Skip to main content
Top
Published in: Journal of Community Health 5/2019

01-10-2019 | Original Paper

Eating in the Absence of Hunger and Obesity Among Adolescents in Santiago, Chile

Authors: E. Blanco, M. Reyes, R. Burrows, S. Gahagan

Published in: Journal of Community Health | Issue 5/2019

Login to get access

Abstract

In reports among mostly, US, white, preschool and young school-age children eating in the absence of hunger (EAH) has been positively related to adiposity, with some support for a sex-specific relationship. There is considerable interest in EAH and obesity in populations at risk for obesity—like populations of countries that have undergone rapid development. We assessed adolescents (n = 679) after an overnight fast with anthropometry and an EAH paradigm beginning with an ad lib pre-load meal. Participants reported satisfaction and perceived ability to eat more food, and then proceeded to a room with freely available snacks where they were permitted to eat ad lib for 20 min. Adolescents were 16.8 years old, 52% male, and 14% with obesity. Median preload meal kcal consumption was 602 (IQR 474–746). Additional calories were consumed at the EAH snack by 47.6%. Among those who ate snack, 155 additional calories were consumed (IQR 78–283). Adolescents with obesity had 0.61 (95% CI 0.37–0.99) reduced odds of eating at the EAH snack adolescents without obesity. Adolescents with obesity were also less likely to eat above the median total calories compared to adolescents without obesity (OR = 0.59, 95% CI 0.36–0.96). A sex by obesity interaction term was not significant in any model. Obesity was related to eating behavior in our sample of Chilean adolescents, however not in the direction we hypothesized. Adolescents with obesity were less likely to eat additional calories in the EAH paradigm and ate fewer total calories compared to adolescents without obesity.
Appendix
Available only for authorised users
Literature
11.
12.
go back to reference Frankort, A., Roefs, A., Siep, N., Roebroeck, A., Havermans, R., & Jansen, A. (2012). Reward activity in satiated overweight women is decreased during unbiased viewing but increased when imagining taste: An event-related fMRI study. International Journal of Obesity, 36(5), 627–637. https://doi.org/10.1038/ijo.2011.213.CrossRefPubMed Frankort, A., Roefs, A., Siep, N., Roebroeck, A., Havermans, R., & Jansen, A. (2012). Reward activity in satiated overweight women is decreased during unbiased viewing but increased when imagining taste: An event-related fMRI study. International Journal of Obesity, 36(5), 627–637. https://​doi.​org/​10.​1038/​ijo.​2011.​213.CrossRefPubMed
17.
go back to reference Ho-Urriola, J., Guzmán-Guzmán, I. P., Smalley, S. V., González, A., Weisstaub, G., Domínguez-Vásquez, P., Valladares, M., Amador, P., Hodgson, M. I., Obregón, A. M., & Santos, J. L. (2014). Melanocortin-4 receptor polymorphism rs17782313: Association with obesity and eating in the absence of hunger in Chilean children. Nutrition, 30(2), 145–149. https://doi.org/10.1016/j.nut.2013.05.030.CrossRefPubMed Ho-Urriola, J., Guzmán-Guzmán, I. P., Smalley, S. V., González, A., Weisstaub, G., Domínguez-Vásquez, P., Valladares, M., Amador, P., Hodgson, M. I., Obregón, A. M., & Santos, J. L. (2014). Melanocortin-4 receptor polymorphism rs17782313: Association with obesity and eating in the absence of hunger in Chilean children. Nutrition, 30(2), 145–149. https://​doi.​org/​10.​1016/​j.​nut.​2013.​05.​030.CrossRefPubMed
19.
go back to reference Kelly, N. R., Shomaker, L. B., Pickworth, C. K., Brady, S. M., Courville, A. B., Bernstein, S., Schvey, N. A., Demidowich, A. P., Galescu, O., Yanovskim, S. Z., Yanovski, J. A. (2015). A prospective study of adolescent eating in the absence of hunger and body mass and fat mass outcomes. Obesity (Silver Spring, Md.), 23(7), 1472–1478. https://doi.org/10.1002/oby.21110.CrossRef Kelly, N. R., Shomaker, L. B., Pickworth, C. K., Brady, S. M., Courville, A. B., Bernstein, S., Schvey, N. A., Demidowich, A. P., Galescu, O., Yanovskim, S. Z., Yanovski, J. A. (2015). A prospective study of adolescent eating in the absence of hunger and body mass and fat mass outcomes. Obesity (Silver Spring, Md.), 23(7), 1472–1478. https://​doi.​org/​10.​1002/​oby.​21110.CrossRef
25.
go back to reference Lozoff, B., De Andraca, I., Castillo, M., Smith, J. B., Walter, T., & Pino, P. (2003). Behavioral and developmental effects of preventing iron-deficiency anemia in healthy full-term infants. Pediatrics, 112(4), 846–854.PubMed Lozoff, B., De Andraca, I., Castillo, M., Smith, J. B., Walter, T., & Pino, P. (2003). Behavioral and developmental effects of preventing iron-deficiency anemia in healthy full-term infants. Pediatrics, 112(4), 846–854.PubMed
30.
go back to reference Roncagliolo, M., Garrido, M., Walter, T., Peirano, P., & Lozoff, B. (1998). Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 mo: delayed maturation of auditory brainstem responses. The American Journal of Clinical Nutrition, 68(3), 683–690.CrossRef Roncagliolo, M., Garrido, M., Walter, T., Peirano, P., & Lozoff, B. (1998). Evidence of altered central nervous system development in infants with iron deficiency anemia at 6 mo: delayed maturation of auditory brainstem responses. The American Journal of Clinical Nutrition, 68(3), 683–690.CrossRef
32.
go back to reference Shomaker, L. B., Tanofsky-Kraff, M., Zocca, J. M., Courville, A., Kozlosky, M., Columbo, K. M., Wolkoff, L. E., Brady, S. M., Crocker, M. K., Ali, A. H., Yanovski, J. A. (2010). Eating in the absence of hunger in adolescents: intake after a large-array meal compared with that after a standardized meal. The American Journal of Clinical Nutrition, 92(4), 697–703. https://doi.org/10.3945/ajcn.2010.29812.CrossRefPubMedPubMedCentral Shomaker, L. B., Tanofsky-Kraff, M., Zocca, J. M., Courville, A., Kozlosky, M., Columbo, K. M., Wolkoff, L. E., Brady, S. M., Crocker, M. K., Ali, A. H., Yanovski, J. A. (2010). Eating in the absence of hunger in adolescents: intake after a large-array meal compared with that after a standardized meal. The American Journal of Clinical Nutrition, 92(4), 697–703. https://​doi.​org/​10.​3945/​ajcn.​2010.​29812.CrossRefPubMedPubMedCentral
Metadata
Title
Eating in the Absence of Hunger and Obesity Among Adolescents in Santiago, Chile
Authors
E. Blanco
M. Reyes
R. Burrows
S. Gahagan
Publication date
01-10-2019
Publisher
Springer US
Published in
Journal of Community Health / Issue 5/2019
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-018-00608-3

Other articles of this Issue 5/2019

Journal of Community Health 5/2019 Go to the issue