Abstract
Objective: To examine whether high carbohydrate meals with different carbohydrate digestion rates have an effect on the short-term satiety in normal and obese preschool children.
Subjects and setting: In total, 48 children of both gender, 24 normal and 24 obese, according to body mass index, aged between 3 and 6 y, were selected from children who were attending to a day-care center where they consumed three meals in the day.
Interventions: Rapid (potato-based meal) and lente (spaghetti-based meal) carbohydrate digestion rate meal were given at lunch, matching energy intake, carbohydrate, protein and fat levels, and then the preschool children's energy intake at the subsequent mealtime was observed. In this last mealtime, the children received varied types of high-acceptability foods in higher quantities than the normal serving.
Results: At lunch, a significant higher energy intake, lesser satiation, was observed in both groups, normal-weight and obese children, when they consumed the potato-based meal. In the subsequent mealtime, a significant effect of carbohydrate digestion rate was demonstrated, but only in obese preschool children, being higher in the meal with rapid digestion rate carbohydrates.
Conclusions: Rapid carbohydrate digestion rate meal produced a significative lesser satiation in normal-weight and obese children. However, only in obese children a significant lesser satiety was observed after consumption of the rapid carbohydrate digestion rate meal, indicating a decreased capacity of energy regulation in obese children. The finding of the present work could provide dietary strategies required for decreasing prevalence in overweight and obesity in preschool children.
Sponsorship: University of Chile, Faculty of Medicine, Department of Nutrition and Grant No 198093 from FONDECYT.
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References
Albala C & Vio F (1995): Epidemiological transition in Latin America: the case of Chile. Public Health 109, 431–442.
Alviña M, Vera G, Pak N & Araya H (1990): Effect of the addition of malt flour to extruded pea-rice preparations on food and energy intake by preschool children. Ecol. Food Nutr. 24, 189–193.
Alviña M, Araya H, Vera G & Pak N (2000): Effect of starch intake on satiation and satiety in preschool children. Nutr. Res. 20, 479–489.
Araya H, Alviña M, Vera G, Araya J & Pak N (1989): Consumo de preparaciones con diferentes atributos nutricionales y texturales por preescolares de 2 a 3 años. Rev. Chil. Nutr. 17, 182–189.
Araya H, Vera G & Alviña M (1999): Effect of the energy density and volume of high carbohydrate meals on short term satiety in preschool children. Eur. J. Clin. Nutr. 53, 273–276.
Araya H, Hills J, Alviña M & Vera G (2000): Short term satiety in preschool children: a comparison between high protein meal and high complex carbohydrate meal. Int. J. Food Sci. Nutr. 51, 119–124.
Araya H, Contreras P, Alviña M, Vera G & Pak N (2002): A comparison between an in vitro method to determine carbohydrate digestion rate and the glycemic response in young men. Eur. J. Clin. Nutr. 56, 735–739.
Atalah E, Bustos P & Burgueño M (2000): Obesidad infantil. In: Pediatría pediátrica en diálogos, eds J Meneghello, N Fanta, A Grau & O Blanco pp 229–236. Edit Médica Panamericana. Buenos Aires, Bogotá, Caraeas, Madrid, México, São Paulo.
Association of Official Analytical Chemists (1980): Official Methods of Analysis 13 Th, Washington, DC: AOAC.
Augustin LS, Franceschi S, Jenkins DJ, Kendall CW & La Vechia C. (2002): Glycemic index in chronic desease: a review. Eur. J. Clin. Nutr. 56, 1049–1071.
Bell EA, Castellanos VH, Pelkman C, Thorwart ML & Rolls BJ (1998): Energy density of food affects energy intake in normal weight women. Am. J. Clin. Nutr. 67, 412–420.
Birch LL, Johnson SL, Anderson G, Peters JC & Schulte MC (1991): The variability of the young children's energy intake. N. Engl. J. Med. 324, 232–235.
Birch LL, McPhee LS, Bryant JL & Johnson SL (1993a): Children's lunch intake: effects of midmorning intake snacks varying in energy density and fat content. Appetite 20, 83–94.
Birch LL, Johnson SL, Jones MP & Peters JC (1993b): Effects of a nonenergy fat substitute on children's energy and macronutrient intake. Am. J. Clin. Nutr. 58, 326–333.
Birch LL & Fisher JO (1997): Food intake regulation in children. Fat and sugar substitutes and intake. Ann. NY. Acad. Sci. 819, 194–220.
Björck I & Siljestrom M (1987): In vivo and in vitro digestibility of starch in autoclaved pea and potato in the small intestine of man. Am. J. Clin. Nutr. 45, 425–431.
Björck I, Grandfeldt Y, Liljeberg H, Tovar J & Asp N-G (1994): Food properties affecting the digestion and absorption of carbohydrates. Am. J. Clin. Nutr. 59, 699S–705S.
Blundell JE, Green S & Burley V (1994): Carbohydrates and human appetite. Am. J.Clin. Nutr. 59, 728S–734S.
Bornet FRJ, Fontvieille AM, Rizkalla S, Colonna P & Blayo A (1989): Insulin and glycemic responses in healthy humans to native starches processed in different ways: correlation with in vitro alfa-amylase hydrolysis. Am. J. Clin. Nutr. 50, 315–323.
Englyst HN & Hudson GJ (1996): The classification and measurement of dietary carbohydrates. Food Chem. 57, 15–21.
Englyst HN, Kigman SM & Cummings JH (1992): Classification and measurement of nutritionally important starch fractions. Eur. J. Clin. Nutr. 46, 33S–50S.
Englyst HN, Veenstra J & Hudson GJ (1996): Measurement of rapidly available glucose (RAG) in plant foods as in vitro predictor of glycemic response. Br. J. Nutr. 73, 327–337.
Englyst KN, Englyst HN, Hudson GJ, Cole TJ & Cummings JH (1999): Rapidly available glucose in foods: an in vitro measurement that reflects the glycemic response. Am. J. Clin. Nutr. 69, 448–454.
FAO/WHO/UNU (1985): Energy and protein requirements, WHO Technical Report Series No. 724. Geneva: World Health Organization.
Hermansen K, Rasmussen O, Arnfred J, Winter E & Schmitz O (1986): Differential glycaemic effects of potato, rice and spaghetti in type I (insulin dependent) diabetic patients at constant insulinaemia. Diabetologia 29, 358–361.
Hill AJ, Rogers PJ & Blundell JE (1995): Techniques for the experimental measurement of human eating behaviour and food intake: a practical guide. Int. J. Obes. Relat. Metab. Disord. 19, 361–375.
Holt SHA & Miller BJ (1994): Particle size, satiety and the glycemic response. Eur. J. Clin. Nutr. 48, 496–502.
Holt SH & Miller JB (1995): Increased insulin responses to ingested foods are asssociated with lessened satiety. Appetite 24, 43–54.
Holt SHA, Brand Miller JC & Petocz P (1996): Interrelationships among postprandial satiety, glucose and insulin responses and changes in subsequent food intake. Eur. J. Clin. Nutr. 50, 788–797.
Hunt JN & Stubbs DF (1975): The volume and energy content of meals as determinants of gastric emptying. J. Physiol. 245, 209–225.
Liljeberg HG, Akerberg AK & Bjorck IM. (1999): Effect of the glycemic index and content of indigestible carbohydrates of cereal-based breakfast meals on glucose tolerance at lunch in healthy subjects. Am. J. Clin. Nutr. 69, 647–655.
Ludwig DS. (2000): Dietary glicemic index and obesity. J. Nutr. 130, 280S–283S.
Ludwig DS, Majzoub JA, Al-Zahrani A, Dallal GE, Blanco I & Roberts SB. (1999): High glycemic index foods, overeating, and obesity. Pediatrics 103, E261–E266.
Odeleye OE, de Courten M, Pettitt DJ & Ravussin E. (1997): Fasting hiperinsulinemia is a predictor of increased body weight gain and obesity in Pima indian children. Diabetes 46, 1341–1345.
Odgen CL, Flegal KM, Carroll MD & Johnson CL. (2002): Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA 288, 1728–1732.
Onis M & Blössner M (2000): Prevalence and trend of overweight among preschool children in developing countries. Am. J. Clin. Nutr. 72, 1032–1039.
Porrini M, Santangelo A, Crovetti R, Riso P, Testolin G & Blundell JE (1997): Weight, protein, fat, and timing of preloads affect food intake. Physiol. Behav. 62, 563–570.
Raben A, Holst JJ, Christensen NJ & Astrup A. (1996): Determinants of postprandial appetite sensations: macronutrient intake and glucose metabolism. Int. J. Obes. Relat. Metab. Disord. 20, 161–169.
Read N, French S & Cunnighan K (1994): The rol of the gut in regulating food intake in man. Nutr. Rev. 52, 1–10.
Rolls BJ (1995): Carbohydrates, fat and satiety. Am. J. Clin. Nutr. 61, 960S–967S.
Rolls BJ, Rowe EA, Rolls ET, Kingston B, Megson A & Gunary R (1981): Variety in a meal enhances food intake in man. Physiol. Behav. 26, 215–221.
Santangelo A, Peralchi D, Conte M, Franquelli M & Porrini M (1998): Physical state of meal affects gastric emptying cholecystokinin release and satiety. Br. J. Nutr. 80, 521–527.
Sigal RJ, El-Hashimy M, Matin BC, Soeldner JS, Krolwski AS & Warram JH. (1997): Acute postchallenge hyperinsulinemia predicts weight gain: a prospective study. Diabetes 46, 1025–1029.
Soh NL & Brand Miller J (1999): The glycemic index of potatoes: the effect of variety, cooking method and maturity. Eur. J. Clin. Nutr. 53, 249–254.
Van itallie TB & Vander Weele DA (1981): The phenomenon of satiety. In Recent Advances in Obesity Research III, eds Bjorntorp P, Cairella M, Howard AN, pp 278–289. London: John Libbey.
Vera G, Alviña M, Rojas J, Delgadillo A, Durán R, Fajardín N, Muñoz C, Pino A, Silva X, Vasquez E, Pak N, Araya J & Araya H (1991): Estructura Alimentaria. Valor nutritivo y aceptabilidad de preparaciones incluidas en la alimentación institucional del preescolar. Rev. Chil. Nutr. 19, 39–56.
Wolever TMS & Bolognesi C (1996a): Source and amount of carbohydrate affect postprandial glucose and insuline normal subjects. J. Nutr. 126, 2798–2806.
Wolever TMS & Bolognesi C (1996b): Prediction of glucose and insuline responses of normal subjects after consuming mixed meals varying in energy, protein, fat, carbohydrate, and glycemic index. J. Nutr. 126, 2807–2812.
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Guarantor: M Alviña.
Contributors: MA and HA were responsible for the design, the conduct of study and the laboratory work, and wrote the article. MA was responsible for the supervision of the diet and did the statistical analysis.
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Alviña, M., Araya, H. Rapid carbohydrate digestion rate produced lesser short-term satiety in obese preschool children. Eur J Clin Nutr 58, 637–642 (2004). https://doi.org/10.1038/sj.ejcn.1601859
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DOI: https://doi.org/10.1038/sj.ejcn.1601859
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