Abstract
Background: There is a lack of data regarding breakfast consumption and quality among college students in the Kingdom of Saudi Arabia.
Objective: The objective of this study was to assess the prevalence of breakfast consumption and examine the effect of breakfast location on breakfast nutritional quality and obesity risk among female college students at Taibah University.
Methods: A total of 658 students participated in this cross-sectional study. Based on the Child and Adult Care Food Program (CACFP) recommendations, breakfast quality scores were computed by summing the individual food components and categorizing participants according to tertiles of the breakfast score distribution. Mixed-effects, repeated-measures models were used to examine BMI categories with increasing tertiles of breakfast quality scores, stratified by breakfast location.
Results and Discussion: Approximately 68% of the participants reported having breakfast regularly. The mean breakfast quality score was determined for students who had breakfast at home (12.5 ± 0.11), at college (10.41± 0.06), and in other places (8.19± 0.48). Obesity was associated with lower average breakfast quality scores based on breakfast location [mean quintile 3 compared with 1 difference: home 13.6 (P < 0.001), college 9.1 (P < 0.001), other 8.6 (P < 0.001)].
Conclusion: The findings presented here indicated that a high percentage of students consume breakfast regularly. Students who had breakfast at home had high scores, which indicated good breakfast quality and a decreased risk of obesity. Further research on breakfast quality is needed in this area, as it affects the nutritional status and quality of life of the younger population.
Keywords: Breakfast location, diet quality, body mass index, obesity, nutritional status, younger population.
Graphical Abstract
[1]
Lissner L, Johansson SE, Qvist J, Rössner S, Wolk A. Social mapping of the obesity epidemic in Sweden. Int J Obes Relat Metab Disord 2000; 24(6): 801-5.
[http://dx.doi.org/10.1038/sj.ijo.0801237] [PMID: 10878690]
[http://dx.doi.org/10.1038/sj.ijo.0801237] [PMID: 10878690]
[2]
Al-Nozha MM, Al-Mazrou YY, Al-Maatouq MA, et al. Obesity in Saudi Arabia. Saudi Med J 2005; 26(5): 824-9.
[PMID: 15951877]
[PMID: 15951877]
[3]
Alshaikh MK, Filippidis FT, Baldove JP, Majeed A, Rawaf S. Women in Saudi Arabia and the Prevalence of Cardiovascular Risk Factors: A Systematic Review. J Environ Public Health 2016; 2016: 7479357.
[PMID: 27777590]
[PMID: 27777590]
[4]
Al-Quwaidhi AJ, Pearce MS, Critchley JA, Sobngwi E, O’Flaherty M. Trends and future projections of the prevalence of adult obesity in Saudi Arabia, 1992-2022. East Mediterr Health J 2014; 20(10): 589-95.
[PMID: 25356689]
[PMID: 25356689]
[5]
Naeem Z. Burden of Diabetes Mellitus in Saudi Arabia. Int J Health Sci (Qassim) 2015; 9(3): V-VI.
[PMID: 26609301]
[PMID: 26609301]
[6]
Al-Nozha M, Al-Khadra A, Arafah MR, et al. Metabolic syndrome in Saudi Arabia. Saudi Med J 2005; 26(12): 1918-25.
[PMID: 16380773]
[PMID: 16380773]
[7]
Johansson SE, Sundquist J. Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol 1999; 28(6): 1073-80.
[http://dx.doi.org/10.1093/ije/28.6.1073] [PMID: 10661650]
[http://dx.doi.org/10.1093/ije/28.6.1073] [PMID: 10661650]
[8]
Raynor HA, Champagne CM. Position of the Academy of Nutrition and Dietetics: Interventions for the Treatment of Overweight and Obesity in Adults. J Acad Nutr Diet 2016; 116(1): 129-47.
[http://dx.doi.org/10.1016/j.jand.2015.10.031] [PMID: 26718656]
[http://dx.doi.org/10.1016/j.jand.2015.10.031] [PMID: 26718656]
[9]
Gibney MJ, Barr SI, Bellisle F, et al. Towards an evidence-based recommendation for a balanced breakfast—A proposal from the international breakfast research initiative. Nutrients 2018; 10(10): 1540.
[http://dx.doi.org/10.3390/nu10101540] [PMID: 30340378]
[http://dx.doi.org/10.3390/nu10101540] [PMID: 30340378]
[10]
Timlin MT, Pereira MA. Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev 2007; 65(6 Pt 1): 268-81.
[http://dx.doi.org/10.1111/j.1753-4887.2007.tb00304.x] [PMID: 17605303]
[http://dx.doi.org/10.1111/j.1753-4887.2007.tb00304.x] [PMID: 17605303]
[11]
Huang C, Niu K, Momma H, et al. Breakfast consumption frequency is associated with grip strength in a population of healthy Japanese adults. Nutr Metab Cardiovasc Dis 2014; 24(6): 648-55.
[http://dx.doi.org/10.1016/j.numecd.2013.12.013] [PMID: 24598601]
[http://dx.doi.org/10.1016/j.numecd.2013.12.013] [PMID: 24598601]
[12]
Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ. Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health Study. Am J Clin Nutr 2010; 92(6): 1316-25.
[http://dx.doi.org/10.3945/ajcn.2010.30101] [PMID: 20926520]
[http://dx.doi.org/10.3945/ajcn.2010.30101] [PMID: 20926520]
[13]
Odegaard AO, Jacobs DR Jr, Steffen LM, Van Horn L, Ludwig DS, Pereira MA. Breakfast frequency and development of metabolic risk. Diabetes Care 2013; 36(10): 3100-6.
[http://dx.doi.org/10.2337/dc13-0316] [PMID: 23775814]
[http://dx.doi.org/10.2337/dc13-0316] [PMID: 23775814]
[14]
Pereira MA, Erickson E, McKee P, et al. Breakfast frequency and quality may affect glycemia and appetite in adults and children. J Nutr 2011; 141(1): 163-8.
[http://dx.doi.org/10.3945/jn.109.114405] [PMID: 21123469]
[http://dx.doi.org/10.3945/jn.109.114405] [PMID: 21123469]
[15]
Wyatt HR, Grunwald GK, Mosca CL, Klem ML, Wing RR, Hill JO. Long-term weight loss and breakfast in subjects in the National Weight Control Registry. Obes Res 2002; 10(2): 78-82.
[http://dx.doi.org/10.1038/oby.2002.13] [PMID: 11836452]
[http://dx.doi.org/10.1038/oby.2002.13] [PMID: 11836452]
[16]
Gajre NS, Fernandez S, Balakrishna N, Vazir S. Breakfast eating habit and its influence on attention-concentration, immediate memory and school achievement. Indian Pediatr 2008; 45(10): 824-8.
[PMID: 18948652]
[PMID: 18948652]
[17]
Widenhorn-Müller K, Hille K, Klenk J, Weiland U. Influence of having breakfast on cognitive performance and mood in 13- to 20-year-old high school students: results of a crossover trial. Pediatrics 2008; 122(2): 279-84.
[http://dx.doi.org/10.1542/peds.2007-0944] [PMID: 18676544]
[http://dx.doi.org/10.1542/peds.2007-0944] [PMID: 18676544]
[18]
Keski-Rahkonen A, Kaprio J, Rissanen A, Virkkunen M, Rose RJ. Breakfast skipping and health-compromising behaviors in adolescents and adults. Eur J Clin Nutr 2003; 57(7): 842-53.
[http://dx.doi.org/10.1038/sj.ejcn.1601618] [PMID: 12821884]
[http://dx.doi.org/10.1038/sj.ejcn.1601618] [PMID: 12821884]
[19]
Pendergast FJ, Livingstone KM, Worsley A, McNaughton SA. Correlates of meal skipping in young adults: a systematic review. Int J Behav Nutr Phys Act 2016; 13(1): 125.
[http://dx.doi.org/10.1186/s12966-016-0451-1] [PMID: 27905981]
[http://dx.doi.org/10.1186/s12966-016-0451-1] [PMID: 27905981]
[20]
Sakurai M, Yoshita K, Nakamura K, et al. Skipping breakfast and 5-year changes in body mass index and waist circumference in Japanese men and women. Obes Sci Pract 2017; 3(2): 162-70.
[http://dx.doi.org/10.1002/osp4.106] [PMID: 28702211]
[http://dx.doi.org/10.1002/osp4.106] [PMID: 28702211]
[21]
Horikawa C, Kodama S, Yachi Y, et al. Skipping breakfast and prevalence of overweight and obesity in Asian and Pacific regions: a meta-analysis. Prev Med 2011; 53(4-5): 260-7.
[http://dx.doi.org/10.1016/j.ypmed.2011.08.030] [PMID: 21925535]
[http://dx.doi.org/10.1016/j.ypmed.2011.08.030] [PMID: 21925535]
[22]
WHO; World Health Organization.. Adolescents. Physical status: the use and interpretation of anthropometry https://www.who.int/childgrowth/publications/physical_status/en/
[23]
Murphy SP, Yaktine AL, Suitor CW, Moats S. Child and adult care food program: Aligning dietary guidance for all. Child and Adult Care Food Program: Aligning Dietary Guidance for All 2011.https://www.fns.usda.gov/child-and-adult-care-food-program-aligning-dietary-guidance-all
[24]
Harvard Medical School. Healthy Eating Plate 2011.https://www.hsph.harvard.edu/nutritionsource/healthy-eating-plate/
[25]
Myhre JB, Løken EB, Wandel M, Andersen LF. Eating location is associated with the nutritional quality of the diet in Norwegian adults. Public Health Nutr 2014; 17(4): 915-23.
[http://dx.doi.org/10.1017/S1368980013000268] [PMID: 23481490]
[http://dx.doi.org/10.1017/S1368980013000268] [PMID: 23481490]
[26]
Lachat C, Nago E, Verstraeten R, Roberfroid D, Van Camp J, Kolsteren P. Eating out of home and its association with dietary intake: a systematic review of the evidence. Obes Rev 2012; 13(4): 329-46.
[http://dx.doi.org/10.1111/j.1467-789X.2011.00953.x] [PMID: 22106948]
[http://dx.doi.org/10.1111/j.1467-789X.2011.00953.x] [PMID: 22106948]
[27]
Wolongevicz DM, Zhu L, Pencina MJ, et al. Diet quality and obesity in women: the Framingham Nutrition Studies. Br J Nutr 2010; 103(8): 1223-9.
[http://dx.doi.org/10.1017/S0007114509992893] [PMID: 19930766]
[http://dx.doi.org/10.1017/S0007114509992893] [PMID: 19930766]
[28]
Al Qauhiz NM. Obesity among Saudi Female University Students: Dietary Habits and Health Behaviors. J Egypt Public Health Assoc 2010; 85(1-2): 45-59.
[PMID: 21073847]
[PMID: 21073847]
[29]
Poobalan A, Aucott L. Obesity Among Young Adults in Developing Countries: A Systematic Overview. Curr Obes Rep 2016; 5(1): 2-13.
[http://dx.doi.org/10.1007/s13679-016-0187-x] [PMID: 26883372]
[http://dx.doi.org/10.1007/s13679-016-0187-x] [PMID: 26883372]
[30]
Yahia N, Achkar A, Abdallah A, Rizk S. Eating habits and obesity among Lebanese university students. Nutr J 2008; 7: 32.
[http://dx.doi.org/10.1186/1475-2891-7-32] [PMID: 18973661]
[http://dx.doi.org/10.1186/1475-2891-7-32] [PMID: 18973661]
[31]
Moy FM, Johari S, Ismail Y, Mahad R, Tie FH, Wan Ismail WA. Breakfast skipping and its associated factors among undergraduates in a public university in Kuala Lumpur. Malays J Nutr 2009; 15(2): 165-74.
[PMID: 22691814]
[PMID: 22691814]
[32]
Sun J, Yi H, Liu Z, et al. Factors associated with skipping breakfast among Inner Mongolia medical students in China. BMC Public Health 2013; 13: 42.
[http://dx.doi.org/10.1186/1471-2458-13-42] [PMID: 23327195]
[http://dx.doi.org/10.1186/1471-2458-13-42] [PMID: 23327195]
[33]
Yokoyama H, Miyazaki M, Mizuta Y, Matsuki H, Okazaki I. [Analysis of factors affecting breakfast skipping by male students undergoing hard training for sports]. Nippon Koshu Eisei Zasshi 2002; 49(9): 902-10. [Analysis of factors affecting breakfast skipping by male students undergoing hard training for sports].
[PMID: 12402467]
[PMID: 12402467]
[34]
Fernández Morales I, Aguilar Vilas MV, Mateos Vega CJ, Martínez Para MC. Breakfast quality and its relationship to the prevalence of overweight and obesity in adolescents in Guadalajara (Spain). Nutr Hosp 2011; 26(5): 952-8.
[PMID: 22072337]
[PMID: 22072337]
[35]
Larson N, MacLehose R, Fulkerson JA, Berge JM, Story M, Neumark-Sztainer D. Eating breakfast and dinner together as a family: associations with sociodemographic characteristics and implications for diet quality and weight status. J Acad Nutr Diet 2013; 113(12): 1601-9.
[http://dx.doi.org/10.1016/j.jand.2013.08.011] [PMID: 24139290]
[http://dx.doi.org/10.1016/j.jand.2013.08.011] [PMID: 24139290]
[36]
Clifford Astbury C, Penney TL, Adams J. Home-prepared food, dietary quality and socio-demographic factors: a cross-sectional analysis of the UK National Diet and nutrition survey 2008-16. Int J Behav Nutr Phys Act 2019; 16(1): 82.
[http://dx.doi.org/10.1186/s12966-019-0846-x] [PMID: 31492141]
[http://dx.doi.org/10.1186/s12966-019-0846-x] [PMID: 31492141]
[37]
Basiotis P, Lino M, Anand R. Eating breakfast greatly improves schoolchildren’s diet quality. Econ Nutr Rev 1999; 12(3-4): 81-3.
[38]
Song WO, Chun OK, Obayashi S, Cho S, Chung CE. Is consumption of breakfast associated with body mass index in US adults? J Am Diet Assoc 2005; 105(9): 1373-82.
[http://dx.doi.org/10.1016/j.jada.2005.06.002] [PMID: 16129078]
[http://dx.doi.org/10.1016/j.jada.2005.06.002] [PMID: 16129078]
[39]
Cho S, Dietrich M, Brown CJP, Clark CA, Block G. The effect of breakfast type on total daily energy intake and body mass index: results from the Third National Health and Nutrition Examination Survey (NHANES III). J Am Coll Nutr 2003; 22(4): 296-302.
[http://dx.doi.org/10.1080/07315724.2003.10719307] [PMID: 12897044]
[http://dx.doi.org/10.1080/07315724.2003.10719307] [PMID: 12897044]
[40]
Mullan BA, Singh M. A systematic review of the quality, content, and context of breakfast consumption. Nutr Food Sci 2010; 40(1): 81-114.
[http://dx.doi.org/10.1108/00346651011015953]
[http://dx.doi.org/10.1108/00346651011015953]
[41]
Timlin MT, Pereira MA, Story M, Neumark-Sztainer D. Breakfast eating and weight change in a 5-year prospective analysis of adolescents: Project EAT (Eating Among Teens). Pediatrics 2008; 121(3): e638-45.
[http://dx.doi.org/10.1542/peds.2007-1035] [PMID: 18310183]
[http://dx.doi.org/10.1542/peds.2007-1035] [PMID: 18310183]
[42]
Affenito SG, Thompson DR, Barton BA, et al. Breakfast consumption by African-American and white adolescent girls correlates positively with calcium and fiber intake and negatively with body mass index. J Am Diet Assoc 2005; 105(6): 938-45.
[http://dx.doi.org/10.1016/j.jada.2005.03.003] [PMID: 15942545]
[http://dx.doi.org/10.1016/j.jada.2005.03.003] [PMID: 15942545]
[43]
Kosti RI, Panagiotakos DB, Zampelas A, et al. The association between consumption of breakfast cereals and BMI in schoolchildren aged 12-17 years: the VYRONAS study. Public Health Nutr 2008; 11(10): 1015-21.
[http://dx.doi.org/10.1017/S1368980007001437] [PMID: 18093352]
[http://dx.doi.org/10.1017/S1368980007001437] [PMID: 18093352]
[44]
So HK, Nelson EAS, Li AM, et al. Breakfast frequency inversely associated with BMI and body fatness in Hong Kong Chinese children aged 9-18 years. Br J Nutr 2011; 106(5): 742-51.
[http://dx.doi.org/10.1017/S0007114511000754] [PMID: 21535905]
[http://dx.doi.org/10.1017/S0007114511000754] [PMID: 21535905]
[45]
Huang Y-L, Hoerr SL, Song WO. Breakfast is the Lowest Fat Meal for Young Adult Women. J Nutr Educ 2008; 29(4): 184-8.
[http://dx.doi.org/10.1016/S0022-3182(97)70196-1]
[http://dx.doi.org/10.1016/S0022-3182(97)70196-1]
[46]
Williams P. Breakfast and the diets of Australian children and adolescents: an analysis of data from the 1995 National Nutrition Survey. Int J Food Sci Nutr 2007; 58(3): 201-16.
[http://dx.doi.org/10.1080/09637480701198075] [PMID: 17514538]
[http://dx.doi.org/10.1080/09637480701198075] [PMID: 17514538]
[47]
Isa K, Masuri M. The association of breakfast consumption habit, snacking behavior and body mass index among university students. Am J Food Nutr 2011; 1(2): 55-60.
[http://dx.doi.org/10.5251/ajfn.2011.1.2.55.60]
[http://dx.doi.org/10.5251/ajfn.2011.1.2.55.60]
[48]
Sjöberg A, Hallberg L, Höglund D, Hulthén L. Meal pattern, food choice, nutrient intake and lifestyle factors in The Göteborg Adolescence Study. Eur J Clin Nutr 2003; 57(12): 1569-78.
[http://dx.doi.org/10.1038/sj.ejcn.1601726] [PMID: 14647222]
[http://dx.doi.org/10.1038/sj.ejcn.1601726] [PMID: 14647222]
[49]
Giovannini M, Verduci E, Scaglioni S, et al. Breakfast: a good habit, not a repetitive custom. J Int Med Res 2008; 36(4): 613-24.
[http://dx.doi.org/10.1177/147323000803600401] [PMID: 18652755]
[http://dx.doi.org/10.1177/147323000803600401] [PMID: 18652755]
[50]
Moreno LA, Rodríguez G. Dietary risk factors for development of childhood obesity. Curr Opin Clin Nutr Metab Care 2007; 10(3): 336-41.
[http://dx.doi.org/10.1097/MCO.0b013e3280a94f59] [PMID: 17414504]
[http://dx.doi.org/10.1097/MCO.0b013e3280a94f59] [PMID: 17414504]
[51]
Baron KG, Reid KJ, Kern AS, Zee PC. Role of sleep timing in caloric intake and BMI. Obesity (Silver Spring) 2011; 19(7): 1374-81.
[http://dx.doi.org/10.1038/oby.2011.100] [PMID: 21527892]
[http://dx.doi.org/10.1038/oby.2011.100] [PMID: 21527892]
[52]
Barnes TL, French SA, Harnack LJ, Mitchell NR, Wolfson J. Snacking behaviors, diet quality, and body mass index in a community sample of working adults. J Acad Nutr Diet 2015; 115(7): 1117-23.
[http://dx.doi.org/10.1016/j.jand.2015.01.009] [PMID: 25769747]
[http://dx.doi.org/10.1016/j.jand.2015.01.009] [PMID: 25769747]
[53]
Clayton DJ, James LJ. The effect of breakfast on appetite regulation, energy balance and exercise performance. Proc Nutr Soc 2016; 75(3): 319-27.
[http://dx.doi.org/10.1017/S0029665115004243] [PMID: 26653842]
[http://dx.doi.org/10.1017/S0029665115004243] [PMID: 26653842]
[54]
Gwin JA, Leidy HJ. Breakfast Consumption Augments Appetite, Eating Behavior, and Exploratory Markers of Sleep Quality Compared with Skipping Breakfast in Healthy Young Adults. Curr Dev Nutr 2018; 2(11): nzy074.
[http://dx.doi.org/10.1093/cdn/nzy074] [PMID: 30402594]
[http://dx.doi.org/10.1093/cdn/nzy074] [PMID: 30402594]
[55]
Saudi Ministry of Health. Ministry of Health The Dietary Guidelines for Saudis 2012.https://www.moh.gov.sa/en/Ministry/MediaCenter/Publications/Documents/final%20english%20%20%D8%A7%D9%84%D9%83%D8%AA%D8%A7%D8%A8%20%D8%A7%D9%84%D8%B9%D9%84%D9%85%D9%8A%20%D8%A5%D9%86%D8%AC%D9%84%D9%8A%D8%B2%D9%8A.pdf
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