Formulas often contain high amounts of added sugars, though little research has studied their connection to obesity. This study assessed the contribution of added sugars from formulas during complementary feeding on total added sugar intakes, and the association between these sugars and upward weight-for-age percentile (WFA%) crossing (i.e., participants crossing a higher threshold percentile were considered to have an upward crossing). Data from three 24-hour dietary recalls for infants (n = 97; 9–12 months) and toddlers (n = 44; 13–15 months) were obtained in this cross-sectional analysis. Foods and beverages with added sugars were divided into 17 categories. Pearson's correlations were used to test relations between added sugar intake and upward WFA% crossing, followed by multivariable regressions when significant. ANOVA compared intakes of all, milk-based, and table foods between primarily formula-fed compared with breastfed participants. Multivariable regressions were used to test effects of added sugars and protein from all foods compared with added sugars and protein from milk-based sources on upward WFA% crossing. Added sugars from formulas comprised 66% and 7% of added sugars consumed daily by infants and toddlers, respectively. A significant association was observed between upward WFA% crossing and added sugars from milk-based sources after controlling for gestational age, sex, age, introduction to solid foods, mean energy intakes, and maternal pre-pregnancy BMI and education (β = 0.003; 95% CI, 0.000–0.007; P = 0.046). Primarily formula-fed participants consumed nearly twice the energy from added sugars (P = 0.003) and gained weight faster (upward WFA% crossing = 1.1 ± 1.2 compared with 0.3 ± 0.6, respectively; P < 0.001) than their breastfed counterparts. Added sugars in formulas predict rapid weight gain in infants and toddlers. Educating mothers on lower-sugar options may enhance childhood obesity prevention.

Objective: The reinforcing value of food may be established early in life. Research shows that infant weight status is related to the relative reinforcing value of food versus non‐food alternatives (food reinforcing ratio, FRR). The purpose of this pilot study was to assess the effects of a 6‐week music enhancement program (Music Together®, n = 14) versus an active play date control group (n = 13) on the FRR in 9‐ to 16‐month‐old infants who were high in relative food reinforcement.Methods: Participating parents and infants attended six weekly 45‐min group classes. Parents in the music group and the play date group were encouraged to listen to the Music Together program CD or play with the play date group's toy with their infants at home, respectively.Results: Intent‐to‐treat analysis showed a decrease in FRR for infants in the music group (mean ± SD: −0.13 ± 0.13) in comparison to a slight increase in the control group (0.04 ± 0.11) (F_{[1, 24]} = 11.86, P = 0.002).Conclusions: These findings provide evidence that relative reinforcing value of food can be reduced by promoting alternative reinforcers at an early age.

General parenting interventions have improved parent-child relationships and child behavior, with emerging evidence that they may also reduce prevalence of pediatric overweight/obesity. We conducted a systematic review on interventions that were designed to promote positive parenting and examined child weight post-hoc. We searched for studies published through January 2022 that promoted positive parenting among parents of children ages 0–18 years and reported effects on body weight as an ancillary outcome, with no intervention content focused on energy balance (e.g., feeding, physical activity). This search was carried out within ClinicalTrials.gov, ISRCTN Registry, PubMed, PsycINFO, Web of Science, and Connected Papers. Studies were imported into EndNote X9 and assessed independently by two investigators. In total, 753 clinical trials and 723 publications were assessed, and six publications met inclusion criteria. All cohorts were low-income and interventions targeted expectant mothers up through parents of adolescents. Follow-ups occurred when participants were between 2 and 25 years. Significant improvements in weight-related outcomes were observed across all studies for the intervention arm as a whole or for certain subgroups, and reasons underlying these gains tended to differ by participants' age. The magnitude of effect sizes ranged from medium to large. Interventions focused on general positive parenting are efficacious at lowering risk of overweight/obesity without focusing on physical health. Promoting attachments among infants, restructuring a toddler's home environment, praising preschoolers, and communicating with adolescents may optimize weight outcomes in parenting interventions adapted for obesity prevention.

Objective: Food reinforcement refers to how hard someone is motivated to work to gain access to food. Infant temperament is defined as behavioral styles, or constitutionally based individual differences in reactive and regulatory aspects of behavior. Identifying correlates of food reinforcement, such as infant temperament, may help identify infants at risk for future negative health consequences (e.g., overweight or obesity) of high food reinforcement. Methods: This study tested aspects of parent-reported negative reactivity and regulation and their associations with relative food reinforcement in a cross-sectional sample of 105 9- to 18-month-old infants. Hierarchical linear regression models were then used to predict infant food reinforcement for the temperament dimensions that were significantly related to it. Results: Two temperament dimensions, cuddliness (regulatory aspect) (B = −0.050, ΔR² = 0.074, p = 0.005) and rate of recovery from distress and arousal (reactive aspect) (B = −0.040, ΔR² = 0.045, p = 0.031), were inversely associated with relative food reinforcement. Conclusion: Clarifying the nature of relationships between these two behavioral predictors, infant temperament and relative food reinforcement, and early obesity can elucidate the role of individual differences in early obesity risk and can further inform targets for early behavioral obesity preventive interventions.