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  • Original Article
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Pediatrics

Impact of adiposity, age, sex and maternal feeding practices on eating in the absence of hunger and caloric compensation in preschool children

Abstract

Background/Objectives:

Between the ages of 3 and 5 years, children may become less responsive to internal cues of satiation and more responsive to external cues, which may induce overeating and lead to weight gain. This study aimed to compare eating in the absence of hunger (EAH) and caloric compensation in 3- to 6-year-old children, and to relate the measurements with children’s adiposity, age, sex and maternal feeding practices.

Methods:

According to a within-subject three sequential condition design, food intake in children (n=236) was measured at lunch during three sessions, once a week. The same meal (565 kcal) was offered at each session. The first session (control) was only composed of the meal. Thirty minutes before the second meal, children were offered an energy preload (137 kcal; caloric compensation condition). Ten minutes after the third meal, children were exposed to a post-meal snack (430 kcal; EAH condition). Individual caloric compensation score (COMPX) and EAH score were calculated. Maternal characteristics were measured by questionnaire. Child anthropometrics were measured by a medical doctor.

Results:

On average, children compensated 52±4 % of the energy preload and ate 24±1 % of the energy provided by their meal in the absence of hunger. COMPX and EAH score were not correlated and did not vary with children’s adiposity or age. EAH score was higher in boys (P=0.006). Maternal use of food as reward was associated with higher EAH score (P=0.01) but greater COMPX (P=0.005).

Conclusions:

As early as the age of 3 years children did not fully compensate the energy brought by a snack and ate in the absence of hunger. Parents should be advised to avoid these situations where overeating may occur and to limit the use of food as reward.

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References

  1. Fisher JO, Birch LL . Restricting access to foods and children's eating. Appetite 1999; 32: 405–419.

    Article  CAS  Google Scholar 

  2. Birch LL, Deysher M . Conditioned and unconditioned caloric compensation: evidence for self regulation of food intake in young children. Learn Motiv 1985; 16: 341–355.

    Article  Google Scholar 

  3. Birch LL, Deysher M . Caloric compensation and sensory specific satiety: evidence for self regulation of food intake by young children. Appetite 1986; 7: 323–331.

    Article  CAS  Google Scholar 

  4. Kral TV, Allison DB, Birch LL, Stallings VA, Moore RH, Faith MS . Caloric compensation and eating in the absence of hunger in 5- to 12-y-old weight-discordant siblings. Am J Clin Nutr 2012; 96: 574–583.

    Article  CAS  Google Scholar 

  5. Cutting TM, Fisher JO, Grimm-Thomas K, Birch LL . Like mother, like daughter: familial patterns of overweight are mediated by mothers' dietary disinhibition. Am J Clin Nutr 1999; 69: 608–613.

    Article  CAS  Google Scholar 

  6. Johnson SL . Improving preschoolers' self-regulation of energy intake. Pediatrics 2000; 106: 1429–1435.

    Article  CAS  Google Scholar 

  7. Birch LL, Fisher JO, Davison KK . Learning to overeat: maternal use of restrictive feeding practices promotes girls' eating in the absence of hunger. Am J Clin Nutr 2003; 78: 215–220.

    Article  CAS  Google Scholar 

  8. Hill C, Llewellyn CH, Saxton J, Webber L, Semmler C, Carnell S et al. Adiposity and 'eating in the absence of hunger' in children. Int J Obes 2008; 32: 1499–1505.

    Article  CAS  Google Scholar 

  9. Faith MS, Carnell S . Kral TVE. Genetics of food intake self-regulation in childhood: literature review and research opportunities. Hum Hered 2013; 75: 80–89.

    Article  Google Scholar 

  10. Birch LL, Fisher JO . Mothers' child-feeding practices influence daughters' eating and weight. Am J Clin Nutr 2000; 71: 1054–1061.

    Article  CAS  Google Scholar 

  11. Rolls BJ, Engell D, Birch LL . Serving portion size influences 5-year-old but not 3-year-old children's food intakes. J Am Diet Assoc 2000; 100: 232–234.

    Article  CAS  Google Scholar 

  12. Birch LL, McPhee L, Shoba BC, Steinberg L, Krehbiel R . "Clean up your plate": effects of child feeding practices on the conditioning of meal size. Learn Motiv 1987; 18: 301–307.

    Article  Google Scholar 

  13. Faith MS, Berkowitz RI, Stallings VA, Kerns J, Storey M, Stunkard AJ . Eating in the absence of hunger: a genetic marker for childhood obesity in prepubertal boys? Obesity 2006; 14: 131–138.

    Article  Google Scholar 

  14. Kral TV, Moore RH, Stunkard AJ, Berkowitz RI, Stettler N, Stallings VA et al. Adolescent eating in the absence of hunger and relation to discretionary calorie allowance. J Am Diet Assoc 2010; 110: 1896–1900.

    Article  Google Scholar 

  15. Fisher JO, Cai G, Jaramillo SJ, Cole SA, Comuzzie AG, Butte NF . Heritability of hyperphagic eating behavior and appetite-related hormones among Hispanic children. Obesity 2007; 15: 1484–1495.

    Article  Google Scholar 

  16. Blissett J, Haycraft E, Farrow C . Inducing preschool children's emotional eating: relations with parental feeding practices. Am J Clin Nutr 2010; 92: 359–365.

    Article  CAS  Google Scholar 

  17. Fisher JO, Birch LL . Parents' restrictive feeding practices are associated with young girls' negative self-evaluation of eating. J Am Diet Assoc 2000; 100: 1341–1346.

    Article  CAS  Google Scholar 

  18. Almiron-Roig E, Palla L, Guest K, Ricchiuti C, Vint N, Jebb SA et al. Factors that determine energy compensation: a systematic review of preload studies. Nutr Rev 2013; 71: 458–473.

    Article  Google Scholar 

  19. Johnson SL, Birch LL . Parents' and children's adiposity and eating style. Pediatrics 1994; 94: 653–661.

    CAS  Google Scholar 

  20. Rolland-Cachera MF, Cole TJ, Sempe M, Tichet J, Rossignol C, Charraud A . Body mass index variations: centiles from birth to 87 years. Eur J Clin Nutr 1991; 45: 13–21.

    CAS  Google Scholar 

  21. Musher-Eizenman D, Holub S . Comprehensive Feeding Practices Questionnaire: validation of a new measure of parental feeding practices. J Pediatr Psychol 2007; 32: 960–972.

    Article  Google Scholar 

  22. Van Strien T, Frijters JER, Bergers GPA, Defares PB . The Dutch eating behavior questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int J Eat Disord 1986; 5: 295–315.

    Article  Google Scholar 

  23. Lluch A, Kahn J, Stricker-Krongrad A, Ziegler O, Drouin P, Mejean L . Internal validation of a French version of the Dutch eating behaviour questionnaire. Eur Psych 1996; 11: 198–203.

    Article  CAS  Google Scholar 

  24. PNNS Activité Physique et obésité de l'enfant. Base pour une prescription adaptée. Ministère de la santé, de la jeunesse, des sports et de la vie associative: Paris, 2010.

  25. Carnell S, Benson L, Pryor K, Driggin E . Appetitive traits from infancy to adolescence: using behavioral and neural measures to investigate obesity risk. Physiol Behav 2013; 121: 79–88.

    Article  CAS  Google Scholar 

  26. Hetherington MM, Wood C, Lyburn SC . Response to energy dilution in the short term: evidence of nutritional wisdom in young children? Nutr Neurosci 2000; 3: 321–329.

    Article  CAS  Google Scholar 

  27. Cecil JE, Palmer CN, Wrieden W, Murrie I, Bolton-Smith C, Watt P et al. Energy intakes of children after preloads: adjustment, not compensation. Am J Clin Nutr 2005; 82: 302–308.

    Article  CAS  Google Scholar 

  28. Shomaker LB, Tanofsky-Kraff M, Zocca JM, Courville A, Kozlosky M, Columbo KM et al. Eating in the absence of hunger in adolescents: intake after a large-array meal compared with that after a standardized meal. Am J Clin Nutr 2010; 92: 697–703.

    Article  CAS  Google Scholar 

  29. Faith MS, Keller KL, Johnson SL, Pietrobelli A, Matz PE, Must S et al. Familial aggregation of energy intake in children. Am J Clin Nutr 2004; 79: 844–850.

    Article  CAS  Google Scholar 

  30. Johnson SL, Taylor-Holloway LA . Non-Hispanic white and Hispanic elementary school children's self-regulation of energy intake. Am J Clin Nutr 2006; 83: 1276–1282.

    Article  CAS  Google Scholar 

  31. Cecil JE, Palmer CN, Fischer B, Watt P, Wallis DJ, Murrie I et al. Variants of the peroxisome proliferator-activated receptor gamma- and beta-adrenergic receptor genes are associated with measures of compensatory eating behaviors in young children. Am J Clin Nutr 2007; 86: 167–173.

    Article  CAS  Google Scholar 

  32. Kröller K, Warschburger P . Maternal feeding strategies and child's food intake: considering weight and demographic influences using structural equation modeling. Int J Behav Nutr Phys Act 2009; 6: 78.

    Article  Google Scholar 

  33. Wardle J, Herrera ML, Cooke L, Gibson EL . Modifying children's food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable. Eur J Clin Nutr 2003; 57: 341–348.

    Article  CAS  Google Scholar 

  34. Birch LL, Zimmerman SI, Hind H . The influence of social-affective context on the formation of children's food preferences. Child Dev 1980; 51: 856–861.

    Article  Google Scholar 

  35. Remy E, Divert C, Rousselot J, Brondel L, Issanchou S, Nicklaus S . Impact of energy density on liking for sweet beverages and caloric-adjustment conditioning in children. Am J Clin Nutr 2014; 100: 1052–1058.

    Article  CAS  Google Scholar 

  36. Fisher JO, Birch LL . Eating in the absence of hunger and overweight in girls from 5 to 7 y of age 1-3. Am J Clin Nutr 2002; 76: 226–231.

    Article  CAS  Google Scholar 

  37. Hendy HM, Raudenbush B . Effectiveness of teacher modeling to encourage food acceptance in preschool children. Appetite 2000; 34: 61–76.

    Article  CAS  Google Scholar 

  38. Birch LL, Johnson SL, Andresen G, Peters JC, Schulte MC . The variability of young children's energy intake. N Engl J Med 1991; 324: 232–235.

    Article  CAS  Google Scholar 

  39. Shea S, Stein AD, Basch CE, Contento IR, Zybert P . Variability and self-regulation of energy-intake in young-children in their everyday environment. Pediatrics 1992; 90: 542–546.

    CAS  PubMed  Google Scholar 

  40. Leahy KE, Birch LL, Rolls BJ . Reducing the energy density of multiple meals decreases the energy intake of preschool-age children. Am J Clin Nutr 2008; 88: 1459–1468.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank H Lillette, A Le Grand and E Marchand for welcoming us to their institutions; V De Anfrasio, S Chambaron, F Durey (ChemoSens platform), V Feyen, J Fontaine, M Gaillet, F Sourdot and S Wagner for assisting with data collection; L Marty for assisting with data analysis; P Emmett and M Vingerhoeds for contributing recommendations to improve the manuscript. ER, SI, SN and VB designed the research study; ER, SN and VB conducted the research; ER, SI, CC and SN analyzed the data; ER, SI and SN wrote the paper. SN was primarily responsible for the content of the final manuscript. All of the authors read and approved the final manuscript. The research was supported by the European Community’s Seventh Framework Program (FP7/2007-2013) under the grant agreement no. FP7-245012-HabEat’, the Regional Council of Burgundy (France), the European Funding for Regional Economical Development (FEDER) and the Fondation Louis Bonduelle. This trial was registered as NCT01843712 at ClinicalTrials.gov.

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Correspondence to S Nicklaus.

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Remy, E., Issanchou, S., Chabanet, C. et al. Impact of adiposity, age, sex and maternal feeding practices on eating in the absence of hunger and caloric compensation in preschool children. Int J Obes 39, 925–930 (2015). https://doi.org/10.1038/ijo.2015.30

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