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Updated: May 8, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Cross-sectional and prospective associations between children's eating behavior and visceral fat area and trunk fat
Youxin Wang1,2, Fangjing Shen1, Pingping Zhang3
1Department of Endocrinology and Metabolism, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China.
Insights
Childhood eating behaviors like emotional overeating and food responsiveness are linked to increased abdominal fat. Addressing these behaviors may help reduce obesity risks in children.
Area of Science:
- Pediatric Nutrition
- Obesity Research
- Behavioral Science
Background:
- Childhood obesity is a growing concern, with eating behaviors playing a key role in its development.
- The specific links between children's eating habits and abdominal fat accumulation require further investigation.
- Understanding these associations is vital for developing effective obesity prevention strategies.
Purpose of the Study:
- To examine the relationship between various eating behaviors and abdominal fat accumulation in primary school children.
- To identify specific eating behaviors that are significantly associated with visceral fat area (VFA) and trunk fat mass (TrFM).
Main Methods:
- A cohort of 1,475 primary school children (aged 8-10 years) in Ningbo, China, was studied over 9 months.
- Children's body composition (VFA and TrFM) was measured at baseline and follow-up.
- Caregivers completed the Children's Eating Behavior Questionnaire (CEBQ), and data were analyzed using mixed-effects linear models.
Main Results:
- Increased VFA was associated with slowness in eating, food responsiveness, emotional undereating, and emotional overeating.
- Higher TrFM correlated with food responsiveness, enjoyment of food, emotional undereating, and emotional overeating.
- Prospectively, VFA and TrFM showed positive associations with several eating behaviors, including food responsiveness and emotional eating patterns.
Conclusions:
- Eating behaviors are significantly associated with abdominal fat accumulation in primary school children.
- Specific behaviors such as food responsiveness and emotional eating patterns are linked to increased VFA and TrFM.
- Targeting these eating behaviors could be a key strategy in managing childhood abdominal obesity and related health issues.
Background:
Understanding children's eating behaviors is crucial for elucidating the etiology of childhood obesity. However, the relationship between these behaviors and abdominal fat accumulation remains poorly understood. This study aims to investigate this association in primary school children.
Methods:
This study included 1,475 children aged 8-10 years in Ningbo, China. Body composition was measured both at baseline (September 2022) and after 9 months of follow-up (June 2023). Primary caregivers completed the Children's Eating Behavior Questionnaire (CEBQ). A mixed-effects linear model was applied to analyze the relationships between children's eating behaviors and body composition.
Results:
Greater visceral fat area (VFA) was associated with greater slowness in eating [β = 0.25 (0.02, 0.49)], greater food responsiveness [β = 0.29 (0.14, 0.43)], increased emotional undereating [β = 0.35 (0.17, 0.54)], and more emotional overeating [β = 0.21 (0.02, 0.39)]. Children with greater trunk fat mass (TrFM) tended to have greater food responsiveness [β = 0.02 (0.01, 0.03)] and greater enjoyment of food [β = 0.01 (0.00, 0.03)], increased emotional undereating [β = 0.02 (0.01, 0.03)] and emotional overeating [β = 0.02 (0.00, 0.03)]. Prospectively, positive correlations were observed between VFA and food responsiveness [β = 0.18 (0.02, 0.35)], as were emotional undereating [β = 0.31 (0.10, 0.52)] and emotional overeating [β = 0.24 (0.03, 0.46)]. Similarly, TrFM was positively correlated with food responsiveness [β = 0.02 (0.00, 0.03)], enjoyment of food [β = 0.02 (0.00, 0.04)], emotional undereating [β = 0.02 (0.01, 0.04)] and emotional overeating [β = 0.02 (0.01, 0.04)].
Conclusions:
Our findings suggest that eating behaviors are significantly associated with abdominal fat accumulation in primary school children. Addressing specific eating behaviors may be crucial in mitigating abdominal fat and its related health risks.
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