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Associations between paediatric fatigue and eating behaviours
Megan M Oberle1,2, Elise F Northrop2,3, Carolyn T Bramante2,4
1Department of Pediatrics University of Minnesota Medical School Minneapolis Minnesota USA.
Obesity Science & Practice
|October 21, 2020
Summary
In youth, reduced fatigue symptoms correlate with fewer food approach behaviors. For those with high body fat, less fatigue means better satiety, suggesting sleep interventions may help manage weight.
Area of Science:
- Pediatric Health
- Nutrition Science
- Sleep Medicine
Background:
- Poor sleep quality in adults is linked to obesogenic eating behaviors.
- The relationship between fatigue and eating behaviors in youth is less understood.
- This study investigates fatigue-related quality of life (QoL) and eating behaviors in children and adolescents.
Purpose of the Study:
- Assess the association between fatigue-related QoL and eating behaviors in youth.
- Describe these associations in relation to body fat percentiles.
- Identify potential interventions for weight management in at-risk youth.
Main Methods:
- Caregiver-reported data on fatigue and eating behaviors were collected from 352 participants (aged 8-17).
- Body fat percentage (%BF) was measured using iDXA and categorized by sex- and age-specific percentiles.
- Multiple linear regression analysis adjusted for age, sex, and race/ethnicity was employed.
Main Results:
- General, sleep/rest, and cognitive fatigue QoL showed inverse associations with food approach behaviors (e.g., food responsiveness, emotional overeating).
- In youth with %BF >90th percentile, higher general fatigue QoL correlated with increased satiety responsiveness.
- Conversely, in youth with %BF ≤90th percentile, higher general fatigue QoL was linked to decreased satiety responsiveness.
Conclusions:
- Reduced fatigue symptoms in pediatric participants were associated with fewer food approach behaviors.
- For youth with elevated %BF, diminished general fatigue symptoms correlated with enhanced satiety.
- Screening youth with high %BF for fatigue and offering sleep hygiene counseling may aid weight management.
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