The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial

Abstract Background A limited number of studies have examined the effect of dairy on satiety and short-term energy intake among children; furthermore we are not aware of any study comparing high and low-fat dairy products regarding their effect on appetite and short-term energy intake. Our objective...

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Main Authors: Shima Kavezade, Hassan Mozaffari-Khosravi, Majid Aflatoonian, Mehdi Asemi, Sanaz Mehrabani, Amin Salehi-Abargouei
Format: Article
Language:English
Published: BMC 2018-12-01
Series:BMC Nutrition
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40795-018-0253-8
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author Shima Kavezade
Hassan Mozaffari-Khosravi
Majid Aflatoonian
Mehdi Asemi
Sanaz Mehrabani
Amin Salehi-Abargouei
author_facet Shima Kavezade
Hassan Mozaffari-Khosravi
Majid Aflatoonian
Mehdi Asemi
Sanaz Mehrabani
Amin Salehi-Abargouei
author_sort Shima Kavezade
collection DOAJ
description Abstract Background A limited number of studies have examined the effect of dairy on satiety and short-term energy intake among children; furthermore we are not aware of any study comparing high and low-fat dairy products regarding their effect on appetite and short-term energy intake. Our objective was to assess the effect skim milk (SM) compared to whole milk (WM) and apple juice (AJ) on satiety and energy intake at lunch among 10–12 y children with obesity. Methods Fifty children with obesity who aged 10–12 y were randomized to consume a fixed content breakfast with 240 ml of SM, AJ, or WM for two consecutive days. The study was a three-way randomized crossover study; therefore each participant served as his/her own control. The total appetite, hunger, fullness, desire to eat and prospective consumption were measured using a visual analogue scale (VAS) before breakfast and every one hour after breakfast until a freely consumed lunch. VAS scores and energy intakes were compared using repeated measures procedure. Results Forty-eight participants (24 girls and 24 boys) completed the study. The energy intake was not different between SM, AJ and WM periods (adjusted mean ± standard error (SE) of energy intake: SM = 831.27 ± 30.64 Kcal, AJ = 794.92 ± 28.72 Kcal, WM = 798.87 ± 24.09 Kcal; P = 0.56). The effect was the same for either gender. Children reported higher satiety score 4 h after drinking WM with breakfast compared with SM (P < 0.05). The same association was found only in girls. Furthermore, SM significantly reduced appetite compared to AJ, 2 h after preloads in girls (P < 0.05). Conclusions Full-fat milk may have favorable effects on satiety but not energy intake in subsequent meal compared to skim milk among the children with obesity. Future studies with longer follow-up periods are needed to confirm these results. Trial registration The study protocol was registered with the Iranian registry of clinical trials on 9th October 2016 (registration ID: IRCT2016072012571N5).
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spelling doaj.art-e110c1b9a0e141e7a6bba296a2bfa44a2022-12-21T19:28:17ZengBMCBMC Nutrition2055-09282018-12-014111010.1186/s40795-018-0253-8The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trialShima Kavezade0Hassan Mozaffari-Khosravi1Majid Aflatoonian2Mehdi Asemi3Sanaz Mehrabani4Amin Salehi-Abargouei5Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical SciencesDepartment of Nutrition, School of Public Health, Shahid Sadoughi University of Medical SciencesDepartment of Pediatrics, Faculty of Medicine, Shahid Sadoughi University of Medical SciencesShahrekord branch, Islamic Azad UniversityFood Security Research Center, Isfahan University of Medical SciencesNutrition and Food Security Research Center, Shahid Sadoughi University of Medical SciencesAbstract Background A limited number of studies have examined the effect of dairy on satiety and short-term energy intake among children; furthermore we are not aware of any study comparing high and low-fat dairy products regarding their effect on appetite and short-term energy intake. Our objective was to assess the effect skim milk (SM) compared to whole milk (WM) and apple juice (AJ) on satiety and energy intake at lunch among 10–12 y children with obesity. Methods Fifty children with obesity who aged 10–12 y were randomized to consume a fixed content breakfast with 240 ml of SM, AJ, or WM for two consecutive days. The study was a three-way randomized crossover study; therefore each participant served as his/her own control. The total appetite, hunger, fullness, desire to eat and prospective consumption were measured using a visual analogue scale (VAS) before breakfast and every one hour after breakfast until a freely consumed lunch. VAS scores and energy intakes were compared using repeated measures procedure. Results Forty-eight participants (24 girls and 24 boys) completed the study. The energy intake was not different between SM, AJ and WM periods (adjusted mean ± standard error (SE) of energy intake: SM = 831.27 ± 30.64 Kcal, AJ = 794.92 ± 28.72 Kcal, WM = 798.87 ± 24.09 Kcal; P = 0.56). The effect was the same for either gender. Children reported higher satiety score 4 h after drinking WM with breakfast compared with SM (P < 0.05). The same association was found only in girls. Furthermore, SM significantly reduced appetite compared to AJ, 2 h after preloads in girls (P < 0.05). Conclusions Full-fat milk may have favorable effects on satiety but not energy intake in subsequent meal compared to skim milk among the children with obesity. Future studies with longer follow-up periods are needed to confirm these results. Trial registration The study protocol was registered with the Iranian registry of clinical trials on 9th October 2016 (registration ID: IRCT2016072012571N5).http://link.springer.com/article/10.1186/s40795-018-0253-8Full-fat milkSkim milk; dairy fat; appetiteEnergy intakeChild
spellingShingle Shima Kavezade
Hassan Mozaffari-Khosravi
Majid Aflatoonian
Mehdi Asemi
Sanaz Mehrabani
Amin Salehi-Abargouei
The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial
BMC Nutrition
Full-fat milk
Skim milk; dairy fat; appetite
Energy intake
Child
title The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial
title_full The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial
title_fullStr The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial
title_full_unstemmed The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial
title_short The effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children: a three-way randomized crossover clinical trial
title_sort effects of whole milk compared to skim milk and apple juice consumption in breakfast on appetite and energy intake in obese children a three way randomized crossover clinical trial
topic Full-fat milk
Skim milk; dairy fat; appetite
Energy intake
Child
url http://link.springer.com/article/10.1186/s40795-018-0253-8
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