Please use this identifier to cite or link to this item: https://doi.org/10.1017/S0007114517000848
Title: Faster eating rates are associated with higher energy intakes during an ad libitum meal, higher BMI and greater adiposity among 4·5-year-old children: Results from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) cohort
Authors: Fogel, Anna
Goh, Ai Ting
Fries, Lisa R
Sadananthan, Suresh A
Velan, S Sendhil
Michael, Navin
Mya Thway Tint 
Fortier, Marielle V
Chan, Mei Jun
Toh, Jia Ying
CHONG YAP SENG 
Tan, Kok Hian
Yap, Fabian
SHEK PEI-CHI,LYNETTE 
Meaney, Michael J
BROEKMAN BIRIT FROUKJE PHILIPP 
LEE YUNG SENG 
Godfrey, Keith M
MARY CHONG FOONG FONG 
CIARAN GERARD FORDE 
Keywords: BMI z BMI z-score
SAT subcutaneous adipose tissue
VA visceral adipose tissue
Adiposity
Childhood obesity
Children
Eating rate
Energy intake
Mastication
Body Mass Index
Child Development
Child, Preschool
Cohort Studies
Diet
Female
Humans
Lunch
Male
Nutrition Surveys
Overweight
Pediatric Obesity
Singapore
Time Factors
Video Recording
Adiposity
Child Behavior
Child Nutritional Physiological Phenomena
Energy Intake
Feeding Behavior
Issue Date: 14-Apr-2017
Publisher: Cambridge University Press
Source: Fogel, Anna, Goh, Ai Ting, Fries, Lisa R, Sadananthan, Suresh A, Velan, S Sendhil, Michael, Navin, Mya Thway Tint, Fortier, Marielle V, Chan, Mei Jun, Toh, Jia Ying, CHONG YAP SENG, Tan, Kok Hian, Yap, Fabian, SHEK PEI-CHI,LYNETTE, Meaney, Michael J, BROEKMAN BIRIT FROUKJE PHILIPP, LEE YUNG SENG, Godfrey, Keith M, MARY CHONG FOONG FONG, CIARAN GERARD FORDE (2017-04-14). Faster eating rates are associated with higher energy intakes during an ad libitum meal, higher BMI and greater adiposity among 4·5-year-old children: Results from the Growing Up in Singapore Towards Healthy Outcomes (GUSTO) cohort. British Journal of Nutrition 117 (7) : 1042-1051. ScholarBank@NUS Repository. https://doi.org/10.1017/S0007114517000848
Abstract: Faster eating rates are associated with increased energy intake, but little is known about the relationship between children's eating rate, food intake and adiposity. We examined whether children who eat faster consume more energy and whether this is associated with higher weight status and adiposity. We hypothesised that eating rate mediates the relationship between child weight and ad libitum energy intake. Children (n 386) from the Growing Up in Singapore Towards Healthy Outcomes cohort participated in a video-recorded ad libitum lunch at 4·5 years to measure acute energy intake. Videos were coded for three eating-behaviours (bites, chews and swallows) to derive a measure of eating rate (g/min). BMI and anthropometric indices of adiposity were measured. A subset of children underwent MRI scanning (n 153) to measure abdominal subcutaneous and visceral adiposity. Children above/below the median eating rate were categorised as slower and faster eaters, and compared across body composition measures. There was a strong positive relationship between eating rate and energy intake (r 0·61, P<0·001) and a positive linear relationship between eating rate and children's BMI status. Faster eaters consumed 75 % more energy content than slower eating children (Δ548 kJ (Δ131 kcal); 95 % CI 107·6, 154·4, P<0·001), and had higher whole-body (P<0·05) and subcutaneous abdominal adiposity (Δ118·3 cc; 95 % CI 24·0, 212·7, P=0·014). Mediation analysis showed that eating rate mediates the link between child weight and energy intake during a meal (b 13·59; 95 % CI 7·48, 21·83). Children who ate faster had higher energy intake, and this was associated with increased BMI z-score and adiposity.
Source Title: British Journal of Nutrition
URI: http://scholarbank.nus.edu.sg/handle/10635/137201
ISSN: 00071145
DOI: 10.1017/S0007114517000848
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