Objective quantification and analysis of eating behaviour associated with obesity development : from lab to real-life

Introduction: The last four decades have seen a marked increase in childhood and adult obesity prevalence, attributed to an “obesogenic” environment. Several genetical, environmental and behavioural factors have been identified that increase the risk of obesity, but treatment outcomes are usually modest and the risk of relapse high. One limitation responsible for these moderate results could be methodological, with researchers questioning both the external validity of eating behaviour measures in the laboratory (controlled) and the internal validity of eating behaviour measures in free-living (real-life) settings. Technological advances could solve some of these issues, allowing for accurate methods, similar to those used in controlled settings, to be used in real- life. Deploying accurate methods in both controlled and real-life settings would in turn enable the estimation of external validity, determining the limits of generalization between settings. In turn enabling the deployment of these methods in settings which allow large scale screening, for early identification of individuals at risk of becoming obese. Aim: The overarching aim of the thesis was to: i) evaluate the stability of human eating behaviour and ii) investigate the usability and feasibility of methods developed for controlled settings, when deployed in semi-controlled and real-life settings. Paper I – Determine if individuals maintain their eating behaviour, in relation to the group, despite experimental manipulations to meal conditions (i.e., unit sizes and serving occasion); Paper II – Feasibility of employing novel technology for baseline eating behaviour collection in adolescents eating school lunches in a school cafeteria setting (semi-controlled); Paper III – Feasibility of employing novel technology in an experimental manipulation study, to determine the effect of proximity in a semi-controlled school setting; and Paper IV – By use of novel technology, examine the maintenance of eating beha