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British Journal of Nutrition British Journal of Nutrition

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Skipping breakfast is associated with the presence of cardiometabolic risk factors in adolescents: Study of Cardiovascular Risks in Adolescents – ERICA

Published online by Cambridge University Press:  12 October 2020

Marielly Rodrigues de Souza ,
Morgana Egle Alves Neves ,
Amanda de Moura Souza ,
Ana Paula Muraro ,
Rosangela Alves Pereira ,
Márcia Gonçalves Ferreira  and
Paulo Rogério Melo Rodrigues Open the ORCID record for Paulo Rogério Melo Rodrigues[Opens in a new window]
Marielly Rodrigues de Souza
Affiliation:
Departamento de Alimentos e Nutrição, Faculdade de Nutrição, Universidade Federal de Mato Grosso, Cuiabá, Mato Grosso, CEP 78060-900, Brazil
Morgana Egle Alves Neves
Affiliation:
Departamento de Alimentos e Nutrição, Faculdade de Nutrição, Universidade Federal de Mato Grosso, Cuiabá, Mato Grosso, CEP 78060-900, Brazil
Amanda de Moura Souza
Affiliation:
Departamento de Epidemiologia e Bioestatística, Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Cidade Universitária, Rio de Janeiro, Rio de Janeiro, CEP 21941-598, Brazil
Ana Paula Muraro
Affiliation:
Departamento de Epidemiologia, Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso, Cuiabá, Mato Grosso, CEP 78060-900, Brazil
Rosangela Alves Pereira
Affiliation:
Departamento de Nutrição Social e Aplicada, Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Cidade Universitária, Rio de Janeiro, Rio de Janeiro, CEP 21941-590, Brazil
Márcia Gonçalves Ferreira
Affiliation:
Departamento de Alimentos e Nutrição, Faculdade de Nutrição, Universidade Federal de Mato Grosso, Cuiabá, Mato Grosso, CEP 78060-900, Brazil
Paulo Rogério Melo Rodrigues*
Affiliation:
Departamento de Alimentos e Nutrição, Faculdade de Nutrição, Universidade Federal de Mato Grosso, Cuiabá, Mato Grosso, CEP 78060-900, Brazil
*
* Corresponding author: Paulo Rogério Melo Rodrigues, email prmr84@gmail.com
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Abstract

Breakfast is considered as the most important meal of the day. The habit of skipping this meal in adolescence tends to remain until adulthood and has been associated with cardiometabolic risk factors. The present study estimated the prevalence of skipping breakfast and its association with cardiometabolic risk factors. This is a cross-sectional study with data from the Study of Cardiovascular Risks in Adolescents (ERICA), with a nationally representative sample of 36 956 Brazilian adolescents, aged 12–17 years, enrolled in public and private schools. The outcomes were excess body weight (BMI), central obesity (waist circumference and waist:height ratio), lipid profile (total cholesterol (TC), LDL-cholesterol, HDL-cholesterol and TAG) and glycidic profile (fasting glycaemia, fasting insulin and glycated Hb). The association between skipping breakfast and each outcome was estimated using multiple Poisson regression models (prevalence ratio (PR) and 95 % CI). Prevalence of skipping breakfast was 68·7 % and, after adjustments, it was associated with excess body weight (PR = 1·30; 95 % CI 1·18, 1·43), central obesity both by waist circumference (PR = 1·27; 95 % CI 1·00, 1·61) and by waist:height ratio (PR = 1·32; 95 % CI 1·13, 1·54) and high fasting glucose levels (PR = 1·54; 95 % CI 1·09, 2·18), fasting insulin (PR = 1·64; 95 % CI 1·21, 2·22), glycated Hb (PR = 1·16; 95 % CI 1·03, 1·31) and total cholesterol (PR = 1·14; 95 % CI 1·02, 1·27). Skipping breakfast was associated with cardiometabolic risk factors in adolescence. In this context, the school environment is an ideal space to promote healthy eating habits, favouring the implementation of food and nutrition education activities to make adolescents aware of the importance of consuming breakfast daily.

Keywords

BreakfastDyslipidaemiaObesityGlycidic profileAdolescents
Type
Full Papers
Information
British Journal of Nutrition , Volume 126 , Issue 2 , 28 July 2021 , pp. 276 - 284
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Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society

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