Research: current researchChildren’s meal patterns have changed over a 21-year period: the Bogalusa heart study
Section snippets
Population
Children attending the fifth grade (age 10 years) in the Bogalusa, LA, school system were targeted for study during each of seven cross-sectional surveys from 1973 to 1994. Sample sizes and mean age of children by ethnicity (white and African American), gender, and survey year are shown in Table 1. Varying proportions of children were randomly selected for dietary interview during each cross-sectional survey: 1973–1974 (year 1), 50%; 1976–1977 (year 4), 50%; 1978–1979 (year 6), 75%; 1981–1982
Meal patterns
From 1973 to 1979, no school breakfast program was offered in the Bogalusa elementary schools. During that time, the percentage of children consuming a home breakfast significantly decreased from 86% (1973–1974) to 68% (1978–1979) (P<.05) (Figure 1). This decrease was significant for males (P<.001), females (P<.01), whites (P<.001), and African Americans (P<.001). Concomitant with this trend, there was a dramatic increase in the percentage of children skipping breakfast from 8% (1973–1974) to
Discussion
Dietary intakes of children have changed in the past three decades 42, 43, 44, 45. Specific to the 10-year-olds in Bogalusa, the percentage of energy from fat decreased and the percentage from protein and carbohydrate increased (42). Despite the shift toward a healthier diet, total energy intake remained the same (42), or in some cases increased (43). These nutrient intake trends among children are counterintuitive to what one would expect with the increasing prevalence of childhood obesity 46,
Conclusions
Meal patterns have been implicated in obesity, nutrient utilization, and a number of physiologic changes. The majority of the studies related to meal patterns and physiologic outcomes has been conducted with adults. Additional studies are needed to document meal patterns of children and the associations with childhood obesity.
Children’s meal patterns have changed much over a 2-decade period. Consumption of school lunch and snacks decreased and the number of dinners consumed outside the home
Acknowledgements
This research was supported by the National Institutes of Health, Evolution of Cardiovascular Risk with Normal Aging, National Institute on Aging (AG16592) and the United States Department of Agriculture, Economic Research Service Cooperative Agreement No. 43-3AEM-0-80071. Partial support was received from the Kellogg’s Company, MARS, Inc, and the Sugar Association. This work is a product of the United States Department of Agriculture, Agricultural Research Service (USDA/ARS), Children’s
T. A. Nicklas is a professor of pediatrics, Baylor College of Medicine, Children’s Nutrition Research Center, Houston, TX.
References (73)
- et al.
The frequency of mealsits relation to overweight, hypercholesterolaemia, and decreased glucose tolerance
Lancet
(1964) - et al.
The relationship between frequency of eating and adiposity in adult men and women in the Tecumseh Community Health Study
Am J Clin Nutr
(1977) - et al.
Meal-taking behavior is related to predisposition to dietary obesity in the rat
Physiol Behav
(1984) - et al.
Increased meal frequency associated with decreased cholesterol concentrationsRancho Bernardo, CA, 1984–1987
Am J Clin Nutr
(1992) - et al.
Effect of nibbling versus gorging on serum lipids in man
Am J Clin Nutr
(1963) Meal-eating, nibbling and body metabolism
J Am Diet Assoc
(1961)- et al.
Effect of isoenergetic intake of three or nine meals on plasma lipoproteins and glucose metabolism
Am J Clin Nutr
(1993) - et al.
Meal-frequency effects on plasma hormone concentrations and cholesterol synthesis in humans
Am J Clin Nutr
(1993) - et al.
Significant increase in young adults’ snacking between 1977–1978 and 1994–1996 represents a cause for concern!
Prev Med
(2001) - et al.
The increasing prevalence of snacking among US children from 1977 to 1996
J Pediatr
(2001)
Patterns of interrelations among health-promotion behaviors
Am J Prev Med
Breakfast consumption affects adequacy of total daily intake in children
J Am Diet Assoc
Meal pattern and nutrient intake among adult Finns
Appetite
Relationship between snack and meal consumption
Nutr Res
Adolescents’ eating patterns influence their nutrient intakes
J Am Diet Assoc
Adapting the 24-hr. recall for epidemiologic studies of school children
J Am Diet Assoc
School lunch assessment to improve accuracy of 24-hour dietary recall for children
J Am Diet Assoc
Effect of interviewer recording practices on nutrient intake—Bogalusa Heart Study
J Am Diet Assoc
The National Evaluation of School Nutrition Programsfactors affecting student participation
Am J Clin Nutr
Effect of a la carte and snack bar foods at school on children’s lunchtime intake of fruits and vegetables
J Am Diet Assoc
Variables affecting high school students’ perceptions of school foodservice
J Am Diet Assoc
Children’s patterns of macronutrient intake and associations with restaurant and home eating
J Am Diet Assoc
Trends in food locations and sources among adolescents and young adults
Prev Med
Snack patterns of older Europeans
J Am Diet Assoc
The obesity epidemicChallenges and opportunities
J Am Diet Assoc
Obesity studies in Bogalusa
Am J Med Sci
The predictive value of childhood body mass index values for overweight at age 35 y
Am J Clin Nutr
Transitions of cardiovascular risk from adolescence to young adulthood—The Bogalusa Heart Study: II. Alterations in anthropometric blood pressure and serum lipoprotein variables
J Chron Dis
Eating patterns and obesity in children. The Bogalusa Heart Study
Am J Prev Med
Night eating and nocturnal—two different or similar syndromes among obese patients?
Int J Obes Relat Metab Disord
Acute appetite reduction associated with an increased frequency of eating in obese males
Int J Obes
Frequency of eating occasions and weight change in NHANES I Epidemiologic Follow-up Study
Int J Obes
Nibbling versus gorgingMetabolic advantages of increased meal frequency
New Engl J Med
The effect of varied periodicity of eating on serum lipids and carbohydrate tolerance in man
Am J Clin Nutr
The effects of altered frequency of eating on plasma lipids in free-living healthy males on normal self-selected diets
Eur J Clin Nutr
Meal frequency and plasma lipids and lipoproteins
Br J Nutr
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2020, Obesity MedicineCitation Excerpt :This present study provide insights into the influence of dietary pattern on obesity, and from the result, some food types such as rice, sugar, cordial drinks, evaporated milk, full cream milk, and anchovies showed significant association with obesity risk base on the p-values obtained. Various studies on dietary intake pattern have shown similar positive association of obesity with higher intake of carbohydrate-containing dietary (Mirmiran et al., 2015), greater protein intake (Pimpin et al., 2015), modern diet (high intakes of milk, fast foods and eggs) and traditional diet (high intakes of wheat, tubers and other cereals) (Zhang et al., 2015), even at this, the associations were reported to be inconsistent (Togo et al., 2001, 2004; Nicklas et al., 2004). The widely accepted theory is that obesity is a consequence of imbalance between energy intake and expenditure (Romieu et al., 2017), lifestyle changes and dietary consumption preferences which is believed to be shifting toward a westernized type of eating habit: Fast Food (FF) which is at its peak globally (Zhao et al., 2017) as they are very accessible, convenient and inexpensive (Coleman, 2019), in fact, fast food are presumed to be high in unhealthy fats and sugar that favors weight gain (Pan, 2012).
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2017, AppetiteCitation Excerpt :We also know little about how such naturalistic interactions around food relate to the self-report measures of maternal feeding and/or child eating that are hypothesized to associate to obesity risk (Domoff, Miller, Kaciroti, & Lumeng, 2015; Faith et al., 2004). Furthermore, despite the decrease in regular mealtimes (Nicklas et al., 2004) and increased snacking among children and adults (Jahns, Siega-Riz, & Popkin, 2001; Piernas & Popkin, 2010), research on how parents and children interact around food outside of meals has been limited. Frequent family mealtimes are promoted as an obesity prevention strategy, and parent-child feeding interactions during meals are the focus of significant research efforts (Fiese, Hammons, & Grigsby-Toussaint, 2012; Hammons & Fiese, 2011).
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T. A. Nicklas is a professor of pediatrics, Baylor College of Medicine, Children’s Nutrition Research Center, Houston, TX.
S.-J. Yang is a statistician, Baylor College of Medicine, Children’s Nutrition Research Center, Houston, TX.
T. Baranowski is a professor of pediatrics, Baylor College of Medicine, Children’s Nutrition Research Center, Houston, TX.
M. Morales is a statistical analyst, University of Houston-Downtown, Houston, TX.
A. Linares is a resident at Brooklyn Hospital, Brooklyn, NY; at the time of the study, she was a graduate student at the University of Texas, School of Public Health, Houston.
C. de Moor is an assistant professor at the University of Texas, School of Public Health, Houston.
G. Berenson is a professor, Tulane School of Public Health and Tropical Medicine, Center of Cardiovascular Health, New Orleans, LA.