Association between breakfast frequency and physical activity and sedentary time

A cross-sectional study in children from 12 countries

Julia K. Zakrzewski-Fruer, Fiona B. Gillison, Peter T. Katzmarzyk, Emily F. Mire, Stephanie T. Broyles, Catherine M. Champagne, Jean Philippe Chaput, Kara D. Denstel, Mikael Fogelholm, Gang Hu, Estelle V. Lambert, Carol Maher, José Maia, Tim Olds, Vincent Onywera, Olga L. Sarmiento, Mark S. Tremblay, Catrine Tudor-Locke, Martyn Standage, Denise G. Lambert & 112 others Tiago Barreira, Ben Butitta, Shannon Cocreham, Katy Drazba, Deirdre Harrington, William Johnson, Dione Milauskas, Allison Tohme, Ruben Rodarte, Bobby Amoroso, John Luopa, Rebecca Neiberg, Scott Rushing, Timothy Olds, Lucy Lewis, Katia Ferrar, Effie Georgiadis, Rebecca Stanley, Victor Keihan Rodrigues Matsudo, Sandra Matsudo, Timoteo Araujo, Luis Carlos De Oliveira, Leandro Rezende, Luis Fabiano, Diogo Bezerra, Gerson Ferrari, Priscilla Bélanger, Mike Borghese, Charles Boyer, Allana Leblanc, Claire Francis, Geneviève Leduc, Pei Zhao Gang Hu, Chengming Diao, Wei Li, Weiqin Li, Enqing Liu, Gongshu Liu, Hongyan Liu, Jian Ma, Yijuan Qiao, Huiguang Tian, Yue Wang, Tao Zhang, Fuxia Zhang, Julio Acosta, Yalta Alvira, Maria Paula Diaz, Rocio Gamez, Maria Paula Garcia, Luis Guillermo Gómez, Lisseth Gonzalez, Silvia Gonzalez, Carlos Grijalba, Leidys Gutierrez, David Leal, Nicolas Lemus, Etelvina Mahecha, Maria Paula Mahecha, Rosalba Mahecha, Andrea Ramirez, Paola Rios, Andres Suarez, Camilo Triana, Elli Hovi, Jemina Kivelä, Sari Räsänen, Sanna Roito, Taru Saloheimo, Leena Valta, Anura Kurpad, Rebecca Kuriyan, Deepa P. Lokesh, Michelle Stephanie D'Almeida, R. Annie Mattilda, Lygia Correa, D. Vijay, Lucy Joy Wachira, Stella Muthuri, Alessandra Da Silva Borges, Sofia Oliveira Sá Cachada, Raquel Nichele De Chaves, Thayse Natacha Queiroz Ferreira Gomes, Sara Isabel Sampaio Pereira, Daniel Monteiro De Vilhena E Santos, Fernanda Karina Dos Santos, Pedro Gil Rodrigues Da Silva, Michele Caroline De Souza, Vicki Lambert, Matthew April, Monika Uys, Nirmala Naidoo, Nandi Synyanya, Madelaine Carstens, Sean Cumming, Clemens Drenowatz, Lydia Emm, Julia Zakrzewski, Ashley Braud, Sheletta Donatto, Corbin Lemon, Ana Jackson, Ashunti Pearson, Gina Pennington, Daniel Ragus, Ryan Roubion, John Schuna, Derek Wiltz, Alan Batterham, Jacqueline Kerr, Michael Pratt, Angelo Pietrobelli

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Existing research has documented inconsistent findings for the associations among breakfast frequency, physical activity (PA), and sedentary time in children. The primary aim of this study was to examine the associations among breakfast frequency and objectively-measured PA and sedentary time in a sample of children from 12 countries representing a wide range of human development, economic development and inequality. The secondary aim was to examine interactions of these associations between study sites. Methods: This multinational, cross-sectional study included 6228 children aged 9-11 years from the 12 International Study of Childhood Obesity, Lifestyle and the Environment sites. Multilevel statistical models were used to examine associations between self-reported habitual breakfast frequency defined using three categories (breakfast consumed 0 to 2 days/week [rare], 3 to 5 days/week [occasional] or 6 to 7 days/week [frequent]) or two categories (breakfast consumed less than daily or daily) and accelerometry-derived PA and sedentary time during the morning (wake time to 1200 h) and afternoon (1200 h to bed time) with study site included as an interaction term. Model covariates included age, sex, highest parental education, body mass index z-score, and accelerometer waking wear time. Results: Participants averaged 60 (s.d. 25) min/day in moderate-to-vigorous PA (MVPA), 315 (s.d. 53) min/day in light PA and 513 (s.d. 69) min/day sedentary. Controlling for covariates, breakfast frequency was not significantly associated with total daily or afternoon PA and sedentary time. For the morning, frequent breakfast consumption was associated with a higher proportion of time in MVPA (0.3%), higher proportion of time in light PA (1.0%) and lower min/day and proportion of time sedentary (3.4 min/day and 1.3%) than rare breakfast consumption (all p ≤ 0.05). No significant associations were found when comparing occasional with rare or frequent breakfast consumption, or daily with less than daily breakfast consumption. Very few significant interactions with study site were found. Conclusions: In this multinational sample of children, frequent breakfast consumption was associated with higher MVPA and light PA time and lower sedentary time in the morning when compared with rare breakfast consumption, although the small magnitude of the associations may lack clinical relevance. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) is registered at (Identifier NCT01722500).

Original languageEnglish (US)
Article number222
JournalBMC Public Health
Volume19
Issue number1
DOIs
StatePublished - Feb 21 2019

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Breakfast
Cross-Sectional Studies
Exercise
Pediatric Obesity
Light
Life Style
Accelerometry
Economic Development
Human Development
Statistical Models
Body Mass Index

Keywords

  • Exercise
  • Fasting
  • Health
  • International
  • Nutrition
  • Youth

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Zakrzewski-Fruer, J. K., Gillison, F. B., Katzmarzyk, P. T., Mire, E. F., Broyles, S. T., Champagne, C. M., ... Pietrobelli, A. (2019). Association between breakfast frequency and physical activity and sedentary time: A cross-sectional study in children from 12 countries. BMC Public Health, 19(1), [222]. https://doi.org/10.1186/s12889-019-6542-6

Association between breakfast frequency and physical activity and sedentary time : A cross-sectional study in children from 12 countries. / Zakrzewski-Fruer, Julia K.; Gillison, Fiona B.; Katzmarzyk, Peter T.; Mire, Emily F.; Broyles, Stephanie T.; Champagne, Catherine M.; Chaput, Jean Philippe; Denstel, Kara D.; Fogelholm, Mikael; Hu, Gang; Lambert, Estelle V.; Maher, Carol; Maia, José; Olds, Tim; Onywera, Vincent; Sarmiento, Olga L.; Tremblay, Mark S.; Tudor-Locke, Catrine; Standage, Martyn; Lambert, Denise G.; Barreira, Tiago; Butitta, Ben; Cocreham, Shannon; Drazba, Katy; Harrington, Deirdre; Johnson, William; Milauskas, Dione; Tohme, Allison; Rodarte, Ruben; Amoroso, Bobby; Luopa, John; Neiberg, Rebecca; Rushing, Scott; Olds, Timothy; Lewis, Lucy; Ferrar, Katia; Georgiadis, Effie; Stanley, Rebecca; Matsudo, Victor Keihan Rodrigues; Matsudo, Sandra; Araujo, Timoteo; De Oliveira, Luis Carlos; Rezende, Leandro; Fabiano, Luis; Bezerra, Diogo; Ferrari, Gerson; Bélanger, Priscilla; Borghese, Mike; Boyer, Charles; Leblanc, Allana; Francis, Claire; Leduc, Geneviève; Hu, Pei Zhao Gang; Diao, Chengming; Li, Wei; Li, Weiqin; Liu, Enqing; Liu, Gongshu; Liu, Hongyan; Ma, Jian; Qiao, Yijuan; Tian, Huiguang; Wang, Yue; Zhang, Tao; Zhang, Fuxia; Acosta, Julio; Alvira, Yalta; Diaz, Maria Paula; Gamez, Rocio; Garcia, Maria Paula; Gómez, Luis Guillermo; Gonzalez, Lisseth; Gonzalez, Silvia; Grijalba, Carlos; Gutierrez, Leidys; Leal, David; Lemus, Nicolas; Mahecha, Etelvina; Mahecha, Maria Paula; Mahecha, Rosalba; Ramirez, Andrea; Rios, Paola; Suarez, Andres; Triana, Camilo; Hovi, Elli; Kivelä, Jemina; Räsänen, Sari; Roito, Sanna; Saloheimo, Taru; Valta, Leena; Kurpad, Anura; Kuriyan, Rebecca; Lokesh, Deepa P.; D'Almeida, Michelle Stephanie; Annie Mattilda, R.; Correa, Lygia; Vijay, D.; Wachira, Lucy Joy; Muthuri, Stella; Da Silva Borges, Alessandra; Cachada, Sofia Oliveira Sá; De Chaves, Raquel Nichele; Gomes, Thayse Natacha Queiroz Ferreira; Pereira, Sara Isabel Sampaio; De Vilhena E Santos, Daniel Monteiro; Dos Santos, Fernanda Karina; Da Silva, Pedro Gil Rodrigues; De Souza, Michele Caroline; Lambert, Vicki; April, Matthew; Uys, Monika; Naidoo, Nirmala; Synyanya, Nandi; Carstens, Madelaine; Cumming, Sean; Drenowatz, Clemens; Emm, Lydia; Zakrzewski, Julia; Braud, Ashley; Donatto, Sheletta; Lemon, Corbin; Jackson, Ana; Pearson, Ashunti; Pennington, Gina; Ragus, Daniel; Roubion, Ryan; Schuna, John; Wiltz, Derek; Batterham, Alan; Kerr, Jacqueline; Pratt, Michael; Pietrobelli, Angelo.

In: BMC Public Health, Vol. 19, No. 1, 222, 21.02.2019.

Research output: Contribution to journalArticle

Zakrzewski-Fruer, JK, Gillison, FB, Katzmarzyk, PT, Mire, EF, Broyles, ST, Champagne, CM, Chaput, JP, Denstel, KD, Fogelholm, M, Hu, G, Lambert, EV, Maher, C, Maia, J, Olds, T, Onywera, V, Sarmiento, OL, Tremblay, MS, Tudor-Locke, C, Standage, M, Lambert, DG, Barreira, T, Butitta, B, Cocreham, S, Drazba, K, Harrington, D, Johnson, W, Milauskas, D, Tohme, A, Rodarte, R, Amoroso, B, Luopa, J, Neiberg, R, Rushing, S, Olds, T, Lewis, L, Ferrar, K, Georgiadis, E, Stanley, R, Matsudo, VKR, Matsudo, S, Araujo, T, De Oliveira, LC, Rezende, L, Fabiano, L, Bezerra, D, Ferrari, G, Bélanger, P, Borghese, M, Boyer, C, Leblanc, A, Francis, C, Leduc, G, Hu, PZG, Diao, C, Li, W, Li, W, Liu, E, Liu, G, Liu, H, Ma, J, Qiao, Y, Tian, H, Wang, Y, Zhang, T, Zhang, F, Acosta, J, Alvira, Y, Diaz, MP, Gamez, R, Garcia, MP, Gómez, LG, Gonzalez, L, Gonzalez, S, Grijalba, C, Gutierrez, L, Leal, D, Lemus, N, Mahecha, E, Mahecha, MP, Mahecha, R, Ramirez, A, Rios, P, Suarez, A, Triana, C, Hovi, E, Kivelä, J, Räsänen, S, Roito, S, Saloheimo, T, Valta, L, Kurpad, A, Kuriyan, R, Lokesh, DP, D'Almeida, MS, Annie Mattilda, R, Correa, L, Vijay, D, Wachira, LJ, Muthuri, S, Da Silva Borges, A, Cachada, SOS, De Chaves, RN, Gomes, TNQF, Pereira, SIS, De Vilhena E Santos, DM, Dos Santos, FK, Da Silva, PGR, De Souza, MC, Lambert, V, April, M, Uys, M, Naidoo, N, Synyanya, N, Carstens, M, Cumming, S, Drenowatz, C, Emm, L, Zakrzewski, J, Braud, A, Donatto, S, Lemon, C, Jackson, A, Pearson, A, Pennington, G, Ragus, D, Roubion, R, Schuna, J, Wiltz, D, Batterham, A, Kerr, J, Pratt, M & Pietrobelli, A 2019, 'Association between breakfast frequency and physical activity and sedentary time: A cross-sectional study in children from 12 countries', BMC Public Health, vol. 19, no. 1, 222. https://doi.org/10.1186/s12889-019-6542-6
Zakrzewski-Fruer, Julia K. ; Gillison, Fiona B. ; Katzmarzyk, Peter T. ; Mire, Emily F. ; Broyles, Stephanie T. ; Champagne, Catherine M. ; Chaput, Jean Philippe ; Denstel, Kara D. ; Fogelholm, Mikael ; Hu, Gang ; Lambert, Estelle V. ; Maher, Carol ; Maia, José ; Olds, Tim ; Onywera, Vincent ; Sarmiento, Olga L. ; Tremblay, Mark S. ; Tudor-Locke, Catrine ; Standage, Martyn ; Lambert, Denise G. ; Barreira, Tiago ; Butitta, Ben ; Cocreham, Shannon ; Drazba, Katy ; Harrington, Deirdre ; Johnson, William ; Milauskas, Dione ; Tohme, Allison ; Rodarte, Ruben ; Amoroso, Bobby ; Luopa, John ; Neiberg, Rebecca ; Rushing, Scott ; Olds, Timothy ; Lewis, Lucy ; Ferrar, Katia ; Georgiadis, Effie ; Stanley, Rebecca ; Matsudo, Victor Keihan Rodrigues ; Matsudo, Sandra ; Araujo, Timoteo ; De Oliveira, Luis Carlos ; Rezende, Leandro ; Fabiano, Luis ; Bezerra, Diogo ; Ferrari, Gerson ; Bélanger, Priscilla ; Borghese, Mike ; Boyer, Charles ; Leblanc, Allana ; Francis, Claire ; Leduc, Geneviève ; Hu, Pei Zhao Gang ; Diao, Chengming ; Li, Wei ; Li, Weiqin ; Liu, Enqing ; Liu, Gongshu ; Liu, Hongyan ; Ma, Jian ; Qiao, Yijuan ; Tian, Huiguang ; Wang, Yue ; Zhang, Tao ; Zhang, Fuxia ; Acosta, Julio ; Alvira, Yalta ; Diaz, Maria Paula ; Gamez, Rocio ; Garcia, Maria Paula ; Gómez, Luis Guillermo ; Gonzalez, Lisseth ; Gonzalez, Silvia ; Grijalba, Carlos ; Gutierrez, Leidys ; Leal, David ; Lemus, Nicolas ; Mahecha, Etelvina ; Mahecha, Maria Paula ; Mahecha, Rosalba ; Ramirez, Andrea ; Rios, Paola ; Suarez, Andres ; Triana, Camilo ; Hovi, Elli ; Kivelä, Jemina ; Räsänen, Sari ; Roito, Sanna ; Saloheimo, Taru ; Valta, Leena ; Kurpad, Anura ; Kuriyan, Rebecca ; Lokesh, Deepa P. ; D'Almeida, Michelle Stephanie ; Annie Mattilda, R. ; Correa, Lygia ; Vijay, D. ; Wachira, Lucy Joy ; Muthuri, Stella ; Da Silva Borges, Alessandra ; Cachada, Sofia Oliveira Sá ; De Chaves, Raquel Nichele ; Gomes, Thayse Natacha Queiroz Ferreira ; Pereira, Sara Isabel Sampaio ; De Vilhena E Santos, Daniel Monteiro ; Dos Santos, Fernanda Karina ; Da Silva, Pedro Gil Rodrigues ; De Souza, Michele Caroline ; Lambert, Vicki ; April, Matthew ; Uys, Monika ; Naidoo, Nirmala ; Synyanya, Nandi ; Carstens, Madelaine ; Cumming, Sean ; Drenowatz, Clemens ; Emm, Lydia ; Zakrzewski, Julia ; Braud, Ashley ; Donatto, Sheletta ; Lemon, Corbin ; Jackson, Ana ; Pearson, Ashunti ; Pennington, Gina ; Ragus, Daniel ; Roubion, Ryan ; Schuna, John ; Wiltz, Derek ; Batterham, Alan ; Kerr, Jacqueline ; Pratt, Michael ; Pietrobelli, Angelo. / Association between breakfast frequency and physical activity and sedentary time : A cross-sectional study in children from 12 countries. In: BMC Public Health. 2019 ; Vol. 19, No. 1.
@article{2c3ccc050b2d498e9fc284c609e2da40,
title = "Association between breakfast frequency and physical activity and sedentary time: A cross-sectional study in children from 12 countries",
abstract = "Background: Existing research has documented inconsistent findings for the associations among breakfast frequency, physical activity (PA), and sedentary time in children. The primary aim of this study was to examine the associations among breakfast frequency and objectively-measured PA and sedentary time in a sample of children from 12 countries representing a wide range of human development, economic development and inequality. The secondary aim was to examine interactions of these associations between study sites. Methods: This multinational, cross-sectional study included 6228 children aged 9-11 years from the 12 International Study of Childhood Obesity, Lifestyle and the Environment sites. Multilevel statistical models were used to examine associations between self-reported habitual breakfast frequency defined using three categories (breakfast consumed 0 to 2 days/week [rare], 3 to 5 days/week [occasional] or 6 to 7 days/week [frequent]) or two categories (breakfast consumed less than daily or daily) and accelerometry-derived PA and sedentary time during the morning (wake time to 1200 h) and afternoon (1200 h to bed time) with study site included as an interaction term. Model covariates included age, sex, highest parental education, body mass index z-score, and accelerometer waking wear time. Results: Participants averaged 60 (s.d. 25) min/day in moderate-to-vigorous PA (MVPA), 315 (s.d. 53) min/day in light PA and 513 (s.d. 69) min/day sedentary. Controlling for covariates, breakfast frequency was not significantly associated with total daily or afternoon PA and sedentary time. For the morning, frequent breakfast consumption was associated with a higher proportion of time in MVPA (0.3{\%}), higher proportion of time in light PA (1.0{\%}) and lower min/day and proportion of time sedentary (3.4 min/day and 1.3{\%}) than rare breakfast consumption (all p ≤ 0.05). No significant associations were found when comparing occasional with rare or frequent breakfast consumption, or daily with less than daily breakfast consumption. Very few significant interactions with study site were found. Conclusions: In this multinational sample of children, frequent breakfast consumption was associated with higher MVPA and light PA time and lower sedentary time in the morning when compared with rare breakfast consumption, although the small magnitude of the associations may lack clinical relevance. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) is registered at (Identifier NCT01722500).",
keywords = "Exercise, Fasting, Health, International, Nutrition, Youth",
author = "Zakrzewski-Fruer, {Julia K.} and Gillison, {Fiona B.} and Katzmarzyk, {Peter T.} and Mire, {Emily F.} and Broyles, {Stephanie T.} and Champagne, {Catherine M.} and Chaput, {Jean Philippe} and Denstel, {Kara D.} and Mikael Fogelholm and Gang Hu and Lambert, {Estelle V.} and Carol Maher and Jos{\'e} Maia and Tim Olds and Vincent Onywera and Sarmiento, {Olga L.} and Tremblay, {Mark S.} and Catrine Tudor-Locke and Martyn Standage and Lambert, {Denise G.} and Tiago Barreira and Ben Butitta and Shannon Cocreham and Katy Drazba and Deirdre Harrington and William Johnson and Dione Milauskas and Allison Tohme and Ruben Rodarte and Bobby Amoroso and John Luopa and Rebecca Neiberg and Scott Rushing and Timothy Olds and Lucy Lewis and Katia Ferrar and Effie Georgiadis and Rebecca Stanley and Matsudo, {Victor Keihan Rodrigues} and Sandra Matsudo and Timoteo Araujo and {De Oliveira}, {Luis Carlos} and Leandro Rezende and Luis Fabiano and Diogo Bezerra and Gerson Ferrari and Priscilla B{\'e}langer and Mike Borghese and Charles Boyer and Allana Leblanc and Claire Francis and Genevi{\`e}ve Leduc and Hu, {Pei Zhao Gang} and Chengming Diao and Wei Li and Weiqin Li and Enqing Liu and Gongshu Liu and Hongyan Liu and Jian Ma and Yijuan Qiao and Huiguang Tian and Yue Wang and Tao Zhang and Fuxia Zhang and Julio Acosta and Yalta Alvira and Diaz, {Maria Paula} and Rocio Gamez and Garcia, {Maria Paula} and G{\'o}mez, {Luis Guillermo} and Lisseth Gonzalez and Silvia Gonzalez and Carlos Grijalba and Leidys Gutierrez and David Leal and Nicolas Lemus and Etelvina Mahecha and Mahecha, {Maria Paula} and Rosalba Mahecha and Andrea Ramirez and Paola Rios and Andres Suarez and Camilo Triana and Elli Hovi and Jemina Kivel{\"a} and Sari R{\"a}s{\"a}nen and Sanna Roito and Taru Saloheimo and Leena Valta and Anura Kurpad and Rebecca Kuriyan and Lokesh, {Deepa P.} and D'Almeida, {Michelle Stephanie} and {Annie Mattilda}, R. and Lygia Correa and D. Vijay and Wachira, {Lucy Joy} and Stella Muthuri and {Da Silva Borges}, Alessandra and Cachada, {Sofia Oliveira S{\'a}} and {De Chaves}, {Raquel Nichele} and Gomes, {Thayse Natacha Queiroz Ferreira} and Pereira, {Sara Isabel Sampaio} and {De Vilhena E Santos}, {Daniel Monteiro} and {Dos Santos}, {Fernanda Karina} and {Da Silva}, {Pedro Gil Rodrigues} and {De Souza}, {Michele Caroline} and Vicki Lambert and Matthew April and Monika Uys and Nirmala Naidoo and Nandi Synyanya and Madelaine Carstens and Sean Cumming and Clemens Drenowatz and Lydia Emm and Julia Zakrzewski and Ashley Braud and Sheletta Donatto and Corbin Lemon and Ana Jackson and Ashunti Pearson and Gina Pennington and Daniel Ragus and Ryan Roubion and John Schuna and Derek Wiltz and Alan Batterham and Jacqueline Kerr and Michael Pratt and Angelo Pietrobelli",
year = "2019",
month = "2",
day = "21",
doi = "10.1186/s12889-019-6542-6",
language = "English (US)",
volume = "19",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Association between breakfast frequency and physical activity and sedentary time

T2 - A cross-sectional study in children from 12 countries

AU - Zakrzewski-Fruer, Julia K.

AU - Gillison, Fiona B.

AU - Katzmarzyk, Peter T.

AU - Mire, Emily F.

AU - Broyles, Stephanie T.

AU - Champagne, Catherine M.

AU - Chaput, Jean Philippe

AU - Denstel, Kara D.

AU - Fogelholm, Mikael

AU - Hu, Gang

AU - Lambert, Estelle V.

AU - Maher, Carol

AU - Maia, José

AU - Olds, Tim

AU - Onywera, Vincent

AU - Sarmiento, Olga L.

AU - Tremblay, Mark S.

AU - Tudor-Locke, Catrine

AU - Standage, Martyn

AU - Lambert, Denise G.

AU - Barreira, Tiago

AU - Butitta, Ben

AU - Cocreham, Shannon

AU - Drazba, Katy

AU - Harrington, Deirdre

AU - Johnson, William

AU - Milauskas, Dione

AU - Tohme, Allison

AU - Rodarte, Ruben

AU - Amoroso, Bobby

AU - Luopa, John

AU - Neiberg, Rebecca

AU - Rushing, Scott

AU - Olds, Timothy

AU - Lewis, Lucy

AU - Ferrar, Katia

AU - Georgiadis, Effie

AU - Stanley, Rebecca

AU - Matsudo, Victor Keihan Rodrigues

AU - Matsudo, Sandra

AU - Araujo, Timoteo

AU - De Oliveira, Luis Carlos

AU - Rezende, Leandro

AU - Fabiano, Luis

AU - Bezerra, Diogo

AU - Ferrari, Gerson

AU - Bélanger, Priscilla

AU - Borghese, Mike

AU - Boyer, Charles

AU - Leblanc, Allana

AU - Francis, Claire

AU - Leduc, Geneviève

AU - Hu, Pei Zhao Gang

AU - Diao, Chengming

AU - Li, Wei

AU - Li, Weiqin

AU - Liu, Enqing

AU - Liu, Gongshu

AU - Liu, Hongyan

AU - Ma, Jian

AU - Qiao, Yijuan

AU - Tian, Huiguang

AU - Wang, Yue

AU - Zhang, Tao

AU - Zhang, Fuxia

AU - Acosta, Julio

AU - Alvira, Yalta

AU - Diaz, Maria Paula

AU - Gamez, Rocio

AU - Garcia, Maria Paula

AU - Gómez, Luis Guillermo

AU - Gonzalez, Lisseth

AU - Gonzalez, Silvia

AU - Grijalba, Carlos

AU - Gutierrez, Leidys

AU - Leal, David

AU - Lemus, Nicolas

AU - Mahecha, Etelvina

AU - Mahecha, Maria Paula

AU - Mahecha, Rosalba

AU - Ramirez, Andrea

AU - Rios, Paola

AU - Suarez, Andres

AU - Triana, Camilo

AU - Hovi, Elli

AU - Kivelä, Jemina

AU - Räsänen, Sari

AU - Roito, Sanna

AU - Saloheimo, Taru

AU - Valta, Leena

AU - Kurpad, Anura

AU - Kuriyan, Rebecca

AU - Lokesh, Deepa P.

AU - D'Almeida, Michelle Stephanie

AU - Annie Mattilda, R.

AU - Correa, Lygia

AU - Vijay, D.

AU - Wachira, Lucy Joy

AU - Muthuri, Stella

AU - Da Silva Borges, Alessandra

AU - Cachada, Sofia Oliveira Sá

AU - De Chaves, Raquel Nichele

AU - Gomes, Thayse Natacha Queiroz Ferreira

AU - Pereira, Sara Isabel Sampaio

AU - De Vilhena E Santos, Daniel Monteiro

AU - Dos Santos, Fernanda Karina

AU - Da Silva, Pedro Gil Rodrigues

AU - De Souza, Michele Caroline

AU - Lambert, Vicki

AU - April, Matthew

AU - Uys, Monika

AU - Naidoo, Nirmala

AU - Synyanya, Nandi

AU - Carstens, Madelaine

AU - Cumming, Sean

AU - Drenowatz, Clemens

AU - Emm, Lydia

AU - Zakrzewski, Julia

AU - Braud, Ashley

AU - Donatto, Sheletta

AU - Lemon, Corbin

AU - Jackson, Ana

AU - Pearson, Ashunti

AU - Pennington, Gina

AU - Ragus, Daniel

AU - Roubion, Ryan

AU - Schuna, John

AU - Wiltz, Derek

AU - Batterham, Alan

AU - Kerr, Jacqueline

AU - Pratt, Michael

AU - Pietrobelli, Angelo

PY - 2019/2/21

Y1 - 2019/2/21

N2 - Background: Existing research has documented inconsistent findings for the associations among breakfast frequency, physical activity (PA), and sedentary time in children. The primary aim of this study was to examine the associations among breakfast frequency and objectively-measured PA and sedentary time in a sample of children from 12 countries representing a wide range of human development, economic development and inequality. The secondary aim was to examine interactions of these associations between study sites. Methods: This multinational, cross-sectional study included 6228 children aged 9-11 years from the 12 International Study of Childhood Obesity, Lifestyle and the Environment sites. Multilevel statistical models were used to examine associations between self-reported habitual breakfast frequency defined using three categories (breakfast consumed 0 to 2 days/week [rare], 3 to 5 days/week [occasional] or 6 to 7 days/week [frequent]) or two categories (breakfast consumed less than daily or daily) and accelerometry-derived PA and sedentary time during the morning (wake time to 1200 h) and afternoon (1200 h to bed time) with study site included as an interaction term. Model covariates included age, sex, highest parental education, body mass index z-score, and accelerometer waking wear time. Results: Participants averaged 60 (s.d. 25) min/day in moderate-to-vigorous PA (MVPA), 315 (s.d. 53) min/day in light PA and 513 (s.d. 69) min/day sedentary. Controlling for covariates, breakfast frequency was not significantly associated with total daily or afternoon PA and sedentary time. For the morning, frequent breakfast consumption was associated with a higher proportion of time in MVPA (0.3%), higher proportion of time in light PA (1.0%) and lower min/day and proportion of time sedentary (3.4 min/day and 1.3%) than rare breakfast consumption (all p ≤ 0.05). No significant associations were found when comparing occasional with rare or frequent breakfast consumption, or daily with less than daily breakfast consumption. Very few significant interactions with study site were found. Conclusions: In this multinational sample of children, frequent breakfast consumption was associated with higher MVPA and light PA time and lower sedentary time in the morning when compared with rare breakfast consumption, although the small magnitude of the associations may lack clinical relevance. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) is registered at (Identifier NCT01722500).

AB - Background: Existing research has documented inconsistent findings for the associations among breakfast frequency, physical activity (PA), and sedentary time in children. The primary aim of this study was to examine the associations among breakfast frequency and objectively-measured PA and sedentary time in a sample of children from 12 countries representing a wide range of human development, economic development and inequality. The secondary aim was to examine interactions of these associations between study sites. Methods: This multinational, cross-sectional study included 6228 children aged 9-11 years from the 12 International Study of Childhood Obesity, Lifestyle and the Environment sites. Multilevel statistical models were used to examine associations between self-reported habitual breakfast frequency defined using three categories (breakfast consumed 0 to 2 days/week [rare], 3 to 5 days/week [occasional] or 6 to 7 days/week [frequent]) or two categories (breakfast consumed less than daily or daily) and accelerometry-derived PA and sedentary time during the morning (wake time to 1200 h) and afternoon (1200 h to bed time) with study site included as an interaction term. Model covariates included age, sex, highest parental education, body mass index z-score, and accelerometer waking wear time. Results: Participants averaged 60 (s.d. 25) min/day in moderate-to-vigorous PA (MVPA), 315 (s.d. 53) min/day in light PA and 513 (s.d. 69) min/day sedentary. Controlling for covariates, breakfast frequency was not significantly associated with total daily or afternoon PA and sedentary time. For the morning, frequent breakfast consumption was associated with a higher proportion of time in MVPA (0.3%), higher proportion of time in light PA (1.0%) and lower min/day and proportion of time sedentary (3.4 min/day and 1.3%) than rare breakfast consumption (all p ≤ 0.05). No significant associations were found when comparing occasional with rare or frequent breakfast consumption, or daily with less than daily breakfast consumption. Very few significant interactions with study site were found. Conclusions: In this multinational sample of children, frequent breakfast consumption was associated with higher MVPA and light PA time and lower sedentary time in the morning when compared with rare breakfast consumption, although the small magnitude of the associations may lack clinical relevance. Trial registration: The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE) is registered at (Identifier NCT01722500).

KW - Exercise

KW - Fasting

KW - Health

KW - International

KW - Nutrition

KW - Youth

UR - http://www.scopus.com/inward/record.url?scp=85061987907&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061987907&partnerID=8YFLogxK

U2 - 10.1186/s12889-019-6542-6

DO - 10.1186/s12889-019-6542-6

M3 - Article

VL - 19

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 222

ER -