Bellisle F, Rolland-Cachera M F, Deheeger M, Guilloud-Bataille M
Laboratoire de Neurobiologie de la Nutrition, Université Paris, France.
Appetite. 1988 Oct;11(2):111-8. doi: 10.1016/s0195-6663(88)80010-2.
Food intake was studied in 339 French children, aged 7-12 years. Daily energy consumption and distribution of intake over the waking hours estimated from dietary histories were compared in children of five corpulence categories. The categories (lean, slim, average, fat, obese) were defined on the basis of the weight/height2 index. No difference in estimated daily energy intake was observed between corpulence groups; however, the reported distribution of intake over the waking hours varied. Obese and fat children ate less at breakfast and more at dinner than leaner peers. The traditionally larger meals of the day (lunch and dinner) represented higher proportions of daily intake in fat and obese children; the energy value of breakfast and afternoon snack was inversely related to corpulence. Although these effects do not rule out hyperphagia or increased 'externality' in some overweight subjects, the results suggest a possible contribution of disturbed metabolic and/or behavioral daily cycles in the development of overweight. This hypothesis, which should be investigated further, suggests prevention strategies.
对339名7至12岁的法国儿童的食物摄入量进行了研究。根据饮食史估计了五个肥胖类别儿童的每日能量消耗以及清醒时间内摄入量的分布情况。这些类别（瘦、苗条、平均、胖、肥胖）是根据体重/身高²指数定义的。在肥胖组之间未观察到估计的每日能量摄入量有差异；然而，据报告的清醒时间内摄入量分布有所不同。肥胖和较胖的儿童早餐吃得比瘦一些的同龄人少，晚餐吃得更多。一天中传统上较大的餐食（午餐和晚餐）在肥胖和较胖儿童的每日摄入量中占比更高；早餐和下午点心的能量值与肥胖程度呈负相关。尽管这些影响不能排除某些超重受试者存在摄食过多或“外部性”增加的情况，但结果表明代谢和/或行为日常周期紊乱可能在超重的发展中起作用。这一假说应进一步研究，它提示了预防策略。
