Evidence map›Paper›PMID 37543104›Full record

ArticlePhysiology & behavior2023

Switching between foods: A potential behavioral phenotype of hedonic hunger and increased obesity risk in children.

Nicholas V Neuwald, Alaina L Pearce, Shana Adise, Barbara J Rolls, Kathleen L Keller

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Physiology & behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07095166 (Monitoring Eating Across Locations), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07095166 narecruitingnot on this mapstarted 2025, after this paper: background citation

Monitoring Eating Across Locations (MEAL) - Timing, Intake, and Mealtime Evaluation (TIME)

TypeinterventionalSponsorPenn State UniversityRan2025 to 2027Enrolled100ConditionsPediatric ObesityArmsMeal Location
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Nicholas V NeuwaldDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA.
Alaina L PearceSocial Science Research Institute, The Pennsylvania State University, University Park, PA, USA; Center for Childhood Obesity Research, The Pennsylvania State University, University Park, PA, USA.
Shana AdiseDepartment of Pediatrics, Division of Endocrinology, Diabetes, and Metabolism, Children's Hospital of Los Angeles, CA, USA.
Barbara J RollsDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA.
Kathleen L KellerDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA; Department of Food Science, The Pennsylvania State University, University Park, PA, USA. Electronic address: klk37@psu.edu.
Pennsylvania State University · USChildren's Hospital of Los Angeles · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
Brain Mechanisms of Overeating in ChildrenR01DK110060 · NIDDK · PENNSYLVANIA STATE UNIVERSITY, THE · PI KELLER, KATHLEEN L · 2017 to 2021
$2.4M
Characterizing resilience to food-cue induced overeating in childrenR01DK126050 · NIDDK · PENNSYLVANIA STATE UNIVERSITY, THE · PI KELLER, KATHLEEN L · 2021 to 2024
$2.3M
NCATS NIH HHS KL2 TR002015NCATS NIH HHS UL1 TR002014NIDDK NIH HHS R01 DK110060NIDDK NIH HHS R01 DK126050
6 · The paper itself

Abstract

contextReward-based eating is a trait that increases risk for eating in the absence of hunger (EAH) and obesity. Eating behaviors such as switching more frequently between different foods may increase intake during EAH by delaying the onset of sensory-specific satiation (SSS); however, this question has not been empirically tested.

objectives1) Test whether switching between foods mediates the relationship between reward-based eating and EAH intake. 2) Test whether switching between foods during EAH moderates the relationship between reward-based eating and weight status.

methodsData were analyzed from a study assessing decision-making in children (n = 63 children; 9.4 ± 1.4 years, 77.0 ± 22.4 BMI%tile). Reward-based eating was quantified using the Children's Eating Behaviour Questionnaire. EAH was assessed as the amount of palatable food consumed following ad libitum consumption of a standard meal. Videos of eating behavior were coded for eating time, number of different foods consumed, and food switches. Ordinary least squares regressions were conducted to test hypotheses.

resultsSwitching was positively associated with EAH intake for both kcal (p < 0.01) and grams (p < 0.01) such that each additional switch was associated with an increased intake of 17.0 kcal or 3.5 gs. Switching mediated the relationship between reward-based eating and EAH (p < 0.01) such that more frequent switching fully accounted for the positive association between reward-based eating and EAH (ps < 0.01). While reward-based eating was also positively associated with weight status (p < 0.01), this association was moderated by food switching (p < 0.01) such that the relationship was stronger for children who switch more frequently (p < 0.01).

conclusionsFrequent switching between foods was positively associated with EAH intake and mediated the relationship between reward-based eating and EAH. Moreover, reward-based eating was more strongly related to weight status in children who switched more frequently. Thus, food switching may contribute to overconsumption and be an important behavioral indicator of increased obesity risk in children. Studies across multiple meals and contexts will help determine if switching is a reliable behavioral phenotype.

Indexed as

HungerObesityEatingEnergy IntakeFeeding BehaviorHumansSatiationSurveys and QuestionnairesEating in the absence of hungerFood switchingObesityReward-based eatingSensory-specific satiationSensory-specific satietyVariety effect

Identifiers

PMID37543104
PMCPMC11973736
OpenAlexW4385519007

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.