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      Breakfast Consumption Habit and Its Nutritional Contribution in Latin America: Results from the ELANS Study

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          Abstract

          The aim of this study was to provide updated data on breakfast consumption, associated factors and its contribution to daily intakes among Latin American populations. A total of 9218 subjects, 15 to 65 years old, were evaluated in the ELANS study, a multicenter cross-sectional study conducted in eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru and Venezuela). Dietary data were obtained by two 24 h dietary recalls. Overall, 78.6% of the population were regular breakfast consumer, 15.9% occasional and 5.5% skippers. Adolescents were found to be the most frequent occasional consumers (19.2%) and skippers (6.8%). Among breakfast consumers ( n = 8714), breakfast contributed to 444 ± 257 kcal, i.e., 23% of the total daily EI (16–27%). Breakfast consumers were more likely to be older adults than adolescents (OR = 1.49, 95% CI:1.06–2.10) and physically active than insufficiently active (OR = 1.29, 95% CI:1.07–1.55), and were less likely to be underweight than normal weight (OR = 0.63, 95% CI:0.41–0.98). In most countries, breakfast was rich in carbohydrates, added sugars, saturated fat and calcium relative to the entire day, and the energy contribution of protein and fats was lower at breakfast than for the entire day. These findings will contribute to the development of data-driven nutrient recommendations for breakfast in Latin America.

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          The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: the National Health and Nutrition Examination Survey 1999-2006.

          National data comparing nutrient intakes and anthropometric measures in children/adolescents in the United States who skip breakfast or consume different types of breakfasts are limited. To examine the relationship between breakfast skipping and type of breakfast consumed with nutrient intake, nutrient adequacy, and adiposity status. Children aged 9 to 13 years (n=4,320) and adolescents aged 14 to 18 years (n=5,339). Cross-sectional data from the National Health and Nutrition Examination Survey 1999-2006. Breakfast consumption was self-reported. A 24-hour dietary recall was used to assess nutrient intakes. Mean adequacy ratio (MAR) for micronutrients and anthropometric indexes were evaluated. Covariate-adjusted sample-weighted means were compared using analysis of variance and Bonferroni's correction for multiple comparisons among breakfast skippers (breakfast skippers), ready-to-eat (RTE) cereal consumers, and other breakfast (other breakfast) consumers. Twenty percent of children and 31.5% of adolescents were breakfast skippers; 35.9% of children and 25.4% of adolescents consumed RTE cereal. In children/adolescents, RTE cereal consumers had lower intakes of total fat and cholesterol and higher intakes of total carbohydrate, dietary fiber, and several micronutrients (P or = 95th percentile) was higher in breakfast skippers than RTE cereal consumers (P<0.05) in children/adolescents and was higher in other breakfast consumers than RTE cereal consumers only in adolescents (P<0.05). RTE cereal consumers had more favorable nutrient intake profiles and adiposity indexes than breakfast skippers or other breakfast consumers in US children/adolescents. 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.
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            Skipping breakfast and prevalence of overweight and obesity in Asian and Pacific regions: a meta-analysis.

            In Western countries, skipping breakfast is associated with a high prevalence of overweight and obesity. This meta-analysis aimed to determine if the same relationship exists in Asian and Pacific regions. A systematic literature search was performed for observational studies using a cross-sectional design that examined the relationship between frequency of eating breakfast and overweight or obesity. Odds ratios (ORs) for overweight or obesity were pooled with a variance-based method. Nineteen studies (93,108 total participants and 19,270 overweight or obese cases) were included. The pooled OR [95% confidence intervals (CI)] of overweight or obesity for the lowest vs. highest category of breakfast frequency was 1.75 [1.57 to 1.95] (P<0.001). Between-study heterogeneity in the association's strength was highly significant (I-squared=36.4%, P<0.001), although a positive OR was shown in all but one included study. However, no study characteristics could be identified to explain the heterogeneity. This meta-analysis suggests that a positive association between skipping breakfast and overweight and obesity is globally observed regardless of cultural diversity among countries. Promoting the eating of breakfast in all populations may be beneficial. Copyright © 2011 Elsevier Inc. All rights reserved.
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              Deleterious effects of omitting breakfast on insulin sensitivity and fasting lipid profiles in healthy lean women.

              Breakfast consumption is recommended, despite inconclusive evidence of health benefits. The study's aim was to ascertain whether eating breakfast (EB) or omitting breakfast (OB) affects energy intake, energy expenditure, and circulating insulin, glucose, and lipid concentrations in healthy women. In a randomized crossover trial, 10 women [x+/-SD body mass index (BMI; in kg/m2): 23.2+/-1.4] underwent two 14-d EB or OB interventions separated by a 2-wk interval. In the EB period, subjects consumed breakfast cereal with 2%-fat milk before 0800 and a chocolate-covered cookie between 1030 and 1100. In the OB period, subjects consumed the cookie between 1030 and 1100 and the cereal and milk between 1200 and 1330. Subjects then consumed 4 additional meals with content similar to usual at predetermined times later in the day and recorded food intake on 3 d during each period. Fasting and posttest meal glucose, lipid, and insulin concentrations and resting energy expenditure were measured before and after each period. Reported energy intake was significantly lower in the EB period (P=0.001), and resting energy expenditure did not differ significantly between the 2 periods. OB was associated with significantly higher fasting total and LDL cholesterol than was EB (3.14 and 3.43 mmol/L and 1.55 and 1.82 mmol/L, respectively; P=0.001). The area under the curve of insulin response to the test meal was significantly lower after EB than after OB (P<0.01). OB impairs fasting lipids and postprandial insulin sensitivity and could lead to weight gain if the observed higher energy intake was sustained.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                10 August 2020
                August 2020
                : 12
                : 8
                : 2397
                Affiliations
                [1 ]Instituto Pensi, Fundação Jose Luiz Egydio Setubal, Hospital Infantil Sabara, Av. Angelica 1968, conjs 71 a 74, São Paulo 01239-040, Brazil
                [2 ]Departamento de Pediatria, Universidade Federal de São Paulo, Rua Botucatu, 598, Vila Clementino, São Paulo 04023-062, Brazil
                [3 ]Facultad de Ciencias Médicas, Pontifica Universidad Católica (UCA), Av. Alicia Moreau de Justo 1300, Buenos Aires C1107AAZ, Argentina; ikovalskys@ 123456gmail.com (I.K.); vbguajardo@ 123456gmail.com (V.G.)
                [4 ]Faculdade de Ciências Biológicas e da Saúde, Universidade São Judas Tadeu, Rua Taquari, 546, Mooca, São Paulo 03166-000, Brazil; agatha.usp@ 123456gmail.com
                [5 ]Departmento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo (USP), São Paulo 01246-904, Brazil; jaque.lps@ 123456gmail.com (J.L.P.); regina.fisberg@ 123456gmail.com (R.F.)
                [6 ]Departamento de Psicobiologia, Universidade Federal de São Paulo, Rua Botucatu, 862, Vila Clementino, São Paulo 04023062, Brazil; iona.zimberg@ 123456gmail.com
                [7 ]Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Medicas, Universidad de Santiago de Chile, USACH, Santiago 7500618, Chile; gersonferrari08@ 123456yahoo.com.br
                Author notes
                [* ]Correspondence: mauro.fisberg@ 123456gmail.com
                [†]

                Membership of the ELANS Study Group is provided in the Acknowledgments.

                Author information
                https://orcid.org/0000-0003-2992-3215
                https://orcid.org/0000-0003-0032-4323
                https://orcid.org/0000-0002-3207-0076
                https://orcid.org/0000-0002-4490-9035
                https://orcid.org/0000-0003-3177-6576
                Article
                nutrients-12-02397
                10.3390/nu12082397
                7468943
                32785188
                50595a30-259a-4726-b7a9-21b5c9d3a7c1
                © 2020 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
                : 10 June 2020
                : 07 August 2020
                Categories
                Article

                Nutrition & Dietetics
                breakfast,nutritional intake,cross-sectional study,latin america
                Nutrition & Dietetics
                breakfast, nutritional intake, cross-sectional study, latin america

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