companion animals with empathic development. They warrant the continued exploration of the nature of empathic development (i.e., nature vs. nurture) and contribute to the increasing research field exploring the value of companion animals.     

Spiritual Development in Childhood and Adolescence: Toward a Field of Inquiry

Sustained attention to spiritual development during childhood and adolescence in the social and developmental sciences has the potential to significantly enrich and strengthen the understanding of the core processes and dimensions of human development. This article seeks to set the stage for such an inquiry by exploring 6 themes for building a multifaceted agenda. It argues that spiritual development is (a) understudied; (b) a complex, multifaceted concept; (c) grounded in a human propensity; (d) overlaps with and includes many aspects of religious development; (e) a developmental process that is shaped by both individual capacities and ecological influences; and (f) a potentially powerful resource for positive human development.     

Individual and Developmental Differences in Interpersonal Understanding

In the study of personality as a subject reflecting knowledge, work, and interaction, the totality of internal conditions through which all external influences on the personality are refracted is a prime consideration. An individual, who for others is an object of cognition and activity, is reflected in their consciousness and determines their behavior only as "refracted" through their internal world, i.e., their set of ideas and attitudes. The same person is seen differently by people having different experiences in work, knowledge, and social interactions. In addition to our ideas concerning perception and conception of a personality, which has been formed, for example, in a young schoolchild, and in addition to the ideas of similarity between the perception and concepts of children and adults, we must always consider special features connected with the development of the youngest child as a personality, as a subject reflecting knowledge.     

Long-Term Effects from Bacterial Meningitis in Childhood and Adolescence on Postural Control

Bacterial meningitis in childhood is associated with cognitive deficiencies, sensorimotor impairments and motor dysfunction later in life. However, the long-term effects on postural control is largely unknown, e.g., whether meningitis subjects as adults fully can utilize visual information and adaptation to enhance stability. Thirty-six subjects (20 women, mean age 19.3 years) treated in childhood or adolescence for bacterial meningitis, and 25 controls (13 women, mean age 25.1 years) performed posturography with eyes open and closed under unperturbed and perturbed standing. The meningitis subjects were screened for subjective vertigo symptoms using a questionnaire, clinically tested with headshake and head thrust test, as well as their hearing was evaluated. Meningitis subjects were significantly more unstable than controls during unperturbed (p≤0.014) and perturbed standing, though while perturbed only with eyes open in anteroposterior direction (p = 0.034) whereas in lateral direction both with eyes open and closed (p<0.001). Meningitis subjects had poorer adaption ability to balance perturbations especially with eyes open, and they frequently reported symptoms of unsteadiness (88% of the subjects) and dizziness (81%), which was found significantly correlated to objectively decreased stability. Out of the 36 subjects only 3 had unilateral hearing impairment. Hence, survivors of childhood bacterial meningitis may suffer long-term disorders affecting postural control, and would greatly benefit if these common late effects became generally known so treatments can be developed and applied.     

Middle Childhood and Modern Human Origins

The evolution of modern human life history has involved substantial changes in the overall length of the subadult period, the introduction of a novel early childhood stage, and many changes in the initiation, termination, and character of the other stages. The fossil record is explored for evidence of this evolutionary process, with a special emphasis on middle childhood, which many argue is equivalent to the juvenile stage of African apes. Although the “juvenile” and “middle childhood” stages appear to be the same from a broad comparative perspective, in that they begin with the eruption of the first molar and the achievement of the majority of adult brain size and end with sexual maturity, the detailed differences in the expression of these two stages, and how they relate to the preceding and following stages, suggest that a distinction should be maintained between them to avoid blurring subtle, but important, differences.     

5-HTTLPR and Early Childhood Adversities Moderate Cognitive and Emotional Processing in Adolescence

Background

Polymorphisms in the promoter region of the serotonin transporter gene (5-HTTLPR) and exposure to early childhood adversities (CA) are independently associated with individual differences in cognitive and emotional processing. Whether these two factors interact to influence cognitive and emotional processing is not known.

Methodology and Principal Findings

We used a sample of 238 adolescents from a community study characterised by the presence of the short allele of 5-HTTLPR (LL, LS, SS) and the presence or absence of exposure to CA before 6 years of age. We measured cognitive and emotional processing using a set of neuropsychological tasks selected predominantly from the CANTAB® battery. We found that adolescents homozygous for the short allele (SS) of 5-HTTLPR and exposed to CA were worse at classifying negative and neutral stimuli and made more errors in response to ambiguous negative feedback. In addition, cognitive and emotional processing deficits were associated with diagnoses of anxiety and/or depressions.

Conclusion and Significance

Cognitive and emotional processing deficits may act as a transdiagnostic intermediate marker for anxiety and depressive disorders in genetically susceptible individuals exposed to CA.     

Examining Differences between Homebound Older Adult Pet Owners and Non-pet Owners in Depression,Systemic Inflammation,and Executive Function

Homebound older adults are prone to depression, which is linked to systemic inflammation that promotes executive function decline. A companion animal may reduce the negative biobehavioral processes asso- ciated with depression, inflammation, and reduced executive function in homebound older adults. The primary aim of this study was to examine dif- ferences between homebound older adult pet owners and non-pet owners in depression, salivary C-reactive protein (CRP), and executive function. The secondary aim was to determine if the level of attachment to pets was as- sociated with depression, salivary CRP, and executive function. The study was cross-sectional and investigated homebound older adult pet owners and non-pet owners (n = 88) using psychometrically reliable and valid instru- ments (Geriatric Depression Scale Short Form and CLOX 1). Salivary CRP was assessed with immunoassay. Level of attachment to pets was measured using a Likert scale (0–10). Mean age for the total sample was 75 years (SD = 9). Forty-eight (55%) participants owned pets (56% dogs, 25% cats, 4% other pets, 15% both cats and dogs). Pet owners reported a high level of attachment to pets (Median = 10). Pet owners had significantly higher ex- ecutive function than non-pet owners (t = –2.07; p = 0.04) but there were no significant differences in executive function between cat owners and dog owners (t = 1.53; p = 0.14). Pet owners and non-pet owners were similar in depression (t = –1.80, p = 0.08) and salivary CRP levels (t = 0.27, p = 0.79). Level of attachment to pets was significantly and positively correlated with executive function (r = 0.30; p = 0.04) but was not significantly correlated with depression (r = 0.04, p = 0.77) or salivary CRP (r = –0.04, p = 0.80). Compared with non-pet owners, pet owners had better executive function but similar depression and salivary CRP levels. Reasons for these findings are unclear. Significant positive correlation be- tween pet attachment and executive function suggests further investigation in this area. Future studies with larger samples and a longitudinal design are needed to investigate the biobehavioral changes over time in relation to pet ownership, level of attachment to pets, and executive func- tion in homebound older adults.     

Racial Differences in the Tracking of Childhood BMI to Adulthood

Objective: The possibility that there are racial differences in the patterns of BMI (kilograms per meter squared) change throughout life has not been examined. For example, the high prevalence of obesity among black women could result from a higher prevalence of obesity among black girls or because normal‐weight black girls experience larger BMI increases in adolescence or adulthood than do their white counterparts. Therefore, we examined the tracking of childhood BMI into adulthood in a biracial (36% black) sample. Research Methods and Procedures: Five‐ to 14‐year‐old children (2392) were followed for (mean) 17 years. Childhood overweight was defined as BMI ≥ 95th percentile, and adult obesity was defined as BMI ≥ 30 kg/m². Results: The tracking of childhood BMI differed between whites and blacks. Among overweight children, 65% of white girls vs. 84% of black girls became obese adults, and predictive values among boys were 71% (whites) vs. 82% (blacks). These racial differences reflected contrasting patterns in the rate of BMI change. Although the initial BMI of black children was not higher than that of white children, BMI increases with age were larger among black girls and overweight black boys than among their white counterparts. In contrast, relatively thin (BMI < 50th percentile) white boys were more likely to become overweight adults than were their black counterparts. Discussion: These findings emphasize the black/white differences in BMI changes with age. Because of the adult health consequences of childhood‐onset obesity, early prevention should be given additional emphasis.     

Postural Strategies and Sensory Integration: No Turning Point between Childhood and Adolescence

In this study, we investigated the sensory integration to postural control in children and adolescents from 5 to 15 years of age. We adopted the working hypothesis that considerable body changes occurring during these periods may lead subjects to under-use the information provided by the proprioceptive pathway and over-use other sensory systems such as vision to control their orientation and stabilize their body. It was proposed to determine which maturational differences may exist between the sensory integration used by children and adolescents in order to test the hypothesis that adolescence may constitute a specific phase in the development of postural control. This hypothesis was tested by applying an original protocol of slow oscillations below the detection threshold of the vestibular canal system, which mainly serves to mediate proprioceptive information, to the platform on which the subjects were standing. We highlighted the process of acquiring an accurate sensory and anatomical reference frame for functional movement. We asked children and adolescents to maintain a vertical stance while slow sinusoidal oscillations in the frontal plane were applied to the support at 0.01 Hz (below the detection threshold of the semicircular canal system) and at 0.06 Hz (above the detection threshold of the semicircular canal system) with their eyes either open or closed. This developmental study provided evidence that there are mild differences in the quality of sensory integration relative to postural control in children and adolescents. The results reported here confirmed the predominance of vision and the gradual mastery of somatosensory integration in postural control during a large period of ontogenesis including childhood and adolescence. The youngest as well as the oldest subjects adopted similar qualitative damping and segmental stabilization strategies that gradually improved with age without reaching an adult''s level. Lastly, sensory reweighting for postural strategies as assessed by very slow support oscillations presents a linear development without any qualitative turning point between childhood and adolescence.     

Developmental Phases of Personality Formation in Childhood (I)

One of the problems that has contributed to a refinement of the "functional procedure of double stimulation" in experiments is the problem of concept formation in children. To form an idea of the significance of this experimental method for the study of children's concepts, it must be viewed against the background of other methods that have been used to deal with the same problem. The psychology of children's concepts not only is of tremendous theoretical interest but also undoubtedly has applied psychological importance since the accumulation of concepts, their nature, and the way they are used are unquestionably correlated with a child's level of intellectual development and are, to some extent, indicators of that level.