Associations between breakfast eating habits and health-promoting lifestyle, suboptimal health status in Southern China: a population based, cross sectional study

Journal of Translational Medicine

Xiaoshan Zhao²  Ren Luo²  Liuguo Wu²  Shengwei Wu²  Pingping Jiang²  Lei Xiang²  Fei Li²  Ya Xiao²  Tian Wang²  Xiaomin Sun²  Yang Tang²  Yanyan Liu¹  Jingru Cheng²  Jieyu Chen² 

[1] Department of Rheumatic diseases, The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou 510405, China;School of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China

关键词: Cross sectional study;    Healthy lifestyle;    Suboptimal health status(SHS);    Breakfast eating habits;   

Others  :  1146733
DOI  :  10.1186/s12967-014-0348-1

 received in 2014-10-21, accepted in 2014-12-01,  发布年份 2014

【 摘 要 】

Background

Suboptimal health status (SHS) is the intermediate health state between health and disease, refers to medically undiagnosed or functional somatic syndromes, and has been a major global public health challenge. However, both the etiology and mechanisms associated with SHS are still unclear. Breakfast eating behavior is a dietary pattern marker and previous studies have presented evidence of associations between failure to consume breakfast and increased diseases. Accordingly, in view of the significance of breakfast eating behaviors with respect to health status, the associations between breakfast eating habits and healthy lifestyle, SHS require further elucidation.

Methods

A cross-sectional survey was conducted within a clustered sample of 24,159 individuals aged 12–80 years in 2012–13 within the population of Southern China. Breakfast eating habits were categorically defined by consumption frequency (‘scarcely, sometimes or always’). Health-promoting lifestyle was assessed via the health-promoting lifestyle profile (HPLP-II). SHS was evaluated using the medical examination report and Sub-health Measurement Scale V1.0 (SHMS V1.0).

Results

Of the 24,159 participants, the prevalence rates for the ‘health’ , ‘SHS’ , and ‘disease’ were 18.8%, 46.0%, and 35.2%, respectively. Overall, 19.6% of participants reported ‘scarce’ breakfast eating habits, with frequent breakfast eaters scoring higher on both HPLP-II and SHMS V1.0. After demographic adjustment, regression analyses revealed a significant association between breakfast eating habits and healthy lifestyle (p <0.001). There were lower levels of breakfast consumption regularity amongst individuals with SHS than those with disease. Categorically ‘scarce’ breakfast eaters were approximately three times more likely to be assigned SHS (OR: 2.745, 95% CI: 2.468-3.053), while infrequent breakfast eaters (‘sometimes’) were just less than twice as likely to be assessed as being of SHS (OR: 1.731, 95% CI: 1.595-1.879).

Conclusions

Breakfast eating habits are significantly associated with a healthy lifestyle, and appear to be a useful predictor of a healthy lifestyle. Irregular breakfast eating habits are related to an increased risk of SHS; increased breakfast eating frequency may contribute to lowering the prevalence of SHS in Southern China.

【 授权许可】

   
2014 Chen et al.; licensee BioMed Central Ltd.

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