Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children

Appl Physiol Nutr Metab. 2017 Mar;42(3):302-310. doi: 10.1139/apnm-2016-0251. Epub 2016 Nov 21.

Abstract

The effect of beverages commonly consumed by children in-between or with meals on short-term food intake (FI) and glycemic control has received little attention. Therefore, 2 experiments were conducted in 9- to 14-year-old children following a randomized repeated-measures design. Experiment 1 (n = 32) compared the effects of water (control) and isocaloric (130 kcal) amounts of 2% milk, chocolate milk, yogurt drink, and fruit punch on subjective appetite and FI. Experiment 2 (n = 20) compared the effects of isocaloric (130 kcal) amounts of 2% milk and fruit punch on subjective appetite, FI, and glycemic and appetite hormone responses. One serving of the beverages was given as a pre-meal drink at baseline (0 min) and a second serving 60 min later with an ad libitum pizza meal. Meal FI in experiment 1 was lower by 14% and 10%, respectively, after chocolate milk and yogurt drink (p < 0.001), but not milk, compared with water. Cumulative energy intake (beverages plus meal) was higher after caloric beverages than water. In experiment 2, no differences occurred in pre-meal but post-meal glucose was 83% higher in overweight/obese than normal-weight children (p = 0.02). Milk led to higher pre-meal glucagon-like peptide-1 and post-meal peptide tyrosine tyrosine (PYY) than fruit punch (p < 0.01) but insulin did not differ between treatments. In conclusion, dairy products consumed before and with a meal have more favourable effects on FI, appetite, and satiety hormones than a sugar-sweetened beverage, but all caloric beverages result in more cumulative calories than if water is the beverage.

Keywords: appetite hormones; apport alimentaire; boisson sucrée; children; contrôle glycémique; dairy; enfants; food intake; glycemic control; hormones de l’appétit; lait; milk; produit laitier; sugar-sweetened beverage.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Appetite / physiology*
  • Blood Glucose / metabolism*
  • Body Mass Index
  • Body Weight
  • Child
  • Dairy Products*
  • Dietary Carbohydrates / administration & dosage
  • Dietary Proteins / administration & dosage
  • Eating / physiology*
  • Energy Intake*
  • Female
  • Fruit and Vegetable Juices
  • Ghrelin / blood
  • Glucagon-Like Peptide 1 / blood
  • Humans
  • Insulin / blood
  • Male
  • Meals*
  • Nutritive Sweeteners / administration & dosage
  • Peptide YY / blood
  • Satiation

Substances

  • Blood Glucose
  • Dietary Carbohydrates
  • Dietary Proteins
  • Ghrelin
  • Insulin
  • Nutritive Sweeteners
  • Peptide YY
  • Glucagon-Like Peptide 1