Lifestyle and socioeconomic correlates of breakfast skipping in Hong Kong primary 4 schoolchildren

Tin, Sze Pui Pamela; Ho, Sai Yin; Mak, Kwok Hang; Wan, Ka Leung; Lam, Tai Hing

doi:10.1016/j.ypmed.2010.12.012

Cited by 33 publications

(53 citation statements)

References 19 publications

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“…Various studies have reported the prevalence of breakfast skipping, 2,12,23 but few have considered the prevalence by breakfast location. We found that 85.3% and 80.9% of children had breakfast at home in P4 and P6, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Location of breakfast consumption predicts body mass index change in young Hong Kong children

Tin

Mak

et al. 2012

Int J Obes

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OBJECTIVE: An association between weight gain and breakfast skipping has been reported, but breakfast location was rarely considered. We investigated the prospective associations between breakfast location, breakfast skipping and body mass index (BMI) change in a large cohort of Chinese children. DESIGN: Our baseline cohort consisted of 113 457 primary 4 (US grade 4) participants of the Hong Kong Department of Health Student Health Service in 1998 --2000. Of these, 68 606 (60.5%) had complete records and were successfully followed-up 2 years later. Data on breakfast consumption and location were collected at both time points along with other lifestyle characteristics. BMI was derived from objectively measured height and weight. Associations between breakfast habits and BMI change were assessed by multivariable linear regression, adjusting for demographic, socioeconomic and lifestyle characteristics. RESULTS: At baseline, 85.3, 9.4 and 5.2% of children had breakfast at home, away from home and skipped breakfast, respectively. Prospectively, having breakfast away from home (vs at home) predicted a greater BMI increase over two years (b ¼ 0.15; 95% CI: 0.11 --0.18). Breakfast skipping had a comparable, slightly smaller effect (0.13; 0.09 --0.18). CONCLUSION: Both breakfast skipping and eating breakfast away from home predict greater increases in BMI during childhood, the effect being slightly stronger in the latter. Having breakfast, particularly at home, could have important implications for weight management and reducing obesity in children. Further research is required to gain insight into potential underlying mechanisms.

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Section: Discussionmentioning

confidence: 99%

“…12,13 Briefly, SHS participants attended free annual appointments at 1 of 12 SHS centres located in different districts of Hong Kong. From primary 4 (P4; US grade 4), participants completed a biennial self-administered standardised health and lifestyle assessment questionnaire in Chinese.…”

Section: Study Samplementioning

confidence: 99%

Location of breakfast consumption predicts body mass index change in young Hong Kong children

Tin

Mak

et al. 2012

Int J Obes

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“…just boys or just girls) (34,37) , and another found no relationship between the two (22) . All of these previous studies examined the breakfast skipping-PA relationship cross-sectionally (17,21,22,26,(34)(35)(36)(37) . While most used selfreported measures of PA (17,21,22,35,36) , a few have used objective measures (34,37) , and one used both self-reported and objective measures (26) .…”

mentioning

confidence: 99%

Is breakfast skipping associated with physical activity among US adolescents? A cross-sectional study of adolescents aged 12–19 years, National Health and Nutrition Examination Survey (NHANES)

Lyerly

Huber

Warren‐Findlow

et al. 2013

Public Health Nutr.

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Objective: To examine the association between breakfast skipping and physical activity among US adolescents aged 12-19 years. Design: A cross-sectional study of nationally representative 2007-2008 National Health and Nutrition Examination Survey (NHANES) data. Setting: Breakfast skipping was assessed by two 24 h dietary recalls. Physical activity was self-reported by participants and classified based on meeting national recommendations for physical activity for the appropriate age group. Multiple logistic regression analysis was used to model the association between breakfast skipping and physical activity while controlling for confounders. Subjects: A total of 936 adolescents aged 12-19 years in the USA. Results: After adjusting for family income, there was no association between breakfast skipping and meeting physical activity guidelines for age among adolescents aged 12-19 years (OR 5 0?95, 95 % CI 0?56, 1?32). Conclusions: Findings from the study differ from previous research findings on breakfast skipping and physical activity. Therefore, further research that uses large, nationally representative US samples and national recommended guidelines for physical activity is needed.

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“…An association between skipping breakfast and poor-quality diets that influence the weight status of children has also been observed [47,48].…”

Section: Discussionmentioning

confidence: 95%

“…Skipping breakfast, in particular, has short-and longterm effects on children [46,47], and researchers have observed a tendency for this behavior to persist from childhood into adulthood, and was associated with a greater WC, higher fasting insulin, a higher BMI, and higher total cholesterol and LDL-cholesterol concentrations [9]. An association between skipping breakfast and poor-quality diets that influence the weight status of children has also been observed [47,48].…”

Section: Discussionmentioning

confidence: 99%

Patterns of lifestyle-related behaviors and parents’ overweight are associated with increased body adiposity in schoolchildren: a cross-sectional study in Portugal

Rodrigues

Pereira

Santana

et al. 2017

Nutrire

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Background: This study evaluated the association between lifestyle-related behavior patterns and weight status indicators in schoolchildren. Methods: Cross-sectional study includes nationally representative sample of Portuguese schoolchildren (6-9 years old; n = 10,258). Weight status was assessed using the body mass index (BMI) and waist circumference (WC). Principal component analysis was used to identify lifestyle-related behavior patterns. Multiple linear regression models were used to estimate the association between behavior patterns, BMI, and WC. Results: Six lifestyle-related behavior patterns were identified: pattern 1: consuming iced tea and soft drinks ≥2 times/week, having a television (TV) in the bedroom, watching TV ≥2 h/day, and consuming <2 portions of fruits/day; pattern 2: parents and children remaining physically inactive during leisure time; pattern 3: consuming ≤1 portion of vegetables and milk/day; pattern 4: having parents with excess weight; pattern 5: consuming ≤3 daily meals and skipping breakfast; and pattern 6: not participating in physical education classes. After the adjustment, all of the patterns were associated with increased BMI z-score (P ≤ 0.02) and WC (P ≤ 0.03). Conclusions: Lifestyle-related behavior patterns were associated with an increased risk of excess weight and the central distribution of body fat. Taking a public health perspective toward preventing childhood obesity, special attention should be given to identify subgroups with simultaneous occurrence of multiple risk behaviors, which is useful for planning prevention programs.

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Lifestyle and socioeconomic correlates of breakfast skipping in Hong Kong primary 4 schoolchildren

Abstract: Breakfast skipping was significantly related to various health-compromising lifestyle characteristics and lower parental education. Breakfast habit can be a potential lifestyle indicator. Education programmes aimed at specific target groups should encourage regular breakfast consumption.

Cited by 33 publications

References 19 publications

Location of breakfast consumption predicts body mass index change in young Hong Kong children

Location of breakfast consumption predicts body mass index change in young Hong Kong children

Is breakfast skipping associated with physical activity among US adolescents? A cross-sectional study of adolescents aged 12–19 years, National Health and Nutrition Examination Survey (NHANES)

Patterns of lifestyle-related behaviors and parents’ overweight are associated with increased body adiposity in schoolchildren: a cross-sectional study in Portugal

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