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Increased hunger and speed of eating in obese children and adolescents

  • Arnold H. Slyper EMAIL logo , Kim Kopfer , Wei-Min Huang and Yochai Re’em
Published/Copyright: December 21, 2013

Abstract

Objectives: This quality improvement program examined self-reported hunger, over-eating, and eating speed in obese and normal-weight children and adolescents prior to an interventional component.

Patients and Methods: Food frequency questionnaires were presented to 127 obese and 42 normal-weight patients, and perceived hunger, food intake and eating speed were rated.

Results: Obese patients reported significantly greater hunger than normal-weight patients (62.2% vs. 21.4%, p<0.001) and faster eating (55.7% vs. 23.3%, p<0.001). Patients reporting being “always” or “often hungry” were more than six times likely to be obese (OR=6.49, 2.86–14.73, p<0.001), while rapid speed of eating yielded a four-fold increase in likelihood of obesity (OR=4.15, 1.77–9.72, p<0.001). Hunger and speed of eating were also highly associated (p<0.001).

Conclusions: Increased hunger and eating speed were highly prevalent in these obese pediatric patients and may reflect abnormalities of satiety and satiation.


Corresponding author: Arnold H. Slyper, Department of Pediatrics, Lehigh Valley Health Network, 400 N 17th St, Suite 201, Allentown, PA 18104, USA, E-mail:
aAcademic affiliation: Professor of Pediatrics, College of Medicine, University of South Florida, USA

References

1. Barlow SE, Dietz WH. Obesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics. 1998;102:E29.10.1542/peds.102.3.e29Search in Google Scholar PubMed

2. Dietz WH, Gortmaker SL. Do we fatten our children our children at the TV set? Obesity and television in children and adolescents. Pediatrics 1985;75:807–12.10.1542/peds.75.5.807Search in Google Scholar

3. Proctor MH, Moore LL, Gao D, Cupples LA, Bradlee ML, et al. Television viewing and change in body fat from preschool to early adolescence: The Framingham Children’s Study. Int J Obes 2003;27:827–33.10.1038/sj.ijo.0802294Search in Google Scholar PubMed

4. Keskin M, Kurtoglu S, Kendirci M, Atabek EM, Yaziki C. Homeostasis model assessment is more reliable than the fasting glucose/insulin ratio and quantitative insulin sensitivity check index for assessing insulin resistance among obese children and adolescents. Pediatrics 2005;115:e500–3.10.1542/peds.2004-1921Search in Google Scholar PubMed

5. Ludwig DS, Majzoub JA, Al-Zahrani A, Dallal GE, Blanco I, et al. High glycemic index foods, overeating and obesity. Pediatrics 1999;103:e26.10.1542/peds.103.3.e26Search in Google Scholar PubMed

6. Leong SL, Madden C, Gray A, Waters D, Horwath C. Faster self-reported speed of eating is related to higher body mass index in a nationwide survey of middle-aged women. J Am Diet Assoc 2011;111:1192–7.10.1016/j.jada.2011.05.012Search in Google Scholar PubMed

7. Saito A, Kawai K, Yanagisawa M, Yokoyama H, Kuribayashi N, et al. Self-reported rate of eating is significantly associated with body mass index in Japanese patients with type 2 diabetes. Japan Diabetes Clinical Data Management Study Group (JDDM26). Appetite 2012;59:252–5.10.1016/j.appet.2012.05.009Search in Google Scholar PubMed

8. Privitera GJ, Cooper KC, Cosco AR. The influence of eating rate on satiety and intake among participants exhibiting high dietary restraint. Food Nutr Res 2012;56. doi: 10.3402/fnr.v56i0.10202.10.3402/fnr.v56i0.10202Search in Google Scholar PubMed PubMed Central

9. Xiong LH, Wang CL, Chen ZQ, Weng JP, Chen WQ, et al. Study on food preference and dietary behavior to overweight/obesity in school children and adolescents in Guangzhou: a case-control study. Chung-Hua Liu Hsing Ping Hsueh Tsa Chih Chinese J Epidemiol 2008;29:965–9.Search in Google Scholar

10. Llewellyn CH, van Jaarsveld CH, Boniface D, Carnell S, Wardle J. Eating rate is a heritable phenotype related to weight in children. Am J Clin Nutr 2008;88:1560–6.10.3945/ajcn.2008.26175Search in Google Scholar PubMed

11. Barkeling B, Ekman S, Rossner S. Eating behavior in obese and normal weight 11-yearw-old children. Int J Obes 1992;16:355–60.Search in Google Scholar

12. Kral TV, Rauh EM. Eating behaviors of children in the context of their family environment. Physiol Behav 2010;100:567–73.10.1016/j.physbeh.2010.04.031Search in Google Scholar PubMed PubMed Central

13. Geraedts MC, Troost FJ, Saris WH. Gastrointestinal targets to modulate satiety and food intake. Obes Rev 2011;12:470–7.10.1111/j.1467-789X.2010.00788.xSearch in Google Scholar PubMed

14. Page KA, Seo D, Belfont-DeAguiar R, Lacadie C, Dzuira J, et al. Circulating glucose levels modulate neural control of desire for high-calorie foods in humans. J Clin Invest 2013;121:4161–9.10.1172/JCI57873Search in Google Scholar PubMed PubMed Central

15. Melanson KJ, Westerterp-Plantenga MS, Saris WH, Smith FJ, Campfield LA. Blood glucose patterns and appetite in time-blinded humans: carbohydrate versus fat. Am J Physiol 1999;277:R337–45.10.1152/ajpregu.1999.277.2.R337Search in Google Scholar PubMed

16. Janssen P, Berghe PV, Verschueren S, Lehmann A, Depoortere I, et al. Review article: the role of gastric motility in the control of food intake. Aliment Pharmacol Ther 2011;33:880–94.10.1111/j.1365-2036.2011.04609.xSearch in Google Scholar PubMed

17. Galhardo J, Hunt LP, Lightman L, Sabin MA, Bergh C, et al. Normalizing eating behavior reduces body weight and improves gastrointestinal hormonal secretion in obese adolescents. J Clin Endocrinol Metab 2012;97:E193–201.10.1210/jc.2011-1999Search in Google Scholar PubMed

18. Howarth NC, Saltzman E, Roberts SB. Dietary fiber and weight regulation. Nutr Rev 2001;59:129–39.10.1111/j.1753-4887.2001.tb07001.xSearch in Google Scholar PubMed

19. Ludwig DS, Pereira MA, Kroenke CH, Hilner JE, Van Horn L, et al. Dietary fiber, weight gain, and cardiovascular risk factors in young adults. J Am Med Assoc 1999;282:1539–46.10.1001/jama.282.16.1539Search in Google Scholar PubMed

Received: 2013-6-26
Accepted: 2013-10-17
Published Online: 2013-12-21
Published in Print: 2014-5-1

©2014 by Walter de Gruyter Berlin/Boston

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