Associations between breakfast frequency and adiposity indicators in children from 12 countries
Authors
Zakrzewski-Fruer, Julia K.Gillison, F.B.
Cumming, S.
Church, T.S.
Katzmarzyk, P.T.
Broyles, Stephanie T.
Champagne, C.M.
Chaput, J-P.
Denstel, K.D.
Fogelholm, M.
Hu, G.
Kuriyan, R.
Kurpad, A.
Lambert, E.V.
Maher, C.
Maia, J.
Matsudo, V.
Mire, E.F.
Olds, T.
Onywera, V.
Sarmiento, O.L.
Tremblay, M.S.
Tudor-Locke, C.
Zhao, P.
Standage, M.
Issue Date
2015-12-08
Metadata
Show full item recordAbstract
OBJECTIVES: Reports of inverse associations between breakfast frequency and indices of obesity are predominantly based on samples of children from high-income countries with limited socioeconomic diversity. Using data from the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE), the present study examined associations between breakfast frequency and adiposity in a sample of 9–11-year-old children from 12 countries representing a wide range of geographic and socio-cultural variability. METHODS: Multilevel statistical models were used to examine associations between breakfast frequency (independent variable) and adiposity indicators (dependent variables: body mass index (BMI) z-score and body fat percentage (BF%)), adjusting for age, sex, and parental education in 6941 children from 12 ISCOLE study sites. Associations were also adjusted for moderate-to-vigorous physical activity, healthy and unhealthy dietary patterns and sleep time in a sub-sample (n=5710). Where interactions with site were significant, results were stratified by site. RESULTS: Adjusted mean BMI z-score and BF% for frequent breakfast consumers were 0.45 and 20.5%, respectively. Frequent breakfast consumption was associated with lower BMI z-scores compared with occasional (P<0.0001, 95% confidence intervals (CI): 0.10–0.29) and rare (P<0.0001, 95% CI: 0.18–0.46) consumption, as well as lower BF% compared with occasional (P<0.0001, 95% CI: 0.86–1.99) and rare (P<0.0001, 95% CI: 1.07–2.76). Associations with BMI z-score varied by site (breakfast by site interaction; P=0.033): associations were non-significant in three sites (Australia, Finland and Kenya), and occasional (not rare) consumption was associated with higher BMI z-scores compared with frequent consumption in three sites (Canada, Portugal and South Africa). Sub-sample analyses adjusting for additional covariates showed similar associations between breakfast and adiposity indicators, but lacked site interactions. CONCLUSIONS: In a multinational sample of children, more frequent breakfast consumption was associated with lower BMI z-scores and BF% compared with occasional and rare consumption. Associations were not consistent across all 12 countries. Further research is required to understand global differences in the observed associations.Citation
Zakrzewski JK , Gillison FB , Cumming S, Church TS, Katzmarzyk PT, Broyles ST, Champagne CM, Chaput J-P, Denstel KD, Fogelholm M, Hu G, Kuriyan R, Kurpad A, Lambert EV, Maher C, Maia J, Matsudo V, Mire EF, Olds T, Onywera V, Sarmiento OL, Tremblay MS, Tudor-Locke C, Zhao P, Standage M (2015) 'Associations between breakfast frequency and adiposity indicators in children from 12 countries', International Journal of Obesity Supplements, 5, pp.s80-s88.Publisher
Nature Publishing GroupPubMed ID
27152190PubMed Central ID
PMC4850625Additional Links
http://www.nature.com/ijosup/journal/v5/n2s/full/ijosup201524a.html?foxtrotcallback=trueType
ArticleLanguage
enISSN
2046-2166EISSN
2046-2166ae974a485f413a2113503eed53cd6c53
10.1038/ijosup.2015.24
Scopus Count
Collections
Related articles
- Association between breakfast frequency and physical activity and sedentary time: a cross-sectional study in children from 12 countries.
- Authors: Zakrzewski-Fruer JK, Gillison FB, Katzmarzyk PT, Mire EF, Broyles ST, Champagne CM, Chaput JP, Denstel KD, Fogelholm M, Hu G, Lambert EV, Maher C, Maia J, Olds T, Onywera V, Sarmiento OL, Tremblay MS, Tudor-Locke C, Standage M, ISCOLE Research Group
- Issue date: 2019 Feb 21
- Proportion of children meeting recommendations for 24-hour movement guidelines and associations with adiposity in a 12-country study.
- Authors: Roman-Viñas B, Chaput JP, Katzmarzyk PT, Fogelholm M, Lambert EV, Maher C, Maia J, Olds T, Onywera V, Sarmiento OL, Standage M, Tudor-Locke C, Tremblay MS, ISCOLE Research Group
- Issue date: 2016 Nov 25
- Infrequent breakfast consumption is associated with higher body adiposity and abdominal obesity in Malaysian school-aged adolescents.
- Authors: Nurul-Fadhilah A, Teo PS, Huybrechts I, Foo LH
- Issue date: 2013
- Cross-sectional associations between sleep duration, sedentary time, physical activity, and adiposity indicators among Canadian preschool-aged children using compositional analyses.
- Authors: Carson V, Tremblay MS, Chastin SFM
- Issue date: 2017 Nov 20
- Breakfast habits, dairy product consumption, physical activity, and their associations with body mass index in children aged 6-18.
- Authors: Koca T, Akcam M, Serdaroglu F, Dereci S
- Issue date: 2017 Sep