Slow rates of habituation predict greater zBMI gains over 12 months in lean children.

Slow rates of habituation are cross-sectionally related to greater energy intake and body weight. The present study is designed to assess whether slow rates of habituation are prospectively related to zBMI change over a 12 month period in 66 lean 8-12 year-old children, and whether the rate of habituation is a stable behavioral phenotype. Results showed that slower rates of habituation predicted greater zBMI change, controlling for child sex, age, initial zBMI, dietary awareness and minority status. In addition, the rate of habituation was stable over the year of observation. These data suggest that slow rates of habituation may be a risk factor for weight gain and the development of obesity. Future research is needed to understand the mechanism for this effect, and assess whether the habituation phenotype interacts with other behavioral phenotypes, such as food reinforcement, to influence increases in zBMI.

What constitutes food variety? Stimulus specificity of food.

Variety is a major influence of energy intake, but it is not known how much foods have to vary to influence eating. Using a stimulus specificity habituation paradigm we assessed the influence of varying the texture and appearance of nutritionally identical foods on responding for food and energy intake, and whether sensitization, or an increase in responding prior to habituation, was related to the rate of habituation or recovery of responding. Children responded for elbow macaroni and cheese until they habituated, then were provided either more elbow macaroni and cheese, spiral macaroni and cheese, or chicken nuggets. Children provided chicken nuggets or spiral macaroni and cheese recovered responding in comparison to more elbow macaroni and cheese. Children who sensitized showed slower habituation and consumed more food and more energy than those who did not sensitize, but did not differ in recovery of responding to the chicken nuggets or spiral macaroni and cheese. Results show small variations in food characteristics lead to recovery of responding and increased intake after children have habituated.

Variety influences habituation of motivated behavior for food and energy intake in children.

BACKGROUND: Research has shown that variety reduces the rate of habituation, or a general reduction in the rate of responding, for low-energy-density (LED) and high-energy-density (HED) foods. OBJECTIVE: We assessed whether the effects of variety on habituation of motivation to eat are different in overweight and lean children. DESIGN: Overweight and lean children (n = 84) were randomly assigned to groups that varied as to whether they received their favorite or a variety of LED or HED foods. RESULTS: Habituation was slower for overweight than for nonoverweight children (P = 0.008), for a variety of foods than for the same foods (P < 0.001), and for LED than for HED foods (P < 0.001). Energy intake was greater for overweight than for nonoverweight children provided with variety (P = 0.004) and was greater for overweight or nonoverweight children provided with the same food (P < 0.001). A variety of HED foods increased energy intake more than did the same HED foods (P < 0.001); this increase was greater than energy intake with the same or a variety of LED foods (P < 0.001). Children who sensitized, or showed an increase in responding before habituating, showed slower habituation (P < 0.001) and consumed more energy (P = 0.039) than did children who did not sensitize. CONCLUSIONS: Habituation is influenced by variety of foods, and overweight children increase energy intake more with variety than do leaner children. Research is needed to evaluate mechanisms of how variety influences the motivation to eat and energy intake, and how the variety effect can be used to influence intake across multiple eating occasions in children.

A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children.

OBJECTIVE: To assess the effects of reducing television viewing and computer use on children's body mass index (BMI) as a risk factor for the development of overweight in young children. DESIGN: Randomized controlled clinical trial. SETTING: University children's hospital. PARTICIPANTS: Seventy children aged 4 to 7 years whose BMI was at or above the 75th BMI percentile for age and sex. INTERVENTIONS: Children were randomized to an intervention to reduce their television viewing and computer use by 50% vs a monitoring control group that did not reduce television viewing or computer use. MAIN OUTCOME MEASURES: Age- and sex-standardized BMI (zBMI), television viewing, energy intake, and physical activity were monitored every 6 months during 2 years. RESULTS: Children randomized to the intervention group showed greater reductions in targeted sedentary behavior (P < .001), zBMI (P < .05), and energy intake (P < .05) compared with the monitoring control group. Socioeconomic status moderated zBMI change (P = .01), with the experimental intervention working better among families of low socioeconomic status. Changes in targeted sedentary behavior mediated changes in zBMI (P < .05). The change in television viewing was related to the change in energy intake (P < .001) but not to the change in physical activity (P =.37). CONCLUSIONS: Reducing television viewing and computer use may have an important role in preventing obesity and in lowering BMI in young children, and these changes may be related more to changes in energy intake than to changes in physical activity.

Sensitization and habituation of motivated behavior in overweight and non-overweight children.

The rate of habituation to food is inversely related to energy intake, and overweight children may habituate slower to food and consume more energy. This study compared patterns of sensitization, as defined by an initial increase in operant or motivated responding for food, and habituation, defined by gradual reduction in responding, for macaroni and cheese and pizza in overweight and non-overweight 8-12 year-old children. Non-overweight children habituated faster to both foods than overweight children (p = 0.03). All children recovered motivated responding for a new food (chocolate). Overweight children consumed more energy than non-overweight children (p = 0.0004). Children who showed a sensitization in responding consumed more food (p = 0.001), and sensitization moderated the effect of overweight on habituation, with slower habituation for overweight children who sensitized (p < 0.0001). This study replicates previous data on overweight/non-overweight differences in habituation of food and of energy intake, and provides new information that individual differences in sensitization and habituation of motivated responding to food cues may be associated with a sustained motivation to eat, resulting in greater energy intake.

Cost effectiveness of recruitment methods in an obesity prevention trial for young children.

BACKGROUND: Recruitment of participants for clinical trials requires considerable effort and cost. There is no research on the cost effectiveness of recruitment methods for an obesity prevention trial of young children. METHODS: This study determined the cost effectiveness of recruiting 70 families with a child aged 4 to 7 (5.9+/-1.3) years in Western New York from February 2003 to November 2004, for a 2-year randomized obesity prevention trial to reduce television watching in the home. RESULTS: Of the 70 randomized families, 65.7% (n=46) were obtained through direct mailings, 24.3% (n=17) were acquired through newspaper advertisements, 7.1% (n=5) from other sources (e.g., word of mouth), and 2.9% (n=2) through posters and brochures. Costs of each recruitment method were computed by adding the cost of materials, staff time, and media expenses. Cost effectiveness (money spent per randomized participant) was US $0 for other sources, US $227.76 for direct mailing, US $546.95 for newspaper ads, and US $3,020.84 for posters and brochures. CONCLUSION: Of the methods with associated costs, direct mailing was the most cost effective in recruiting families with young children, which supports the growing literature of the effectiveness of direct mailing.

Relationship between parental estimate and an objective measure of child television watching.

Many young children have televisions in their bedrooms, which may influence the relationship between parental estimate and objective measures of child television usage/week. Parental estimates of child television time of eighty 4-7 year old children (6.0 +/- 1.2 years) at the 75th BMI percentile or greater (90.8 +/- 6.8 BMI percentile) were compared to an objective measure of television time obtained from TV Allowance devices attached to every television in the home over a three week period. Results showed that parents overestimate their child's television time compared to an objective measure when no television is present in the bedroom by 4 hours/week (25.4 +/- 11.5 vs. 21.4 +/- 9.1) in comparison to underestimating television time by over 3 hours/week (26.5 +/- 17.2 vs. 29.8 +/- 14.4) when the child has a television in their bedroom (p = 0.02). Children with a television in their bedroom spend more objectively measured hours in television time than children without a television in their bedroom (29.8 +/- 14.2 versus 21.4 +/- 9.1, p = 0.003). Research on child television watching should take into account television watching in bedrooms, since it may not be adequately assessed by parental estimates.