• Physical activity duration but not energy expenditure differs between daily and intermittent breakfast consumption in adolescent girls: a randomized crossover trial

      Zakrzewski-Fruer, Julia K.; Wells, Emma K.; Crawford, Natasha S.G.; Afeef, Sahar M.O.; Tolfrey, Keith (Oxford University Press, 2018-02-27)
      Background: It is not known whether breakfast frequency affects physical activity (PA) in children or adolescents. Objective: This study examined the effect of daily compared with intermittent breakfast consumption on estimated PA energy expenditure (PAEE) in adolescent girls. Methods: Using a randomized crossover design, 27 girls (age 12.4 ± 0.5 y, body mass index 19.3 ± 3.0 kg∙m-2) completed two, 7-day conditions. A standardized breakfast (~1674 kJ) was consumed every day before 09:00 in the daily breakfast consumption (DBC) condition. The standardized breakfast was consumed on only three days before 09:00 in the intermittent breakfast consumption (IBC) condition alternating with breakfast omission on the remaining four days (i.e., only water consumed before 10:30). Combined heart rate-accelerometry was used to estimate PAEE throughout each condition. Statistical analyses were completed using condition by time of day repeated measures analysis of variance. The primary outcome was PAEE and the secondary outcome was time spent in PA. Results: Daily estimated PAEE from sedentary, light, moderate and vigorous intensities and total PAEE were not significantly different between the conditions. The condition by time of day interaction for sedentary time (P = 0.05) indicated that the girls spent 11.5 min/d more time sedentary in IBC compared with DBC during 15:30-bedtime (P = 0.04). Light PA was 19.8 min/d higher during DBC compared with IBC (P = 0.05), which was accumulated during wake-10:30 (P = 0.04) and 15:30-bedtime (P = 0.03). There were no significant differences in time spent in MPA or VPA between the conditions. Conclusions: Adolescent girls spent more time in light PA before 10:30 and after school and spent less time sedentary after school when a standardized breakfast was consumed daily compared with intermittently across seven days. However, breakfast manipulation did not affect estimated daily PAEE. 
    • Who uses foodbanks and why? Exploring the impact of financial strain and adverse life events on food insecurity

      Prayogo, Edwina; Chater, Angel M.; Chapman, S.; Barker, M.; Rahmawati, N.; Waterfall, T.; Grimble, G.; University College London; University of Bedfordshire; University of Bath; et al. (Oxford University Press, 17-11-14)
      Background Rising use of foodbanks highlights food insecurity in the UK. Adverse life events (e.g. unemployment, benefit delays or sanctions) and financial strains are thought to be the drivers of foodbank use. This research aimed to explore who uses foodbanks, and factors associated with increased food insecurity. Methods We surveyed those seeking help from front line crisis providers from foodbanks (N = 270) and a comparison group from Advice Centres (ACs) (N = 245) in relation to demographics, adverse life events, financial strain and household food security. Results About 55.9% of foodbank users were women and the majority were in receipt of benefits (64.8%). Benefit delays (31.9%), changes (11.1%) and low income (19.6%) were the most common reasons given for referral. Compared to AC users, there were more foodbank users who were single men without children, unemployed, currently homeless, experiencing more financial strain and adverse life events (P = 0.001). Food insecurity was high in both populations, and more severe if they also reported financial strain and adverse life events. Conclusions Benefit-related problems appear to be a key reason for foodbank referral. By comparison with other disadvantaged groups, foodbank users experienced more financial strain, adverse life events, both increased the severity of food insecurity.