Energy Intake at Breakfast and Weight Change: Prospective Study of 6,764 Middle-aged Men and Women

MRC Epidemiology Unit, Institute of Medical Science, Addenbrooke's Hospital, Cambridge, United Kingdom.
American journal of epidemiology (Impact Factor: 5.23). 02/2008; 167(2):188-92. DOI: 10.1093/aje/kwm309
Source: PubMed


To investigate the association between percentage of total daily energy intake consumed at breakfast and weight change in middle-aged men and women, the authors analyzed data from a prospective population-based cohort study from Norfolk, United Kingdom. Participants were 6,764 men and women aged 40-75 years at baseline (1993-1997). Participants completed a 7-day food diary at baseline, and objective measurements of height and weight were carried out at baseline and follow-up (1998-2000). Mean baseline body mass index (weight (kg)/height (m)(2)) was lowest among persons in the highest quintile of percentage of daily energy consumed at breakfast (mean values were 26.0 in the highest quintile and 26.3 in the lowest quintile), despite higher daily total energy intake in this group. Although all participants gained weight, increased percentage of daily energy consumed at breakfast was associated with relatively lower weight gain (adjusted beta coefficient = -0.021, 95% confidence interval: -0.035, -0.007; p = 0.004). The association between percentage of daily energy intake consumed at breakfast and weight gain was independent of age, sex, smoking, total energy intake, macronutrient intake, social class, and physical activity. Redistribution of daily energy intake, so that more energy is consumed at breakfast and less energy is consumed later in the day, may help to reduce weight gain in middle-aged adults.

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Available from: Ailsa A Welch, May 30, 2014
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    • "Another study showed the prevalence of breakfast skipping with 22% where a high prevalence was also observed in this study [36]. The sociodemographic characteristics of breakfast skippers have also been investigated. "
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    ABSTRACT: Positive association between skipping breakfast and overweight and obesity is globally observed regardless of cultural diversity among countries. A cross-sectional descriptive study was performed on a total of 426 urban adults, who were randomly selected in a nutrition counseling center of Dhaka city, Bangladesh. The objective of this study was determining the association between breakfast skipping and obesity risk in urban adults of Bangladesh. Results indicated that approximately 35.2% of the sample skipped breakfast. Gender was the only statistically significant sociodemographic variable, with females skipping at two times the rate of males (OR 95% CI: 1.9; 1.3-2.9). Obesity was detected among 39.5% of breakfast skippers and they showed significantly high prevalence (X2=30.15, p<0.05). Skippers were significantly more likely being obese (OR 3.5; 95% CI 2.2-5.5) and obesity was more prevalent in female skippers (X2=8.7, p<0.05), with three times more compared to male skippers (OR 95% CI: 2.8; 1.4-5.9). Breakfast skipping is highly prevalent among urban adult population with significant association of obesity in Bangladesh. Health promotion strategies should be used to encourage all adults to eat breakfast regularly.
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    • "Consumption of breakfast cereals also improved. Previous research has shown that weight gain is less in adults who eat breakfast [21,22]. Both these changes suggest that efforts were being made by participants to adopt healthier eating patterns. "
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    • "Another research associated with the effects of eating on health found conclusive evidence that consuming a higher proportion of total daily calories intake at breakfast lowers weight gain (Purslow et al. 2008). That is, if one eats more during breakfast and eats lesser during his/her other meals, one is less likely to gain more weight over time. "
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