A description of an 'obesogenic' eating style that promotes higher energy intake and is associated with greater adiposity in 4.5year-old children: Results from the GUSTO cohort

Anna Fogel, Ai Ting Goh, Lisa R Fries, Suresh Anand Sadananthan, S Sendhil Velan, Navin Michael, Mya Thway Tint, Marielle Valerie Fortier, Mei Jun Chan, Jia Ying Toh, Yap-Seng Chong, Kok Hian Tan, Fabian Yap, Lynette P Shek, Michael J Meaney, Birit F P Broekman, Yung Seng Lee, Keith M Godfrey, Mary Foong Fong Chong, Ciarán G Forde

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Recent findings confirm that faster eating rates support higher energy intakes within a meal and are associated with increased body weight and adiposity in children. The current study sought to identify the eating behaviours that underpin faster eating rates and energy intake in children, and to investigate their variations by weight status and other individual differences. Children (N=386) from the Growing Up in Singapore towards Healthy Outcomes (GUSTO) cohort took part in a video-recorded ad libitum lunch at 4.5years of age 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) and measures of eating microstructure: eating rate (g/min), total oral exposure (min), average bite size (g/bite), chews per gram, oral exposure per bite (s), total bites and proportion of active to total mealtime. Children's BMIs were calculated and a subset of children underwent MRI scanning to establish abdominal adiposity. Children were grouped into faster and slower eaters, and into healthy and overweight groups to compare their eating behaviours. Results demonstrate that faster eating rates were correlated with larger average bite size (r=0.55, p<0.001), fewer chews per gram (r=-0.71, p<0.001) and shorter oral exposure time per bite (r=-0.25, p<0.001), and with higher energy intakes (r=0.61, p<0.001). Children with overweight and higher adiposity had faster eating rates (p<0.01) and higher energy intakes (p<0.01), driven by larger bite sizes (p<0.05). Eating behaviours varied by sex, ethnicity and early feeding regimes, partially attributable to BMI. We propose that these behaviours describe an 'obesogenic eating style' that is characterised by faster eating rates, achieved through larger bites, reduced chewing and shorter oral exposure time. This obesogenic eating style supports acute energy intake within a meal and is more prevalent among, though not exclusive to, children with overweight. Clinical Trial Registry Number: NCT01174875; https://clinicaltrials.gov/.

Original languageEnglish
Pages (from-to)107-116
Number of pages10
JournalPhysiology and Behavior
Volume176
DOIs
Publication statusPublished - 1 Jul 2017
Externally publishedYes

Cite this

Fogel, Anna ; Goh, Ai Ting ; Fries, Lisa R ; Sadananthan, Suresh Anand ; Velan, S Sendhil ; Michael, Navin ; Tint, Mya Thway ; Fortier, Marielle Valerie ; Chan, Mei Jun ; Toh, Jia Ying ; Chong, Yap-Seng ; Tan, Kok Hian ; Yap, Fabian ; Shek, Lynette P ; Meaney, Michael J ; Broekman, Birit F P ; Lee, Yung Seng ; Godfrey, Keith M ; Chong, Mary Foong Fong ; Forde, Ciarán G. / A description of an 'obesogenic' eating style that promotes higher energy intake and is associated with greater adiposity in 4.5year-old children : Results from the GUSTO cohort. In: Physiology and Behavior. 2017 ; Vol. 176. pp. 107-116.
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abstract = "Recent findings confirm that faster eating rates support higher energy intakes within a meal and are associated with increased body weight and adiposity in children. The current study sought to identify the eating behaviours that underpin faster eating rates and energy intake in children, and to investigate their variations by weight status and other individual differences. Children (N=386) from the Growing Up in Singapore towards Healthy Outcomes (GUSTO) cohort took part in a video-recorded ad libitum lunch at 4.5years of age 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) and measures of eating microstructure: eating rate (g/min), total oral exposure (min), average bite size (g/bite), chews per gram, oral exposure per bite (s), total bites and proportion of active to total mealtime. Children's BMIs were calculated and a subset of children underwent MRI scanning to establish abdominal adiposity. Children were grouped into faster and slower eaters, and into healthy and overweight groups to compare their eating behaviours. Results demonstrate that faster eating rates were correlated with larger average bite size (r=0.55, p<0.001), fewer chews per gram (r=-0.71, p<0.001) and shorter oral exposure time per bite (r=-0.25, p<0.001), and with higher energy intakes (r=0.61, p<0.001). Children with overweight and higher adiposity had faster eating rates (p<0.01) and higher energy intakes (p<0.01), driven by larger bite sizes (p<0.05). Eating behaviours varied by sex, ethnicity and early feeding regimes, partially attributable to BMI. We propose that these behaviours describe an 'obesogenic eating style' that is characterised by faster eating rates, achieved through larger bites, reduced chewing and shorter oral exposure time. This obesogenic eating style supports acute energy intake within a meal and is more prevalent among, though not exclusive to, children with overweight. Clinical Trial Registry Number: NCT01174875; https://clinicaltrials.gov/.",
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author = "Anna Fogel and Goh, {Ai Ting} and Fries, {Lisa R} and Sadananthan, {Suresh Anand} and Velan, {S Sendhil} and Navin Michael and Tint, {Mya Thway} and Fortier, {Marielle Valerie} and Chan, {Mei Jun} and Toh, {Jia Ying} and Yap-Seng Chong and Tan, {Kok Hian} and Fabian Yap and Shek, {Lynette P} and Meaney, {Michael J} and Broekman, {Birit F P} and Lee, {Yung Seng} and Godfrey, {Keith M} and Chong, {Mary Foong Fong} and Forde, {Ciar{\'a}n G}",
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Fogel, A, Goh, AT, Fries, LR, Sadananthan, SA, Velan, SS, Michael, N, Tint, MT, Fortier, MV, Chan, MJ, Toh, JY, Chong, Y-S, Tan, KH, Yap, F, Shek, LP, Meaney, MJ, Broekman, BFP, Lee, YS, Godfrey, KM, Chong, MFF & Forde, CG 2017, 'A description of an 'obesogenic' eating style that promotes higher energy intake and is associated with greater adiposity in 4.5year-old children: Results from the GUSTO cohort' Physiology and Behavior, vol. 176, pp. 107-116. https://doi.org/10.1016/j.physbeh.2017.02.013

A description of an 'obesogenic' eating style that promotes higher energy intake and is associated with greater adiposity in 4.5year-old children : Results from the GUSTO cohort. / Fogel, Anna; Goh, Ai Ting; Fries, Lisa R; Sadananthan, Suresh Anand; Velan, S Sendhil; Michael, Navin; Tint, Mya Thway; Fortier, Marielle Valerie; Chan, Mei Jun; Toh, Jia Ying; Chong, Yap-Seng; Tan, Kok Hian; Yap, Fabian; Shek, Lynette P; Meaney, Michael J; Broekman, Birit F P; Lee, Yung Seng; Godfrey, Keith M; Chong, Mary Foong Fong; Forde, Ciarán G.

In: Physiology and Behavior, Vol. 176, 01.07.2017, p. 107-116.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - A description of an 'obesogenic' eating style that promotes higher energy intake and is associated with greater adiposity in 4.5year-old children

T2 - Results from the GUSTO cohort

AU - Fogel, Anna

AU - Goh, Ai Ting

AU - Fries, Lisa R

AU - Sadananthan, Suresh Anand

AU - Velan, S Sendhil

AU - Michael, Navin

AU - Tint, Mya Thway

AU - Fortier, Marielle Valerie

AU - Chan, Mei Jun

AU - Toh, Jia Ying

AU - Chong, Yap-Seng

AU - Tan, Kok Hian

AU - Yap, Fabian

AU - Shek, Lynette P

AU - Meaney, Michael J

AU - Broekman, Birit F P

AU - Lee, Yung Seng

AU - Godfrey, Keith M

AU - Chong, Mary Foong Fong

AU - Forde, Ciarán G

N1 - Copyright © 2017 Elsevier Inc. All rights reserved.

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Recent findings confirm that faster eating rates support higher energy intakes within a meal and are associated with increased body weight and adiposity in children. The current study sought to identify the eating behaviours that underpin faster eating rates and energy intake in children, and to investigate their variations by weight status and other individual differences. Children (N=386) from the Growing Up in Singapore towards Healthy Outcomes (GUSTO) cohort took part in a video-recorded ad libitum lunch at 4.5years of age 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) and measures of eating microstructure: eating rate (g/min), total oral exposure (min), average bite size (g/bite), chews per gram, oral exposure per bite (s), total bites and proportion of active to total mealtime. Children's BMIs were calculated and a subset of children underwent MRI scanning to establish abdominal adiposity. Children were grouped into faster and slower eaters, and into healthy and overweight groups to compare their eating behaviours. Results demonstrate that faster eating rates were correlated with larger average bite size (r=0.55, p<0.001), fewer chews per gram (r=-0.71, p<0.001) and shorter oral exposure time per bite (r=-0.25, p<0.001), and with higher energy intakes (r=0.61, p<0.001). Children with overweight and higher adiposity had faster eating rates (p<0.01) and higher energy intakes (p<0.01), driven by larger bite sizes (p<0.05). Eating behaviours varied by sex, ethnicity and early feeding regimes, partially attributable to BMI. We propose that these behaviours describe an 'obesogenic eating style' that is characterised by faster eating rates, achieved through larger bites, reduced chewing and shorter oral exposure time. This obesogenic eating style supports acute energy intake within a meal and is more prevalent among, though not exclusive to, children with overweight. Clinical Trial Registry Number: NCT01174875; https://clinicaltrials.gov/.

AB - Recent findings confirm that faster eating rates support higher energy intakes within a meal and are associated with increased body weight and adiposity in children. The current study sought to identify the eating behaviours that underpin faster eating rates and energy intake in children, and to investigate their variations by weight status and other individual differences. Children (N=386) from the Growing Up in Singapore towards Healthy Outcomes (GUSTO) cohort took part in a video-recorded ad libitum lunch at 4.5years of age 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) and measures of eating microstructure: eating rate (g/min), total oral exposure (min), average bite size (g/bite), chews per gram, oral exposure per bite (s), total bites and proportion of active to total mealtime. Children's BMIs were calculated and a subset of children underwent MRI scanning to establish abdominal adiposity. Children were grouped into faster and slower eaters, and into healthy and overweight groups to compare their eating behaviours. Results demonstrate that faster eating rates were correlated with larger average bite size (r=0.55, p<0.001), fewer chews per gram (r=-0.71, p<0.001) and shorter oral exposure time per bite (r=-0.25, p<0.001), and with higher energy intakes (r=0.61, p<0.001). Children with overweight and higher adiposity had faster eating rates (p<0.01) and higher energy intakes (p<0.01), driven by larger bite sizes (p<0.05). Eating behaviours varied by sex, ethnicity and early feeding regimes, partially attributable to BMI. We propose that these behaviours describe an 'obesogenic eating style' that is characterised by faster eating rates, achieved through larger bites, reduced chewing and shorter oral exposure time. This obesogenic eating style supports acute energy intake within a meal and is more prevalent among, though not exclusive to, children with overweight. Clinical Trial Registry Number: NCT01174875; https://clinicaltrials.gov/.

KW - Abdomen/diagnostic imaging

KW - Adiposity

KW - Anthropometry

KW - Body Mass Index

KW - Child, Preschool

KW - Energy Intake/physiology

KW - Feeding Behavior/physiology

KW - Female

KW - Food Preferences/psychology

KW - Humans

KW - Image Processing, Computer-Assisted

KW - Magnetic Resonance Imaging

KW - Male

KW - Obesity/physiopathology

KW - Parent-Child Relations

KW - Pediatric Obesity/psychology

KW - Time Factors

KW - Touch Perception

U2 - 10.1016/j.physbeh.2017.02.013

DO - 10.1016/j.physbeh.2017.02.013

M3 - Article

VL - 176

SP - 107

EP - 116

JO - Physiology and Behavior

JF - Physiology and Behavior

SN - 0031-9384

ER -