e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

Alternate Text All interventions

Limiting portion sizes to reduce the risk of childhood overweight and obesity

Intervention | Last updated: 25 April 2023


Overweight and obese children are at higher risk of developing serious health problems including type 2 diabetes, high blood pressure, asthma and other respiratory problems, sleep disorders and liver disease. They may also suffer from psychological effects, such as low self-esteem, depression and social isolation. Childhood obesity also increases the risk of obesity, noncommunicable diseases, premature death and disability in adulthood.

Portion sizes of commercially available and home-prepared foods have increased over the last several decades in many settings. Evidence from a limited number of studies suggests that availability of larger portions is associated with an increase in total caloric intake, which could lead to weight gain. Limiting portion size may therefore be effective as an intervention to prevent overeating and possibly reduce the risk of overweight and obesity among children.

WHO Recommendations


Further research is needed before specific recommendations can be made.

Evidence


Related Cochrane reviews


Portion, package or tableware size for changing selection and consumption of food, alcohol and tobacco

Hollands GJ, Shemilt I, Marteau TM, Jebb SA, Lewis HB, Wei Y, Higgins JPT, Ogilvie D.Cochrane Database of Systematic Reviews 2015, Issue 9. Art. No.: CD011045.

Summary of this review Alternate Text

Other related systematic reviews


The influence of the food environment on overweight and obesity in young children: a systematic review

Osei-Assibey G, Dick S, Macdiarmid J, Semple S, Reilly JJ, Ellaway A et al. BMJ Open. 2012; 2(6):e001538.