Adiposity and 'eating in the absence of hunger' in children

C Hill1, C H Llewellyn, J Saxton

  • 1Department of Epidemiology and Public Health, Cancer Research UK Health Behavior Research Centre, University College London, London, UK.

Insights

Eating in the absence of hunger (EAH) is linked to increased adiposity in boys, showing a graded association across weight categories. This behavior was less pronounced in girls, possibly due to social factors.

Area of Science:

  • Pediatric Nutrition
  • Behavioral Science
  • Childhood Obesity Research

Background:

  • Eating in the absence of hunger (EAH) is a complex behavior potentially influencing childhood adiposity.
  • Understanding EAH's relationship with weight status is crucial for developing targeted interventions.

Purpose of the Study:

  • To investigate the association between eating in the absence of hunger (EAH) and adiposity in children.
  • To explore potential sex differences in the EAH-adiposity relationship.

Main Methods:

  • Two cross-sectional studies involving 348 children (aged 7-9) and 316 children (aged 9-12).
  • EAH operationalized as intake of palatable snacks post-meal; adiposity assessed via BMI standard deviation scores.
  • Children categorized into underweight, healthy weight, and overweight/obese groups.

Main Results:

  • EAH demonstrated a significant positive association with adiposity in boys across all weight categories.
  • No significant association was found between EAH and adiposity in girls.
  • A quadratic trend in girls suggested EAH increased then decreased across weight ranges.

Conclusions:

  • EAH is a behavioral phenotype associated with adiposity across the weight spectrum, particularly in boys.
  • The weaker association in girls may be influenced by social desirability pressures affecting food intake.
  • Findings highlight the need for sex-specific considerations in EAH research and interventions.
Abstract

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