The relationship between restrained earing and leptin levels 6 months later
was investigated. Twenty obese girls, ages 8-12 years, were studied. Degre
e of restrained eating was assessed with the Three-Factor Eating Questionna
ire. Serum leptin levels were determined 6 months after the measurement of
cognitive restraint. Restraint score and leptin levels showed a significant
negative correlation (r = -0.43) The correlation was also significant when
controlling for fat mass (r = -0.61), which is the strongest biological pr
edictor of leptin levels. If lower leptin levels cause a diminished energy
expenditure, then paradoxically, restrained eating might be responsible for
weight gain in obese individuals because of its promotion of a positive en
ergy balance. (C) 2000 Elsevier Science Inc. All rights reserved.