Consequences of Belonging to the “Clean Plate Club”

Wansink, Brian; Payne, Collin R.; Werle, Carolina

doi:10.1001/archpedi.162.10.994

Cited by 37 publications

(40 citation statements)

References 4 publications

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“…Our findings advance previous research on dishware size among children 18 by demonstrating effects on children' s actual serving and eating behaviors. The mechanism(s) by which larger dishware promotes self-served portions among children are unclear.…”

Section: Figuresupporting

confidence: 86%

“…A study of preschoolers found that children requested twice as much cereal for a hypothetical snack when the size of the bowl used to serve the child was doubled from 16 oz to 32 oz. 18 That study, however, did not assess effects on children' s actual serving behaviors and intake. Investigation of the influence of dishware size on children' s eating behaviors in naturalistic settings is needed to identify concrete ways that pediatricians and clinicians can target child nutrition and healthy eating.…”

Section: Discussionmentioning

confidence: 97%

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Plate Size and Children’s Appetite: Effects of Larger Dishware on Self-Served Portions and Intake

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT:Research has shown that dishware size influences self-served portion sizes and meal intake in adults. In children, larger bowls led children to request more food, but whether larger dishware affects children' s self-served portions or intake at meals is not known. WHAT THIS STUDY ADDS:We assessed the effect of increasing dishware size on self-served portions and intake in young children. Larger plates and bowls resulted in larger self-served portions, and indirectly promoted greater intake, emphasizing the importance of age-appropriate dishware.abstract OBJECTIVES: Dishware size is thought to influence eating behaviors, but effects on children' s self-served portion sizes and intakes have not been studied. We aimed to evaluate whether larger dishware increased children' s self-served portion sizes and intake during meals. METHODS:A within-subjects experimental design was used to test the effects of dishware size (ie, plates and bowls) on children' s self-served portion sizes and intakes in a naturalistic setting. Subjects were predominantly African American elementary school-aged children (n = 42) observed on repeated occasions during school lunch. Children served themselves an entree and side dishes using either child-or adult-size dishware, which represented a 100% increase in the surface area of plates and volume of bowls across conditions. Condition order was randomly assigned and counterbalanced across 2 first-grade classrooms. Entrées of amorphous and unit form were evaluated on separate days. Fruit and vegetable side dishes were evaluated at each meal. Fixed portions of milk and bread were provided at each meal. RESULTS:Children served more energy (mean = 90.1 kcal, SE = 29.4 kcal) when using adult-size dishware. Adult-size dishware promoted energy intake indirectly, where every additional calorie served resulted in a 0.43-kcal increase in total energy intakes at lunch (t = 7.72, P = .001).CONCLUSIONS: Children served themselves more with larger plates and bowls and consumed nearly 50% of the calories that they served. This provides new evidence that children' s self-served portion sizes are influenced by size-related facets of their eating environments, which, in turn, may influence children' s energy intake. Pediatrics

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Section: Figuresupporting

confidence: 86%

Section: Discussionmentioning

confidence: 97%

Plate Size and Children’s Appetite: Effects of Larger Dishware on Self-Served Portions and Intake

et al. 2013

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“…Those children whose parents insisted they clean their plate at home poured 44% more cereal than those who had more latitude over how much they ate at home. 222 Although the "clean your plate" parents believed they were helping their child eat healthier, this was not correct.…”

Section: Assessing Refined Parenting Practices and Profilesmentioning

confidence: 99%

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

Self Cite

236

170

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Abstract-This scientific statement addresses parents and adult caregivers (PACs) as "agents of change" for obese children, evaluating the strength of evidence that particular parenting strategies can leverage behavior change and reduce positive energy balance in obese youth. The statement has 3 specific aims. The first is to review core behavior change strategies for PACs as used in family-based treatment programs and to provide a resource list. The second is to evaluate the strength of evidence that greater parental "involvement" in treatment is associated with better reductions in child overweight. The third is to identify research gaps and new opportunities for the field. This review yielded limited and inconsistent evidence from randomized controlled clinical trials that greater PAC involvement necessarily is associated with better child outcomes. For example, only 17% of the intervention studies reported differential improvements in child overweight as a function of parental involvement in treatment. On the other hand, greater parental adherence with core behavior change strategies predicted better child weight outcomes after 2 and 5 years in some studies. Thus, the literature lacks conclusive evidence that one particular parenting strategy or approach causally is superior to others in which children have a greater focus in treatment. A number of research gaps were identified, including the assessment of refined parenting phenotypes, cultural tailoring of interventions, examination of family relationships, and incorporation of new technologies. A conceptual model is proposed to stimulate research identifying the determinants of PAC feeding and physical activity parenting practices, the results of which may inform new treatments. The statement addresses the need for innovative research to advance the scope and potency of PAC treatments for childhood obesity. (Circulation. 2012;125:1186-1207.)Key Words: AHA Scientific Statements Ⅲ diet Ⅲ lifestyle Ⅲ nutrition Ⅲ obesity Ⅲ pediatrics Ⅲ preventionThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on October 10, 2011. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JAS, Franch HA, Jakicic JM, Kral TVE, Odoms-Young A, Wansink B, Wylie-Rosett J; on ...

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“…encouraging children to 'clean the plate', may actually have a counterproductive effect on food intake (88)(89)(90)(91) . Disruption of children's innate ability to self-regulate their EI and therefore encouraging eating in the absence of hunger has indeed been prospectively linked to an increased risk of becoming overweight, albeit only in girls (92) .…”

Section: Parental Influencesmentioning

confidence: 99%

Influencing and modifying children's energy intake: the role of portion size and energy density

et al. 2014

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Childhood obesity is of concern worldwide. The portion size (PS) and energy density (ED) of food are two major determinants of children's energy intake (EI). Trends towards increasing PS are most apparent and best documented in the USA, where PS of numerous food products have increased in the marketplace over the past three decades, particularly high-energy dense foods. Analyses of population-level dietary surveys have confirmed this trend in children for both in-and out-of-home eating, and a plethora of observational evidence positively associates PS, ED and adiposity in children. A limited number of intervention studies provide clear evidence that children, even as young as 2 years, respond acutely to increasing PS, with some studies also demonstrating the additive effects of increased ED in promoting excessive EI. However, most of the evidence is based on children aged 3-6 years and there is a paucity of data in older children and adolescents. It is unclear whether decreasing PS can have the opposite effect on children's EI but recent acute studies have demonstrated that the incorporation of lower energy dense foods, such as fruit and vegetables, into children's meals down-regulates EI. Although a direct causal link between PS and obesity remains to be established, the regular consumption of larger PS of energy dense foods do favour obesity-promoting eating behaviours in children. Further research is required to establish the most feasible and effective interventions and policies to counteract the deleterious impact of PS and ED on children's EI.

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Consequences of Belonging to the “Clean Plate Club”

Cited by 37 publications

References 4 publications

Plate Size and Children’s Appetite: Effects of Larger Dishware on Self-Served Portions and Intake

Plate Size and Children’s Appetite: Effects of Larger Dishware on Self-Served Portions and Intake

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Influencing and modifying children's energy intake: the role of portion size and energy density

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