Breakfast Quality Research Articles

Breakfast Quality and Insulin Resistance in Spanish Schoolchildren: A Cross-Sectional Study.

Background: Breakfast has traditionally been considered one of the most important meals of the day; however, there is little evidence for the influence of breakfast quality and insulin resistance (IR). This study aimed to assess the quality of breakfast in a group of schoolchildren, and its association with IR. Methods: A cross-sectional study with 852 children (8−13 years) was carried out. Fasting plasma glucose, insulin and anthropometric parameters were measured. A three-day dietary record was used to assess their diet and to calculate the Breakfast Quality Index (BQI). The sample was divided into tertiles according to the BQI (tertile 3: better breakfast quality). The homeostatic model was used to assess insulin resistance (HOMA-IR), and IR was defined as HOMA-IR > 3.16. Results: The prevalence of IR was 5.2%. The mean BQI score was 4.50 ± 1.25, and boys had lower scores than girls. Children in the BQI tertile 3 had a better global diet quality. In boys, being in the BQI tertile 3 was associated with a lower risk of IR (OR [95% CI]: 0.10 [0.01−0.77], p < 0.05). Conclusions: A higher-quality breakfast was associated with better overall diet quality and a lower risk of IR, especially in boys.

Describing the longitudinal breakfast quality index trajectories in early childhood: results from Melbourne InFANT program.

Breakfast quality in early childhood remains understudied. This study describes the changes in breakfast quality index (BQI) (i.e. trajectory) in early childhood and assesses its associations with obesity outcomes. Data from children who participated in the Melbourne InFANT Program were used (n = 328). The Melbourne InFANT Program was a 15-month early obesity prevention intervention conducted from 2008 to 2013. Dietary intakes at ages 1.5, 3.5 and 5.0 years were assessed using three parent-proxy reported 24 h recalls. A revised nine-item BQI tool developed based on Australian dietary recommendations for young children was used to calculate BQI scores. Group-based trajectory modelling identified BQI trajectory groups. Multivariable linear and logistic regression examined the associations between identified BQI trajectory groups and obesity outcomes at age 5 years. Mean BQI at ages 1.5, 3.5 and 5.0 years was 4.8, 4.8, 2.7 points, respectively. Two BQI trajectory groups were identified, and both showed a decline in BQI. The mean BQI of most children (74%) decreased from 5.0 to 4.0 points from ages 1.5 to 5.0 years (referred as "High BQI" group). The remaining children (26%) had a mean BQI of 4.8 and 1.2 points at age 1.5 and 5.0 years, respectively (referred as "Low BQI" group). The "Low BQI" group appeared to show higher risk of overweight (OR:1.30, 95% CI: 0.60, 2.81, P = 0.66) at age 5 years than the "High BQI" group. No difference in body mass index (BMI) z-score was found between the two groups. Two BQI trajectory groups were identified. Both groups showed a decline in breakfast quality from ages 1.5 to 5.0 years. Our study highlights the need for early health promotion interventions and strategies to improve and maintain breakfast quality across early childhood.

Relative validity of the online Meal-based Diet History Questionnaire for evaluating the overall diet quality and quality of each meal type in Japanese adults.

The aim of this study was to examine the relative validity of the online Meal-based Diet History Questionnaire (MDHQ) for assessing the overall diet quality and quality of each meal type (breakfast, lunch, dinner and snacks). In total, 222 Japanese adults (111 for each sex) aged 30-76 years completed the online MDHQ and then the 4-non-consecutive-day weighed dietary record (DR). The diet quality was assessed using the Healthy Eating Index-2015 (HEI-2015) and Nutrient-Rich Food Index 9.3 (NRF9.3). For the HEI-2015, compared with the DR, the MDHQ provided high median values for breakfast (in women only) and dinner and low median values for snacks. There were no significant differences observed for overall diet and lunch. For the NRF9.3, the MDHQ provided higher median values for breakfast and dinner and a lower median value for overall diet than the DR in women, with no significant differences for lunch and snacks. In men, no significant difference was observed, except for overall diet (the MDHQ providing a lower median value). For the HEI-2015, median Spearman correlation coefficient was 0·43, with a range from 0·12 (snacks in women) to 0·68 (breakfast in men). For the NRF9.3, median Spearman correlation coefficient was 0·47, with a range from 0·26 (snacks in men) to 0·65 (breakfast in men). Bland-Altman plots showed wide limits of agreement and, in some cases, proportional bias. In conclusion, the online MDHQ showed an acceptable ability for ranking individuals according to the quality of overall diet, breakfast, lunch and dinner, but not snacks.

Effect of extrusion processing conditions on the techno-functional, antioxidant, textural properties and storage stability of wholegrain-based breakfast cereal incorporated with Indian horse chestnut flour

The central composite rotatable design was used to plan the experiments using feed moisture (FM) content, barrel temperature (BT), screw speed (SS), and concentration of Indian horse chestnut flour (IHCF) as process variables varied between 10–18%, 70–150°C, 290–380 rpm and 1.75–4.75%, respectively. Surface mechanical energy, water holding capacity, swelling volume, piece density, longitudinal expansion, water activity and colour attributes were used as response variables. The whole grain flours added with 2.5% IHCF and extruded at 12% FM, 130°C BT and 380 rpm SS produced optimum quality breakfast cereals with 0.713 desirability. Extrudates packed in aluminum pouches were found to be suitable packaging materials and were shelf-stable for 6 months with better quality retention.

Meal patterns and the quality of breakfast and snacks in relation to adolescents' dental health in southeast of Iran.

Aim: The objective was to determine the frequency pattern and nutritional quality of breakfast and snacks in Iranian adolescents and to investigate these dietary habits in relation to tooth decay and tooth erosion. Methods: A multistage cluster random sampling method was adopted to recruit 600 adolescents with equal sex distribution in the city of Kerman/southeast of Iran. Decayed, Missing and Filled Teeth (DMFT) and Tooth Wear Index (TWI) were recorded for each subject. Snacking and breakfast quality, frequency of snacking and regular/irregular use of main meals were also recorded. Poisson regression and Firth's bias-reduced penalized-likelihood logistic regression were used for data analysis. Results: DMFT score of adolescents who consumed low-quality snacks were 1.13 times more than those who consumed high-quality snacks. Regular use of all three main meals was associated with a lower DMFT score. DMFT score of adolescents who did not have regular use of breakfast was 1.19 times more than those who consumed breakfast on a regular basis. Also, regarding adolescents who had an irregular use of lunch, the DMFT score was 1.3 times more than those who had a regular lunch schedule. In addition, participants with irregular dinner consumption had 1.24 times more DMFT scores compared to those with a regular dinner schedule. Conclusions: Regular breakfast consumption, decreased snacking occasions, use of higher nutritional quality snacks, and increased nutritional education are important in order to prevent a higher chance of dental caries and promote dental health status.

Greater protein quality of an egg breakfast may be inadequate to induce satiety during weight loss, compared with a cereal breakfast of equal protein quantity

We compared the effects of consuming egg-breakfast of superior protein quality to cereal-breakfast of similar energy density and protein quantity, but lower protein quality. Two, two-week randomised crossover clinical trials included 30 otherwise healthy women with overweight or obesity. Subjects received counselling to follow a reduced-calorie diet. Under supervision, participants consumed either breakfast for one-week then crossed over to the opposite breakfast. Experiment-1 outcome variables included post-breakfast appetite hormones, glucose and insulin, subjective markers of satiety and energy intake at lunch and dinner. In Experiment-2, an appealing food (brownies) was included in lunch. Following the breakfasts, Experiment-1 showed no significant differences in outcome variables. In Experiment-2, the egg-breakfast increased fullness (p = 0.038), but lunch-time energy intake was not different. If these findings apply to other breakfasts, it suggests that in comparing two breakfasts with similar protein quantity, the greater protein quality of a breakfast may not be adequate to induce satiety.

Breakfast Quality of Preschool-aged Canadian Children.

Purpose: To investigate the breakfast quality of preschool-aged children through a comparison of their energy and nutrient intakes at breakfast to published benchmarks for a balanced breakfast.Methods: Dietary data were collected for 163 children aged 3-5 years enrolled in the Guelph Family Health Study using one parent-reported online 24-hour recall and analyzed for energy and nutrient intakes. Breakfast quality was assessed by tallying the frequency of participants whose nutrient and energy intakes at their breakfast meal met the recommendations for a balanced breakfast established by the International Breakfast Research Initiative (IRBI).Results: Almost all participants (98%) consumed breakfast, and most participants (82.5%) met the energy IRBI recommendation. However, the majority of participants did not meet the IRBI recommendations for breakfast intakes of most macronutrients and micronutrients. In particular, fewer than 25% of participants met the IRBI recommendations for breakfast intakes of dietary fibre, niacin, folate, vitamin C, calcium, potassium and zinc.Conclusions: Almost all preschool-aged children in this study consumed breakfast, but the nutritional quality of their breakfast did not meet recommendations for most nutrients. These results can inform nutrition education and intervention programs for children that aim to improve the nutritional quality of breakfast.

Breakfast in the Philippines: food and diet quality as analyzed from the 2018 Expanded National Nutrition Survey

BackgroundThe quality of foods taken during breakfast could contribute in shaping diet quality. This study determined the regularity of breakfast consumption and breakfast quality based on the food, energy and nutrient intakes of Filipinos.Materials and methodsData from the 2018 Expanded National Nutrition Survey (ENNS) was extracted for analysis. There were 63,655 individuals comprising about 14,013 school-aged children (6–12 years old), 9,082 adolescents (13–18 years old), 32,255 adults (19–59 years old), and 8,305 elderly (60 years old and above). Two-day non-consecutive 24-h food recalls were used to measure food and nutrient intakes. Diet quality was measured using Nutrient-Rich Food Index (NRF) 9.3. The sample was stratified by age group and NRF9.3 tertiles.Results and findingsResults showed that 96 – 98% Filipinos across age groups were consuming breakfast. Children age 6–12 years have the highest NRF9.3 average score (417), followed by the elderly (347), adolescents (340), and adults (330). These scores were very low in comparison with the maximum possible NRF score which is 900. The essential nutrient intakes of respondents were significantly higher among those with the healthiest breakfast diet (Tertile 3) compared to those with the poorest breakfast diet (Tertile 1). However, participants in the healthiest breakfast diet did not meet 20% of the recommendations for calcium, fiber, vitamin C, and potassium.Conclusion and recommendationsThis study revealed that majority of the population are regular breakfast consumers. However, the breakfast consumed regularly by Filipinos were found to be nutritionally inadequate. And even those classified under Tertile 3 which were assumed as having a better quality of breakfast were still found to have nutrient inadequacies. Thus, the study suggests that Filipinos must consume a healthy breakfast by including nutrient-dense foods such as fruits, vegetables, whole grains, fresh meat, and milk to provide at least 20–25% of the daily energy and nutrient intakes.

Effect of extrusion processing on techno-functional, textural and bioactive properties of whole-grain corn flour-based breakfast cereals sweetened with honey.

The present study investigated the effect of honey and extrusion processing parameters on techno-functional and bioactive properties of whole-grain corn flour breakfast cereals. The central composite rotatable design (CCRD) was used to plan the experiments using feed moisture (FM), extrusion temperature (ET), and honey level as process variables and sectional expansion ratio (SER), bulk density (BD), water absorption index (WAI), water solubility index (WSI), and textural hardness as response variables. The feed containing honey and whole-grain corn flour was extruded through a twin-screw extruder according to CCRD. The data were fit to the appropriate regression models based on model significance and insignificant lack of fit. The selected experiments from CCRD were considered for studying the bioactive properties, and the effect of ET and honey level on bioactive properties was determined. The results of the study indicated that FM and honey adversely affected the SER, BD, and textural hardness, while ET augmented these properties of breakfast cereals. The WAI decreased with an increase in honey level and ET during extrusion. The incremental addition of honey in the mix as well extrusion at elevated temperature led to higher WSI. The whole-grain corn flour added with 10.22% honey and extruded at 16.06% FM, and 138.07°C ET produced optimum quality breakfast cereals with 0.70 desirability. The total phenolic content of breakfast cereals decreased, and antioxidant activity and hydroxymethylfurfural content increased upon extrusion at the higher temperatures. Honey addition lowers the loss of phenolic content during extrusion and improves the antioxidant activity of breakfast cereals.

Perilaku Kebiasaan Sarapan Siswa Kelas VIII Madrasah Tsanawiyah Miftahussalam, Kota Medan, Sumatera Utara

Breakfast is something that is often taken for granted, even though skipping breakfast can have a negative impact on students' concentration levels at school. Breakfast is the best energy supply for the brain so that it can concentrate at school. This study aims to study the breakfast habits of the students of Madrasah Tsanawiyah Miftahussalam. The voting method through a questionnaire was used with the subject of 30 students aged 12-14 years from Madrasah Tsanawiyah Miftahussalam, Medan City. Breakfast consumption was collected by filling out the answers through a questionnaire. The results showed that 83% of students had breakfast habits since childhood. All subjects presented defined breakfast as eating in the morning and breakfast habits. The rest of the subjects explained that breakfast was very beneficial, consisting of solid food and drinks, and moderate portions. Good food at breakfast is milk, bread and fruit. Parents should prepare food for breakfast and have breakfast done at home before starting activities outside the home. Students with good breakfast quality category consumed rice, bread, fruit, and milk, while those with poor breakfast quality drank more sweet tea and snacks.

Breakfast Consumption May Improve Fasting Insulin, HOMA-IR, and HbA1c Levels in Predominately Low-Income, Hispanic Children 7-12 Years of Age.

Children from low-income households and minority families have high cardiometabolic risk. Although breakfast consumption is known to improve cardiometabolic health in children, limited randomized control trials (RCT) have explored this association in low-income and racial/ethnic U.S. minority families. This study conducted secondary analyses from TX Sprouts, a school-based gardening, cooking, and nutrition education RCT, to examine the intervention effect on breakfast consumption and how changes in breakfast consumption impact cardiometabolic risk in predominately low-income, multi-ethnic children. TX Sprouts consisted of 16 schools (8 intervention; 8 control) in greater Austin, TX. A total of 18 lessons were taught, including topics on breakfast consumption benefits and choosing healthy food options at school. Children completed clinical measures (e.g., anthropometrics, body composition via bioelectrical impedance), and the number of breakfast occasions (BO) per week (at home and school) was captured via validated survey at baseline and post-intervention. Post-study—Baseline changes in breakfast consumption were used to categorize students as: maintainers (BO −1 to 1 day/week), decreasers (BO ≤−2 day/week), and increasers (BO ≥2 day/week). Optional fasting blood draws were performed on a subsample. Generalized weighted linear mixed modeling tested differences between intervention and control, with schools as random clusters. Analysis of covariance and linear regression examined changes in breakfast consumption on cardiometabolic outcomes, controlling for age, sex, race/ethnicity, free and reduced-price school meal participation (FRL), school site, breakfast location, physical activity, baseline cardiometabolic measures, and BMI z-score. This study included 1417 children (mean age 9 years; 53% male; 58% Hispanic, 63% FRL; breakfast consumption patterns: 63% maintainers, 16% decreasers, and 21% increasers). There was no intervention effect on changes in breakfast consumption. Compared to decreasers, increasers had an increase in insulin (−0.3 µIU/mL vs. +4.1 µIU/mL; p = 0.01) and a larger increase in HOMA-IR (+0.4 vs. +1.5; p < 0.01). Every one-day increase in breakfast consumption decreased fasting insulin by 0.44 µIU/mL, HOMA-IR by 0.11, and hemoglobin A1c by 0.01% (p ≤ 0.03). Increased breakfast consumption was linked to improved glucose control, suggesting breakfast can mitigate risk in a high-risk population. To better understand underlying mechanisms linking breakfast consumption to improved metabolic health, RCTs focusing on breakfast quality and timing are warranted.

Physical Activity, Food Consumption, and Breakfast among Normal and Overweight Elementary School Children in Bogor during Covid-19 Pandemic

The objective of this study was to analyze differences in physical activity, quality of food consumption and breakfast between elementary school children with normal and overweight nutritional status in Bogor City of Indonesia during the Covid-19 pandemic. This was a cross sectional study carried out from September 2020 to January 2021 in nine elementary schools in Bogor City. This research was conducted when school from home had been running for about six months. Survey was conducted using a structured questionnaire filled by the subject's parents via google form and Microsoft word and then interviewing via whatsapp. Physical activity measured using the Physical Activity Level (PAL) method and food consumption quality using the Individual Dietary Diversity Score (IDDS). Breakfast quality based on the intake and contribution of energy and protein at breakfast. Result showed that 70% of male and 30% of female subjects were classified as overweight. There was a significant difference in the PAL value between subjects with normal weight and overweight (2.02 vs 1.63, p 0.05). However, IDDS scores of students with normal nutritional status was higher (7.08 and 8.60) compared to (6.80 and 6.78) in overweight students during the weekday and weekend respectively. In contrast, the energy and protein intake consumed during breakfast for overweight students was higher (617 kcal/day and 21 g/day) than students with normal nutritional status (477 kcal/day and 18.2 g/day) (p<0.05). This study has shown the importance to educate parents of overweight subjects to increase their children's physical activity as the students with normal nutrition status do as well as to provide breakfast with a more diverse menu

Relationship between nutritional status and breakfast behaviors of rural primary and middle school students in a minority area of a city in Guizhou Province in 2019

To investigate the nutritional status and influencing factors of rural primary and middle school students in a minority area in a certain city of Guizhou Province, so as to provide scientific evidence for prevention and intervention. A multi-stage stratified cluster random sampling method was adopted in this study, 3952 students from 6 primary and middle schools in a certain city of Guizhou Province were selected from April to June 2019 for height and weight measurement(1966 boys, 1986 girls, age(10.81±2.88) years old), among which 2833 students in grade 4 and above were surveyed(1374 boys and 1459 girls, age(13.44±1.94) years old), through the questionnaire to understand students& apos; basic information, breakfast and eating behaviors and so on, Using multi-factor Logistic regression to analyze the relationship between nutritional status and breakfast behavior. The height and weight of Han male students and female students in all age groups were slightly higher than those of ethnic minorities, but they tended to overlap gradually by the age of 16.The general height and weight of students in this area were lower than the 2014 national average. The general malnutrition rate of students was 21.39%, and the growth retardation rate was 13.13%, the moderate-to-severe wasting rate 3.04% and the mild wasting rate 5.22%. The malnutrition rate of minority students(24.72%) was higher than that of Han students(18.73%)(χ~2=14.93, P& lt; 0.05), the malnutrition rate of boys(26.49%) was higher than that of girls(16.59%)(χ~2=41.29, P& lt; 0.05). The sum of the rate of overweight and obesity of the students was 8.65%, among which the overweight rate was 6.42% and the obesity rate was 2.22%. There was no statistically significant difference in the variables between overweight and obese students(P& gt; 0.05). The breakfast behavior situation showed that rice noodle products(71.66%) were the most frequently consumed by primary and middle school students in the city. Multivariate Logistic regression analysis showed that the frequency of breakfast, the quality of breakfast, fresh vegetables, milk and products, and the frequency of meat/egg/fish were the main influencing factors of malnutrition. The differences were statistically significant(P& lt; 0.05). The growth and development status of primary and middle school students in a city of Guizhou Province mainly includes malnutrition, and the rate of overweight and obesity is not high, but prevention and control should still be paid attention to. The frequency and quality of breakfast are important influencing factors of malnutrition.

A molecular outlook review on how coffee and oats can help redefine the way we take care of our health

Chronic degenerative diseases like obesity, metabolic syndrome, diabetes, fatty liver, have gained high prevalence in the world, due to sedentarism, improper nutritional habits as well as alcohol and tobacco consumption. Studies have shown that regular consumption of breakfast leads to a wide range of benefits, especially for the liver. The liver is a key organ for metabolic homeostasis regulating and governing energy metabolism, mostly providing nutrients for reabsorption. Benefits of a nutrimental quality breakfast seem to help lower body mass index, prevent metabolic diseases, and overall improve quality of life. Unfortunately, these include either high cholesterol or high-sugar foods including cold cuts, bread, eggs, and sugary beverages. Also, much of the population’s work schedule relates to long hours and high-level of stress, therefore malnutrition, and inadequate eating schedules are common.

Breakfast Frequency and Composition in a Group of Polish Children Aged 7-10 Years.

Breakfast is considered one of the crucial elements of a healthy diet. Most studies evaluate breakfast consumption with the risk of obesity and other health effects. Less attention is paid to the evaluation of breakfast composition and patterns. Thus, this study aimed to describe the most frequently observed breakfast patterns and to assess breakfast composition and quality in a group of Polish early school-age children. The cross-sectional survey study was conducted in school years 2017/2018 and 2018/2019. Information regarding breakfast was obtained with the use of an original paper-based weekly observation diary, and breakfast quality was assessed with a special scoring designed to be used together with the diary. In total, 223 schoolchildren of the second and third grades participated in the study, and 200 diaries were analyzed. More than ¾ of the participants consumed breakfast every day. Nearly 68% of meals were classified as well balanced, but only 16.5% of children eat a well-balanced breakfast every day. The number of children who usually (≥5 times per week) eat a sandwich for breakfast was 94 (47%), and that of those who habitually eat cereal and milk or porridge was 29 (14.5%). Only 7% of children consumed fruit or vegetables for breakfast daily, and 26.5% never eat fruit or vegetables for breakfast. Concluding, most children eat breakfast regularly, but the meal composition and quality might be improved.

Cooking Training Intervention to Improve Cooking Skills and Self Efficacy in Preparing Breakfast for Kendari City Junior High School Students

The quality of adolescent breakfast is very influential on daily nutritional needs. Fast food is a favorite food for teenagers but the nutritional content is lacking. Love to eat - ready-to-eat food makes the practice of cooking decline. The purpose of this study was to improve cooking skills and self-efficacy in preparing breakfast for junior high school students in Kendari City. This study is a quasi-experimental design. The subjects in this study were 26 students of SMPN 10 Kendari, namely the intervention group who were given cooking training and nutrition education with the lecture method and 26 students of SMPN 5 Kendari were the control group who were given nutrition education through leaflets. Data were analyzed using paired t-test and independent sample t-test. The results showed that there were differences in cooking skills and self-efficacy in preparing breakfast (p&lt;0.05) in the intervention group (p&lt;0.05). In addition, there were also differences in self-efficacy in preparing breakfast between the intervention group and the control group (p&lt;0.05). It was concluded that there was a positive effect of cooking training on increasing self-efficacy and cooking skills for preparing breakfast. For the school, it is better to hold extracurricular cooking activities to train students' skills in meeting daily nutritional intake.

AN EVALUATION OF THE INFLUENCE OF PUPILS’ EATING HABITS ON THEIR ACADEMIC PERFORMANCE IN THE CONTEMPORARY SCHOOL SYSTEM

The nexus between academic performance, nutrition and eating habit is globally recognized to the extent that it has inspired various strategies such as ‘school feeding programmes’ in many nations including Nigeria. This correlational study was aimed to evaluate the relationship between the eating habits of primary school pupils and their academic performance, using a survey design. Fifty pupils in two intact classes from two schools in rural areas, formed the sample. Data was collected using interviewer-questionnaire, coupled with naturalistic observation, for the eating habits and their results from the term’s examination done within the same periodin the schools. The data was analyzed using SPSS – 23 to determine the correlation coefficients. The results suggest that there is strong relationship between pupils’ eating habits, in terms of frequency of feeding, quality of feeding pattern, and quality of breakfast and their academic performance. In addition, the pupils perceived that eating light breakfast enhances their attention span to learn unlike, skipping of breakfast and eating heavy breakfast. The results of this study provide empirical evidence which can be used to encourage parents in rural areas to provide adequate nutrition for their wards/children to enhance their performance in school as recommended in this paper.

Breakfast Location Effect on Breakfast Quality and Obesity Risk in Saudi Female College Students

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 repeatedmeasures 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 &lt; 0.001), college 9.1 (P &lt; 0.001), other 8.6 (P &lt; 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.

Relationship Between School Performance and Breakfast Quality in Refugee Children: Case Study of Mardin Region

Background: Many studies have found that the academic success of school-age children is proved to be in close relation with regular and healthy nutrition. Objectives: This study aims to investigate the relationship between breakfast quality and academic success of refugee primary-school children. Methods: After scanning 24 schools in the city center, 384 students who were refugee Syrians from primary schools in Mardin city center were included. In addition to the demographic characteristics of the individuals, breakfast habits of these students were investigated. Results: In this study, 91.6% of the children stated that they have breakfast habits. The reasons for skipping breakfast among students of all levels can be listed as being late for school (67.8%) and not liking to have breakfast (18.8%). The breakfast quality index (BQI) score was low in both boys and girls and all age groups. According to this marked value, all age groups had poor nutrition in terms of breakfast. Although girls showed a significant difference in all age groups (P = 0.046), this difference was not significant among boys (P = 0.671). The number of students with a breakfast quality score higher than 8 was very low. It was observed that boys had the highest academic success with the lowest breakfast quality score. The breakfast quality score of girls with the best academic success ranged between 4 - 7 points. Conclusions: It was observed that academic success was linked to having breakfast habit, and students had breakfast habit performed relatively better in school compared to those who did not.

140 Short and Long Sleep Duration, Poor Sleep Quality, and Later Sleep are Associated with Lower Odds of Adolescents Eating Breakfast

Abstract Introduction Sleep health is linked to dietary choices, and skipping breakfast is associated with risk of negative health outcomes in adolescents. However, there is a lack of research on whether dimensions of sleep at night predict adolescents eating breakfast the next day. We investigated within- and between-person associations of multiple aspects of sleep with adolescent breakfast consumption. Methods Data were collected from a subset of the age 15 wave of the Fragile Families and Child Wellbeing Study (n=590). Teens wore an actigraphy device and completed daily surveys for ~1 week (mean=5.9 days). Surveys assessed subjective sleep quality (low–high) and consumption of breakfast (no/yes). Mixed models assessed whether actigraphy-measured sleep timing (onset, midpoint, and offset) and subjective sleep quality predicted odds of breakfast consumption in both within- and between-person models. A curvilinear association between sleep duration and breakfast consumption was also assessed. Irregularity of sleep duration and timing were tested as additional predictors, calculated as SD per person (in between-person models only). Analyses included random intercepts for participants and covariates: school day, boredom, loneliness, happiness, depressive symptoms, sex, race/ethnicity, body mass index, and household income. Results Within-person analyses revealed a significant curvilinear association between sleep duration and breakfast consumption, such that on nights when teens slept shorter or longer than their average, they had lower odds of eating breakfast the next day (p=.005). Additionally, on nights when teens had a later sleep midpoint or offset than their usual, they tended to skip breakfast the next day (both p&amp;lt;.05). Between-person models showed that teens who on average had later sleep timing (onset, midpoint, and offset) and who reported lower sleep quality had lower odds of eating breakfast (all p&amp;lt;.04). Lastly, teens with greater irregularity of sleep duration and sleep timing (midpoint and offset) had lower odds of eating breakfast (all p&amp;lt;.009). Conclusion Findings indicate that multiple dimensions of adolescent sleep health, including long and short sleep duration, later sleep timing, and poorer sleep quality, are associated with lower odds of eating breakfast. These sleep and dietary behaviors in adolescence may consequently impact future metabolic health. Support (if any) R01HD073352