Department of Maternal and Child Health, School of Public Health, Sun Yat-Sen University, Guangdong, People's Republic of China.
Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing, People's Republic of China.
Sci Rep. 2018 Sep 25;8(1):14362. doi: 10.1038/s41598-018-32498-9.
Eating faster is related to more energy intake, but less is known about the relationships between children's eating speed, food intake and adiposity, especially in high school children. This study aimed to investigate the associations of eating speed with general and abdominal obesity among Chinese children basing on a national survey. A total of 50,037 children aged 7-17 years were enrolled from 7 provinces in China in 2013. Anthropometric indices were objectively measured. Data on eating speed were collected by questionnaires. Increasing trends across the slow, medium, and fast eating speed group were observed in the prevalence of general obesity (7.2%, 10.0% and 15.9%), abdominal obesity (16.1%, 21.8%, and 29.4%) and waist-to-height ratio (WHtR) ≥ 0.5 (11.1%, 14.8%, and 22.0%). Compared with medium eating speed, fast eating speed was positively associated with obesity, abdominal obesity, and WHtR ≥ 0.5 (odds ratios [ORs]: 1.511.61), while slow eating speed was negatively associated with these outcomes (ORs: 0.650.75). Increased trends of consumption of fruits, meat/meat conducts, sugar-sweetened beverages, fried food, and fast food were observed in pace with increasing eating speed (P < 0.05). Our findings suggest that eating speed is positively associated with childhood general and abdominal obesity, which may be an important, modifiable factor to prevent childhood obesity.
进食速度较快与能量摄入增加有关,但儿童进食速度与食物摄入量和肥胖之间的关系知之甚少,尤其是在高中生中。本研究旨在基于全国性调查,探讨中国儿童进食速度与一般和腹部肥胖的关系。2013 年,在中国 7 个省份共招募了 50037 名 7-17 岁的儿童。采用客观方法测量人体测量指标。通过问卷调查收集儿童进食速度的数据。研究观察到,随着进食速度由慢到中再到快,一般肥胖(7.2%、10.0%和 15.9%)、腹部肥胖(16.1%、21.8%和 29.4%)和腰高比(WHtR)≥0.5(11.1%、14.8%和 22.0%)的流行率呈上升趋势。与中等进食速度相比,快速进食速度与肥胖、腹部肥胖和 WHtR≥0.5 呈正相关(比值比 [OR]:1.511.61),而慢速进食速度与这些结果呈负相关(OR:0.650.75)。随着进食速度的加快,水果、肉类/肉类制品、含糖饮料、油炸食品和快餐的摄入量也呈增加趋势(P<0.05)。研究结果表明,进食速度与儿童一般和腹部肥胖呈正相关,这可能是预防儿童肥胖的一个重要且可改变的因素。