Caloric compensation in preschool children: Relationships with body mass and differences by food category

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dc.contributor.authorCarnell, S.
dc.contributor.authorBenson, L.
dc.contributor.authorGibson, E. L.
dc.contributor.authorMais, L. A. [UNIFESP]
dc.contributor.authorWarkentin, S. [UNIFESP]
dc.date.accessioned2019-08-19T11:49:39Z
dc.date.available2019-08-19T11:49:39Z
dc.date.issued2017
dc.description.abstractMaintaining a healthy weight may involve compensating for previously consumed calories at subsequent meals. To test whether heavier children demonstrated poorer caloric compensation across a range of conditions, and to explore whether compensation failure was the result of inadequate adjustment of overall intake or specific over-consumption of highly palatable, high energy-density 'junk' foods, we administered two compensation tests to a sample of 4-5 y olds. For Test A, preloads varied only in carbohydrate content and were organoleptically indistinguishable (200 ml orange-flavored beverage [0 kcal vs. 200 kcal]). For Test B, the preloads varied substantially in both macronutrient composition and learned gustatory cues to caloric content (200 ml water [0 kcal] vs. 200 ml strawberry milkshake [200 kcal]). Each preload was followed 30 min later by a multi-item ad-libitum meal containing junk foods (chocolate cookies, cheese-flavored crackers) and core foods (fruits and vegetables, bread rolls, protein foods). Testing took place at the children's own school under normal lunch-time conditions. Children were weighed and measured. Caloric compensation occurred in both tests, in terms of total, junk and core food intake (RMANOVA, all p < 0.01). Higher BMI z scores were associated with greater average caloric compensation (r = -0.26en
dc.description.abstractp < 0.05), such that overweight/obese children showed least compensation (41%), children over the 50th centile the next least (59%), and children under the 50th centile (80%) the most. For Test A only, obese/overweight children compensated less well than normal weight children in terms of junk food intake (RMANOVA preload-by-weight group interaction p < 0.05), with no significant effect for core foods. Our results suggest that caloric compensation is consistently poorer in heavier children, and that overweight/obese children's preferences for junk foods may overwhelm intake regulation mechanisms within meals containing those foods. (C) 2017 Elsevier Ltd. All rights reserved.en
dc.description.affiliationJohns Hopkins Univ, Sch Med, Dept Psychiat & Behav Sci, Div Child & Adolescent Psychiat, 600 N Wolfe St Phipps 300, Baltimore, MD 21287 USA
dc.description.affiliationUniv Roehampton, Dept Psychol, London, England
dc.description.affiliationFed Univ São Paulo UNIFESP, Dept Pediat, Discipline Nutrol, São Paulo, SP, Brazil
dc.description.affiliationUnifespFed Univ São Paulo UNIFESP, Dept Pediat, Discipline Nutrol, São Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipNational Institute of Diabetes and Ingestive and Kidney Diseases (NIDDK)
dc.description.sponsorshipEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
dc.description.sponsorshipOffice of the Director, National Institutes of Health (OD)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Níel Superior (CAPES)
dc.description.sponsorshipMedical Research Council (MRC)
dc.description.sponsorshipIDNIDDK: R00DK088360
dc.description.sponsorshipIDOD: U54HD070725
dc.format.extent82-89
dc.identifierhttp://dx.doi.org/10.1016/j.appet.2017.04.018
dc.identifier.citationAppetite. London, v. 116, p. 82-89, 2017.
dc.identifier.doi10.1016/j.appet.2017.04.018
dc.identifier.fileWOS000405972700010.pdf
dc.identifier.issn0195-6663
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51366
dc.identifier.wosWOS:000405972700010
dc.language.isoeng
dc.publisherAcademic Press Ltd- Elsevier Science Ltd
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFood choiceen
dc.subjectHigh calorieen
dc.subjectAdiposityen
dc.subjectFatnessen
dc.subjectBody weighten
dc.titleCaloric compensation in preschool children: Relationships with body mass and differences by food categoryen
dc.typeinfo:eu-repo/semantics/article
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