Breakfast patterns among low-income, ethnically-diverse 4th-6th grade children in an urban area

BMC Public Health

Gary D Foster⁴  Gretchen Van Wye¹  Janet Ng⁴  Lisa Bailey-Davis²  Jennifer O Fisher⁴  Tim Sanders⁴  Katherine W Bauer⁴  Sandy Sherman³  Michelle L Abel³  Stephanie S Vander Veur⁴  Heather M Polonsky⁴  Hannah G Lawman⁴ 

[1] New York City Department of Health and Hygiene, New York, USA;Center for Health Research, Geisinger Health System, Danville, USA;The Food Trust, Philadelphia, USA;Center for Obesity Research and Education, Temple University School of Medicine, 3223 N. Broad Street suite 175, Philadelphia, PA 19140, USA

关键词: Dietary intake;    Minority health;    Childhood obesity;   

Others  :  1129394
DOI  :  10.1186/1471-2458-14-604

 received in 2014-02-07, accepted in 2014-06-09,  发布年份 2014

【 摘 要 】

Background

Increasing school breakfast participation has been advocated as a method to prevent childhood obesity. However, little is known about children’s breakfast patterns outside of school (e.g., home, corner store). Policies that increase school breakfast participation without an understanding of children’s breakfast habits outside of school may result in children consuming multiple breakfasts and may undermine efforts to prevent obesity. The aim of the current study was to describe morning food and drink consumption patterns among low-income, urban children and their associations with relative weight.

Methods

A cross-sectional analysis was conducted of data obtained from 651 4^th-6^th graders (51.7% female, 61.2% African American, 10.7 years) in 2012. Students completed surveys at school that included all foods eaten and their locations that morning. Height and weight were measured by trained research staff.

Results

On the day surveyed, 12.4% of youth reported not eating breakfast, 49.8% reported eating one breakfast, 25.5% reported eating two breakfasts, and 12.3% reported eating three or more breakfasts. The number of breakfasts consumed and BMI percentile showed a significant curvilinear relationship, with higher mean BMI percentiles observed among children who did not consume any breakfast and those who consumed ≥ 3 breakfasts. Sixth graders were significantly less likely to have consumed breakfast compared to younger children. A greater proportion of obese youth had no breakfast (18.0%) compared to healthy weight (10.1%) and overweight youth (10.7%, p = .01).

Conclusions

When promoting school breakfast, policies will need to be mindful of both over- and under-consumption to effectively address childhood obesity and food insecurity.

Clinical trial registration

NCT01924130 from http://clinicaltrials.gov/ webcite.

【 授权许可】

   
2014 Lawman et al.; licensee BioMed Central Ltd.

【 图 表 】

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