Obesity

Objective and subjective appetite measures: high versus low eating frequency in a randomized crossover clinical trial

Obesity (Silver Spring)Published Randomised crossover trial

Authors' conclusion

High EF led to smaller changes in objective and subjective appetite measures, suggesting that small frequent meals may lead to blunted satiety and less optimal appetite regulation.

Study context

Population
Healthy adults; mean age 32 years, 78% women, 60% non-Hispanic Whiteall completed
Participants
50 adults
Comparison
High eating frequency (EF) vs low EF for 21 days
Primary endpoint
Objective (postprandial ghrelin and PYY) and subjective appetite measures
Follow-up
Day 21 of each period, 7-h clinic visit
Methodological detailseucaloric, 14-day washout
  • Eucaloric
  • 14-day washout

Primary result

As reported in the abstract

day 21
  • High EF vs Low EF: p value for ghrelin = 0.03
  • High EF vs Low EF: p value for PYY < 0.001

Further findings

Self-reported hunger, desire to eat and fullness

Similar patterns (smaller changes with high EF)

Postprandial PYY by subgroup (overweight/obesity or high body fat %)

Differences in postprandial PYY greater among participants with overweight/obesity or high body fat percentage

Original publication

Objective and subjective appetite measures: high versus low eating frequency in a randomized crossover clinical trial. Obesity (Silver Spring). Published 1 April 2025. doi:10.1002/oby.24265

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