Abstract
The aim of this study was twofold: a) to examine the association between eating frequency
and body composition in children, and b) to identify possible factors that may explain
this relationship. Body composition (anthropometry) and dietary intake (3-day food
records) were assessed in a cohort of 151 children. After excluding the underreporters
(n = 20), data from 131 children (66 boys and 65 girls) aged 9.9 ± 0.1 yr with a BMI
of 19.6 ± 0.4 kg/m2 (means ± se) were used for further analysis. Children were categorized in tertiles
based on the daily number of eating episodes. Physical activity was assessed in a
subgroup of 48 volunteers with 4-day accelerometry (RT3, Stayhealthy Inc., Monrovia,
CA, USA). The number of eating episodes was inversely associated (p < 0.05) with the
sum of skinfolds (r = - 0.17) and % body fat (r = - 0.18) after controlling for age
and sex. Frequent eaters presented lower total (p < 0.05) and central adiposity (p
< 0.01) compared with the infrequent ones. This was despite the fact that energy intake
was higher for the frequent eaters (2077.0 ± 64.3 vs. 1813.0 ± 37.8 kcals/day for
the frequent and the infrequent eaters, respectively, p < 0.05). Actually, frequent
eaters devoted more time to physical activity than infrequent ones (624.7 ± 13.5 vs.
559.2 ± 23.1 min/day, p < 0.05). In conclusion, high eating frequency was associated
with more favorable body composition in this cohort of school children. Increased
energy expenditure due to physical activity may, at least in part, explain the favorable
body composition of children who eat frequently.
Key words
Eating frequency - childhood obesity - physical activity
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Ph.D. Labros S. Sidossis Associate Professor and Director
Laboratory of Nutrition and Clinical Dietetics
Department of Nutrition and Dietetics
Harokopio University
El. Venizelou 70
Athens 17671
Greece
Telefon: + 30 21 09 54 91 54
Fax: + 30 21 09 54 91 41
eMail: lsidossis@hua.gr