INS and Insulin resistance: In another study carried out in 191 overweight Hispanic youths (8–18 years), those who consumed three or more eating occasions (≥209 kJ (≥50 kcal) and ≥15 min from any prior eating occasion) had 9 % lower BMI Z-score (P<0·01), 9 % lower waist circumference (P<0·01), 29 % lower fasting insulin (P=0·02), 31 % lower HOMA-IR (homeostasis model assessment of insulin resistance) values (P=0·02) and 19 % lower TAG (P<0·01) compared with those who consumed fewer than three eating occasions, although the former consumed 23 % more energy per day than the latter (P<0·01)(49).