Kathleen L. Keller

Objective The objective of this study was to determine whether children with healthy weight who vary by familial risk for obesity differ in executive functioning. Methods Children (age 7–8 years) without obesity ( n = 93, 52% male) who differed by familial risk for obesity (based on maternal weight status) completed go/no‐go and stop‐signal tasks to assess inhibitory control and an N‐back task to assess working memory. Dual energy x‐ray absorptiometry measured adiposity. Linear and mixed‐effect models assessed unique effects and relative importance analysis‐quantified relative effects of familial risk and percent body fat. Results Children at high compared with low familial risk showed worse inhibitory control; however, child adiposity was not associated with inhibitory control. Both high familial risk and greater child adiposity were associated with worse N‐back performance when cognitive demand was high (2‐back), but not low (0‐ and 1‐back). The relative effect of familial risk on executive functioning was 2.7 to 16 times greater than the relative effect of percent body fat. Conclusions These findings provide initial evidence that deficits in executive functioning may precede the development of obesity in children at high familial risk for this disease. Additional family risk studies are needed to elucidate the pathways through which maternal obesity influences child executive functioning and risk for obesity.