Myles S Faith1, Lisa K Diewald2, Samantha Crabbe3, Brenda Burgess4, Robert I Berkowitz5,6. 1. Department of Counseling, School and Educational Psychology, Graduate School of Education, University at Buffalo, State University of New York, Buffalo, New York, USA. 2. M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, USA. 3. Center for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. 4. Department of Family Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA. 5. Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA. 6. Departments of Psychiatry and Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Abstract
OBJECTIVE: Rapid eating is a risk factor for childhood obesity but has not been a focus of intervention with young children. The short-term effects of a novel family-based treatment, "Reduced Eating Pace" (RePace), were tested on child eating speed and secondary outcomes. METHODS:Twenty-eight rapid eating children were randomized to RePace (n = 14) or Delayed Usual Care Control (DUC) (n = 14). RePace taught families a slower eating pace using psychoeducational and behavioral techniques, including silent vibrating devices that prompted 30-second "turtle bites." Outcomes included child "slowness in eating" assessed by parent-report questionnaire and observed eating in the laboratory (i.e., mouthfuls/minute and kilocalories/minute). Child BMI and other eating variables were secondary outcomes. RESULTS: Children in RePace compared with DUC showed increased "slowness in eating" (P < 0.001), increased food enjoyment (P = 0.04), and less BMI gain (P = 0.02) after 8 weeks. There was no treatment effect for observed eating speed, although typicality of the laboratory test meal was an effect modifier in exploratory analyses. Specifically, RePace versus DUC showed attenuated increases in mouthfuls per minute over time among youth for whom the laboratory food amount was more typical of amounts served at home. CONCLUSIONS: Slower eating may be a novel target for family-based obesity prevention targeting high-risk children.
RCT Entities:
OBJECTIVE: Rapid eating is a risk factor for childhood obesity but has not been a focus of intervention with young children. The short-term effects of a novel family-based treatment, "Reduced Eating Pace" (RePace), were tested on child eating speed and secondary outcomes. METHODS: Twenty-eight rapid eating children were randomized to RePace (n = 14) or Delayed Usual Care Control (DUC) (n = 14). RePace taught families a slower eating pace using psychoeducational and behavioral techniques, including silent vibrating devices that prompted 30-second "turtle bites." Outcomes included child "slowness in eating" assessed by parent-report questionnaire and observed eating in the laboratory (i.e., mouthfuls/minute and kilocalories/minute). Child BMI and other eating variables were secondary outcomes. RESULTS:Children in RePace compared with DUC showed increased "slowness in eating" (P < 0.001), increased food enjoyment (P = 0.04), and less BMI gain (P = 0.02) after 8 weeks. There was no treatment effect for observed eating speed, although typicality of the laboratory test meal was an effect modifier in exploratory analyses. Specifically, RePace versus DUC showed attenuated increases in mouthfuls per minute over time among youth for whom the laboratory food amount was more typical of amounts served at home. CONCLUSIONS: Slower eating may be a novel target for family-based obesity prevention targeting high-risk children.
Authors: Anna Fogel; Keri McCrickerd; Izzuddin M Aris; Ai Ting Goh; Yap-Seng Chong; Kok Hian Tan; Fabian Yap; Lynette P Shek; Michael J Meaney; Birit F P Broekman; Keith M Godfrey; Mary F F Chong; Shirong Cai; Wei Wei Pang; Wen Lun Yuan; Yung Seng Lee; Ciarán G Forde Journal: Am J Clin Nutr Date: 2020-05-01 Impact factor: 7.045
Authors: Lauren A Fowler; Anne Claire Grammer; Amanda E Staiano; Ellen E Fitzsimmons-Craft; Ling Chen; Lauren H Yaeger; Denise E Wilfley Journal: Int J Obes (Lond) Date: 2021-02-24 Impact factor: 5.095