Associations Between Eating Speed, Diet Quality, Adiposity, and Cardiometabolic Risk Factors

Objective To assess the associations between eating speed, adiposity, cardiometabolic risk factors, and diet quality in a cohort of Spanish preschool-children. Study design A cross-sectional study in 1371 preschool age children (49% girls; mean age, 4.8 +/- 1.0 years) from the Childhood Obesity Risk Assessment Longitudinal Study (CORALS) cohort was conducted. After exclusions, 956 participants were included in the analyses. The eating speed was estimated by summing the total minutes used in each of the 3 main meals and then categorized into slow, moderate, or fast. Multiple linear and logistic regression models were fitted to assess the beta-coefficient, or OR and 95% CI, between eating speed and body mass index, waist circumference, fat mass index (FMI), blood pressure, fasting plasma glucose, and lipid profile. Results Compared with participants in the slow-eating category, those in the fast-eating category had a higher prevalence risk of overweight/ obesity (OR, 2.9; 95% CI, 1.8-4.4; P < .01); larger waist circumference (0, 2.6 cm; 95% CI, 1.5-3.8 cm); and greater FMI (beta, 0.3 kg/m(2); 95% CI, 0.1-0.5 kg/m(2)), systolic blood pressure (beta, 2.8 mmHg; 95% CI, 0.64.9 mmHg), and fasting plasma glucose levels (beta, 2.7 mg/dL, 95% CI, 1.2-4.2 mg/dL) but lower adherence to the Mediterranean diet (beta,-0.5 points; 95% CI,-0.9 to-0.1 points). Conclusions Eating fast is associated with higher adiposity, certain cardiometabolic risk factors, and lower adherence to a Mediterranean diet. Further long-term and interventional studies are warranted to confirm these associations. (J Pediatr 2023;252:31-9).