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    Murakami, Kentaro and Livingstone, M. Barbara E. 2016. Associations between Meal and Snack Frequency and Diet Quality in US Adults: National Health and Nutrition Examination Survey 2003-2012. Journal of the Academy of Nutrition and Dietetics, Vol. 116, Issue. 7, p. 1101.


    Reicks, Marla Banna, Jinan Cluskey, Mary Gunther, Carolyn Hongu, Nobuko Richards, Rickelle Topham, Glade and Wong, Siew 2015. Influence of Parenting Practices on Eating Behaviors of Early Adolescents during Independent Eating Occasions: Implications for Obesity Prevention. Nutrients, Vol. 7, Issue. 10, p. 8783.


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The role of eating frequency on total energy intake and diet quality in a low-income, racially diverse sample of schoolchildren

  • E Whitney Evans (a1), Paul F Jacques (a2) (a3), Gerard E Dallal (a2) (a3), Jennifer Sacheck (a2) and Aviva Must (a2) (a4)
  • DOI: http://dx.doi.org/10.1017/S1368980014000470
  • Published online: 29 April 2014
Abstract
AbstractObjective

The relationship of meal and snacking patterns with overall dietary intake and relative weight in children is unclear. The current study was done to examine how eating, snack and meal frequencies relate to total energy intake and diet quality.

Design

The cross-sectional associations of eating, meal and snack frequencies with total energy intake and diet quality, measured by the Healthy Eating Index 2005 (HEI-2005), were examined in separate multivariable mixed models. Differences were examined between elementary school-age participants (9–11 years) and adolescents (12–15 years).

Setting

Two non-consecutive 24 h diet recalls were collected from children attending four schools in the greater Boston area, MA, USA.

Subjects

One hundred and seventy-six schoolchildren, aged 9–15 years.

Results

Overall, 82 % of participants consumed three daily meals. Eating, meal and snack frequencies were statistically significantly and positively associated with total energy intake. Each additional reported meal and snack was associated with an 18·5 % and a 9·4 % increase in total energy intake, respectively (P<0·001). The relationships of eating, meal and snack frequencies with diet quality differed by age category. In elementary school-age participants, total eating occasions and snacks increased HEI-2005 score. In adolescents, each additional meal increased HEI-2005 score by 5·40 points (P=0·01), whereas each additional snack decreased HEI-2005 score by 2·73 points (P=0·006).

Conclusions

Findings suggest that snacking increases energy intake in schoolchildren. Snacking is associated with better diet quality in elementary school-age children and lower diet quality in adolescents. Further research is needed to elucidate the role of snacking in excess weight gain in children and adolescents.

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Corresponding author
*Corresponding author: Email whitney_evans@brown.edu
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