Breakfast consumption among Malaysian primary and secondary school children and relationship with body weight status - Findings from the MyBreakfast Study.

Autor:	Tee ES; Nutrition Society of Malaysia, c/o Division of Human Nutrition, Institute for Medical Research, Kuala Lumpur, Malaysia. Email: president@nutriweb.org.my., Nurliyana AR; Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia., Norimah AK; Nutritional Science Programme, School of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia., Mohamed HJBJ; Nutrition and Dietetics Programme, School of Health Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Tan SY; Department of Nutrition and Dietetics, School of Health Sciences, International Medical University, Kuala Lumpur, Malaysia., Appukutty M; Sports Science Programme, Faculty of Sports Science and Recreation, Universiti Teknologi MARA, Selangor, Malaysia., Hopkins S; Cereal Partners Worldwide, Lausanne, Switzerland., Thielecke F; Cereal Partners Worldwide, Lausanne, Switzerland.; Thielecke consulting, Allschwil, Switzerland., Ong MK; Nestlé R&D Centre, Singapore., Ning C; Nestlé R&D Centre, Singapore., Nasir MTM; Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.
Jazyk:	angličtina
Zdroj:	Asia Pacific journal of clinical nutrition [Asia Pac J Clin Nutr] 2018; Vol. 27 (2), pp. 421-432.
DOI:	10.6133/apjcn.062017.12
Abstrakt:	Background and Objectives: This study aimed to determine the relationship between breakfast consumption and body weight status among primary and secondary school children in Malaysia. Methods and Study Design: This nationwide cross-sectional study involved 5,332 primary school children aged 6 to 12 years and 3,000 secondary school children aged 13 to 17 years. Height and weight were measured and BMI-for-age was determined. Socio-demographic backgrounds, breakfast habits and physical activity levels were assessed using questionnaires. Breakfast frequency was defined as follows: breakfast skippers (ate breakfast 0-2 days/week), irregular breakfast eaters (ate breakfast 3-4 days/week) and regular breakfast eaters (ate breakfast ≥5 days/week). Results: The overall prevalence of breakfast skippers and irregular breakfast eaters was 11.7% and 12.7% respectively. Breakfast skipping was related to age, sex, ethnicity, income and physical activity level. Among primary school boys and secondary school girls, the proportion of overweight/obesity was higher among breakfast skippers (boys: 43.9%, girls: 30.5%) than regular breakfast eaters (boys: 31.2%, girls: 22.7%). Among primary school children, only boys who skipped breakfast had a higher mean BMI-for-age z-score than regular breakfast eaters. Among secondary school boys and girls, BMI-for-age z-score was higher among breakfast skippers than regular breakfast eaters. Compared to regular breakfast eaters, primary school boys who skipped breakfast were 1.71 times (95% CI=1.26-2.32, p=0.001) more likely to be overweight/obese, while the risk was lower in primary school girls (OR=1.36, 95% CI=1.02-1.81, p=0.039) and secondary school girls (OR=1.38, 95% CI=1.01-1.90, p=0.044). Conclusion: Regular breakfast consumption was associated with a healthier body weight status and is a dietary behaviour which should be encouraged.
Databáze:	MEDLINE
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