Obesity

Toddler diet quality: a factor associated with childhood growth?

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

Higher toddler diet quality is associated with reduced odds of central obesity in later childhood.

Study context

Population
Children from the Upstate KIDS cohort; toddler diet reported by mothers at 2.5 and 3 years, growth assessed at 7 to 9 years52.0% male
Participants
1,322 children
Exposure
Toddler diet quality
Outcome
HAZ, WAZ, BMIZ z-scores, waist circumference, obesity and central obesity
Follow-up
7- to 9-years
Methodological detailsmixed effects models, adjusted for maternal and child covariates
  • Mixed effects models
  • Adjusted for maternal and child covariates

Main finding

As reported in the abstract

Central obesity, per five-unit YHEI increase

aOR of developing central obesity per five-unit Youth Healthy Eating Index (YHEI) increase

0.74

95% CI 0.56, 0.98

Observational data: associations, not effects.

Further findings

YHEI score in toddlerhood · 2.5- and 3-years

Mean YHEI score in toddlerhood (mean ± SD; range 0-65)
44.4 ± 8.52

Original publication

Toddler diet quality: a factor associated with childhood growth? Int J Obes (Lond). Published 18 July 2026. doi:10.1038/s41366-026-02169-1

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