Slyper Arnold, Shenker Joelle, Israel Ariel
Pediatric Endocrinology, Clalit Health Services, Jerusalem, Israel.
Department of Pediatrics, Clalit Health Services, Jerusalem, Israel.
Diabetes Metab Syndr Obes. 2021 Jan 8;14:59-66. doi: 10.2147/DMSO.S286291. eCollection 2021.
The aim of this study was to investigate the hypothesis that obesity in Israeli children is associated with chronically increased hunger and to examine for persistent abnormalities of satiation and between-meal satiety in these children.
SUBJECTS/METHODS: The parents of 200 children with obesity and 100 normal-weight children completed a questionnaire together with their child that rated hunger, food intake at main meal, and speed of eating. Time to hunger from the main meal was also recorded. Children with hunger ratings above 4 on a 7-point scale were considered to have persistent hunger. Food intake ratings at the main meal were used as an approximate indicator of satiation and time from main meal to feeling hunger as an approximate indicator of between-meal satiety.
There were marked differences between children with obesity and controls for hunger, food intake at main meal and speed of eating ratings (all p<0.001). The difference to time to hunger reached significance after adjusting for age and sex (p=0.048). 41% of the children with obesity had the highest rating for persistent hunger versus 5% of controls (p<0.001).
Persistent hunger, abnormal food intake at the main meal and rapid eating are common in children with obesity and are often of marked degree. These findings could have implications for understanding how pediatric obesity perpetuates itself and even worsens and its resistance to successful treatment over the long term.
本研究旨在调查以色列儿童肥胖与长期饥饿增加相关这一假说，并检查这些儿童饱腹感和餐间饱腹感是否存在持续异常。
受试者/方法：200名肥胖儿童和100名体重正常儿童的家长与孩子一起完成了一份问卷，问卷对饥饿感、正餐食物摄入量和进食速度进行评分。还记录了从正餐到感到饥饿的时间。饥饿评分在7分制中高于4分的儿童被认为有持续饥饿感。正餐时的食物摄入量评分被用作饱腹感的近似指标，从正餐到感到饥饿的时间被用作餐间饱腹感的近似指标。
肥胖儿童与对照组在饥饿感、正餐食物摄入量和进食速度评分方面存在显著差异（所有p<0.001）。在调整年龄和性别后，到饥饿的时间差异具有统计学意义（p=0.048）。41%的肥胖儿童有持续饥饿的最高评分，而对照组为5%（p<0.001）。
持续饥饿、正餐时异常的食物摄入量和快速进食在肥胖儿童中很常见，且往往程度明显。这些发现可能有助于理解儿童肥胖如何自我延续甚至恶化，以及其长期对成功治疗的抵抗性。
