Breakfast-Based Dietary Patterns and Obesity in Tehranian Adults

다국어 초록 (Multilingual Abstract)

Background: Breakfast is an important meal of the day that contributes to an overall healthy dietary pattern, better nutrient intake, and diet quality. This study sought to investigate the relationship between breakfast patterns and general and central obesity among middle-aged adults.
Methods: In this cross-sectional study of 840 apparently healthy women and men, aged 20–59 years, we assessed usual dietary intake by means of three 24-hour dietary recalls and we took anthropometric measurements. Dietary patterns were subsequently identified by factor analysis. To assess the association between breakfast composition and central and general obesity, logistic regression analysis was performed.
Results: We identified three major dietary patterns by factor analysis: the “bread and grains, meat products, and coffee” dietary pattern, the “sweets, tea and coffee” dietary pattern, and the “fruits, vegetables, and eggs” dietary pattern. Those people in the third tertile of the “sweets, tea and coffee” dietary category had a greater chance of having central obesity (odds ratio, 1.80; 95% confidence interval, 1.25–2.59; P=0.001). Moreover, higher adherence to the “bread and grains, meat products, and coffee” pattern increased the chance of central obesity (odds ratio, 1.67; 95% confidence interval, 1.47–1.97; P=0.03).
Conclusion: Overall, our results suggest that specific breakfast dietary patterns are associated with increased odds of central obesity in Iranian adults.

참고문헌 (Reference)

1 World Health Organization, "Waist circumference and waist-hip ratio : report of a WHO expert consultation" World Health Organization 2011

2 Ghaffarpour M, "The manual for household measures, cooking yields factors and edible portion of food" Keshaverzi Press 1999

3 Cameron AJ, "The influence of hip circumference on the relationship between abdominal obesity and mortality" 41 : 484-494, 2012

4 Turconi G, "The effects of high intakes of fibre ingested at breakfast on satiety" 49 (49): S281-S285, 1995

5 Cho S, "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)" 22 : 296-302, 2003

6 Rezazadeh A, "The association of general and central obesity with major dietary patterns of adult women living in Tehran, Iran" 56 : 132-138, 2010

7 Keramati M, "The association between dietary patterns and bone mineral density in a sample of postmenopausal women living in Tehran" 7 : 51-62, 2012

8 Adamsson V, "Role of a prudent breakfast in improving cardiometabolic risk factors in subjects with hypercholesterolemia : a randomized controlled trial" 34 : 20-26, 2015

9 Ayatollahi SM, "Prevalence of obesity and overweight among adults in Iran" 11 : 335-337, 2010

10 Sa J, "Overweight and physical inactivity among African American students at a historically black university" 108 : 77-85, 2016

11 Bastien M, "Overview of epidemiology and contribution of obesity to cardiovascular disease" 56 : 369-381, 2014

12 Willett W, "Nutritional Epidemiology" Oxford University Press 1998

13 Andersson J, "Meals and snacks among elderly self-managing and disabled women" 41 : 149-160, 2003

14 Kahleova H, "Meal frequency and timing are associated with changes in body mass index in adventist health study 2" 147 : 1722-1728, 2017

15 Esmaillzadeh A, "Major dietary patterns in relation to general obesity and central adiposity among Iranian women" 138 : 358-363, 2008

16 Alwan A, "Global status report on noncommunicable diseases 2010" World Health Organization 2011

17 Kim JO, "Factor analysis: Statistical methods and practical issues" Sage 1978

18 Ocké MC, "Evaluation of methodologies for assessing the overall diet : dietary quality scores and dietary pattern analysis" 72 : 191-199, 2013

19 Bach-Faig A, "Evaluating associations between Mediterranean diet adherence indexes and biomarkers of diet and disease" 9 : 1110-1117, 2006

20 Shin KO, "Empirically derived major dietary patterns and their associations with overweight in Korean preschool children" 98 : 416-421, 2007

21 Kobayashi F, "Effect of breakfast skipping on diurnal variation of energy metabolism and blood glucose" 8 : e201-e298, 2014

22 Sievert K, "Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials" 364 : l42-, 2019

23 Mekary RA, "Eating patterns and type 2 diabetes risk in men: breakfast omission, eating frequency, and snacking" 95 : 1182-1189, 2012

24 Siega-Riz AM, "Differences in food patterns at breakfast by sociodemographic characteristics among a nationally representative sample of adults in the United States" 30 : 415-424, 2000

25 de Oliveira Santos R, "Dietary patterns for meals of Brazilian adults" 114 : 822-828, 2015

26 Hu FB, "Dietary pattern analysis : a new direction in nutritional epidemiology" 13 : 3-9, 2002

27 Bazzano LA, "Dietary intake of whole and refined grain breakfast cereals and weight gain in men" 13 : 1952-1960, 2005

28 Ludwig DS, "Dietary glycemic index and obesity" 130 (130): 280S-283S, 2000

29 Bray GA, "Dietary fat intake does affect obesity!" 68 : 1157-1173, 1998

30 Ainsworth BE, "Compendium of physical activities : an update of activity codes and MET intensities" 32 (32): S498-S504, 2000

31 Azizi F, "Cardiovascular risk factors in the elderly : the Tehran Lipid and Glucose Study" 10 : 65-73, 2003

32 Goon S, "Breakfast skipping and obesity risk among urban adults in Bangladesh" 3 : 15-22, 2014

33 Keski-Rahkonen A, "Breakfast skipping and health-compromising behaviors in adolescents and adults" 57 : 842-853, 2003

34 Iqbal K, "Breakfast quality and cardiometabolic risk profiles in an upper middle-aged German population" 71 : 1312-1320, 2017

35 민찬양, "Breakfast patterns are associated with metabolic syndrome in Korean adults" 한국영양학회 6 (6): 61-67, 2012

36 Baltar VT, "Breakfast patterns and their association with body mass index in Brazilian adults" 34 : e00111917-, 2018

37 Navia B, "Breakfast habits and differences regarding abdominal obesity in a cross-sectional study in Spanish adults: The ANIBES study" 12 : e0188828-, 2017

38 Cahill L, "Breakfast eating and incident coronary heart disease in a large prospective cohort of American women" 29 : 906-903, 2015

39 Mansouri M, "Breakfast consumption pattern and its association with overweight and obesity among university students: a population-based study" 25 : 379-387, 2020

40 Hopkins LC, "Breakfast consumption frequency and its relationships to overall diet quality, using healthy eating index 2010, and body mass index among adolescents in a low-income urban setting" 56 : 297-311, 2017

41 Astbury NM, "Breakfast consumption affects appetite, energy intake, and the metabolic and endocrine responses to foods consumed later in the day in male habitual breakfast eaters" 141 : 1381-1389, 2011

42 Karpe F, "Biology of upper-body and lower-body adipose tissue : link to whole-body phenotypes" 11 : 90-100, 2015

43 Beck KL, "Associations between dietary patterns, socio-demographic factors and anthropometric measurements in adult New Zealanders: an analysis of data from the 2008/09 New Zealand Adult Nutrition Survey" 57 : 1421-1433, 2018

44 Flegal KM, "Association of all-cause mortality with overweight and obesity using standard body mass index categories : a systematic review and metaanalysis" 309 : 71-82, 2013

45 Chatelan A, "Association between breakfast composition and abdominal obesity in the Swiss adult population eating breakfast regularly" 15 : 115-, 2018

46 Lohman TG, "Anthropometric standardization reference manual" Human kinetics books 1988

47 van der Heijden AA, "A prospective study of breakfast consumption and weight gain among U.S. men" 15 : 2463-2469, 2007

48 Amini M, "A cross-sectional study on food patterns and adiposity among individuals with abnormal glucose homeostasis" 15 : 131-135, 2012