Panichsillaphakit Ekkarit, Chongpison Yuda, Saengpanit Puthita, Kwanbunbumpen Tanisa, Uaariyapanichkul Jaraspong, Chomtho Sirinuch, Pancharoen Chitsanu, Visuthranukul Chonnikant
Division of Nutrition, Department of Pediatrics, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok 10330, Thailand.
Center for Excellence in Biostatistics, Research Affairs, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
J Nutr Metab. 2021 Jan 15;2021:6496134. doi: 10.1155/2021/6496134. eCollection 2021.
Obesity is a major threat to public health. Eating behavior and dietary intake of especially high energy-dense food with low nutrients contribute to the current epidemic of childhood obesity. However, the relationship between eating behavior and body composition has yet to be examined in Thai children and adolescents with obesity. We assessed the association between children's eating behaviors and their body composition in prerandomized patients who participated in the randomized trial titled "Impact of Dietary Fiber as Prebiotics on Intestinal Microbiota in Obese Thai Children".
During the prerandomization process, a cross-sectional study was conducted. We recruited children and adolescents aged 7 to 15 years from Bangkok, Thailand. Eating behaviors were assessed by the Children's Eating Behavior Questionnaire (CEBQ), which is a parent or self-reported research instrument conducted by face-to-face interviews. Body mass index (BMI), BMI-for-age Z-score, waist and hip circumferences, and body compositions were assessed. Pearson's correlation coefficients were used to assess associations between the study variables.
Ninety-seven Thai children and adolescents with obesity participated in the study; 59 (61%) were male. Median [IQR] of age and BMI z-score were 10.5 [9.0, 12.2] years and 3.0 [2.6, 3.7], respectively. Subscale for Enjoyment of Food had the highest score. There were no associations between eating behaviors and BMI z-score. However, Emotional Overeating was associated with fat-free mass index (correlation coefficient = 0.24, =0.02) and girls with obesity had lower scores in "Slowness in Eating" compared to boys [mean 2.1 versus 1.8, 95% CI: (-0.06, -0.01), =0.04].
Among Thai children and adolescents with obesity, the difference in multidimensional eating behavior might be affected by fat-free mass. Additional study with a larger sample size needed to explore underlying mechanisms and findings can be used to develop future behavior modification program.
肥胖是对公众健康的重大威胁。饮食行为以及尤其是对高能量密度、低营养食物的膳食摄入，导致了当前儿童肥胖的流行。然而，在泰国肥胖儿童和青少年中，饮食行为与身体成分之间的关系尚未得到研究。我们在参与名为“膳食纤维作为益生元对泰国肥胖儿童肠道微生物群的影响”的随机试验的预随机分组患者中，评估了儿童饮食行为与其身体成分之间的关联。
在预随机分组过程中，进行了一项横断面研究。我们从泰国曼谷招募了7至15岁的儿童和青少年。饮食行为通过儿童饮食行为问卷（CEBQ）进行评估，这是一种通过面对面访谈由家长或自我报告的研究工具。评估了体重指数（BMI）、年龄别BMI Z评分、腰围和臀围以及身体成分。使用Pearson相关系数评估研究变量之间的关联。
97名泰国肥胖儿童和青少年参与了该研究；59名（61%）为男性。年龄和BMI Z评分的中位数[四分位间距]分别为10.5[9.0，12.2]岁和3.0[2.6，3.7]。食物享受分量表得分最高。饮食行为与BMI Z评分之间无关联。然而，情绪性暴饮暴食与去脂体重指数相关（相关系数 = 0.24，P = 0.02），与男孩相比，肥胖女孩在“进食缓慢”方面得分较低[均值2.1对1.8，95%置信区间：（-0.06，-0.01），P = 0.04]。
在泰国肥胖儿童和青少年中，多维饮食行为的差异可能受去脂体重影响。需要进行更大样本量的进一步研究以探索潜在机制，研究结果可用于制定未来的行为改变计划。
