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Reducing the energy density of multiple meals decreases the energy intake of preschool-age children1,2,3

journal contribution
posted on 2008-12-01, 00:00 authored by K Leahy, L Birch, B Rolls
Background: The energy density (ED) of an entrée affects children's energy intake at a meal consumed ad libitum. However, the effects in children of changing the ED of meals over multiple days are unknown.

Objective:
We aimed to test the effect of reducing the ED of multiple meals on the ad libitum energy intake of preschool-age children over 2 d.

Design: In this crossover study, 3- to 5-y-old children (n = 10 boys, 16 girls) were served manipulated breakfasts, lunches, and afternoon snacks 2 d/wk for 2 wk. Foods and beverages served at these meals during 1 wk were lower in ED than were those served during the other week. ED reductions were achieved by decreasing fat and sugar and by increasing fruit and vegetables. Dinner and an evening snack were sent home with children, but these meals did not vary in ED. The same 2-d menu was served in both conditions.

Results:
Children consumed a consistent weight of foods and beverages over 2 d in both conditions, and therefore their energy consumption declined by 389 ± 72 kcal (14%) in the lower-ED condition, a significant decrease (P < 0.0001). Differences in energy intake were significant at breakfast on day 1, and they accumulated at manipulated meals over 2 d (P < 0.01). Intake of the nonmanipulated meals was similar between conditions.

Conclusions:
Children's energy intake is influenced by the ED of foods and beverages served over multiple days. These results strengthen the evidence that reducing the ED of the diet is an effective strategy for moderating children's energy intake.

History

Journal

American journal of clinical nutrition

Volume

88

Issue

6

Pagination

1459 - 1468

Publisher

American Society for Nutrition

Location

New York, N.Y.

ISSN

0002-9165

eISSN

1938-3207

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2008, American Society for Nutrition