Current Obesity Reports

, Volume 4, Issue 1, pp 11–18 | Cite as

The Influence of Portion Size and Timing of Meals on Weight Balance and Obesity

Etiology of Obesity (T Gill, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Etiology of Obesity


This review focuses on the influence of portion size and temporal distribution of food intake on weight balance and obesity in adults. The inconsistency of definitions in the area of meal patterns is also discussed. The conclusion is that regular eating habits might facilitate weight balance, while unplanned snacking as well as consuming the major part of the energy intake at the end of the day seem to be unfavourable. Altogether, the research suggests that large portions promote over-consumption and, therefore, limiting portion size of energy dense foods and drinks with added sugar could be recommended. Even if more research is needed, these factors should be taken into consideration in recommendations for obesity prevention.


Eating Eating patterns Meal patterns Portion size Meals Breakfast Lunch Dinner Snacking Obesity Body weight Appetite regulation Satiety response 


Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. 1.
    Miller R, Benelam B, Stanner SA, et al. Is snacking good or bad for health: An overview. Nut Bull. 2013;38:302–22.CrossRefGoogle Scholar
  2. 2.
    Bellisle F. Meals and snacking, diet quality and energy balance. Physiol Behav. 2014;134:38–43.CrossRefPubMedGoogle Scholar
  3. 3.
    Johnson GH, Anderson GH. Snacking definitions: impact on interpretation of the literature and dietary recommendations. Crit Rev Food Sci Nutr. 2010;50(9):848–71.CrossRefPubMedGoogle Scholar
  4. 4.
    Bhutani S, Varady KA. Nibbling versus feasting: which meal pattern is better for heart disease prevention? Nutr Rev. 2009;67(10):591–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Bertéus Forslund H, Meal patterns and obesity - does snacking play a role? 2006, Göteborg: Department of Metabolism and Cardiovascular Research, Institute of Medicine. The Sahlgrenska Academy, Göteborg UniversityGoogle Scholar
  6. 6.
    Bruce Å, Westin S I, and Sverige. Statens livsmedelsverk, Svenska näringsrekommendationer [Swedish Nutrition Recommendations]. 1981, Uppsala: Statens livsmedelsverk.Google Scholar
  7. 7.
    Sverige. Statens livsmedelsverk, Svenska näringsrekommendationer : rekommendationer för planering av kost till olika grupper : normer vid värdering av näringsintag [Swedish Nutrition Recommendations]. 3. uppl. ed. 1997, Uppsala,.Google Scholar
  8. 8.
    Sverige. Livsmedelsverket, Svenska näringsrekommendationer : rekommendationer om näring och fysisk aktivitet [Swedish Nutrition Recommendations]. 4. uppl. edn. 2005, [Uppsala]: Livsmedelsverket.Google Scholar
  9. 9.
    Nordiska ministerrådet, Nordic Nutrition Recommendations 2012 integrating nutrition and physical activity. 5th edn. Nord,. 2014, Copenhagen: Nordic Council of Minsters.Google Scholar
  10. 10.
    Young LR, Nestle M. Reducing portion sizes to prevent obesity: a call to action. Am J Prev Med. 2012;43(5):565–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Matthiessen J, Fagt S, Biltoft-Jensen A, et al. Size makes a difference. Public Health Nutr. 2003;6(1):65–72.CrossRefPubMedGoogle Scholar
  12. 12.
    Steenhuis IH, Leeuwis FH, Vermeer WM. Small, medium, large or supersize: trends in food portion sizes in The Netherlands. Public Health Nutr. 2010;13(6):852–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Bauer KW, Hearst MO, Earnest AA, et al. Energy content of U.S. fast-food restaurant offerings: 14-year trends. Am J Prev Med. 2012;43(5):490.CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Ledikwe JH, Ello-Martin JA, Rolls BJ. Portion sizes and the obesity epidemic. J Nutr. 2005;135(4):905–9.PubMedGoogle Scholar
  15. 15.
    Popkin BM, Duffey KJ. Does hunger and satiety drive eating anymore? Increasing eating occasions and decreasing time between eating occasions in the United States. Am J Clin Nutr. 2010;91(5):1342–7.CrossRefPubMedCentralPubMedGoogle Scholar
  16. 16.
    Nielsen SJ, Popkin BM. Patterns and trends in food portion sizes, 1977-1998. JAMA. 2003;289(4):450–3.CrossRefPubMedGoogle Scholar
  17. 17.
    Mesas AE, Munoz-Pareja M, Lopez-Garcia E, et al. Selected eating behaviours and excess body weight: a systematic review. Obes Rev. 2012;13(2):106–35.CrossRefPubMedGoogle Scholar
  18. 18.
    Albar SA, Alwan NA, Evans CE, et al. Is there an association between food portion size and BMI among British adolescents? Br J Nutr. 2014;112(5):841–51.CrossRefPubMedGoogle Scholar
  19. 19.
    Liebman M, Pelican S, Moore SA, et al. Dietary intake, eating behavior, and physical activity-related determinants of high body mass index in rural communities in Wyoming, Montana, and Idaho. Int J Obes Relat Metab Disord. 2003;27(6):684–92.CrossRefPubMedGoogle Scholar
  20. 20.
    Wansink B, Payne CR. Eating behavior and obesity at Chinese buffets. Obesity (Silver Spring). 2008;16(8):1957.CrossRefGoogle Scholar
  21. 21.
    Westerterp-Plantenga MS, Pasman WJ, Yedema MJ, et al. Energy intake adaptation of food intake to extreme energy densities of food by obese and non-obese women. Eur J Clin Nutr. 1996;50(6):401–7.PubMedGoogle Scholar
  22. 22.
    Kelly MT, Rennie KL, Wallace JM, et al. Associations between the portion sizes of food groups consumed and measures of adiposity in the British National Diet and Nutrition Survey. Br J Nutr. 2009;101(9):1413–20.CrossRefPubMedGoogle Scholar
  23. 23.
    French SA, Mitchell NR, Wolfson J, et al. Portion size effects on weight gain in a free living setting. Obesity (Silver Spring). 2014;22(6):1400–5.CrossRefGoogle Scholar
  24. 24.••
    Rolls BJ. What is the role of portion control in weight management? Int J Obes (Lond). 2014;38 Suppl 1:S1–8. This review provides an overview of the association between portion size and energy intake and summarize research of the importance of portion size in weight management.CrossRefGoogle Scholar
  25. 25.
    Duffey KJ, Popkin BM. Energy density, portion size, and eating occasions: contributions to increased energy intake in the United States, 1977-2006. PLoS Med. 2011;8(6):e1001050.CrossRefPubMedCentralPubMedGoogle Scholar
  26. 26.
    Rolls BJ. Plenary Lecture 1: Dietary strategies for the prevention and treatment of obesity. Proc Nutr Soc. 2010;69(1):70–9.CrossRefPubMedCentralPubMedGoogle Scholar
  27. 27.
    Levitsky DA, Youn T. The more food young adults are served, the more they overeat. J Nutr. 2004;134(10):2546–9.PubMedGoogle Scholar
  28. 28.
    Diliberti N, Bordi PL, Conklin MT, et al. Increased portion size leads to increased energy intake in a restaurant meal. Obes Res. 2004;12(3):562–8.CrossRefPubMedGoogle Scholar
  29. 29.
    Wansink B, Kim J. Bad popcorn in big buckets: portion size can influence intake as much as taste. J Nutr Educ Behav. 2005;37(5):242–5.CrossRefPubMedGoogle Scholar
  30. 30.
    Rolls BJ, Roe LS, Meengs JS. Larger portion sizes lead to a sustained increase in energy intake over 2 days. J Am Diet Assoc. 2006;106(4):543–9.CrossRefPubMedGoogle Scholar
  31. 31.
    Kelly MT, Wallace JM, Robson PJ, et al. Increased portion size leads to a sustained increase in energy intake over 4 d in normal-weight and overweight men and women. Br J Nutr. 2009;102(3):470–7.CrossRefPubMedGoogle Scholar
  32. 32.
    Rolls BJ, Roe LS, Meengs JS. The effect of large portion sizes on energy intake is sustained for 11 days. Obesity (Silver Spring). 2007;15(6):1535–43.CrossRefGoogle Scholar
  33. 33.
    Jeffery RW, Rydell S, Dunn CL, et al. Effects of portion size on chronic energy intake. Int J Behav Nutr Phys Act. 2007;4:27.CrossRefPubMedCentralPubMedGoogle Scholar
  34. 34.
    Benton D, Portion Size: What We Know and What We Need to Know. Crit Rev Food Sci Nutr. 2013.Google Scholar
  35. 35.
    Rolls BJ. The relationship between dietary energy density and energy intake. Physiol Behav. 2009;97(5):609–15.CrossRefPubMedCentralPubMedGoogle Scholar
  36. 36.
    Perez-Escamilla R, Obbagy JE, Altman JM, et al. Dietary energy density and body weight in adults and children: a systematic review. J Acad Nutr Diet. 2012;112(5):671–84.CrossRefPubMedGoogle Scholar
  37. 37.
    Kral TV, Rolls BJ. Energy density and portion size: their independent and combined effects on energy intake. Physiol Behav. 2004;82(1):131–8.CrossRefPubMedGoogle Scholar
  38. 38.
    Rolls BJ, Roe LS, Meengs JS. Reductions in portion size and energy density of foods are additive and lead to sustained decreases in energy intake. Am J Clin Nutr. 2006;83(1):11–7.PubMedCentralPubMedGoogle Scholar
  39. 39.
    Flood JE, Rolls BJ. Soup preloads in a variety of forms reduce meal energy intake. Appetite. 2007;49(3):626–34.CrossRefPubMedCentralPubMedGoogle Scholar
  40. 40.
    Rolls BJ, Roe LS, Meengs JS. Salad and satiety: energy density and portion size of a first-course salad affect energy intake at lunch. J Am Diet Assoc. 2004;104(10):1570–6.CrossRefPubMedGoogle Scholar
  41. 41.
    Roe LS, Meengs JS, Rolls BJ. Salad and satiety The effect of timing of salad consumption on meal energy intake. Appetite. 2012;58(1):242–8.CrossRefPubMedCentralPubMedGoogle Scholar
  42. 42.
    Rolls BJ, Bell EA, Thorwart ML. Water incorporated into a food but not served with a food decreases energy intake in lean women. Am J Clin Nutr. 1999;70(4):448–55.PubMedGoogle Scholar
  43. 43.
    Flood JE, Roe LS, Rolls BJ. The effect of increased beverage portion size on energy intake at a meal. J Am Diet Assoc. 2006;106(12):1984–90. discussion 1990-1.CrossRefPubMedGoogle Scholar
  44. 44.
    Flood-Obbagy JE, Rolls BJ. The effect of fruit in different forms on energy intake and satiety at a meal. Appetite. 2009;52(2):416–22.CrossRefPubMedCentralPubMedGoogle Scholar
  45. 45.
    Wansink B, van Ittersum K. Portion size me: downsizing our consumption norms. J Am Diet Assoc. 2007;107(7):1103–6.CrossRefPubMedGoogle Scholar
  46. 46.
    Pratt IS, Croager EJ, Rosenberg M. The mathematical relationship between dishware size and portion size. Appetite. 2012;58(1):299–302.CrossRefPubMedGoogle Scholar
  47. 47.
    Smith JM, Ditschun TL. Controling satiety: how environmental factors influence food intake. Trends Food Sci Technol. 2009;20:271–7.CrossRefGoogle Scholar
  48. 48.
    Wansink B, Painter JE, North J. Bottomless bowls: why visual cues of portion size may influence intake. Obes Res. 2005;13(1):93–100.CrossRefPubMedGoogle Scholar
  49. 49.
    Scheibehenne B, Todd PM, Wansink B. Dining in the dark. The importance of visual cues for food consumption and satiety. Appetite. 2010;55(3):710–3.CrossRefPubMedGoogle Scholar
  50. 50.
    Wansink B, van Ittersum K, Painter JE. Ice cream illusions bowls, spoons, and self-served portion sizes. Am J Prev Med. 2006;31(3):240–3.CrossRefPubMedGoogle Scholar
  51. 51.
    van Kleef E, Shimizu M, Wansink B. Serving bowl selection biases the amount of food served. J Nutr Educ Behav. 2012;44(1):66–70.CrossRefPubMedGoogle Scholar
  52. 52.
    Marchiori D, Corneille O, Klein O. Container size influences snack food intake independently of portion size. Appetite. 2012;58(3):814–7.CrossRefPubMedGoogle Scholar
  53. 53.
    Koh J, Pliner P. The effects of degree of acquaintance, plate size, and sharing on food intake. Appetite. 2009;52(3):595–602.CrossRefPubMedGoogle Scholar
  54. 54.
    Rolls BJ, Roe LS, Halverson KH, et al. Using a smaller plate did not reduce energy intake at meals. Appetite. 2007;49(3):652–60.CrossRefPubMedCentralPubMedGoogle Scholar
  55. 55.
    Yip W, Wiessing KR, Budgett S, et al. Using a smaller dining plate does not suppress food intake from a buffet lunch meal in overweight, unrestrained women. Appetite. 2013;69:102–7.CrossRefPubMedGoogle Scholar
  56. 56.
    Libotte E, Siegrist M, Bucher T. The influence of plate size on meal composition. Literature review and experiment. Appetite. 2014;82:91–6.CrossRefPubMedGoogle Scholar
  57. 57.
    Sharp D, Sobal J. Using plate mapping to examine sensitivity to plate size in food portions and meal composition among college students. Appetite. 2012;59(3):639–45.CrossRefPubMedGoogle Scholar
  58. 58.
    Vermeer WM, Steenhuis IH, Poelman MP. Small, medium, large or supersize? The development and evaluation of interventions targeted at portion size. Int J Obes (Lond). 2014;38(Suppl1):S13–8.CrossRefGoogle Scholar
  59. 59.
    De Castro JM. Socio-cultural determinants of meal size and frequency. Br J Nutr. 1997;77 Suppl 1:S39–54. discussion S54-5.CrossRefPubMedGoogle Scholar
  60. 60.
    de Castro JM. Behavioral genetics of food intake regulation in free-living humans. Nutrition. 1999;15(7–8):550–4.CrossRefPubMedGoogle Scholar
  61. 61.
    de Castro JM. Seasonal rhythms of human nutrient intake and meal pattern. Physiol Behav. 1991;50(1):243–8.CrossRefPubMedGoogle Scholar
  62. 62.
    de Castro JM. Weekly rhythms of spontaneous nutrient intake and meal pattern of humans. Physiol Behav. 1991;50(4):729–38.CrossRefPubMedGoogle Scholar
  63. 63.
    de Castro JM. Age-related changes in the social, psychological, and temporal influences on food intake in free-living, healthy, adult humans. J Gerontol A Biol Sci Med Sci. 2002;57(6):M368–77.CrossRefPubMedGoogle Scholar
  64. 64.••
    Garaulet M, Gomez-Abellan P. Timing of food intake and obesity: a novel association. Physiol Behav. 2014;134:44–50. This review highlights that changes in meal timing is associated with obesity.CrossRefPubMedGoogle Scholar
  65. 65.
    Timlin MT, Pereira MA. Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev. 2007;65(6 Pt 1):268–81.CrossRefPubMedGoogle Scholar
  66. 66.
    McCrory MA. Meal skipping and variables related to energy balance in adults: a brief review, with emphasis on the breakfast meal. Physiol Behav. 2014;134:51–4.CrossRefPubMedGoogle Scholar
  67. 67.
    Wang JB, Patterson RE, Ang A, et al. Timing of energy intake during the day is associated with the risk of obesity in adults27. J Hum Nutr Diet. 2014;27 Suppl 2:255–62.CrossRefPubMedGoogle Scholar
  68. 68.
    Berteus Forslund H, Lindroos AK, Sjostrom L, et al. Meal patterns and obesity in Swedish women-a simple instrument describing usual meal types, frequency and temporal distribution. Eur J Clin Nutr. 2002;56(8):740–7.CrossRefPubMedGoogle Scholar
  69. 69.
    Holmback U, Forslund A, Lowden A, et al. Endocrine responses to nocturnal eating–possible implications for night work. Eur J Nutr. 2003;42(2):75–83.CrossRefPubMedGoogle Scholar
  70. 70.
    van Amelsvoort LG, Schouten EG, Kok FJ. Duration of shiftwork related to body mass index and waist to hip ratio. Int J Obes Relat Metab Disord. 1999;23(9):973–8.CrossRefPubMedGoogle Scholar
  71. 71.
    Arble DM, Bass J, Laposky AD, et al. Circadian timing of food intake contributes to weight gain. Obesity (Silver Spring). 2009;17(11):2100–2.CrossRefGoogle Scholar
  72. 72.
    de Castro JM. When, how much and what foods are eaten are related to total daily food intake. Br J Nutr. 2009;102(8):1228–37.CrossRefPubMedGoogle Scholar
  73. 73.
    Jakubowicz D, Barnea M, Wainstein J, et al. High caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity (Silver Spring). 2013;21(12):2504–12.CrossRefGoogle Scholar
  74. 74.••
    Garaulet M, Gomez-Abellan P, Alburquerque-Bejar JJ, et al. Timing of food intake predicts weight loss effectiveness. Int J Obes (Lond). 2013;37(4):604–11. This study shows that timing of food could be a therapeutic strategy.CrossRefGoogle Scholar
  75. 75.
    de Castro JM. The time of day of food intake influences overall intake in humans. J Nutr. 2004;134(1):104–11.PubMedGoogle Scholar
  76. 76.
    de Castro JM. Circadian rhythms of the spontaneous meal pattern, macronutrient intake, and mood of humans. Physiol Behav. 1987;40(4):437–46.CrossRefPubMedGoogle Scholar
  77. 77.
    Scheer FA, Morris CJ, Shea SA. The internal circadian clock increases hunger and appetite in the evening independent of food intake and other behaviors. Obesity (Silver Spring). 2013;21(3):421–3.CrossRefGoogle Scholar
  78. 78.
    Baron KG, Reid KJ, Kern AS, et al. Role of sleep timing in caloric intake and BMI. Obesity (Silver Spring). 2011;19(7):1374–81.CrossRefGoogle Scholar
  79. 79.
    Romon M, Edme JL, Boulenguez C, et al. Circadian variation of diet-induced thermogenesis. Am J Clin Nutr. 1993;57(4):476–80.PubMedGoogle Scholar
  80. 80.
    Gallant A. Nutritional aspects of late eating and night eating. Curr Obes Rep. 2014;3:101–7.CrossRefGoogle Scholar
  81. 81.
    Farshchi HR, Taylor MA, Macdonald IA. Regular meal frequency creates more appropriate insulin sensitivity and lipid profiles compared with irregular meal frequency in healthy lean women. Eur J Clin Nutr. 2004;58(7):1071–7.CrossRefPubMedGoogle Scholar
  82. 82.
    Farshchi HR, Taylor MA, Macdonald IA. Beneficial metabolic effects of regular meal frequency on dietary thermogenesis, insulin sensitivity, and fasting lipid profiles in healthy obese women. Am J Clin Nutr. 2005;81(1):16–24.PubMedGoogle Scholar
  83. 83.
    Farshchi HR, Taylor MA, Macdonald IA. Decreased thermic effect of food after an irregular compared with a regular meal pattern in healthy lean women. Int J Obes Relat Metab Disord. 2004;28(5):653–60.CrossRefPubMedGoogle Scholar
  84. 84.
    Zizza C. Siega-Riz A M, and Popkin B M, Significant increase in young adults' snacking between 1977-1978 and 1994-1996 represents a cause for concern! Prev Med. 2001;32(4):303–10.CrossRefPubMedGoogle Scholar
  85. 85.
    Howarth NC, Huang TT, Roberts SB, et al. Eating patterns and dietary composition in relation to BMI in younger and older adults. Int J Obes (Lond). 2007;31(4):675–84.Google Scholar
  86. 86.
    Berteus Forslund H, Torgerson JS, Sjostrom L, et al. Snacking frequency in relation to energy intake and food choices in obese men and women compared to a reference population. Int J Obes (Lond). 2005;29(6):711–9.CrossRefGoogle Scholar
  87. 87.
    Schusdziarra V, Hausmann M, Wittke C, et al. Contribution of energy density and food quantity to short-term fluctuations of energy intake in normal weight and obese subjects. Eur J Nutr. 2010;49(1):37–43.CrossRefPubMedGoogle Scholar
  88. 88.
    Dwyer JT, Evans M, Stone EJ, et al. Adolescents' eating patterns influence their nutrient intakes. J Am Diet Assoc. 2001;101(7):798–802.CrossRefPubMedGoogle Scholar
  89. 89.
    Kerver JM, Yang EJ, Obayashi S, et al. Meal and snack patterns are associated with dietary intake of energy and nutrients in US adults. J Am Diet Assoc. 2006;106(1):46–53.CrossRefPubMedGoogle Scholar
  90. 90.
    Bes-Rastrollo M, Sanchez-Villegas A, Basterra-Gortari FJ, et al. Prospective study of self-reported usual snacking and weight gain in a Mediterranean cohort: the SUN project. Clin Nutr. 2010;29(3):323–30.CrossRefPubMedGoogle Scholar
  91. 91.
    Berteus Forslund H, Klingstrom S, Hagberg H, et al. Should snacks be recommended in obesity treatment? A 1-year randomized clinical trial. Eur J Clin Nutr. 2008;62(11):1308–17.CrossRefPubMedGoogle Scholar
  92. 92.
    Cameron JD, Cyr MJ, Doucet E. Increased meal frequency does not promote greater weight loss in subjects who were prescribed an 8-week equi-energetic energy-restricted diet. Br J Nutr. 2010;103(8):1098–101.PubMedGoogle Scholar
  93. 93.
    Garaulet M, Madrid JA. Chronobiological aspects of nutrition, metabolic syndrome and obesity. Adv Drug Deliv Rev. 2010;62(9–10):967–78.CrossRefPubMedGoogle Scholar
  94. 94.
    Froy O. Metabolism and circadian rhythms–implications for obesity. Endocr Rev. 2010;31(1):1–24.CrossRefPubMedGoogle Scholar
  95. 95.
    Gonnissen HK, Hulshof T, Westerterp-Plantenga MS. Chronobiology, endocrinology, and energy- and food-reward homeostasis. Obes Rev. 2013;14(5):405–16.CrossRefPubMedGoogle Scholar
  96. 96.
    Tahara Y, Shibata S. Chronobiology and nutrition. Neuroscience. 2013;253:78–88.CrossRefPubMedGoogle Scholar
  97. 97.
    Raynor HA. What to do about portion sizes? Roundtable discussion at the forefronts in portion size conference. Int J Obes (Lond. 2014;38(Suppl1):S34–6.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Food and Nutrition, and Sport ScienceUniversity of GothenburgGothenburgSweden
  2. 2.Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden

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