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Breakfast patterns among low-income, ethnically-diverse 4th-6th grade children in an urban area.
BMC Public Health. 2014 Jun 14; 14:604.BP

Abstract

BACKGROUND

Increasing school breakfast participation has been advocated as a method to prevent childhood obesity. However, little is known about children's breakfast patterns outside of school (e.g., home, corner store). Policies that increase school breakfast participation without an understanding of children's breakfast habits outside of school may result in children consuming multiple breakfasts and may undermine efforts to prevent obesity. The aim of the current study was to describe morning food and drink consumption patterns among low-income, urban children and their associations with relative weight.

METHODS

A cross-sectional analysis was conducted of data obtained from 651 4th-6th graders (51.7% female, 61.2% African American, 10.7 years) in 2012. Students completed surveys at school that included all foods eaten and their locations that morning. Height and weight were measured by trained research staff.

RESULTS

On the day surveyed, 12.4% of youth reported not eating breakfast, 49.8% reported eating one breakfast, 25.5% reported eating two breakfasts, and 12.3% reported eating three or more breakfasts. The number of breakfasts consumed and BMI percentile showed a significant curvilinear relationship, with higher mean BMI percentiles observed among children who did not consume any breakfast and those who consumed ≥ 3 breakfasts. Sixth graders were significantly less likely to have consumed breakfast compared to younger children. A greater proportion of obese youth had no breakfast (18.0%) compared to healthy weight (10.1%) and overweight youth (10.7%, p = .01).

CONCLUSIONS

When promoting school breakfast, policies will need to be mindful of both over- and under-consumption to effectively address childhood obesity and food insecurity.

CLINICAL TRIAL REGISTRATION

NCT01924130 from http://clinicaltrials.gov/.

Authors+Show Affiliations

Center for Obesity Research and Education, Temple University School of Medicine, 3223 N, Broad Street suite 175, Philadelphia, PA 19140, USA. hlawman@temple.edu.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

24928474

Citation

Lawman, Hannah G., et al. "Breakfast Patterns Among Low-income, Ethnically-diverse 4th-6th Grade Children in an Urban Area." BMC Public Health, vol. 14, 2014, p. 604.
Lawman HG, Polonsky HM, Vander Veur SS, et al. Breakfast patterns among low-income, ethnically-diverse 4th-6th grade children in an urban area. BMC Public Health. 2014;14:604.
Lawman, H. G., Polonsky, H. M., Vander Veur, S. S., Abel, M. L., Sherman, S., Bauer, K. W., Sanders, T., Fisher, J. O., Bailey-Davis, L., Ng, J., Van Wye, G., & Foster, G. D. (2014). Breakfast patterns among low-income, ethnically-diverse 4th-6th grade children in an urban area. BMC Public Health, 14, 604. https://doi.org/10.1186/1471-2458-14-604
Lawman HG, et al. Breakfast Patterns Among Low-income, Ethnically-diverse 4th-6th Grade Children in an Urban Area. BMC Public Health. 2014 Jun 14;14:604. PubMed PMID: 24928474.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breakfast patterns among low-income, ethnically-diverse 4th-6th grade children in an urban area. AU - Lawman,Hannah G, AU - Polonsky,Heather M, AU - Vander Veur,Stephanie S, AU - Abel,Michelle L, AU - Sherman,Sandy, AU - Bauer,Katherine W, AU - Sanders,Tim, AU - Fisher,Jennifer O, AU - Bailey-Davis,Lisa, AU - Ng,Janet, AU - Van Wye,Gretchen, AU - Foster,Gary D, Y1 - 2014/06/14/ PY - 2014/02/07/received PY - 2014/06/09/accepted PY - 2014/6/15/entrez PY - 2014/6/15/pubmed PY - 2015/7/15/medline SP - 604 EP - 604 JF - BMC public health JO - BMC Public Health VL - 14 N2 - BACKGROUND: Increasing school breakfast participation has been advocated as a method to prevent childhood obesity. However, little is known about children's breakfast patterns outside of school (e.g., home, corner store). Policies that increase school breakfast participation without an understanding of children's breakfast habits outside of school may result in children consuming multiple breakfasts and may undermine efforts to prevent obesity. The aim of the current study was to describe morning food and drink consumption patterns among low-income, urban children and their associations with relative weight. METHODS: A cross-sectional analysis was conducted of data obtained from 651 4th-6th graders (51.7% female, 61.2% African American, 10.7 years) in 2012. Students completed surveys at school that included all foods eaten and their locations that morning. Height and weight were measured by trained research staff. RESULTS: On the day surveyed, 12.4% of youth reported not eating breakfast, 49.8% reported eating one breakfast, 25.5% reported eating two breakfasts, and 12.3% reported eating three or more breakfasts. The number of breakfasts consumed and BMI percentile showed a significant curvilinear relationship, with higher mean BMI percentiles observed among children who did not consume any breakfast and those who consumed ≥ 3 breakfasts. Sixth graders were significantly less likely to have consumed breakfast compared to younger children. A greater proportion of obese youth had no breakfast (18.0%) compared to healthy weight (10.1%) and overweight youth (10.7%, p = .01). CONCLUSIONS: When promoting school breakfast, policies will need to be mindful of both over- and under-consumption to effectively address childhood obesity and food insecurity. CLINICAL TRIAL REGISTRATION: NCT01924130 from http://clinicaltrials.gov/. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/24928474/Breakfast_patterns_among_low_income_ethnically_diverse_4th_6th_grade_children_in_an_urban_area_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-14-604 DB - PRIME DP - Unbound Medicine ER -