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Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among European adolescents: The HELENA Study
Mälardalen University, School of Health, Care and Social Welfare.ORCID iD: 0000-0001-9604-462X
Department of Public Health, University Hospital, Ghent.
Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institute.
Unit for Preventive Nutrition, Department of Biosciences and Nutrition, Karolinska Institute.
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2011 (English)In: Appetite, ISSN 0195-6663, E-ISSN 1095-8304, Vol. 56, no 3, 649-657 p.Article in journal (Refereed) Published
Abstract [en]

The aim was to investigate factors associated with breakfast habits and influences on food choices at breakfast, within the framework of the EU-funded HELENA Study in 3528 adolescents from ten cities across Europe. The statement “I often skip breakfast” and personal and socio-environmental factors hypothesized to be related to food choice at breakfast were dichotomized. Logistic regression was used to investigate the association between behavioral (skipping versus consume breakfast) and individual, personal and socio-environmental factors. Half of the adolescents (fewer girls) indicated being regular breakfast consumers. Mothers’ education and family structure were associated with breakfast consumption. Adolescents with peers who gave little or no encouragement, and boys whose parents gave encouragement, were more likely to be regular breakfast consumers. Personal factors influenced the girls more than the boys in their choice of food for breakfast and socio-environmental factors influenced younger adolescents more than older adolescents. In conclusion, a broad range of (behavioral, individual, personal and socio-environmental) factors influence breakfast habits and food choices at breakfast among European adolescents. Breakfast habits were inappreciably influenced by socio-demographical factors. These factors need to be considered in discussions surrounding the development of nutritional intervention programs intended for adolescents.

Place, publisher, year, edition, pages
2011. Vol. 56, no 3, 649-657 p.
Keyword [en]
socioeconomic factors; parents; siblings; sex; diet surveys; epidemiology; public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:mdh:diva-10521DOI: 10.1016/j.appet.2011.02.019ISI: 000291912700015PubMedID: 21376767Scopus ID: 2-s2.0-79952984962OAI: oai:DiVA.org:mdh-10521DiVA: diva2:359122
Projects
Helena-projektet
Available from: 2010-10-26 Created: 2010-10-26 Last updated: 2013-10-16Bibliographically approved
In thesis
1. Breakfast habits among European adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study
Open this publication in new window or tab >>Breakfast habits among European adolescents: The Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis was to study the associations of individual and socio-environmental factors with breakfast habits among adolescents on a European level.

 

Methods: The HELENA-study (Healthy Lifestyle in Europe by Nutrition in Adolescence) is a multi-centre cross-sectional, school-based study including 3528 adolescents (aged 12.5-17.49 years) from 10 European cities inEurope. Data was collected during the 2006-2007 academic year. Breakfast habits were assessed by a computerised, self-administered, 24-h recall and by questionnaires. The whole day dietary intake, measured with the computerised 24-h recall, was evaluated by comparing a self-administered and an interviewed 24-h recall. The socio-demographical factors used were sex, age, region inEurope (southern versus northern/central), mother and father’s education and occupation, family structure and family affluence. Body composition was measured with weight, height, waist circumference and skinfold thickness. Blood pressure, cardiorespiratory fitness, blood lipids, insulin and glucose were also measured.

 

Results: The evaluation between the self-administered and interview 24-h recall showed generally good agreement between the two methods. Few adolescents (4 %) had a ‘high-quality’ breakfast. Breakfast consumption on both recall days was reported among 77 % (24-h recall) and 55 % reported slightly disagreeing to strongly disagreeing with the statement ‘I often skip breakfast’. Younger adolescents, adolescents from the northern/central part of Europe and adolescents from families with high socio-demographical status were more likely to report consuming a ‘high-quality’ breakfast while breakfast consumption versus breakfast skipping were inappreciably associated with socio-demographical factors. Personal factors (‘hunger’, ‘taste of the food’ ‘concern for health’) and the socio-environmental factor (‘parents or guardian’) were the most important influences on the adolescents’ choice of food at breakfast. Regular ‘breakfast consumption’ was associated with higher cardiorespiratory fitness in both boys and girls, and with a healthier cardiovascular profile, especially in boys.

 

Conclusion: The public health implications of poor breakfast consumption habits are considerable. This work highlights the need to promote breakfast, especially a ‘high-quality’ breakfast, among adolescents, particularly older adolescents, adolescents from the southern part of Europe and adolescents from families with low socio-demographical status.

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2011. 59 p.
Keyword
Breakfast; adolescents; socio-demographical factors; dietary assessment; 24-h recall; food groups; cardiovascular disease risk factors; Europe
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-13930 (URN)978-91-7457-424-1 (ISBN)
Public defence
2011-09-16, Red seminarium room, Plan 6, NOVUM, Karolinska Institutet, Huddinge, 09:00 (English)
Opponent
Supervisors
Projects
HELENA
Available from: 2012-01-09 Created: 2012-01-05 Last updated: 2015-02-04Bibliographically approved

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