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      Breakfast in Human Nutrition: The International Breakfast Research Initiative

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          Abstract

          Breakfast is often referred to as the most important meal of the day and in recent years has been implicated in weight control, cardio-metabolic risk factors and cognitive performance although, at present, the literature remains inconclusive as to the precise health benefits of breakfast. There are extensive reports of breakfast’s contributions to daily food and nutrient intakes, as well as many studies that have compared daily food and nutrient intakes by breakfast consumers and skippers. However, significant variation exists in the definitions of breakfast and breakfast skippers, and in methods used to relate breakfast nutrient intakes to overall diet quality. The present review describes a novel and harmonised approach to the study of the nutritional impact of breakfast through The International Breakfast research Initiative involving national dietary survey data from Canada, Denmark, France, Spain, the UK and the USA. It is anticipated that the analysis of such data along harmonised lines, will allow the project to achieve its primary goal of exploring approaches to defining optimal breakfast food and nutrient intakes. Such data will be of value to public health nutrition policy-makers and food manufacturers and will also allow consistent messaging to help consumers to optimize food choices at breakfast.

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          Most cited references31

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          The Nutrient Rich Foods Index helps to identify healthy, affordable foods.

          The Nutrient Rich Foods (NRF) Index is a formal scoring system that ranks foods on the basis of their nutrient content. When used in conjunction with a food prices database, it can help identify foods that are both nutritious and affordable. Our aim was to identify healthy, affordable foods and food groups by using the NRF index and US Department of Agriculture (USDA) nutrient composition and food prices data sets. Foods in the USDA Food and Nutrition Database for Dietary Studies 1.0 were scored by using the NRF index. This NRF algorithm was represented by the sum of the percentage of the daily values of 9 nutrients to encourage (protein, fiber, vitamin A, vitamin C, vitamin E, calcium, iron, magnesium, and potassium) minus the sum of the percentage of the maximum recommended values for 3 nutrients to limit (saturated fat, added sugar, and sodium). NRF scores and mean national food prices were calculated per calorie and per US Food and Drug Administration-defined serving. Each of the 9 USDA food groups offered foods of diverse nutritive value and cost. Eggs, dry beans and legumes, and meat and milk products were the lowest-cost sources of protein. Milk and milk products were the lowest-cost sources of calcium, whereas vegetables and fruit were the lowest-cost sources of vitamin C. Milk, potatoes, citrus juices, cereals, and beans had more favorable overall nutrient-to-price ratios than did many vegetables and fruit. Energy-dense grains, sweets, and fats provided most of the calories but fewer nutrients per dollar. One important application of nutrient profile models is to help consumers identify foods that provide optimal nutrition at an affordable cost.
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            A prospective study of breakfast consumption and weight gain among U.S. men.

            The aim was to investigate the association between breakfast consumption and long-term weight gain in an adult male population. We evaluated prospective data on 20,064 U.S men, 46 to 81 years of age, who participated in the Health Professionals Follow-up Study. Data on body weight, dietary factors, and lifestyle variables were obtained by validated questionnaires. We examined weight gain during 10 years of follow-up. Overall, 5,857 men had a weight gain of 5 kg or greater during 10 years of follow-up. Breakfast consumption was inversely associated with the risk of 5-kg weight gain after adjustment for age [hazard ratio (HR) = 0.77 (95% confidence interval [CI], 0.72 to 0.82)], and this association was independent of lifestyle and BMI at baseline [HR = 0.87 (95% CI, 0.82 to 0.93)]. Fiber and nutrient intakes partially explained the association between breakfast consumption and weight gain. The inverse association between breakfast consumption and weight gain was more pronounced in men with a baseline BMI of 25 kg/m(2) or lower [multivariate HR = 0.78 (95% CI, 0.70 to 0.87)] than in men who were overweight at baseline [HR = 0.92 (95% CI, 0.85 to 1.00)]. Furthermore, we observed that an increasing number of eating occasions in addition to three standard meals was associated with a higher risk of 5-kg weight gain [HR = 1.15 (95% CI, 1.06 to 1.25, for >or=2 vs. 0 additional eating occasions)]. These findings suggest that the consumption of breakfast may modestly contribute to the prevention of weight gain as compared with skipping breakfast in middle-aged and older men.
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              The effectiveness of breakfast recommendations on weight loss: a randomized controlled trial.

              Breakfast is associated with lower body weight in observational studies. Public health authorities commonly recommend breakfast consumption to reduce obesity, but the effectiveness of adopting these recommendations for reducing body weight is unknown.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                01 May 2018
                May 2018
                : 10
                : 5
                : 559
                Affiliations
                [1 ]Institute of Food and Health, University College Dublin, Dublin D04 V1W8, Ireland
                [2 ]Department of Food, Nutrition & Health, University of British Columbia, Vancouver, BC V6T 1Z4, Canada; susan.barr@ 123456ubc.ca
                [3 ]Nutri Psy Consult, 91 rue de la Sante, 75013 Paris, France; bellisle@ 123456uren.smbh.univ-paris13.fr
                [4 ]Center for Public Health Nutrition, University of Washington, Seattle, WA 98195-3410, USA; adamdrew@ 123456uw.edu
                [5 ]Division for Risk Assessment and Nutrition, The National Food Institute, Technical University of Denmark, 2800 Kgs. Lyngby, Denmark; sisfa@ 123456food.dtu.dk
                [6 ]Nutrition Innovation Centre for Food and Health, Ulster University, Coleraine BT52 1SA, UK; mbe.livingstone@ 123456ulster.ac.uk
                [7 ]Cereal Partners Worldwide, CH-1350 Orbe, Switzerland; rdmassetga@ 123456nestle.com (G.M.); sinead.hopkins@ 123456rd.nestle.com (S.H.)
                [8 ]Department of Pharmaceutical and Health Sciences, Faculty of Pharmacy, CEU San Pablo University, 28668 Madrid, Spain; gvarela@ 123456ceu.es
                [9 ]GENUD (Growth, Exercise, Nutrition and Development) Research Group, Universidad de Zaragoza, Instituto de Investigación Sanitaria Aragón (IIS Aragón), Instituto Agroalimentario de Aragón (IA2), Centro de Investigación Biomédica en red Fisiopatología de la Obesidad y Nutrición (CIBEROBN), 50009 Zaragoza, Spain; lmoreno@ 123456unizar.es
                [10 ]Bell Institute of Health, Nutrition and Food Safety, General Mills, Minneapolis, MN 55427-3870, USA; Jessica.Smith@ 123456genmills.com
                [11 ]MS-Nutrition, 13385 Marseille cedex 5, France; florent.vieux@ 123456ms-nutrition.com
                [12 ]Thielecke Consultancy, CH-4123 Allschwil, Switzerland; frank.b.thielecke@ 123456gmail.com
                Author notes
                [* ]Correspondence: mike.gibney@ 123456ucd.ie ; Tel.: +353-872-415-156
                Author information
                https://orcid.org/0000-0001-5250-361X
                https://orcid.org/0000-0001-8701-7152
                https://orcid.org/0000-0001-6977-0247
                Article
                nutrients-10-00559
                10.3390/nu10050559
                5986439
                29723985
                18ae3f0c-1fe2-493b-8c72-cbc85ccec939
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 12 March 2018
                : 27 April 2018
                Categories
                Review

                Nutrition & Dietetics
                breakfast,breakfast nutrients,breakfast foods,breakfast guidelines
                Nutrition & Dietetics
                breakfast, breakfast nutrients, breakfast foods, breakfast guidelines

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