Feeding frequency and appetite in lean and obese prepubertal children

Rinku Mehra; Eva Tsalikian; Catherine A Chenard; M Bridget Zimmerman; William I Sivitz

doi:10.1038/oby.2010.205

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Feeding frequency and appetite in lean and obese prepubertal children

Journal article

Open access

Peer reviewed

Feeding frequency and appetite in lean and obese prepubertal children

Rinku Mehra, Eva Tsalikian, Catherine A Chenard, M Bridget Zimmerman and William I Sivitz

Obesity (Silver Spring, Md.), Vol.19(3), pp.560-567

03/2011

DOI: 10.1038/oby.2010.205

PMCID: PMC5111550

PMID: 20847731

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Abstract

To determine the effect of feeding frequency on appetite in normal weight (NW) and obese (OB) prepubertal children, we carried out a prospective, randomized interventional study of 18 NW and 17 OB children ages 6-10. Children received three or five feedings in random order on separate days. Total calories, carbohydrate, protein, and fat composition on each day were equal. Two hours following the last feeding, children were offered ice cream ad lib. The major outcome variable was kilocalories ice cream consumed. A visual analog scale to assess fullness was also administered before consumption of ice cream. We observed that OB children consumed 73.0 ± 37.4 kcal more after five feedings than after three feedings whereas the NW children consumed 47.1 ± 27.8 kcal less. There was significant interaction between meal pattern and weight group indicating that this change in ice cream consumption differed significantly between groups (P = 0.014 by two-factor analysis). Ice cream intake/kg was less in OB compared to NW subjects (P = 0.012). Fullness ratings before ice cream did not differ by meal pattern or weight group. However, pre-ice cream fullness predicted ice cream intake in NW but not OB children. In summary, OB and NW children differed in appetite response to meal frequency. Our data suggest that: (i) satiety in OB children is related more to proximity of calories (larger supper) than to antecedent distribution of calories and; (ii) NW children may be more prone to restrict intake based on subjective fullness.

Appetite

Ice Cream

Prospective Studies

Humans

Feeding Behavior

Male

Obesity - physiopathology

Reference Values

Energy Intake

Dietary Sucrose - administration & dosage

Female

Pain Measurement

Satiation

Child

Details

Title: Subtitle: Feeding frequency and appetite in lean and obese prepubertal children
Creators: Rinku Mehra - Department of Pediatrics, Division of Pediatric Endocrinology, The University of Iowa, Iowa City, Iowa, USA
Eva Tsalikian
Catherine A Chenard
M Bridget Zimmerman
William I Sivitz
Resource Type: Journal article
Publication Details: Obesity (Silver Spring, Md.), Vol.19(3), pp.560-567
DOI: 10.1038/oby.2010.205
PMID: 20847731
PMCID: PMC5111550
NLM abbreviation: Obesity (Silver Spring)
ISSN: 1930-7381
eISSN: 1930-739X
Publisher: United States
Grant note: M01-RR00059 / NCRR NIH HHS M01 RR000059 / NCRR NIH HHS UL1 RR024979 / NCRR NIH HHS
Language: English
Date published: 03/2011
Academic Unit: Stead Family Department of Pediatrics; Biostatistics; Internal Medicine
Record Identifier: 9983997450602771

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