Nichole R Kelly1,2, Lauren B Shomaker1,2, Courtney K Pickworth1, Sheila M Brady1, Amber B Courville3, Shanna Bernstein3, Natasha A Schvey1,4, Andrew P Demidowich1, Ovidiu Galescu1, Susan Z Yanovski1,5, Marian Tanofsky-Kraff1,4, Jack A Yanovski1. 1. Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Department of Health and Human Services (DHHS), 10 Center Drive, Bethesda, MD, 20892, USA. 2. Colorado State University, 303A Behavioral Sciences Building, Campus Delivery 1570, 410 Pitkin Street, Fort Collins, CO, 80523, USA. 3. Nutrition Department, Clinical Center, NIH, 10 Center Drive, Bethesda, MD, 20892, USA. 4. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Road, Bethesda, MD, 20814, USA. 5. Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, DHHS, 10 Center Drive, Bethesda, MD, 20892, USA.
Abstract
OBJECTIVE: Eating in the absence of hunger (EAH) refers to the consumption of palatable foods in a sated state. It has been proposed that EAH promotes excess weight gain in youth; yet there are limited prospective data to support this hypothesis. We examined whether EAH at baseline predicted increases in body mass (BMI and BMIz) and fat mass (kg) 1 year later among adolescent boys and girls. METHODS: EAH was assessed as adolescents' consumption of palatable snack foods following eating to satiety from an ad libitum lunch buffet. Parents also completed a questionnaire about their children's EAH. Body composition was assessed using air displacement plethysmography. RESULTS: Of 196 adolescents assessed for EAH at baseline, 163 (83%) were re-evaluated 1 year later. Accounting for covariates, which included respective baseline values for each dependent variable, race, height, age, sex, and pubertal stage, there were no significant associations between baseline observed or parent-reported EAH and change in adolescent BMI, BMIz, or fat mass. Results did not differ by sex, child weight status, or maternal weight status. CONCLUSIONS: No evidence was found to support the hypothesis that EAH is a unique endophenotype for adolescent weight or fat gain.
OBJECTIVE: Eating in the absence of hunger (EAH) refers to the consumption of palatable foods in a sated state. It has been proposed that EAH promotes excess weight gain in youth; yet there are limited prospective data to support this hypothesis. We examined whether EAH at baseline predicted increases in body mass (BMI and BMIz) and fat mass (kg) 1 year later among adolescent boys and girls. METHODS:EAH was assessed as adolescents' consumption of palatable snack foods following eating to satiety from an ad libitum lunch buffet. Parents also completed a questionnaire about their children's EAH. Body composition was assessed using air displacement plethysmography. RESULTS: Of 196 adolescents assessed for EAH at baseline, 163 (83%) were re-evaluated 1 year later. Accounting for covariates, which included respective baseline values for each dependent variable, race, height, age, sex, and pubertal stage, there were no significant associations between baseline observed or parent-reported EAH and change in adolescent BMI, BMIz, or fat mass. Results did not differ by sex, child weight status, or maternal weight status. CONCLUSIONS: No evidence was found to support the hypothesis that EAH is a unique endophenotype for adolescent weight or fat gain.
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