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Underreporting of food intake in obese "small eaters".



 
 
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Old June 17th, 2004, 02:19 AM
NR
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Default Underreporting of food intake in obese "small eaters".

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Appetite 1992 Dec;19(3):273-83

Underreporting of food intake in obese "small eaters".

Fricker J, Baelde D, Igoin-Apfelbaum L, Huet JM, Apfelbaum M
Inserm U 286-Human Nutrition, Medical School Xavier Bichat, Paris, France.

Thirty sedentary and stable weight obese women were classified as small,
normal or large eaters depending on their report of 24 h energy intake (EI)
through a dietary history questionnaire. For each subject, resting
metabolic rate (RMR) was assessed through indirect calorimetry, physical
activity through a self-administered questionnaire and psychological
evaluation through psychometric tests. Neither RMR nor indices of physical
activity were different between the three groups; however for small eaters,
RMR was higher than reported EI (p 0.001). Thus, the low EI reported by
obese small eaters reflected an underreporting of food intake. Psychometric
evaluation was not different between normal and large eaters. Small eaters
exhibited a better perception of food size than normal or large eaters, and
no difference in tests assessing memory or attention; their score (2.8 +/-
1.3) in a nutritional dissimulation test was higher (p = 0.015) than that
of normal (1.0 +/- 0.7) or large eaters (1.5 +/- 0.09). This suggests that
underreporting in obese small eaters might be due to specific nutritional
concealment; because small eaters reported a low intake particularly in
foods which are often perceived as unhealthy (fats, sugars, extra-prandial
consumption), they probably reported what, in their opinion, they should
have eaten, instead of what they did eat.


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