Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: results of a cross-sectional study

BMC Public Health

Research Article

Gaurang P Nazar¹  K Srinath Reddy²  Monika Arora²  Vinay K Gupta³  Cheryl L Perry⁴  Melissa H Stigler⁴ 

[1] Health Related Information Dissemination Amongst Youth (HRIDAY), Safdarjung Development Area, 110016, New Delhi, India;Health Related Information Dissemination Amongst Youth (HRIDAY), Safdarjung Development Area, 110016, New Delhi, India;Public Health Foundation of India (PHFI), 4/2 Sirifort Institutional Area, August Kranti Marg, 110016, New Delhi, India;Public Health Foundation of India (PHFI), 4/2 Sirifort Institutional Area, August Kranti Marg, 110016, New Delhi, India;UTHealth, School of Public Health, University of Texas, Austin Regional Campus Michael & Susan Dell Center for Healthy Living, 1616 Guadalupe, 78701, Austin, TX, USA;

关键词: Breakfast;    Obesity;    Adolescent;    Diet;    Physical activity;    Behavior;   

DOI  :  10.1186/1471-2458-12-881

 received in 2012-04-06, accepted in 2012-10-12,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundIn developed countries, regular breakfast consumption is inversely associated with excess weight and directly associated with better dietary and improved physical activity behaviors. Our objective was to describe the frequency of breakfast consumption among school-going adolescents in Delhi and evaluate its association with overweight and obesity as well as other dietary, physical activity, and sedentary behaviors.MethodsDesign: Cross-sectional study. Setting: Eight schools (Private and Government) of Delhi in the year 2006. Participants: 1814 students from 8th and 10th grades; response rate was 87.2%; 55% were 8th graders, 60% were boys and 52% attended Private schools. Main outcome measures: Body mass index, self-reported breakfast consumption, diet and physical activity related behaviors, and psychosocial factors. Data analysis: Mixed effects regression models were employed, adjusting for age, gender, grade level and school type (SES).ResultsSignificantly more Government school (lower SES) students consumed breakfast daily as compared to Private school (higher SES) students (73.8% vs. 66.3%; p<0.01). More 8th graders consumed breakfast daily vs.10th graders (72.3% vs. 67.0%; p<0.05). A dose–response relationship was observed such that overall prevalence of overweight and obesity among adolescents who consumed breakfast daily (14.6%) was significantly lower vs. those who only sometimes (15.2%) or never (22.9%) consumed breakfast (p<0.05 for trend). This relationship was statistically significant for boys (15.4 % vs. 16.5% vs. 26.0; p<0.05 for trend) but not for girls. Intake of dairy products, fruits and vegetables was 5.5 (95% CI 2.4-12.5), 1.7 (95% CI 1.1-2.5) and 2.2 (95% CI 1.3-3.5) times higher among those who consumed breakfast daily vs. those who never consumed breakfast. Breakfast consumption was associated with greater physical activity vs. those who never consumed breakfast. Positive values and beliefs about healthy eating; body image satisfaction; and positive peer and parental influence were positively associated with daily breakfast consumption, while depression was negatively associated.ConclusionDaily breakfast consumption is associated with less overweight and obesity and with healthier dietary- and physical activity-related behaviors among urban Indian students. Although prospective studies should confirm the present results, intervention programs to prevent or treat childhood obesity in India should consider emphasizing regular breakfast consumption.

【 授权许可】

CC BY   
© Arora et al.; licensee BioMed Central Ltd. 2012