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Breakfast trends in children and adolescents: frequency and quality

  • Ute Alexy (a1), Meike Wicher (a1) and Mathilde Kersting (a1)



Although breakfast is important for obesity prevention and dietary quality, breakfast skipping is a common behaviour. Knowledge of changes in breakfast habits may provide potential behaviour targets for intervention programmes. The present study describes the actual data on trends in breakfast habits and composition.


A total of 7800 3 d dietary records of 1081 participants aged 2–18 years collected between 1986 and 2007 in the DONALD (Dortmund Nutritional and Anthropometric Longitudinally Designed) Study were analysed using mixed linear models.


Breakfast was eaten at 78 % of all record days; regular breakfast (breakfast was eaten on all three recorded weekdays) was eaten in 75 % of records. During the study period, the number of records with regular breakfast decreased significantly in 6–12- and 13–18-year-olds (P = 0·0084 and 0·0350, respectively). Of all breakfast meals, 62 % were bread meals and 21 % were ready-to-eat cereal (RTEC) meals. RTEC meals nearly doubled from the youngest to the oldest age group (P < 0·0001). During the study period, the percentage of bread meals decreased, whereas the percentage of RTEC meals increased (P < 0·0001). A higher percentage of RTEC meals than the bread meals was in accordance with the food-based guidelines (36 % v. 20 %, P < 0·0001), i.e. a breakfast including grain, dairy and fruit/vegetables.


In the DONALD Study sample, a negative age and time trend in breakfast consumption was verified. Interventions regarding breakfast habits should be aimed at adolescents and should focus on fruit/vegetables.

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1.Belanger-Ducharme, F & Tremblay, A (2005) Prevalence of obesity in Canada. Obes Rev 6, 183186.
2.Swinburn, BA, Caterson, I, Seidell, JC et al. (2004) Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr 7, 123146.
3.Jequier, E (2002) Pathways to obesity. Int J Obes Relat Metab Disord 26, Suppl. 2, S12S17.
4.Albertson, AM, Franko, DL, Thompson, D et al. (2007) Longitudinal patterns of breakfast eating in black and white adolescent girls. Obesity (Silver Spring) 15, 22822292.
5.Timlin, MT, Pereira, MA, Story, M et al. (2008) Breakfast eating and weight change in a 5-year prospective analysis of adolescents: Project EAT (Eating Among Teens). Pediatrics 121, e638e645.
6.Mota, J, Fidalgo, F, Silva, R et al. (2008) Relationships between physical activity, obesity and meal frequency in adolescents. Ann Hum Biol 35, 110.
7.Utter, J, Scragg, R, Mhurchu, CN et al. (2007) At-home breakfast consumption among New Zealand children: associations with body mass index and related nutrition behaviors. J Am Diet Assoc 107, 570576.
8.Delva, J, Johnston, LD & O’Malley, PM (2007) The epidemiology of overweight and related lifestyle behaviors: racial/ethnic and socioeconomic status differences among American youth. Am J Prev Med 33, S178S186.
9.Nicklas, TA, Bao, W, Webber, LS et al. (1993) Breakfast consumption affects adequacy of total daily intake in children. J Am Diet Assoc 93, 886891.
10.Affenito, SG, Thompson, DR, Barton, BA et al. (2005) Breakfast consumption by African-American and white adolescent girls correlates positively with calcium and fiber intake and negatively with body mass index. J Am Diet Assoc 105, 938945.
11.Dubois, L, Girard, M, Potvin Kent, M et al. (2009) Breakfast skipping is associated with differences in meal patterns, macronutrient intakes and overweight among pre-school children. Public Health Nutr 12, 1928.
12.Croezen, S, Visscher, TL, Ter Bogt, NC et al. (2009) Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. Eur J Clin Nutr 63, 405412.
13.Vagstrand, K, Barkeling, B, Forslund, HB et al. (2007) Eating habits in relation to body fatness and gender in adolescents – results from the ‘SWEDES’ study. Eur J Clin Nutr 61, 517525.
14.Troiano, RP & Flegal, KM (1998) Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics 101, 497504.
15.Siega-Riz, AM, Popkin, BM & Carson, T (1998) Trends in breakfast consumption for children in the United States from 1965–1991. Am J Clin Nutr 67, 748S756S.
16.Matthys, C, De Henauw, S, Bellemans, M et al. (2007) Breakfast habits affect overall nutrient profiles in adolescents. Public Health Nutr 10, 413421.
17.Giovannini, M, Verduci, E, Scaglioni, S et al. (2008) Breakfast: a good habit, not a repetitive custom. J Int Med Res 36, 613624.
18.Ortega, A, Requejo, AM, Navia, B et al. (1998) The relationship between the consumption of an inadequate breakfast and energy profile imbalance in preschool children. Nutr Res 18, 703712.
19.Ortega, RM, Requejo, AM, Lopez-Sobaler, AM et al. (1998) The importance of breakfast in meeting daily recommended calcium intake in a group of schoolchildren. J Am Coll Nutr 17, 1924.
20.Gibson, SA & O’Sullivan, KR (1995) Breakfast cereal consumption patterns and nutrient intakes of British schoolchildren. J R Soc Health 115, 366370.
21.Kleemola, P, Puska, P, Vartiainen, E et al. (1999) The effect of breakfast cereal on diet and serum cholesterol: a randomized trial in North Karelia, Finland. Eur J Clin Nutr 53, 716721.
22.Preziosi, P, Galan, P, Deheeger, M et al. (1999) Breakfast type, daily nutrient intakes and vitamin and mineral status of French children, adolescents, and adults. J Am Coll Nutr 18, 171178.
23.Ruxton, CH, O’Sullivan, KR, Kirk, TR et al. (1996) The contribution of breakfast to the diets of a sample of 136 primary-schoolchildren in Edinburgh. Br J Nutr 75, 419431.
24.McNulty, H, Eaton-Evans, J, Cran, G et al. (1996) Nutrient intakes and impact of fortified breakfast cereals in schoolchildren. Arch Dis Child 75, 474481.
25.Barton, BA, Eldridge, AL, Thompson, D et al. (2005) The relationship of breakfast and cereal consumption to nutrient intake and body mass index: the National Heart, Lung, and Blood Institute Growth and Health Study. J Am Diet Assoc 105, 13831389.
26.Kroke, A, Manz, F, Kersting, M et al. (2004) The DONALD Study. History, current status and future perspectives. Eur J Nutr 43, 4554.
27.Sichert-Hellert, W, Kersting, M, Chahda, C et al. (2007) Commercial food products in a Food Composition Data Base for dietary evaluation in pediatric age groups. J Food Compost Anal 20, 6370.
28.Bellisle, F & Rolland-Cachera, MF (2007) Three consecutive (1993, 1995, 1997) surveys of food intake, nutritional attitudes and knowledge, and lifestyle in 1000 French children, aged 9–11 years. J Hum Nutr Diet 20, 241251.
29.Keski-Rahkonen, A, Kaprio, J, Rissanen, A et al. (2003) Breakfast skipping and health-compromising behaviors in adolescents and adults. Eur J Clin Nutr 57, 842853.
30.Kant, AK & Graubard, BI (2006) Secular trends in patterns of self-reported food consumption of adult Americans: NHANES 1971–1975 to NHANES 1999–2002. Am J Clin Nutr 84, 12151223.
31.Nicklas, TA, Morales, M, Linares, A et al. (2004) Children’s meal patterns have changed over a 21-year period: the Bogalusa Heart Study. J Am Diet Assoc 104, 753761.
32.Hulshof, KF, Brussaard, JH, Kruizinga, AG et al. (2003) Socio-economic status, dietary intake and 10 y trends: the Dutch National Food Consumption Survey. Eur J Clin Nutr 57, 128137.
33.Moore, GF, Tapper, K, Murphy, S et al. (2007) Associations between deprivation, attitudes towards eating breakfast and breakfast eating behaviours in 9–11-year-olds. Public Health Nutr 10, 582589.
34.Fleig, D & Randler, C (2009) Association between chronotype and diet in adolescents based on food logs. Eat Behav 10, 115118. Castro, JM (1991) Weekly rhythms of spontaneous nutrient intake and meal pattern of humans. Physiol Behav 50, 729738.
36.Haines, PS, Hama, MY, Guilkey, DK et al. (2003) Weekend eating in the United States is linked with greater energy, fat, and alcohol intake. Obes Res 11, 945949.
37.Cullen, KW, Lara, KM & de Moor, C (2002) Children’s dietary fat intake and fat practices vary by meal and day. J Am Diet Assoc 102, 17731778.
38.Song, WO, Chun, OK, Kerver, J et al. (2006) Ready-to-eat breakfast cereal consumption enhances milk and calcium intake in the US population. J Am Diet Assoc 106, 17831789.
39.Kersting, M & Alexy, U (2006) Empfehlungen für das Frühstück (Breakfast guidelines). Dortmund: Forschungsinstitut für Kinderernährung Dortmund (FKE).
40.Sichert-Hellert, W, Kersting, M & Manz, F (2001) Fifteen year trends in water intake in German children and adolescents: results of the DONALD Study. Dortmund Nutritional and Anthropometric Longitudinally Designed Study. Acta Paediatr 90, 732737.
41.Manz, F, Wentz, A & Sichert-Hellert, W (2002) The most essential nutrient: defining the adequate intake of water. J Pediatr 141, 587592.
42.Mensink, GB, Bauch, A, Vohmann, C et al. (2007) EsKiMo – the nutrition module in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50, 902908.
43.Videon, TM & Manning, CK (2003) Influences on adolescent eating patterns: the importance of family meals. J Adolesc Health 32, 365373.


Breakfast trends in children and adolescents: frequency and quality

  • Ute Alexy (a1), Meike Wicher (a1) and Mathilde Kersting (a1)


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