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Breakfast frequency, adiposity, and cardiovascular risk factors as markers in adolescents

Published online by Cambridge University Press:  10 February 2015

Suziane U. Cayres*
Affiliation:
Post-Graduate Program in Movement Sciences, Sao Paulo State University – UNESP, Rio Claro, Brazil Laboratory of Investigation in Exercise – LIVE, São Paulo State University – UNESP, Presidente Prudente, Brazil
Ismael F. F. Júnior
Affiliation:
Post-Graduate Program in Movement Sciences, Sao Paulo State University – UNESP, Rio Claro, Brazil Department of Physical Education, Sao Paulo State University – UNESP, Presidente Prudente, Brazil
Maurício F. Barbosa
Affiliation:
Program of Post-Graduate in Radiology, Federal University of Sao Paulo – UNIFESP, Brazil
Diego G. D. Christofaro
Affiliation:
Post-Graduate Program in Movement Sciences, Sao Paulo State University – UNESP, Rio Claro, Brazil Laboratory of Investigation in Exercise – LIVE, São Paulo State University – UNESP, Presidente Prudente, Brazil
Rômulo A. Fernandes
Affiliation:
Post-Graduate Program in Movement Sciences, Sao Paulo State University – UNESP, Rio Claro, Brazil Laboratory of Investigation in Exercise – LIVE, São Paulo State University – UNESP, Presidente Prudente, Brazil
*
Correspondence to: S. U. Cayres, MSc, Department of Physical Education, Roberto Simonsen Street, 305, Presidente Prudente, 19060900 Sao Paulo, Brazil. Tel: +183 229 5400; Fax: (18) 3221-4391; E-mail: suziungari@yahoo.com.br

Abstract

Objective

To analyse the relationship between skipping breakfast and haemodynamic, metabolic, inflammatory, and cardiovascular risk factors in adolescents.

Methods

A cross-sectional study was carried out with information from an ongoing cohort study in Presidente Prudente, São Paulo, Brazil. The sample comprised of 120 adolescents (11.7±0.8 years old) who met the following inclusion criteria: age between 11 and 14 years; enrolled in the school unit of elementary education; absence of any known disease; and no drug consumption. The parents or legal guardians of the patients signed a formal informed consent. Skipping breakfast was self-reported through face-to-face interviews. Blood pressure, intima-media thickness, trunk fatness, total and fractional cholesterol levels – high-density lipoprotein cholesterol and low-density lipoprotein cholesterol – triacylglycerol levels, and high-sensitivity C-reactive protein levels were measured.

Results

In this study, 47.5% (95% CI: 38.5–56.4%) of the adolescents reported skipping breakfast at least 1 day/week. Adolescents who skipped breakfast had higher values of trunk fatness and systolic blood pressure. Breakfast frequency was negatively related to systolic blood pressure (β −1.99 [−3.67; −0.31]) and z score dyslipidaemia (β −0.46 [−0.90; −0.01]), but this relationship was mediated by trunk fatness.

Conclusion

Skipping breakfast is related to cardiovascular risk factors in adolescents, and this relationship was mainly mediated by trunk fatness.

Type
Original Articles
Copyright
© Cambridge University Press 2015 

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References

1. Mushtaq, MU, Gull, S, Mushtaq, K, et al. Dietary behaviors, physical activity and sedentary lifestyle associated with overweight and obesity, and their socio-demographic correlates, among Pakistani primary school children. Int J Behav Nutr Phys Act 2011; 8: 130.CrossRefGoogle ScholarPubMed
2. Freitas Júnior, IF, Christofaro, DGD, Codogno, JS, et al. The association between skipping breakfast and biochemical variables in sedentary obese children and adolescents. J Pediatr 2012; 161: 871874.Google Scholar
3. Dupuy, M, Godeau, E, Vignes, C, Ahluwalia, N. Socio-demographic and lifestyle factors associated with overweight in a representative sample of 11-15 year olds in France: results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) cross-sectional study. BMC Public Health 2011; 11: 442.Google Scholar
4. Alexander, KE, Ventura, EE, Spruijt-Metz, D, et al. Association of breakfast skipping with visceral fat and insulin indices in overweight Latino youth. Obesity (Silver Spring) 2009; 17: 15281533.Google Scholar
5. Duncan, S, Duncan, EK, Fernandes, RA, et al. Modifiable risk factors for overweight and obesity in children and adolescents from São Paulo, Brazil. BMC Public Health 2011; 11: 585.Google Scholar
6. Cahill, LE, Chiuve, SE, Mekary, RA, et al. Prospective study of breakfast eating and incident coronary heart disease in a cohort of male US health professionals. Circ Res 2013; 128: 337343.Google Scholar
7. Miot, HA. Tamanho da amostra em estudos clínicos e experimentais. J Vasc Bras 2011; 10: 275278.Google Scholar
8. Christofaro, DGD, Fernandes, RA, Gerage, AM, et al. Validação do monitor de medida de pressão arterial omron HEM742 em adolescentes. Arq Bras Cardiol 2009; 92: 1015.Google Scholar
9. Pickering, TG, Hall, JE, Appel, LJ, et al. Subcommittee of professional and public education of the American Heart Association Council on High Blood Pressure Research. Recommendations for blood pressure measurement in humans and experimental animals: Part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. J Hypertens 2005; 5: 142161.Google Scholar
10. Brazilian Society of Cardiology. Standardization of equipment and techniques for conducting examinations vascular ultrasonography. Arq Bras Cardiol 2004; 82: 115.Google Scholar
11. Jourdan, C, Wühl, E, Litwin, M, et al. Normative values for intima–media thickness and distensibility of large arteries in healthy adolescents. J Hypertens 2005; 2: 17071715.Google Scholar
12. Shafiee, G, Kelishadi, R, Qorbani, M, et al. Association of breakfast intake with cardiometabolic risk factors. J Pediatr (Rio J) 2013; 89: 575582.Google Scholar
13. Jansen, W, Mackenbach, JP, Joosten-van Zwanenburg, E, et al. Weight status, energy-balance behaviours and intentions in 9-12-year-old inner-city children. J Hum Nutr Diet 2010; 23: 8596.Google Scholar
14. Szajewska, H, Ruszczynski, M. Systematic review demonstrating that breakfast consumption influences body weight outcomes in children and adolescents in Europe. Crit Rev Food Sci Nutr 2010; 50: 113119.Google Scholar
15. Kollias, A, Antonodimitrakis, P, Grammatikos, E, et al. Trends in high blood pressure prevalence in Greek adolescents. J Hum Hypertens 2009; 23: 385390.Google Scholar
16. Vanderlei, LCM, Pastre, CM, Freitas, IF Jr, Godoy, MF. Analysis of cardiac autonomic modulation in obese and eutrophic children. Clinics 2010; 65: 789792.Google Scholar
17. Hirooka, Y, Sagara, Y, Kishi, T, et al. Oxidative stress and central cardiovascular regulation. Circ J 2010; 74: 827835.Google Scholar
18. Huang, PL. eNOS, metabolic syndrome and cardiovascular disease. Trends Endocrinol Metab 2009; 20: 295302.Google Scholar