Breakfast Size and Prevalence of Metabolic Syndrome in the European Prospective Investigation into Cancer and Nutrition (EPIC) Spanish Cohort-Reference-Cited by-同舟云学术

Breakfast Size and Prevalence of Metabolic Syndrome in the European Prospective Investigation into Cancer and Nutrition (EPIC) Spanish Cohort

Published:2023-01-26 Issue:3 Volume:15 Page:630
ISSN:2072-6643
Container-title:Nutrients
language:en
Short-container-title:Nutrients

Author:

Lujan-Barroso Leila¹²^ORCID,Iglesias Lucia¹^ORCID,Zamora-Ros Raúl¹^ORCID,Lasheras Cristina³^ORCID,Sánchez María-José⁴⁵⁶⁷^ORCID,Cabrera-Castro Natalia⁸,Delfrad Josu⁶⁹¹⁰^ORCID,Amiano Pilar⁶¹¹¹²^ORCID,Molina-Montes Esther⁵⁶¹³¹⁴^ORCID,Colorado-Yohar Sandra⁶⁸¹⁵^ORCID,Moreno-Iribas Conchi⁶⁹¹⁰,Dorronsoro Ane¹¹^ORCID,Rodríguez-Barranco Miguel⁴⁵⁶^ORCID,Chirlaque María Dolores⁶⁸¹⁶,Aizpurua Amaia¹¹¹²,Agudo Antonio¹,Quirós José Ramón³,Jakszyn Paula¹¹⁷

Affiliation:

1. Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology—IDIBELL, L’Hospitalet de Llobregat, 08908 Barcelona, Spain

2. Department of Public Health, Mental Health and Mother-Infant Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain

3. Department of Functional Biology, University of Oviedo, 33007 Oviedo, Spain

4. Escuela Andaluza de Salud Pública (EASP), 18011 Granada, Spain

5. Instituto de Investigación Biosanitaria ibs.GRANADA, 18012 Granada, Spain

6. Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain

7. Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain

8. Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, 30120 Murcia, Spain

9. Navarra Public Health Institute, 31003 Pamplona, Spain

10. Navarra Institute for Health Research (IdiSNA), 31008 Pamplona, Spain

11. Sub-Directorate for Public Health and Addictions of Gipuzkoa, 20010 Donostia, Spain

12. Biodonostia Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, 20014 San Sebastián, Spain

13. Department of Nutrition and Food Science, Campus of Cartuja, University of Granada, 18071 Granada, Spain

14. Institute of Nutrition and Food Technology (INYTA) ‘José Mataix’, Biomedical Research Centre, University of Granada, 18071 Granada, Spain

15. Research Group on Demography and Health, National Faculty of Public Health, University of Antioquia, Medellín 050010, Colombia

16. Sociohealth Sciences Department, Murcia University, 30100 Murcia, Spain

17. Blanquerna Health Sciences Faculty, Ramon Llull University, 08022 Barcelona, Spain

Abstract

Background: Recent evidence suggest that energy distribution during the daytimecould be a potential determinant for the development of metabolic syndrome (MetS). Objective: To cross-sectionally assess the association between breakfast size and the prevalence of MetS in Spanish adults. Methods: Our study included a subset of 3644 participants from the European Prospective Investigation into Cancer and Nutrition Spain study recontacted between 2017–2018. Information on diet, sociodemographic, lifestyle, sleep quality, and chronotype was collected using standardized questionnaires, while anthropometric and blood pressure data were measured in a face-to-face personal interview by a nurse. MetS was defined according to the Adult Treatment Panel III (ATPIII) definition by measuring serum levels of total cholesterol, tryglycerides and glucose. Breakfast size was calculated as: (energy from breakfast/total energy intake) * 2000 kcal. To evaluate the association between breakfast size and MetS prevalence, a multivariable logistic regression model adjusted by potential confounders was used to estimate OR and 95% CI. Results: Prevalence of MetS in our study was 40.7%. The mean breakfast size was 306.6 * 2000 kcal (15% of the total daily energy intake), with 14 (0.4%) participants skipping breakfast. Participants in the highest quartile of breakfast size had a lower MetS prevalence compared to participants in the lowest quartile (ORQ4vsQ1 = 0.62; 95% CI = 0.51–0.76; p-trend < 0.001). No modification of the estimated ORs by sex, breakfast time, and number of eating occasions per day were observed. Conclusion: Our results suggest that higher breakfast size is associated with lower prevalence of MetS in Spanish adults, supporting the importance of a high energy breakfast. Further prospective studies are necessary to confirm these findings.

Funder

Spanish “Fondo de Investigaciones Sanitarias” (FIS), Instituto de Salud Carlos III

Marató TV3

European Commission (DG-SANCO) and the International Agency for Research on Cancer

Health Research Fund (FIS)—Instituto de Salud Carlos III

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

Link

https://www.mdpi.com/2072-6643/15/3/630/pdf

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