Meal frequency, breakfast consumption and childhood obesity

International Journal of Pediatric Obesity : IJPO : an Official Journal of the International Association for the Study of Obesity
André M ToschkeGME Study Group

Abstract

In a recent study meal frequency was inversely related to childhood obesity. To assess an inverse association between meal frequency and childhood obesity with particular focus on breakfast consumption. Anthropometric data on 4,642 children aged 5 to 6 years were obtained in 5 Bavarian public health offices (Germany) during the obligatory school entry health examination in 2004/2005. An extensive questionnaire on risk factors for childhood obesity was answered by their parents. Obesity was defined according to sex- and age-specific body mass index (BMI) cut-off points, recommended by the International Obesity Task Force. Main exposures were meal frequency and breakfast consumption. The prevalence of obesity decreased by number of daily meals: 3 or less, 5% (95%CI 4 to 6%), 4 meals, 3% (95%CI 2 to 4%) and 5 or more meals 2% (95%CI 2 to 4%) (trend test p < 0.05). After adjustment for sociodemographic and constitutional factors odds ratios (OR) for obesity were 0.71 (95%CI, 0.50 to 1.01) for 4 meals and 0.57 (95%CI 0.37 to 0.88) for 5 or more meals, compared with 3 or less daily meals. The OR was 0.72 (95%CI 0.58 to 0.90) per additional meal. Additional adjustment for regular breakfast only marginally changed the OR of meal freque...Continue Reading

Citations

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