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Published on: May 8, 2018
Children's Eating Behaviors and Energy Intake: Overlapping Influences and Opportunities for Intervention
Insights
Early childhood eating behaviors like large portions and fast eating predict higher energy intake and obesity risk. These stable behaviors, linked to appetite traits and parental feeding, require holistic interventions for prevention.
Area of Science:
- Pediatric Nutrition
- Obesity Research
- Behavioral Science
Background:
- Childhood obesity is a growing concern, often linked to early life risk factors.
- Maladaptive eating behaviors emerging in early childhood can persist and contribute to excessive energy intake.
- Understanding the trajectory from early risk factors to obesity is crucial for intervention.
Purpose of the Study:
- To examine the association between eating behaviors, energy intake, and body composition in young children.
- To investigate the stability of these eating behaviors over time.
- To explore the role of appetitive traits and parental feeding practices.
Main Methods:
- Analysis of data from the Growing Up in Singapore towards Healthy Outcomes (GUSTO) cohort.
- Assessment of eating behaviors (portion size, eating rate, eating when sated) at 4.5 and 6 years.
- Measurement of energy intake, body composition, and Body Mass Index z-scores (BMIz).
- Inclusion of parent-reported appetitive traits and feeding practices.
Main Results:
- Children with faster eating rates, larger portions, and continued eating when sated consumed more energy.
- These eating behaviors were stable and independently predicted higher adiposity and BMIz scores.
- Faster eating mediated the relationship between appetitive traits (satiety responsiveness, food fussiness) and energy intake.
- Parental feeding practices were associated with eating rates, energy intake, and BMIz.
Conclusions:
- Early, stable eating behaviors significantly contribute to increased energy intake and adiposity in children.
- Appetitive traits and parental feeding practices interact with eating behaviors, influencing energy consumption.
- Holistic interventions targeting these behaviors and feeding practices are essential for preventing childhood obesity.
Abstract:
The transition from risk factors in the first 1,000 days to childhood obesity occurs largely through the development of maladaptive eating behaviors that emerge early, remain stable, and support greater energy intake over time. We have examined the association between eating behaviors, energy intake, and body composition at 4.5 and 6 years of age among children from the GUSTO (Growing Up in Singapore towards Healthy Outcomes) cohort. Our findings demonstrate that when children select larger portions, eat at a faster rate, and continue to eat when sated, they consume more energy than children who do not exhibit these behaviors. We have shown that these behaviors are stable over time and independently predict higher adiposity and BMIz scores at the later time point. We observed that faster eating and greater intakes were associated with parent report measures of appetitive traits, such as the child's satiety responsiveness, food fussiness, and enjoyment of food. Importantly, faster eating rates mediated the link between these appetitive traits and child energy intakes. In addition, within-meal parental feeding practices were linked to a faster eating rate, higher energy intakes, and higher BMIz scores in some children, suggesting that parents are aware of these eating behaviors and likely adapt their feeding practices to influence their child's energy intake. These findings emphasize the need to consider the interaction and cumulative impact of these eating behaviors and parental feeding practices on children's energy intake, and, consequently, the need to develop holistic intervention approaches that target the behaviors that contribute most to a child's risk of developing overweight and obesity.
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