Abstract
Purpose
Portion size influences energy intake and is an important factor when developing weight management strategies. The effect of tableware on food intake is less clear, especially in children. To date, the relationship between the body weight of individuals and the tableware used in their households has not been investigated. The aim of this study was to analyze the sizes of tableware in households of children and adolescents with obesity (OBE) in comparison to participants with normal-weight matched for age and gender (NW).
Methods
60 OBE (32 female, 26 male) and 27 NW (12 female, 15 male) aged between 9 and 17 years participated in a structured interview on the tableware used at home. Responses were standardized based on the selection of different sizes of tableware and everyday objects presented to the children.
Results
In households of NW, larger plates and bowls were used during meals and desserts compared to OBE. OBE drank out of larger bottles. Shapes and sizes of drinkware, the number of children drinking out of bottles and the cutlery used during dessert did not differ between the groups.
Conclusions
Drinking out of large bottles may be an unfavourable habit of OBE if they contain sugar-rich liquids. The use of smaller plates and bowls of OBE may result in multiple helpings being consumed and so contribute to an overall increased portion size.
Level of evidence
Level V, Descriptive study.
Similar content being viewed by others
References
Kahn SE, Hull RL, Utzschneider KM (2006) Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature 444(7121):840–846. https://doi.org/10.1038/nature05482
Hollands GJ, Shemilt I, Marteau TM, Jebb SA, Lewis HB, Wei Y, Higgins JP, Ogilvie D (2015) Portion, package or tableware size for changing selection and consumption of food, alcohol and tobacco. Cochrane Database Syst Rev 9:CD011045. https://doi.org/10.1002/14651858.CD011045
DiSantis KI, Birch LL, Davey A, Serrano EL, Zhang J, Bruton Y, Fisher JO (2013) Plate size and children’s appetite: effects of larger dishware on self-served portions and intake. Pediatrics 131(5):e1451–e1458. https://doi.org/10.1542/peds.2012-2330
Wansink B, van Ittersum K, Payne CR (2014) Larger bowl size increases the amount of cereal children request, consume, and waste. J Pediatr 164(2):323–326. https://doi.org/10.1016/j.jpeds.2013.09.036
van Ittersum K, Wansink B (2013) Extraverted children are more biased by bowl sizes than introverts. PLoS One 8(10):e78224. https://doi.org/10.1371/journal.pone.0078224
Wansink B, van Ittersum K (2003) Bottoms up! The Influence of elongation on pouring and consumption volume. J Consum Res 30(3):455–463. https://doi.org/10.1086/378621
Fisher JO, Birch LL, Zhang J, Grusak MA, Hughes SO (2013) External influences on children’s self-served portions at meals. Int J Obes (Lond) 37(7):954–960. https://doi.org/10.1038/ijo.2012.216
Wansink B, Payne C, Werle C (2008) Consequences of belonging to the “clean plate club”. Arch Pediatr Adolesc Med 162(10):994–995. https://doi.org/10.1001/archpedi.162.10.994
Wansink B, Wansink CS (2010) The largest Last Supper: depictions of food portions and plate size increased over the millennium. Int J Obes (Lond) 34(5):943–944. https://doi.org/10.1038/ijo.2010.37
Wansink B (2010) From mindless eating to mindlessly eating better. Physiol Behav 100(5):454–463. https://doi.org/10.1016/j.physbeh.2010.05.003
Wansink B, van Ittersum K, Painter JE (2006) Ice cream illusions bowls, spoons, and self-served portion sizes. Am J Prev Med 31(3):240–243. https://doi.org/10.1016/j.amepre.2006.04.003
Wansink B, Cheney MM (2005) Super Bowls: serving bowl size and food consumption. Jama 293(14):1727–1728. https://doi.org/10.1001/jama.293.14.1727
Rolls BJ, Roe LS, Halverson KH, Meengs JS (2007) Using a smaller plate did not reduce energy intake at meals. Appetite 49(3):652–660. https://doi.org/10.1016/j.appet.2007.04.005
Shah M, Schroeder R, Winn W, Adams-Huet B (2011) A pilot study to investigate the effect of plate size on meal energy intake in normal weight and overweight/obese women. J Hum Nutr Diet 24(6):612–615. https://doi.org/10.1111/j.1365-277X.2011.01210.x
Yip W, Wiessing KR, Budgett S, Poppitt SD (2013) Using a smaller dining plate does not suppress food intake from a buffet lunch meal in overweight, unrestrained women. Appetite 69:102–107. https://doi.org/10.1016/j.appet.2013.05.017
Raghubir P, Krishna A (1999) Vital dimensions in volume perception: can the eye fool the stomach? J Mark Res 36(3):313–326. https://doi.org/10.2307/3152079
Wansink B, van Ittersum K (2005) Shape of glass and amount of alcohol poured: comparative study of effect of practice and concentration. Bmj 331(7531):1512–1514. https://doi.org/10.1136/bmj.331.7531.1512
Sauer H, Krumm A, Weimer K, Horing B, Mazurak N, Gulewitsch MD, Hellmond F, Dammann D, Binder W, Linse P, Zipfel S, Ehehalt S, Binder G, Demircioglu A, Muth ER, Enck P, Mack I (2014) PreDictor research in obesity during medical care—weight Loss in children and adolescents during an INpatient rehabilitation: rationale and design of the DROMLIN study. J Eat Disord 2:7. https://doi.org/10.1186/2050-2974-2-7
Kromeyer-Hauschild K, Wabitsch M, Kunze D, Geller F, Geiß HC, Hesse V, von Hippel A, Jaeger U, Johnsen D, Korte W, Menner K, Müller G, Müller JM, Niemann-Pilatus A, Remer T, Schaefer F, Wittchen H-U, Zabransky S, Zellner K, Ziegler A, Hebebrand J (2001) Perzentile für den Body Mass Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatschrift Kinderheilkunde 149(8):807–818. https://doi.org/10.1007/s001120170107
Diehl JM (1999) Attitude to eating and body weight by 11- to 16-year-old adolescents. Schweiz Med Wochenschr 129(5):162–175
Faul F, Erdfelder E, Buchner A, Lang AG (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41(4):1149–1160. https://doi.org/10.3758/BRM.41.4.1149
Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B (Methodol) 57(1):289–300. https://doi.org/10.2307/2346101
Biro G, Hulshof KF, Ovesen L, Amorim Cruz JA (2002) Selection of methodology to assess food intake. Eur J Clin Nutr 56(Suppl 2):S25–S32. https://doi.org/10.1038/sj/ejcn/1601426
Elfhag K, Tynelius P, Rasmussen F (2010) Family links of eating behaviour in normal weight and overweight children. Int J Pediatr Obes 5(6):491–500. https://doi.org/10.3109/17477160903497001
Wansink B, Payne CR (2007) Counting bones: environmental cues that decrease food intake. Percept Mot Skills 104(1):273–276. https://doi.org/10.2466/pms.104.1.273-276
Libotte E, Siegrist M, Bucher T (2014) The influence of plate size on meal composition. Lit Rev Exp Appet 82:91–96. https://doi.org/10.1016/j.appet.2014.07.010
Robinson E, Sheen F, Harrold J, Boyland E, Halford JC, Masic U (2015) Dishware size and snack food intake in a between-subjects laboratory experiment. Public Health Nutr https://doi.org/10.1017/S1368980015001408
Rolls BJ (2000) The role of energy density in the overconsumption of fat. J Nutr 130(2S Suppl):268S–271S
Schusdziarra V, Hausmann M, Wittke C, Mittermeier J, Kellner M, Wagenpfeil S, Erdmann J (2010) Contribution of energy density and food quantity to short-term fluctuations of energy intake in normal weight and obese subjects. Eur J Nutr 49(1):37–43. https://doi.org/10.1007/s00394-009-0046-6
Rolls BJ (2014) What is the role of portion control in weight management? Int J Obes (Lond) 38(Suppl 1):S1–S8. https://doi.org/10.1038/ijo.2014.82
Throop EM, Skinner AC, Perrin AJ, Steiner MJ, Odulana A, Perrin EM (2014) Pass the popcorn: “obesogenic” behaviors and stigma in children’s movies. Obesity (Silver Spring) 22(7):1694–1700. https://doi.org/10.1002/oby.20652
Gaina A, Sekine M, Chandola T, Marmot M, Kagamimori S (2009) Mother employment status and nutritional patterns in Japanese junior high schoolchildren. Int J Obes (Lond) 33(7):753–757. https://doi.org/10.1038/ijo.2009.103
Rolls BJ (2010) Plenary Lecture 1: Dietary strategies for the prevention and treatment of obesity. Proc Nutr Soc 69(1):70–79. https://doi.org/10.1017/S0029665109991674
Geier AB, Rozin P, Doros G (2006) Unit bias. A new heuristic that helps explain the effect of portion size on food intake. Psychol Sci 17(6):521–525. https://doi.org/10.1111/j.1467-9280.2006.01738.x
Mishra A, Mishra H, Masters TM (2012) The influence of bite size on quantity of food consumed: a field study. J Consum Res 38(5):791–795. https://doi.org/10.1086/660838
Robinson E, Almiron-Roig E, Rutters F, de Graaf C, Forde CG, Tudur Smith C, Nolan SJ, Jebb SA (2014) A systematic review and meta-analysis examining the effect of eating rate on energy intake and hunger. Am J Clin Nutr 100(1):123–151. https://doi.org/10.3945/ajcn.113.081745
Ferriday D, Bosworth ML, Lai S, Godinot N, Martin N, Martin AA, Rogers PJ, Brunstrom JM (2015) Effects of eating rate on satiety: a role for episodic memory? Physiol Behav. https://doi.org/10.1016/j.physbeh.2015.06.038
Ritze Y, Bardos G, D’Haese JG, Ernst B, Thurnheer M, Schultes B, Bischoff SC (2014) Effect of high sugar intake on glucose transporter and weight regulating hormones in mice and humans. PLoS One 9(7):e101702. https://doi.org/10.1371/journal.pone.0101702
Bray GA, Popkin BM (2014) Dietary sugar and body weight: have we reached a crisis in the epidemic of obesity and diabetes?: health be damned! Pour on the sugar. Diabetes Care 37(4):950–956. https://doi.org/10.2337/dc13-2085
Mack I, Sauer H, Weimer K, Dammann D, Zipfel S, Enck P, Teufel M (2014) Obese children and adolescents need increased gastric volumes in order to perceive satiety. Obesity (Silver Spring) 22(10):2123–2125. https://doi.org/10.1002/oby.20850
Birch LL, McPheee L, Shoba BC, Steinberg L, Krehbiel R (1987) “Clean up your plate”: effects of child feeding practices on the conditioning of meal size. Learn Motiv 18:301–317. https://doi.org/10.1016/0023-9690(87)90017-8
Francis LA, Hofer SM, Birch LL (2001) Predictors of maternal child-feeding style: maternal and child characteristics. Appetite 37(3):231–243. https://doi.org/10.1006/appe.2001.0427
Brown A, Lee M (2011) Maternal control of child feeding during the weaning period: differences between mothers following a baby-led or standard weaning approach. Matern Child Health J 15(8):1265–1271. https://doi.org/10.1007/s10995-010-0678-4
Acknowledgements
This study was funded by Grants from the Else Kröner-Fresenius-Stiftung, Bad Homburg, Germany (2011_A135) and the “Minigraduiertenprogramm” of the Center for Nutritional Medicine (ZEM), Tübingen-Hohenheim, Germany. IM receives a grant by the Ministry of Science Baden-Württemberg and the European Social Fund.
Author information
Authors and Affiliations
Contributions
IM was responsible for conception, funding, design and preparation of the study, data analysis, data interpretation and drafted the paper. HS was responsible for conception and design of the study and acquired data. DD and SZ were responsible for conception and design of the study. PE was responsible for conception, design and funding of the study. KW and MT were involved in data interpretation. All co-authors revised the manuscript. We thank all staff of the Fachkliniken Wangen i. A. for their support in carrying out the study and all colleagues at the University Hospital Tübingen who helped us with planning, implementation and realization. We thank Mr. Riyad Peeraully for reviewing the manuscript as a native English speaker.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Mack et al, the children and their parents provided informed consent prior to the children’s participation.
Rights and permissions
About this article
Cite this article
Mack, I., Sauer, H., Weimer, K. et al. Perceptions of tableware size in households of children and adolescents with obesity. Eat Weight Disord 24, 585–594 (2019). https://doi.org/10.1007/s40519-018-0537-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40519-018-0537-7