Nutr Res Pract.  2011 Oct;5(5):455-463.

Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults

Affiliations
  • 1Department of Food and Nutrition, Seoul National University, Seoul 151-742, Korea.
  • 2Biomedical Research center, Bundang Jaesang Hospital, Seongnam 463-050, Korea.
  • 3Division of Gastroenterology, Biomedical Research center, Bundang Jaesang Hospital, Seongnam 463-050, Korea.
  • 4Department of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USA.
  • 5Department of Agrofood Resources, Rural Development Administration, 160, Nokjiro, Gwonseon-gu, Suwon, 441-853, Korea.
  • 6Graduate School of Public Health & Institute of Health and Environment, Seoul National University, Gwanak-ro, Gwanak-gu, Seoul 151-742, Korea. hjjoung@snu.ac.kr

Abstract

The aim of the present study was to assess the effects of skipping breakfast on diet quality and metabolic disease risk factors in healthy Korean adults. Subjects included 415 employees (118 men, 297 women; 30-50 years old) of Jaesang Hospital in Korea and their acquaintances. Data collected from each subject included anthropometric measurements, 3-day dietary intake, blood pressure, and blood analyses. The subjects were classified into three groups based on the number of days they skipped breakfast: 'Regular breakfast eater', 'Often breakfast eater', or 'Rare breakfast eater'. Participants in the 'Rare breakfast eater' group consumed less rice, potatoes, kimchi, vegetables, fish and shellfish, milk and dairy products, and sweets than did participants in the other two groups (P for trend < 0.05) and ate more cookies, cakes, and meat for dinner (P for trend < 0.05). Participants in the 'Rare breakfast eater' group consumed less daily energy, fat, dietary fiber, calcium, and potassium than did participants in the other groups (P for trend < 0.05). The percent energy from carbohydrates was lower and fat intake was higher in the 'Rare breakfast eater' group than in the other groups (P for trend < 0.01). When diets were compared using the Acceptable Macronutrient Distribution Range for Koreans, 59.1% of subjects in the 'Rare breakfast eater' group consumed more energy from fat compared with the other two groups (P < 0.005). According to the Estimated Average Requirements for Koreans, intake of selected nutrients was lower in the 'Rare breakfast eater' group than in the other two groups (P < 0.05). The risk of elevated serum triglycerides was decreased in the 'Rare breakfast eater' group (OR, 0.3 [0.1-1.0], P for trend = 0.0232). We conclude that eating breakfast regularly enhances diet quality, but may increase the risk of elevated serum triglycerides.

Keyword

Breakfast consumption; diet quality; metabolic syndrome; 3-day dietary intake

MeSH Terms

Adult
Blood Pressure
Breakfast
Calcium
Carbohydrates
Dairy Products
Diet
Dietary Fats
Eating
Friends
Humans
Korea
Male
Meals
Meat
Metabolic Diseases
Milk
Potassium
Risk Factors
Shellfish
Solanum tuberosum
Triglycerides
Vegetables
Calcium
Carbohydrates
Dietary Fats
Potassium
Triglycerides

Figure

  • Fig. 1 Proportion with carbohydrate and fat intakes below, within or above the AMDR according to breakfast consumption subgroups. Regular breakfast eater: Eat breakfast total 3 days, Often breakfast eater: Skipped breakfast on 1 of the 3 days, Rare breakfast eater: Skipped breakfast on 2 or more of the 3 days AMDR: Acceptable Macronutrient Distribution Range


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