PMID- 28632394
OWN - NLM
STAT- MEDLINE
DCOM- 20180529
LR  - 20181113
IS  - 2153-2176 (Electronic)
IS  - 2153-2168 (Print)
IS  - 2153-2168 (Linking)
VI  - 13
IP  - 5
DP  - 2017 Oct
TI  - Changes in Eating Behaviors of Children with Obesity in Response to 
      Carbohydrate-Modified and Portion-Controlled Diets.
PG  - 377-383
LID - 10.1089/chi.2017.0020 [doi]
AB  - OBJECTIVE: This study's objective was to determine whether two distinct 
      carbohydrate (CHO)-modified diets and a standard portion-controlled (PC) diet 
      differentially impacted children's eating behaviors and whether eating behavior 
      scores predicted lower BMI among children with obesity. METHODS: Children 
      (n = 102) aged 7-12 years with obesity were randomly assigned to a 12-month 
      intervention of a low-carbohydrate (LC), reduced glycemic load (RGL), or standard 
      PC diet. The Three-Factor Eating Questionnaire (TFEQ) was completed at baseline, 
      3, 6, and 12 months by parents to characterize their child's hunger (H), 
      disinhibition (D), and cognitive restraint (CR). Baseline and follow-up TFEQ 
      scores by diet were evaluated relative to BMI status over time. RESULTS: All diet 
      groups showed increased CR and decreased H and D from baseline to 3 months, with 
      differences from baseline remaining at 12 months for CR and H. Lower BMI status 
      during study follow-up was associated with different TFEQ scores by diet group 
      (LC and RGL: higher CR; PC: lower H), adjusting for sex, age, and race. Higher CR 
      at follow-up was predicted by race and higher baseline CR; only lower H at 
      baseline predicted lower H at follow-up. CONCLUSION: Eating behaviors improved 
      significantly with all diets during the initial 3 months; higher CR and lower H 
      were sustained at treatment's end. BMI outcomes were associated with different 
      eating behaviors in CHO-modified diet groups compared with PC diets. Targeting 
      diets of children with obesity with specific baseline characteristics may lead to 
      improved outcomes.
FAU - Kirk, Shelley
AU  - Kirk S
AD  - 1 The Center for Better Health and Nutrition, The Heart Institute , Cincinnati 
      Children's Hospital Medical Center, Cincinnati, OH.
FAU - Woo, Jessica G
AU  - Woo JG
AD  - 2 Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital 
      Medical Center , Cincinnati, OH.
FAU - Brehm, Bonnie
AU  - Brehm B
AD  - 3 College of Nursing, University of Cincinnati , Cincinnati, OH.
FAU - Daniels, Stephen R
AU  - Daniels SR
AD  - 4 University of Colorado School of Medicine, The Children's Hospital Colorado, 
      Aurora, CO.
FAU - Saelens, Brian E
AU  - Saelens BE
AD  - 5 Center for Child Health, Behavior and Development, Seattle Children's Research 
      Institute, University of Washington , Seattle, WA.
LA  - eng
GR  - P30 DK048520/DK/NIDDK NIH HHS/United States
GR  - P30 DK078392/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20170620
PL  - United States
TA  - Child Obes
JT  - Childhood obesity (Print)
JID - 101542497
SB  - IM
MH  - Body Mass Index
MH  - Child
MH  - *Diet, Carbohydrate-Restricted
MH  - Diet, Reducing
MH  - Eating/psychology
MH  - Feeding Behavior/*physiology/*psychology
MH  - Female
MH  - Glycemic Load
MH  - Humans
MH  - Male
MH  - Pediatric Obesity/*diet therapy/psychology
MH  - Portion Size/*psychology
MH  - Self-Control/psychology
MH  - Surveys and Questionnaires
MH  - Weight Loss
PMC - PMC5647499
OTO - NOTNLM
OT  - dietary intake
OT  - eating behaviors
OT  - pediatric obesity
OT  - weight management
COIS- No competing financial interests exist.
EDAT- 2017/06/21 06:00
MHDA- 2018/05/31 06:00
PMCR- 2018/09/01
CRDT- 2017/06/21 06:00
PHST- 2017/06/21 06:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
PHST- 2017/06/21 06:00 [entrez]
PHST- 2018/09/01 00:00 [pmc-release]
AID - 10.1089/chi.2017.0020 [pii]
AID - 10.1089/chi.2017.0020 [doi]
PST - ppublish
SO  - Child Obes. 2017 Oct;13(5):377-383. doi: 10.1089/chi.2017.0020. Epub 2017 Jun 20.