Korean J Fam Pract. 2018; 8(2): 252-258  https://doi.org/10.21215/kjfp.2018.8.2.252
The Effect of Breakfast Skipping on Body Mass Index and Weight Change in Korean Adults
Joon-beom Park, Kyo-jin Seok*, Kwang-hyun Shin, Se-jung Jang
Department of Family Medicine, Kwak’s Hospital, Daegu, Korea
Kyo-jin Seok
Tel: +82-53-605-3580, Fax: +82-53-605-3593
E-mail: sniper912@hanmail.net
ORCID: http://orcid.org/0000-0002-1402-2011
Received: March 16, 2017; Revised: August 31, 2017; Accepted: September 3, 2017; Published online: April 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: As individual lifestyles become busier, people tend to skip breakfast more often than in the past. It is already known that skipping breakfast increases the prevalence of hypertension, diabetes, dyslipidemia, and cardiovascular disease. As people are becoming aware about obesity, weight management is also emerging as an important issue. This study was conducted to examine the influence of the frequency of breakfast intake on body mass index and body weight changes in Korean adults.
Methods: This study was conducted with results from the Korea National Health and Nutrition Examination Survey in 2014. Those aged 19 years and older (1,524 men and 2,008 women) were included in this study, excluding those who skipped lunch and dinner. The student’s t-test and chi-square test were used to analyze the relationship between breakfast habits and general characteristics. A general linear model was applied to determine the association between skipping breakfast and body mass index. Logistic regression analysis was performed to evaluate weight changes according to breakfast consumption.
Results: People who were younger, highly educated, worked long hours, and engaged in regular aerobic exercise were more likely to skip breakfast. In both men and women, breakfast habits were not significantly associated with body mass index. However, in both men and women, skipping breakfast was not associated with weight loss, but was associated with weight gain.
Conclusion: In men and women, skipping breakfast is associated with weight gain.
Keywords: Breakfast; Body Mass Index; Body Weight Changes
References
  1. Shin KH, Chae KY, Yoo YJ. A study on the breakfast habits of salaried people in Seoul. Korean J Soc Food Cookery Sci 2002; 18: 119-28.
  2. Ministry of Health and Welfare, Korea Center for Disease Control and Prevention. Korea health statistics 2013 [Internet]. Cheonju: Korea Center for Disease Control and Prevention; 2013. [cited 2016 Dec].
  3. Sakata K, Matumura Y, Yoshimura N, Tamaki J, Hashimoto T, Oguri S, et al. Relationship between skipping breakfast and cardiovascular disease risk factors in the national nutrition survey data. Nihon Koshu Eisei Zasshi 2001; 48: 837-41.
    Pubmed
  4. Kim NH, Shin DH, Kim HT, Jeong SM, Kim SY, Son KY. Associations between metabolic syndrome and inadequate sleep duration and skipping breakfast. Korean J Fam Med 2015; 36: 273-7.
    Pubmed KoreaMed CrossRef
  5. Nishiyama M, Muto T, Minakawa T, Shibata T. The combined unhealthy behaviors of breakfast skipping and smoking are associated with the prevalence of diabetes mellitus. Tohoku J Exp Med 2009; 218: 259-64.
    Pubmed CrossRef
  6. Lee SW, Jeong SJ, Choi KR. Relationship between nutrient intake and biochemical index with breakfast eating in Korean adults: analysis of data from the 2007 National Health and Nutrition Survey. Journal of the Korean Society of Dietary Culture 2011; 26: 94-9.
  7. Benton D, Parker PY. Breakfast, blood glucose, and cognition. Am J Clin Nutr 1998; 67: 772S-8S.
    Pubmed CrossRef
  8. Bae NK, Kim KH, Kwon IS, Cho YC. Changes in prevalence of obesity for 10 years (1997~2007) and its related factors in health checkup examinees. Journal of The Korea Academia-Industrial Cooperation Society 2009; 10:1091-9.
    CrossRef
  9. Lavie CJ, Milani RV, Ventura HO. Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss. J Am Coll Cardiol 2009; 53: 192532.
    Pubmed CrossRef
  10. 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.
    Pubmed CrossRef
  11. Li Y, Nemoto T, Tobimatsu S, Saito M, Ebata M, Munakata H, et al. Relationship between skipping breakfast and impaired fasting glucose along with cardiovascular and pre-diabetes condition risk factors in apparently healty subjects. Endocrinology Study 2011; 1: 76-80.
    CrossRef
  12. Yoon HS, Cho YC. A study on the preventive attitudes and health behavior of life-style related diseases in college students. Korean Journal of Health Education and Promotion 2005; 22: 229-44.
  13. Kim YJ, Lee JG, Yi YH, Lee SY, Jung DW, Park SK, et al. The influence of breakfast size to metabolic risk factors. Journal of Life Science 2010; 20:1812-9.
    CrossRef
  14. Wyatt HR, Grunwald GK, Mosca CL, Klem ML, Wing RR, Hill JO. Longterm weight loss and breakfast in subjects in the National Weight Control Registry. Obes Res 2002; 10: 78-82.
    Pubmed CrossRef
  15. van der Heijden AA, Hu FB, Rimm EB, van Dam RM. A prospective study of breakfast consumption and weight gain among U.S. men. Obesity (Silver Spring) 2007; 15: 2463-9.
    Pubmed CrossRef
  16. Korek E, Krauss H, Gibas-Dorna M, Kupsz J, Piątek M, Piątek J. Fasting and postprandial levels of ghrelin, leptin and insulin in lean, obese and anorexic subjects. Prz Gastroenterol 2013; 8: 383-9.
    CrossRef
  17. Kojima M, Kangawa K. Structure and function of ghrelin. Results Probl Cell Differ 2008; 46: 89-115.
    Pubmed CrossRef
  18. Kamegai J, Tamura H, Shimizu T, Ishii S, Sugihara H, Wakabayashi I. Chronic central infusion of ghrelin increases hypothalamic neuropeptide Y and Agouti-related protein mRNA levels and body weight in rats. Diabetes 2001; 50: 2438-43.
    Pubmed CrossRef
  19. Kim HH, Lee S, Jeon TY, Son HC, Kim YJ, Sim MS. Post-prandial plasma ghrelin levels in people with different breakfast hours. Eur J Clin Nutr 2004;58: 692-5.
    Pubmed CrossRef
  20. Toshinai K, Mondal MS, Nakazato M, Date Y, Murakami N, Kojima M, et al. Upregulation of Ghrelin expression in the stomach upon fasting, insulininduced hypoglycemia, and leptin administration. Biochem Biophys Res Commun 2001; 281: 1220-5.
    Pubmed CrossRef
  21. Chowdhury EA, Richardson JD, Tsintzas K, Thompson D, Betts JA. Carbohydraterich breakfast attenuates glycaemic, insulinaemic and ghrelin response to ad libitum lunch relative to morning fasting in lean adults. Br J Nutr 2015; 114: 98-107.
    Pubmed KoreaMed CrossRef
  22. Sjostrom M, Ekelund U, Poortvliet E, Hurtig-Wennlöf A, Yngve A. Assessment of physical activity using IPAQ (version 4) and activity monitors (CSA). Measurement Phys Educ Exerc Sci 2000; 4: 263-4.
  23. Tin SP, Ho SY, Mak KH, Wan KL, Lam TH. Breakfast skipping and change in body mass index in young children. Int J Obes (Lond) 2011; 35: 899-906.
    Pubmed CrossRef


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