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Breakfast eating and overweight in a pre-school population: is there a link?

Published online by Cambridge University Press:  02 January 2007

Lise Dubois*
Affiliation:
Department of Epidemiology and Community Medicine, Faculty of Medicine, Institute of Population Health, University of Ottawa, 1 Stewart Street Office 303, Ottawa, Ontario, Canada, K1N 6N5
Manon Girard
Affiliation:
Department of Epidemiology and Community Medicine, Faculty of Medicine, Institute of Population Health, University of Ottawa, 1 Stewart Street Office 303, Ottawa, Ontario, Canada, K1N 6N5
Monique Potvin Kent
Affiliation:
Department of Epidemiology and Community Medicine, Faculty of Medicine, Institute of Population Health, University of Ottawa, 1 Stewart Street Office 303, Ottawa, Ontario, Canada, K1N 6N5
*
*Corresponding author: Email lise.dubois@uottawa.ca
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Abstract

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Objectives

To analyse the socio-economic factors related to breakfast eating, the association between breakfast eating and overweight, and to gain a more thorough understanding of the relationship between these two elements in a population-based cohort of 4.5-year-old children. We hypothesised that a relationship could be observed between breakfast skipping and overweight independently of socio-economic factors such as ethnicity, maternal education, single parenting and family income.

Design

A population-based study whereby standardised nutritional interviews were conducted with each child's parent. The children's height and weight were taken by a trained nutritionist and parents were asked about their child's breakfast eating.

Setting

The analyses were performed using data from the Québec Longitudinal Study of Child Development (1998–2002), conducted by Santé Québec (Canada).

Subjects

Subjects were 1549 children between the ages of 44 and 56 months, with a mean age of 49 months.

Results

Almost a tenth (9.8%) of the children did not eat breakfast every day. A greater proportion of children with immigrant mothers (19.4% vs. 8.3% from non-immigrant mothers), with mothers with no high school diploma (17.5% vs. <10% for higher educated mothers) and from low-income families (15% for income of $39 999 or less vs. 5–10% for better income) did not eat breakfast every day. Not eating breakfast every day nearly doubled the odds (odds ratio = 1.9, 95% confidence interval 1.2–3.2) of being overweight at 4.5 years when mother's immigrant status, household income and number of overweight/obese parents were part of the analysis.

Conclusion

Although our results require replication before public policy changes can be advocated, encouraging breakfast consumption among pre-school children is probably warranted and targeting families of low socio-economic status could potentially help in the prevention of childhood obesity.

Type
Research Article
Copyright
Copyright © The Authors 2006

References

1World Health Organization (WHO). Controlling the global obesity epidemic [online], 2003. Available at http://www.who.int/nutrition/topics/obesity.en/.Google Scholar
2Sturm, R, Wells, KB. Does obesity contribute as much to morbidity as poverty or smoking? Public Health 2001; 115: 229–35.CrossRefGoogle ScholarPubMed
3Ogden, CL, Flegal, KM, Carroll, MD, Johnson, CL. Prevalence and trends in overweight among US schoolchildren and adolescents, 1999–2000. Journal of the American Medical Association 2002; 288: 1728–32.Google Scholar
4Statistics Canada. National longitudinal survey of children and youth: childhood obesity. The Daily, 18 10 2002.Google Scholar
5Hedley, AA, Ogden, CL, Johnson, CL, Carroll, MD, Curtin, LR, Flegal, KM. Prevalence of overweight and obesity among US children, adolescents and adults, 1999–2002. Journal of the American Medical Association 2004; 291: 2847–50.CrossRefGoogle ScholarPubMed
6Dubois, L, Girard, M. L'alimentation des enfants d'âge préscolaire. In: Étude longitudinale du développement des enfants du Québec (ÉLDEQ 1998–2002). Québec: Institut de la Statistique du Québec, 2002.Google Scholar
7Ferraro, KF, Thorpe, RJ Jr, Wilkinson, JA. The life course of severe obesity: does childhood overweight matter? Journal of Gerontology 2003; 58B: S110–9.CrossRefGoogle Scholar
8Freedman, DS, Khan, LK, Dietz, WH, Srinivasan, SR, Berenson, GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics 2001; 108: 712–8.CrossRefGoogle ScholarPubMed
9Berkey, CS, Rockett, HRH, Gillman, MW, Field, AE, Colditz, GA. Longitudinal study of skipping breakfast and weight change in adolescents. International Journal of Obesity and Related Metabolic Disorders 2003; 27: 1258–66.CrossRefGoogle ScholarPubMed
10Siega-Riz, A-M, Popkin, B, Carson, T. Trends in breakfast consumption for children in the United States from 1965–1991. American Journal of Clinical Nutrition 1998; 67: 748S–56S.CrossRefGoogle ScholarPubMed
11Keski-Rahkonene, A, Kaprio, J, Rissanen, A, Virkkunen, M, Rose, RJ. Breakfast skipping and health-compromising behaviors in adolescents and adults. European Journal of Clinical Nutrition 2003; 57: 842–53.CrossRefGoogle Scholar
12Wolfe, WS, Campbell, CC, Frongillo, EA, Haas, JD, Melnik, TA. Overweight schoolchildren in New York: prevalence and characteristics. American Journal of Public Health 1994; 84: 807–13.Google Scholar
13Ortega, RM, Requejo, AM, Lopez-Sobaler, AM, Quintas, ME, Andres, P, Redondo, MR, et al. Difference in the breakfast habits of overweight/obese and normal weight schoolchildren. International Journal for Vitamin and Nutrition Research 1998; 68: 125–32.Google ScholarPubMed
14Nicklas, TA, Morales, M, Linares, A, Yang, SJ, Baranowski, T, De Moor, C, et al. Children's meal patterns have changed over a 21-year period: The Bogalusa Heart Study. Journal of the American Dietetic Association 2004; 104: 753–61.Google Scholar
15Sampson, AE, Dixit, S, Meyers, AF, Houser, R Jr. The nutritional impact of breakfast consumption on the diets of inner-city African-American elementary school children. Journal of the National Medical Association 1995; 87: 195202.Google ScholarPubMed
16United States Department of Agriculture (USDA). Continuing Survey of Food Intakes by Individuals 1994–96. Washington, DC: USDA, 1998.Google Scholar
17Hackett, AF, Gibbon, M, Sratton, G, Hamill, L. Dietary intake of 9–10-year-old and 11–12-year-old children in Liverpool. Public Health Nutrition 2002; 5: 449–55.CrossRefGoogle ScholarPubMed
18McIntyre, L. A survey of breakfast skipping and inadequate breakfast-eating among young schoolchildren. Canadian Journal of Public Health 1993; 84: 410–4.Google ScholarPubMed
19Aranceta, J, Serra-Majem, L, Ribas, L. Pérez-Rodrigo, . Breakfast consumption in Spanish children and young people. Public Health Nutrition 2001; 4: 1439–44.CrossRefGoogle ScholarPubMed
20Dubois, L, Bédard, B, Girard, M, Beauchesne, É. L'alimentation. Les nourrissons de 5 mois. In: Étude longitudinale du développement des enfants du Québec (ÉLDEQ 1998–2002). Québec: Institut de la Statistique du Québec, 2000.Google Scholar
21National Center for Health Statistics, Centers for Disease Control and Prevention. CDC growth charts [online], 2000. Available at http://www.cdc.gov/growthcharts/.Google Scholar
22Cole, TJ, Bellisi, C, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 1240–3.CrossRefGoogle ScholarPubMed
23Institut de la Statistique du Québec. Enquête sociale et de santé auprés des enfants et des adolescents qué;bécois. Québec: Institut de la Statistique du Québec, 1999.Google Scholar
24Cox, GG, Cohen, SB. Methodological Issues for Health Care Surveys. New York: Marcel Dekker, 1985.Google Scholar
25Hooper, M, Evers, S. What do Ontario children eat for breakfast? Food group, energy and macronutrient intake. Canadian Journal of Dietetic Practice and Research 2003; 64: 2830.Google Scholar
26Basiotis, PP, Lino, M, Anand, RS. Eating breakfast greatly improves schoolchildren's diet quality. Family Economics and Nutrition Review 1999; 12: 81–4.Google Scholar
27Pollitt, E, Matthew, R. Breakfast and cognition: an integrative summary. American Journal of Clinical Nutrition 1998; 67(Suppl.): 804S–13S.CrossRefGoogle ScholarPubMed
28Vignerová, J, Bl´ha, P, Ošancová, K, Roth, Z. Social inequality and obesity in Czech school children. Economics and Human Biology 2004; 2: 107–18.Google Scholar
29Wolfe, WS, Campbell, CC. Food pattern, diet quality, and related characteristics of schoolchildren in New York State. Journal of the American Dietetic Association 1993; 93: 1280–4.CrossRefGoogle ScholarPubMed
30O'Dea, JA, Caputi, P. Association between socio-economic status, weight, age and gender, and the body image and weight control practices of 6- to 19-year-old children and adolescents. Health Education Research 2001; 16: 521–32.CrossRefGoogle ScholarPubMed
31Hulshof, KFAM, Brussaard, JH, Kruizinga, AG, Telman, J, Löwik, MRH. Socio-economic status, dietary intake and 10 y trends: the Dutch National Food Consumption Survey. European Journal of Clinical Nutrition 2003; 57: 128–37.Google Scholar
32Shaw, ME. Adolescent breakfast skipping: an Australian study. Adolescence 1998; 33: 851–61.Google ScholarPubMed
33Nawaz, H, Chan, W, Abdulrahman, M, Larson, D, Katz, DL. Self-reported weight and height: implications for obesity research. American Journal of Preventive Medicine 2001; 20: 294–8.CrossRefGoogle ScholarPubMed
34Gunnell, D, Berney, L, Holland, P, Maynard, M, Blane, D, Frankel, S, et al. How accurately are height, weight and leg length reported by the elderly, and how closely are they related to measurements recorded in childhood? International Journal of Epidemiology 2000; 29: 456–64.CrossRefGoogle ScholarPubMed
35Bostrom, G, Diderichsen, F. Socioeconomic differentials in misclassification of height, weight and body mass index based on questionnaire data. International Journal of Epidemiology 1997; 26: 860–6.CrossRefGoogle ScholarPubMed