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Usefulness of the satiety quotient in a clinical pediatric obesity context.
European Journal of Clinical Nutrition ( IF 3.6 ) Pub Date : 2019-12-04 , DOI: 10.1038/s41430-019-0540-8
Alicia Fillon 1, 2 , Julie Masurier 2 , Bruno Pereira 3 , Maud Miguet 1 , Marie-Eve Mathieu 4 , Vicky Drapeau 5 , Angelo Tremblay 5 , Yves Boirie 6, 7, 8, 9 , David Thivel 1, 6
Affiliation  

Background

While the satiety quotient (SQ) is increasingly used in pediatric populations, the present study assessed its reliability and reproducibility in adolescents with obesity.

Methods

Sixty-eight adolescents with obesity were enrolled. Anthropometric measurements and body composition (DXA) were assessed. They randomly completed two experimental sessions: (i) condition with a standardized breakfast used to calculate SQ (C1); (ii) condition with the same breakfast and ad libitum lunch and dinner buffet meals (C2). Appetite feelings were assessed at regular interval (visual analog scales).

Results

SQ for hunger (SQH), satiety (SQS), prospective food consumption (SQP), and desire to eat (SQD) were calculated using the breakfast. SQH, SQD, and SQ mean did not differ between conditions (p = 0.41, 0.57, and 0.74, respectively) whereas SQS and SQP were significantly different between conditions (p = 0.007 and 0.005). None of the SQ was correlated with body weight (BW), BMI, or FM. There was no significant correlation between the SQ and the adolescent’s ad libitum energy intake (lunch, dinner, and total). No differences were observed between adolescents with a low and high phenotype for BW, BMI, and FM% (p = 0.26, 0.30, and 0.83); total energy (p = 0.21); total protein intake (p = 0.28); total fat intake (p = 0.24) and total carbohydrate intake (p = 0.44). Thirty percent of the adolescents showed different satiety phenotype (low vs. high) between C1 and C2.

Conclusions

While the SQ is a reliable indicator in adults, it must be used with caution in adolescents with obesity due to its lack of association with anthropometric measurements, body composition, and energy and macronutrient intakes in this population.



中文翻译:

饱腹感在临床儿科肥胖背景下的有用性。

背景

虽然饱食商(SQ)在儿科人群中越来越多地使用,但本研究评估了其在肥胖青少年中的可靠性和可重复性。

方法

招募了68名肥胖的青少年。人体测量和身体成分(DXA)进行了评估。他们随机完成了两个实验阶段:(i)用标准早餐计算SQ(C1)的条件;(ii)享用相同的早餐和任意午餐和晚餐自助餐(C2)。定期评估食欲(视觉模拟量表)。

结果

使用早餐计算出饥饿的SQ(SQH),饱腹感(SQS),预期食物消耗(SQP)和进食欲望(SQD)。SQH,SQD和SQ平均值在条件之间无差异(分别为p  = 0.41、0.57和0.74),而SQS和SQP在条件之间显着不同(p  = 0.007和0.005)。没有一个SQ与体重(BW),BMI或FM相关。SQ与青少年的随意摄入能量(午餐,晚餐和总摄入量)之间没有显着相关性。在BW,BMI和FM%的低表型和高表型的青少年之间未观察到差异(p  = 0.26、0.30和0.83);总能量(p  = 0.21); 总蛋白质摄入量(p  = 0.28); 总脂肪摄入量(p  = 0.24)和总碳水化合物摄入量(p  = 0.44)。30%的青少年在C1和C2之间表现出不同的饱腹感表型(低与高)。

结论

尽管SQ是成年人的可靠指标,但由于肥胖与青少年的人体测量,身体成分以及能量和大量营养素的摄入缺乏关联,因此在肥胖青少年中必须谨慎使用。

更新日期:2019-12-04
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