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Breakfast skipping and breakfast type are associated with daily nutrient intakes and metabolic syndrome in Korean adults

  • Chung, Sang-Jin (Department of Foods and Nutrition, Kookmin University) ;
  • Lee, Yoonna (Department of Food and Nutrition, Shingu College) ;
  • Lee, Seokhwa (Department of Interior Design, Graduate School of Techno Design, Oriental Culture and Design Center, Kookmin University) ;
  • Choi, Kyungran (Department of Interior Design, Graduate School of Techno Design, Oriental Culture and Design Center, Kookmin University)
  • Received : 2014.08.08
  • Accepted : 2015.03.17
  • Published : 2015.06.01

Abstract

BACKGROUND/OBJECTIVES: Emerging evidence shows that eating breakfast and breakfast types may be associated with health outcomes and dietary intakes in various populations. The aim of this study was to investigate the association between breakfast types in Korean adults with their daily nutrient intakes and health outcomes. SUBJECTS/METHODS: A total of 11,801 20- to 64-year-old adults (age $42.9{\pm}11.8$ yrs [$mean{\pm}standard$ error of the mean]; male 41.1%, female 58.9%) in 2007-2009 Korean National Health and Nutrition Survey data were divided into 5 groups based on breakfast types in a 24-hr dietary recall: rice with 3 or more side dishes (Rice3+, 35.3%), rice with 0-2 side dishes (Rice0-2, 34.73%), noodles (1.56%), bread and cereal (6.56%), and breakfast skipping (21.63%). Daily nutrient intakes and the risk of metabolic syndrome were compared among five groups. RESULTS: Compared with Korean Recommended Nutrient Intake levels, the breakfast-skipping group showed the lowest intake level in most nutrients, whereas the Rice3+ group showed the highest. Fat intake was higher in the bread and noodle groups than in the other groups. When compared with the Rice3+ group, the odds ratios for the risk of obesity and metabolic syndrome were increased in the breakfast skipping, Rice0-2, and noodle groups after controlling for confounding variables. CONCLUSIONS: The rice-based breakfast group showed better nutritional status and health outcomes when eating with 3 or more side dishes. Nutrition education is needed to emphasize both the potential advantage of the rice-based, traditional Korean diet in terms of nutritional content and the importance of food diversity.

Keywords

References

  1. Popkin BM. Nutritional patterns and transitions. Popul Dev Rev 1993;19:138-57. https://doi.org/10.2307/2938388
  2. Kim SH, Oh SY. Cultural and nutritional aspects of traditional Korean diet. World Rev Nutr Diet 1996;79:109-32. https://doi.org/10.1159/000425369
  3. Lee MJ, Popkin BM, Kim S. The unique aspects of the nutrition transition in South Korea: the retention of healthful elements in their traditional diet. Public Health Nutr 2002;5:197-203.
  4. Kim S, Moon S, Popkin BM. The nutrition transition in South Korea. Am J Clin Nutr 2000;71:44-53. https://doi.org/10.1093/ajcn/71.1.44
  5. Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis 2012;22:456-62. https://doi.org/10.1016/j.numecd.2010.09.002
  6. Jung SJ, Park SH, Choi EK, Cha YS, Cho BH, Kim YG, Kim MG, Song WO, Park TS, Ko JK, So BO, Chae SW. Beneficial effects of Korean traditional diets in hypertensive and type 2 diabetic patients. J Med Food 2014;17:161-71. https://doi.org/10.1089/jmf.2013.3042
  7. Lee SK, Sobal J, Frongillo EA Jr. Acculturation and dietary practices among Korean Americans. J Am Diet Assoc 1999;99:1084-9. https://doi.org/10.1016/S0002-8223(99)00258-8
  8. Haines PS, Guilkey DK, Popkin BM. Trends in breakfast consumption of US adults between 1965 and 1991. J Am Diet Assoc 1996;96: 464-70. https://doi.org/10.1016/S0002-8223(96)00130-7
  9. Ministry of Health, Labor and Welfare (JP). The National Health and Nutrition Survey 2004. Tokyo: Ministry of Health, Labor and Welfare; 2005.
  10. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Cheongwon: Korea Centers for Disease Control and Prevention; 2010.
  11. Cheong HS, Kim JJ. Study on breakfast habits of workers and college students in Gyeongnam area. Korean J Food Cookery Sci 2010;26: 791-803.
  12. Lee S, Chung SJ, Choi K. Relationship between nutrient intake and biochemical index with breakfast eating in Korean adults: analysis of data from the 2007 National Health and Nutrition Survey. Korean J Food Cult 2011;26:94-9.
  13. Ruxton CH, Kirk TR. Breakfast: a review of associations with measures of dietary intake, physiology and biochemistry. Br J Nutr 1997;78:199-213. https://doi.org/10.1079/BJN19970140
  14. Shim JE, Paik HY, Moon HK. Breakfast consumption pattern, diet quality and health outcomes in adults from 2001 National Health and Nutrition Survey. Korean J Nutr 2007;40:451-62.
  15. Kim Y, Yoon J, Kim H, Kwon S. Factors related to eating breakfast of middle and high school students in Seoul. Korean J Community Nutr 2010;15:582-92.
  16. Lee SK. Acculturation, meal frequency, eating-out, and body weight in Korean Americans. Nutr Res Pract 2008;2:269-74. https://doi.org/10.4162/nrp.2008.2.4.269
  17. Lv N, Brown JL. Chinese American family food systems: impact of Western influences. J Nutr Educ Behav 2010;42:106-14. https://doi.org/10.1016/j.jneb.2009.04.005
  18. Cho SH, Jang JH, Ha TY, Lee KS, Kim MK, Seo JS. A survey on breakfast of workers in Daegu area. Korean J Community Nutr 2004;9:673-82.
  19. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. 1st rev. Seoul: The Korean Nutrition Society; 2010.
  20. Oh HY, Kim MK, Lee M, Kim YO. Macronutrient composition and sodium intake of diet are associated with risk of metabolic syndrome and hypertension in Korean women. PLoS One 2013;8:e78088. https://doi.org/10.1371/journal.pone.0078088
  21. Deshmukh-Taskar PR, Radcliffe JD, Liu Y, Nicklas TA. Do breakfast skipping and breakfast type affect energy intake, nutrient intake, nutrient adequacy, and diet quality in young adults? NHANES 1999-2002. J Am Coll Nutr 2010;29:407-18. https://doi.org/10.1080/07315724.2010.10719858
  22. Cho S, Dietrich M, Brown CJ, 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;22:296-302. https://doi.org/10.1080/07315724.2003.10719307
  23. Min C, Noh H, Kang YS, Sim HJ, Baik HW, Song WO, Yoon J, Park YH, Joung H. Skipping breakfast is associated with diet quality and metabolic syndrome risk factors of adults. Nutr Res Pract 2011;5: 455-63. https://doi.org/10.4162/nrp.2011.5.5.455
  24. Deshmukh-Taskar P, Nicklas TA, Radcliffe JD, O'Neil CE, Liu Y. The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999-2006. Public Health Nutr 2013;16:2073-82. https://doi.org/10.1017/S1368980012004296
  25. Barr SI, DiFrancesco L, Fulgoni VL 3rd. Consumption of breakfast and the type of breakfast consumed are positively associated with nutrient intakes and adequacy of Canadian adults. J Nutr 2013;143:86-92. https://doi.org/10.3945/jn.112.167098
  26. 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;92:1316-25. https://doi.org/10.3945/ajcn.2010.30101
  27. Brown AW, Bohan Brown MM, Allison DB. Belief beyond the evidence: using the proposed effect of breakfast on obesity to show 2 practices that distort scientific evidence. Am J Clin Nutr 2013;98:1298-308. https://doi.org/10.3945/ajcn.113.064410
  28. Leidy HJ, Ortinau LC, Douglas SM, Hoertel HA. Beneficial effects of a higher-protein breakfast on the appetitive, hormonal, and neural signals controlling energy intake regulation in overweight/ obese, "breakfast-skipping," late-adolescent girls. Am J Clin Nutr 2013;97:677-88. https://doi.org/10.3945/ajcn.112.053116
  29. Kim J, Jo I, Joung H. A rice-based traditional dietary pattern is associated with obesity in Korean adults. J Acad Nutr Diet 2012;112:246-53. https://doi.org/10.1016/j.jada.2011.10.005
  30. Shin HJ, Cho E, Lee HJ, Fung TT, Rimm E, Rosner B, Manson JE, Wheelan K, Hu FB. Instant noodle intake and dietary patterns are associated with distinct cardiometabolic risk factors in Korea. J Nutr 2014;144:1247-55. https://doi.org/10.3945/jn.113.188441
  31. Amini M, Esmaillzadeh A, Shafaeizadeh S, Behrooz J, Zare M. Relationship between major dietary patterns and metabolic syndrome among individuals with impaired glucose tolerance. Nutrition 2010;26:986-92. https://doi.org/10.1016/j.nut.2010.03.006
  32. Shin A, Lim SY, Sung J, Shin HR, Kim J. Dietary intake, eating habits, and metabolic syndrome in Korean men. J Am Diet Assoc 2009;109: 633-40. https://doi.org/10.1016/j.jada.2008.12.015
  33. Kim JA, Kim SM, Lee JS, Oh HJ, Han JH, Song Y, Joung H, Park HS. Dietary patterns and the metabolic syndrome in Korean adolescents: 2001 Korean National Health and Nutrition Survey. Diabetes Care 2007;30:1904-5. https://doi.org/10.2337/dc06-2591
  34. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol 2010;139:234-40. https://doi.org/10.1016/j.ijcard.2008.10.011
  35. Yang EJ, Chung HK, Kim WY, Kerver JM, Song WO. Carbohydrate intake is associated with diet quality and risk factors for cardiovascular disease in U.S. adults: NHANES III. J Am Coll Nutr 2003; 22:71-9. https://doi.org/10.1080/07315724.2003.10719278
  36. Veltsista A, Laitinen J, Sovio U, Roma E, Jarvelin MR, Bakoula C. Relationship between eating behavior, breakfast consumption, and obesity among Finnish and Greek adolescents. J Nutr Educ Behav 2010;42:417-21. https://doi.org/10.1016/j.jneb.2009.12.004
  37. Kwon SJ, Lee JW, Ku NS, Shin MS, Seo JS, Woo MK, Song MY. Improve dietary habits. In: Food Habits for Wellbeing. Paju: Kyomunsa; 2006. p.17-20.

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