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Appetitive traits were assessed at ages 7, 10, and 13 with the validated Children\u2019s Eating Behaviour Questionnaire. Six trajectory-based profiles were previously identified: \u201cSmallest appetite\u201d, \u201cSmall appetite but increasing\u201d, \u201cSmall to moderate appetite\u201d, \u201cModerate appetite\u201d, \u201cIncreasing appetite\u201d, and \u201cAvid appetite\u201d. A validated Food Frequency Questionnaire collected dietary intake at ages 4, 7, 10, and 13. Latent class analyses identified dietary patterns at each age and dietary patterns trajectories across childhood. Multinomial logistic regression assessed the association of appetitive trait profiles and dietary patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three dietary patterns (\u201cHealthier\u201d, \u201cLower Consumption\u201d, and \u201cEnergy-Dense Foods\u201d (EDF)) and two trajectories from 4 to 13 years (\u201cPredominantly Healthier\u201d and \u201cPredominantly EDF\u201d) were identified. Compared with the \u201cModerate appetite\u201d profile, children in the \u201cSmall appetite but increasing\u201d (characterised by food avoidance and high Desire to Drink) had 54% higher odds of the \u201cPredominantly EDF\u201d trajectory. Conversely, individuals in the \u201cSmall to moderate appetite\u201d profile (lowest food approach and emotional eating, suggestive of better appetite regulation) and \u201cAvid appetite\u201d profile were less likely to follow the \u201cPredominantly EDF\u201d trajectory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Appetitive trait profiles are linked to dietary patterns from childhood to adolescence. Food avoidance combined with a high Desire to Drink predicted less healthy diets, while stronger food approach traits and a profile indicative of improved appetite regulation were linked to healthier dietary choices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00394-026-03947-3","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:37:09Z","timestamp":1774355829000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trajectories of appetitive traits and dietary patterns from childhood to adolescence: findings from the Generation XXI birth cohort"],"prefix":"10.1007","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3773-4302","authenticated-orcid":false,"given":"Alexandra","family":"Costa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5787-4871","authenticated-orcid":false,"given":"Milton","family":"Severo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6127-8637","authenticated-orcid":false,"given":"Rita","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8677-5234","authenticated-orcid":false,"given":"Marion M.","family":"Hetherington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-852X","authenticated-orcid":false,"given":"Carla","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6714-5939","authenticated-orcid":false,"given":"Andreia","family":"Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"3947_CR1","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1001\/jamapediatrics.2013.4951","volume":"168","author":"CHM Van Jaarsveld","year":"2014","unstructured":"Van Jaarsveld CHM, Boniface D, Llewellyn CH, Wardle J (2014) Appetite and growth a longitudinal sibling analysis. 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