Child meal microstructure and eating behaviors: A systematic review

Observational coding of children's eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that may relate to individual differences in energy intake and weight status. Across studies, however, similar terms are often defined differe...

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Vydané v:	Appetite Ročník 168; s. 105752
Hlavní autori:	Pearce, Alaina L., Cevallos, Maria C., Romano, Olivia, Daoud, Elodie, Keller, Kathleen L.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England Elsevier Ltd 01.01.2022
Predmet:	appetite Behavioral coding bottle feeding Child Child Behavior children Eating Eating behavior Energy Intake Family Feeding Behavior Humans Meal microstructure Meals microstructure Reproducibility of Results systematic review Meal microstructure Eating behavior Behavioral coding
ISSN:	0195-6663, 1095-8304, 1095-8304
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Abstract	Observational coding of children's eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that may relate to individual differences in energy intake and weight status. Across studies, however, similar terms are often defined differently, which complicates the interpretation and replication of coding protocols. Therefore, this study aimed to compile methods of coding meal microstructure in children. To limit bias and ensure a comprehensive review, a systematic search was conducted in January 2021 across three databases (PubMed, PsychInfo, Web of Science) resulting in 46 studies that coded at least one meal-related behavior in healthy children (i.e., no medical/psychological disorders) who were able to self-feed (i.e., no spoon-, breast-, or bottle-feeding). While the majority of studies had good interrater reliability, the details reported about study foods and the clarity of the definitions used for behavioral coding varied considerably. In addition to reported microstructure behaviors, a non-exhaustive review of individual differences was included. While few studies reported individual differences related to age and sex, there was a larger literature related to weight status that provided evidence for an ‘obesogenic’ style of eating characterized by larger Bites, faster Eating and Bite Rates, and shorter Meal Durations. However, some studies may not have been optimally designed or powered to detect individual differences because they did not set out a priori to examine them. Based on this systematic review, best practices for the field are recommended and include reporting more details about foods served and coded eating behaviors to improve reproducibility. These suggestions will improve the ability to examine patterns of individual differences across studies, which may help identify novel targets for intervention.
AbstractList	Observational coding of children's eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that may relate to individual differences in energy intake and weight status. Across studies, however, similar terms are often defined differently, which complicates the interpretation and replication of coding protocols. Therefore, this study aimed to compile methods of coding meal microstructure in children. To limit bias and ensure a comprehensive review, a systematic search was conducted in January 2021 across three databases (PubMed, PsychInfo, Web of Science) resulting in 46 studies that coded at least one meal-related behavior in healthy children (i.e., no medical/psychological disorders) who were able to self-feed (i.e., no spoon-, breast-, or bottle-feeding). While the majority of studies had good interrater reliability, the details reported about study foods and the clarity of the definitions used for behavioral coding varied considerably. In addition to reported microstructure behaviors, a non-exhaustive review of individual differences was included. While few studies reported individual differences related to age and sex, there was a larger literature related to weight status that provided evidence for an ‘obesogenic’ style of eating characterized by larger Bites, faster Eating and Bite Rates, and shorter Meal Durations. However, some studies may not have been optimally designed or powered to detect individual differences because they did not set out a priori to examine them. Based on this systematic review, best practices for the field are recommended and include reporting more details about foods served and coded eating behaviors to improve reproducibility. These suggestions will improve the ability to examine patterns of individual differences across studies, which may help identify novel targets for intervention. Observational coding of children's eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that may relate to individual differences in energy intake and weight status. Across studies, however, similar terms are often defined differently, which complicates the interpretation and replication of coding protocols. Therefore, this study aimed to compile methods of coding meal microstructure in children. To limit bias and ensure a comprehensive review, a systematic search was conducted in January 2021 across three databases (PubMed, PsychInfo, Web of Science) resulting in 46 studies that coded at least one meal-related behavior in healthy children (i.e., no medical/psychological disorders) who were able to self-feed (i.e., no spoon-, breast-, or bottle-feeding). While the majority of studies had good interrater reliability, the details reported about study foods and the clarity of the definitions used for behavioral coding varied considerably. In addition to reported microstructure behaviors, a non-exhaustive review of individual differences was included. While few studies reported individual differences related to age and sex, there was a larger literature related to weight status that provided evidence for an 'obesogenic' style of eating characterized by larger Bites, faster Eating and Bite Rates, and shorter Meal Durations. However, some studies may not have been optimally designed or powered to detect individual differences because they did not set out a priori to examine them. Based on this systematic review, best practices for the field are recommended and include reporting more details about foods served and coded eating behaviors to improve reproducibility. These suggestions will improve the ability to examine patterns of individual differences across studies, which may help identify novel targets for intervention.Observational coding of children's eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that may relate to individual differences in energy intake and weight status. Across studies, however, similar terms are often defined differently, which complicates the interpretation and replication of coding protocols. Therefore, this study aimed to compile methods of coding meal microstructure in children. To limit bias and ensure a comprehensive review, a systematic search was conducted in January 2021 across three databases (PubMed, PsychInfo, Web of Science) resulting in 46 studies that coded at least one meal-related behavior in healthy children (i.e., no medical/psychological disorders) who were able to self-feed (i.e., no spoon-, breast-, or bottle-feeding). While the majority of studies had good interrater reliability, the details reported about study foods and the clarity of the definitions used for behavioral coding varied considerably. In addition to reported microstructure behaviors, a non-exhaustive review of individual differences was included. While few studies reported individual differences related to age and sex, there was a larger literature related to weight status that provided evidence for an 'obesogenic' style of eating characterized by larger Bites, faster Eating and Bite Rates, and shorter Meal Durations. However, some studies may not have been optimally designed or powered to detect individual differences because they did not set out a priori to examine them. Based on this systematic review, best practices for the field are recommended and include reporting more details about foods served and coded eating behaviors to improve reproducibility. These suggestions will improve the ability to examine patterns of individual differences across studies, which may help identify novel targets for intervention.
ArticleNumber	105752
Author	Pearce, Alaina L. Cevallos, Maria C. Keller, Kathleen L. Romano, Olivia Daoud, Elodie
AuthorAffiliation	2 Department of Food Science, The Pennsylvania State University, University Park, PA, USA 1 Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA
AuthorAffiliation_xml	– name: 2 Department of Food Science, The Pennsylvania State University, University Park, PA, USA – name: 1 Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA
Author_xml	– sequence: 1 givenname: Alaina L. orcidid: 0000-0003-3157-6566 surname: Pearce fullname: Pearce, Alaina L. email: azp271@psu.edu organization: Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA – sequence: 2 givenname: Maria C. surname: Cevallos fullname: Cevallos, Maria C. organization: Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA – sequence: 3 givenname: Olivia orcidid: 0000-0003-4084-5342 surname: Romano fullname: Romano, Olivia organization: Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA – sequence: 4 givenname: Elodie surname: Daoud fullname: Daoud, Elodie organization: Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA – sequence: 5 givenname: Kathleen L. surname: Keller fullname: Keller, Kathleen L. organization: Department of Nutritional Science, The Pennsylvania State University, University Park, PA, USA
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Keywords	Meal microstructure Eating behavior Behavioral coding
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Snippet	Observational coding of children's eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that... Observational coding of children’s eating behaviors and meal microstructure (e.g., bites, chews) provides an opportunity to assess complex eating styles that...
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SubjectTerms	appetite Behavioral coding bottle feeding Child Child Behavior children Eating Eating behavior Energy Intake Family Feeding Behavior Humans Meal microstructure Meals microstructure Reproducibility of Results systematic review
Title	Child meal microstructure and eating behaviors: A systematic review
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