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Published on: July 29, 2020
Breakfast skipping and overweight/obesity in first grade primary school children: A nationwide register-based study
Anita Aanesen1,2, Peter T Katzmarzyk3, Linda Ernstsen2
1Health Care Institution of North Iceland, Iceland.
Insights
Skipping breakfast is linked to overweight and obesity in first-grade girls, but not boys. Further research into sex-based differences is needed for prevention strategies.
Area of Science:
- Pediatric Nutrition
- Childhood Obesity Research
- Public Health
Background:
- Existing research links skipping breakfast to overweight/obesity in older children.
- Limited data exists on this association in younger children.
Purpose of the Study:
- To investigate the association between skipping breakfast and overweight/obesity (OW/OB) in first-grade children.
- To explore potential sex-based differences in this association.
Main Methods:
- A cross-sectional study of 4360 Icelandic first-graders (ages 5.6-7.4 years).
- Breakfast skipping assessed via self-report; OW/OB determined by measured height/weight.
- Binary logistic regression adjusted for bedtime, school well-being, commuting, and physical activity.
Main Results:
- 7.2% of boys and 7.5% of girls reported skipping breakfast.
- A significant association between skipping breakfast and OW/OB was found in girls (OR 1.66).
- No significant association was observed in boys (OR 1.02).
Conclusions:
- Skipping breakfast is associated with overweight/obesity in first-grade girls in Iceland.
- Sex-based differences in the breakfast-obesity link warrant further investigation.
- Findings may inform targeted strategies for preventing childhood obesity.
Abstract:
Although several studies have revealed an association between skipping breakfast and overweight (OW) or obesity (OB) in older children and adolescents, less is known about that association in younger children. The purpose of our study was to assess the association between skipping breakfast and OW/OB in children in the first grade. The sample included 4360 children (51.5% boys) aged 5.6 to 7.4 years who participated in the annual health examination in Iceland during 2016 and 2017, completed by 91% of all first graders in Iceland. Binary logistic regression analysis with odds ratios (ORs) and 95% confidence intervals (CIs) was used to assess the association between skipping breakfast and OW/OB. Skipping breakfast was assessed as not eating breakfast on the day of the assessment, whereas OW or OB was based on measured height and weight relative to the International Obesity Task Force reference. The final analyses were adjusted for bedtime, well-being in school, commuting to school and physical activity. 7.2% of the boys (n = 162) and 7.5% of the girls (n = 158) had not eaten breakfast. After multivariable adjustment, a statistically significant association emerged between skipping breakfast and OW/OB in girls (OR 1.66, 95% CI 1.17-2.36) but not in boys (OR 1.02, 95% CI 0.63-1.63). Because the study's results suggest an association between skipping breakfast and OW/OB only in first-grade girls in Iceland, sex-based differences should be further investigated to inform future strategies for preventing OW and OB in young children.
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