Webber L, Hill C, Saxton J, Van Jaarsveld C H M, Wardle J
Department of Epidemiology and Public Health, University College London, Cancer Research UK Health Behaviour Research Centre, 2-16 Torrington Place, Gower Street, London, UK.
Int J Obes (Lond). 2009 Jan;33(1):21-8. doi: 10.1038/ijo.2008.219. Epub 2008 Nov 11.
To test the hypothesis that quantitative variation in eating behaviour traits shows a graded association with weight in children.
Cross-sectional design in a community setting.
Data were from 406 families participating in the Physical Exercise and Appetite in CHildren Study (PEACHES) or the Twins Early Development Study (TEDS). Children were aged 7-9 years (PEACHES) and 9-12 years (TEDS).
Weights and heights were measured by researchers. Body mass index (BMI) s.d. scores were used to categorize participants into underweight, healthy weight, overweight and obese groups, with an additional division of the healthy weight group into higher and lower healthy weight at the 50th centile. Eating behaviour traits were assessed with the Child Eating Behaviour Questionnaire (CEBQ), completed by the parents on behalf of their child. Linear trend analyses compared CEBQ subscale scores across the five weight groups.
Satiety Responsiveness/Slowness in Eating and Food Fussiness showed a graded negative association with weight, whereas Food Responsiveness, Enjoyment of Food, Emotional Overeating and Desire to Drink were positively associated. All effects were maintained after controlling for age, sex, ethnicity, parental education and sample. There was no systematic association with weight for Emotional Undereating.
These results support the idea that approach-related and avoidance-related appetitive traits are systematically (and oppositely) related to adiposity, and not exclusively associated with obesity. Early assessment of these traits could be used as indicators of susceptibility to weight gain.
检验饮食行为特征的定量变化与儿童体重呈分级关联这一假设。
社区环境中的横断面设计。
数据来自参与儿童体育锻炼与食欲研究（PEACHES）或双生子早期发育研究（TEDS）的406个家庭。儿童年龄为7至9岁（PEACHES）和9至12岁（TEDS）。
研究人员测量体重和身高。体重指数（BMI）标准差分数用于将参与者分为体重过轻、健康体重、超重和肥胖组，健康体重组在第50百分位数处进一步分为较高和较低健康体重。饮食行为特征通过儿童饮食行为问卷（CEBQ）进行评估，由父母代表孩子完成。线性趋势分析比较了五个体重组的CEBQ分量表分数。
饱腹感反应/进食缓慢和食物挑剔与体重呈分级负相关，而食物反应性、食物享受、情绪性暴饮暴食和饮水欲望呈正相关。在控制年龄、性别、种族、父母教育程度和样本后，所有效应均得以维持。情绪性进食不足与体重无系统性关联。
这些结果支持这样一种观点，即与趋近相关和与回避相关的食欲特征与肥胖存在系统性（且相反）的关联，并非仅与肥胖相关。对这些特征的早期评估可作为体重增加易感性的指标。
