Right sizing prevention. Food portion size effects on children's eating and weight

Published on May 1, 2015in Appetite3.608
· DOI :10.1016/J.APPET.2014.11.021
Leann L. Birch126
Estimated H-index: 126
(UGA: University of Georgia),
Jennifer S. Savage26
Estimated H-index: 26
(PSU: Pennsylvania State University),
Jennifer O. Fisher61
Estimated H-index: 61
(TU: Temple University)
Sources
Abstract
Abstract Experimental findings provide consistent evidence that increasing the portion size of palatable, energy dense entrees relative to an age appropriate reference portion increases children's energy intake of the entree and the meal. Most of these studies have been conducted on preschool aged children between 2 and 6 years of age, in childcare or laboratory settings, using repeated measures designs. In these studies, children's intake is compared across a series of meals, where the size of the entree portion is varied and other aspects of the meal, including the portion size of other items on the menu, are held constant. This paper provides an overview of what we know from this research, what is not known about the effects of portion size on children's intake and weight status, and points to some of the important unanswered questions and gaps in the literature. Lastly, we discuss how individual characteristics may make someone more or less susceptible to large portions of foods and how the palatability of foods may moderate observed associations among portion size, children's intake, and weight status. Future studies that address the gaps identified in this paper are needed to inform policy and to develop effective and efficient interventions to prevent childhood obesity.
📖 Papers frequently viewed together
1,806 Citations
983 Citations
933 Citations
References51
Newest
#1Tanja V.E. Kral (UPenn: University of Pennsylvania)H-Index: 27
#2Marion M. Hetherington (University of Leeds)H-Index: 62
The portion size of foods and beverages offered at meals has been shown to significantly affect human food intake. While portion size effects appear to be fairly robust across studies in adults, findings from studies in children are generally more variable and do not reliably predict a significant portion size effect. Eating behaviors are still forming at a young age and individual differences in children's response to portion size will depend upon genetic predisposition interacting with the chi...
15 CitationsSource
#1Christy Y. Y. Leung (UM: University of Michigan)H-Index: 9
#2Julie C. Lumeng (UM: University of Michigan)H-Index: 6
Last. Alison L. Miller (UM: University of Michigan)H-Index: 33
view all 6 authors...
Abstract Despite increased attention to the role of temperament in children's obesogenic eating behaviors, there is a paucity of research examining whether different dimensions of temperament may be differentially associated with specific eating behaviors among preschool-age children. The purpose of the current study was to examine whether three temperament dimensions (surgency, negative affectivity, and effortful control) were uniquely associated with six obesogenic eating behaviors (caregiver-...
35 CitationsSource
#1Barbara J. Rolls (PSU: Pennsylvania State University)H-Index: 109
Systematic studies have shown that providing individuals with larger portions of foods and beverages leads to substantial increases in energy intake. The effect is sustained over weeks, supporting the possibility that large portions have a role in the development of obesity. The challenge is to find strategies to effectively manage the effects of portion size. One approach involves teaching people to select appropriate portions and to use tools that facilitate portion control. Although tools suc...
86 CitationsSource
#1Clare H. Llewellyn (UCL: University College London)H-Index: 32
#2Maciej Trzaskowski ('KCL': King's College London)H-Index: 36
Last. Jane Wardle (UCL: University College London)H-Index: 158
view all 4 authors...
Objective Evidence of increasing heritability of BMI over childhood can seem paradoxical given longer exposure to environmental influences. Genomic data were used to provide direct evidence of developmental increases in genetic influence. Methods BMI standard deviation scores (BMI-SDS) at ages 4 and 10 were calculated for 2,556 twin pairs in the Twins Early Development Study. Twin analyses estimated heritability of BMI-SDS at each age and the longitudinal genetic correlation. One randomly select...
32 CitationsSource
#1Tanja V.E. Kral (UPenn: University of Pennsylvania)H-Index: 27
#2Adriane M. Remiker (Cornell University)H-Index: 2
Last. Reneé H. Moore (NCSU: North Carolina State University)H-Index: 31
view all 4 authors...
Objective Food portion size is an important determinant of intake in children. It remains unknown if children's weight status and relative reinforcing value of food (RRVF) interact with portion size to affect intake. Methods In a randomized crossover design, 25 normal-weight and 25 obese children, ages 8-10 years, consumed dinner once a week for 3 weeks. At each dinner, the same meal was served, but the portion size of all foods (chicken nuggets, hash browns, ketchup, green beans, brownies) and ...
22 CitationsSource
#1Natalina Zlatevska (Bond University)H-Index: 10
#2Chris Dubelaar (Bond University)H-Index: 18
Last. Stephen S Holden (Bond University)H-Index: 11
view all 3 authors...
Food marketing is facing increasing challenges in using portion size (e.g., “supersizing”) as a marketing tool. Marketers have used portion size to attract customers and encourage purchase, but social agencies are expressing concern that larger portion sizes encourage greater consumption, which can cause excessive consumption and obesity. This article addresses two questions that are central to this debate: (1) How much effect does portion size have on consumption? and (2) Are there limits to th...
216 CitationsSource
#1Susan L. Johnson (Anschutz Medical Campus)H-Index: 51
#2Sheryl O. HughesH-Index: 47
Last. Kirstin VollrathH-Index: 3
view all 10 authors...
Background: Children's energy intakes are influenced by the portions they are served. Factors influencing the amounts adults offer children are not well described. Objective: We assessed whether the amounts that were served to and consumed by children at meals were related to amounts that parents served themselves. Design: In this repeated-measures, cross-sectional observational study, 145 parents and their preschoolers (82 Hispanic, 57 African American, 6 unidentified) were recruited from Head ...
45 CitationsSource
#1Cornelia H.M. van Jaarsveld (UCL: University College London)H-Index: 34
#2David Boniface (UCL: University College London)H-Index: 16
Last. Jane Wardle (UCL: University College London)H-Index: 158
view all 4 authors...
Importance Identifying early markers of future obesity risk can help target preventive interventions. Several studies have shown that a heartier appetite in infancy is a risk factor for more rapid weight gain, but to date no investigations have been able to rule out familial confounding. Objectives To use a sibling design (data from same-sex, dizygotic twin pairs) to test the hypothesis that sibling differences in infant appetite predicted differential weight gain during childhood. Design, Setti...
77 CitationsSource
#1Clare H. Llewellyn (UCL: University College London)H-Index: 32
#2Maciej Trzaskowski ('KCL': King's College London)H-Index: 36
Last. Jane Wardle (UCL: University College London)H-Index: 158
view all 5 authors...
Importance A better understanding of the cause of obesity is a clinical priority. Obesity is highly heritable, and specific genes are being identified. Discovering the mechanisms through which obesity-related genes influence weight would help pinpoint novel targets for intervention. One potential mechanism is satiety responsiveness. Lack of satiety characterizes many monogenic obesity disorders, and lower satiety responsiveness is linked with weight gain in population samples. Objective To test ...
116 CitationsSource
#1Corby K. Martin (Pennington Biomedical Research Center)H-Index: 67
#2Theresa A. Nicklas (BCM: Baylor College of Medicine)H-Index: 87
Last. Catherine M. Champagne (Pennington Biomedical Research Center)H-Index: 64
view all 6 authors...
The Digital Photography of Foods Method accurately estimates the food intake of adults and children in cafeterias. When using this method, images of food selection and leftovers are quickly captured in the cafeteria. These images are later compared with images of ‘standard’ portions of food using computer software. The amount of food selected and discarded is estimated based upon this comparison, and the application automatically calculates energy and nutrient intake. In the present review, we d...
155 CitationsSource
Cited By37
Newest
#1Kaat Philippe (CNRS: Centre national de la recherche scientifique)H-Index: 1
#2Sylvie Issanchou (CNRS: Centre national de la recherche scientifique)H-Index: 17
Last. Sandrine Monnery-Patris (CNRS: Centre national de la recherche scientifique)H-Index: 12
view all 5 authors...
Large portion sizes can make children overeat, alter their self-regulation abilities and induce weight gain. However, little is known about how parents determine portion sizes for their children. Using semi-structured interviews with 5 fathers and 32 mothers of pre-schoolers, this study examined French parents’ food portioning practices. The division of responsibility between parent and child in deciding portion sizes was explored, as well as the influencing factors and possible sources of infor...
Source
#2Alisa WeilandH-Index: 1
Last. Isabelle MackH-Index: 12
view all 8 authors...
Purpose: The influence of dishware on portion size perception in children and adolescents is inconclusive. This study investigated how children and adolescents with both obesity and a normal weight perceived portion size in different sized and shaped dishware items. Methods: The study included 60 children and adolescents with overweight and obesity (OBE) and 27 children and adolescents with normal weight (NW) aged from 9 to 17 years. The participants estimated quantities in three pairs of drinki...
Source
#1Elvira Verduci (University of Milan)H-Index: 31
#2Jiri BronskyH-Index: 30
Last. Magnus DomellöfH-Index: 46
view all 11 authors...
ABSTRACT Childhood obesity has high societal and economic impact, but current treatment approaches are sub-optimal. In the last decade important studies have been conducted aiming to identify strategies to prevent obesity during critical periods of life. Updated recommendations for childhood obesity prevention are needed.We present data from systematic reviews and meta- analysis, RCTs and large observational studies, published from 2011 onwards, that consider the possible role of the following f...
1 CitationsSource
#1Tan Liu (PKU: Peking University)
#2Xiao Su (PKU: Peking University)
Last. Wenli Zhu (PKU: Peking University)
view all 6 authors...
BACKGROUND This study aimed to develop and validate the Food and Nutrition Literacy Questionnaire for Chinese School-age Children (FNLQ-SC). METHODS A comprehensive literature review and qualitative study were initially performed to identify the dimensions and core components of food and nutrition literacy. A cross-sectional survey of 4359 school-age children was conducted, and junior middle school students were used to analyze the reliability and validity of the questionnaire (n = 2452). The re...
Source
#1Reah Chiong (LBSU: California State University, Long Beach)
#2Virginia Gray (LBSU: California State University, Long Beach)H-Index: 6
Last. Roudi Nazarinia Roy (LBSU: California State University, Long Beach)H-Index: 3
view all 3 authors...
Family-based nutrition programs have been used to support healthy eating; however, few programs emphasize parental roles in regard to food. The purpose of this study was to develop and test a family-based curriculum with a parenting focus aimed at influencing child obesity risk. Qualitative data in the pilot implementation (cohort 1, n = 6 families with elementary-aged children) suggested parent value for: positive messages, hands-on learning, and group sharing. However, Family Nutrition and Phy...
Source
#1Jeanette Rapson (Massey University)H-Index: 1
#2Cathryn A. Conlon (Massey University)H-Index: 17
Last. Ajmol Ali (Massey University)H-Index: 23
view all 3 authors...
Caregivers’ nutrition and physical activity knowledge is recognised as being important for children’s health and body size. Identifying knowledge gaps amongst caregivers may inform professional development and obesity-prevention strategies in childcare settings. This cross-sectional validated online questionnaire aimed to measure current early childhood education and care (ECEC) teachers’ nutrition knowledge for pre-schoolers (2–5-year-olds) and related perspectives. Teachers’ (n = 386) knowledg...
2 CitationsSource
#1Faris M. Zuraikat (PSU: Pennsylvania State University)H-Index: 10
#2Alissa D. Smethers (PSU: Pennsylvania State University)H-Index: 6
Last. Barbara J. Rolls (PSU: Pennsylvania State University)H-Index: 109
view all 3 authors...
Source
#1N.M. de Vlieger (University of Newcastle)H-Index: 2
#2M. Weltert (University of Newcastle)H-Index: 1
Last. Tamara Bucher (University of Newcastle)H-Index: 17
view all 12 authors...
Abstract To reduce errors in portion size estimation, a number of aids have been developed and tested. This systematic review synthesizes what is known about error associated with use of different portion size estimation aids (PSEAs) within self-reported dietary recall studies in children (aged ≤18 years). Eight electronic databases were searched using relevant keywords. From 8184 records identified and screened, 327 full texts were retrieved, with 10 records representing 9 studies meeting inclu...
3 CitationsSource
#1Alice Porter (UoB: University of Bristol)H-Index: 2
#2Ruth R Kipping (UoB: University of Bristol)H-Index: 22
Last. Laura Johnson (UoB: University of Bristol)H-Index: 25
view all 5 authors...
Large portion sizes of food can lead to excessive energy intake and weight gain in young children. Although portion size guidance is available, parents are often unaware it exists. Our systematic grey literature review aimed to identify the portion size guidance resources in the United Kingdom and Ireland, aimed at users (e.g., parents and childcare providers) responsible for feeding preschool-aged children. We describe who the resources are aimed at, how they are informed and whether the recomm...
Source
#1Junilla K. Larsen (Radboud University Nijmegen)H-Index: 28
#2Desi Beckers (Radboud University Nijmegen)H-Index: 1
Last. Jennifer O. Fisher (TU: Temple University)H-Index: 61
view all 4 authors...
Food parenting practices refer to food-specific, goal-oriented, discrete, and observable acts of parenting, which play an important role in the development of children's dietary behavior and Body Mass Index (BMI). During the past decade, experimental and intervention studies have improved our knowledge of the influence of food parenting practices on the development of children’s healthy dietary intake, including fruit and vegetable (F&V) intakes. However, less is known about whether and how food...
2 CitationsSource