Korean J Fam Pract. 2018; 8(3): 364-371  https://doi.org/10.21215/kjfp.2018.8.3.364
Lifestyle and Nutritional State According to Breakfast Frequency Level of Korean Adults: Using 2014 Korea National and Nutrition Examination Survey
Sung Rok Jeong1, Kyung Won Shim1,*, Hong Soo Lee1, Sang Wha Lee1, A Ri Byun1, Sun Hee Cho1, Hye Jin Chun2
1Department of Family Medicine, Ewha Womans University Mokdong Hospital, Seoul; 2Department of Family Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea
Kyung Won Shim
Tel: +82-2-2650-5165, Fax: +82-2-2654-2439
E-mail: ewhashim@ewha.ac.kr
ORCID: http://orcid.org/0000-0001-8289-9301
Received: May 11, 2017; Revised: September 18, 2017; Accepted: October 7, 2017; Published online: June 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: The aim of this study was to investigate lifestyle and nutritional status according to breakfast consumption frequency among Korean adults.
Methods: Data for 2,302 individuals aged 19–64 years from among respondents of the National Health and Nutrition Survey of Korea in 2014 were analyzed after excluding subjects who were treated for cancer or metabolic diseases. The subjects were classified into four groups according to the frequency of breakfast consumption for one week: extremely low-, low-, intermediate-, and high-frequency groups. All the data were analyzed by implementing analysis of covariance after weighting, by gender, age, residence, income, education level, occupation, smoking habits, alcohol consumption, exercise, stress, and family meals.
Results: The proportion of non-smokers was the highest among the four groups, while the proportions of those who consumed alcohol regularly, and those with exposure to stress were the lowest. The high-frequency group showed the highest percentage of energy intake from carbohydrates and the highest intake of potassium and thiamine. Nutrient intakes according to breakfast energy ratios were the highest for protein, calcium, phosphorus, thiamine, riboflavin, and niacin.
Conclusion: These results indicate that the frequency of breakfast consumption in Korean adults is positively correlated with healthy living habits, such as smoking cessation, reduced alcohol consumption, and the consumption of various nutrients and vitamins. Therefore, to maintain the above lifestyle and nutritional status in Korean adults, it is recommended that the breakfast consumption frequency should be 5–7 times a week.
Keywords: Korean Adult; Breakfast Frequency; Nutritional State; Lifestyle
References
  1. Ministry of Health and Welfare Disease Control Center. Korean National Health Nutrition Examination Survey 2014 [Internet]. Cheonju: Korea Center for Disease Control and Prevention; 2014: 41-318 [cited 2017 May 4].
  2. Lee SH, Shim JS, Kim JY, Moon HA. The effect of breakfast regularity on eating habits, nutritional and health status in adults. Korean J Nutr 1996; 29:533-46.
  3. Kim SH. Children’s growth and school performance in relation to breakfast. J Korean Diet Assoc 1999; 5: 215-24.
  4. Ma Y, Bertone ER, Stanek EJ 3rd, Reed GW, Hebert JR, Cohen NL, et al. Association between eating patterns and obesity in a free-living US adult population. Am J Epidemiol 2003; 158: 85-92.
    Pubmed CrossRef
  5. Ruxton CH, Kirk TR. Breakfast: a review of associations with measures of dietary intake, physiology and biochemistry. Br J Nutr 1997; 78: 199-213.
    CrossRef
  6. Lee YN, Lee JS, Ko YM, Woo JS, Kim BH, Choi HM. Study on the food habits of college students by residences. Korean J Community Nutr 1996; 1:189-200.
  7. Morgan KJ, Zabik ME, Leveille GA. The role of breakfast in nutrient intake of 5- to 12-year-old children. Am J Clin Nutr 1981; 34: 1418-27.
    Pubmed CrossRef
  8. Walker AR, Walker BF, Jones J, Ncongwane J. Breakfast habits of adolescents in for South African populations. Am J Clin Nutr 1982; 36: 650-6.
    Pubmed CrossRef
  9. Schlundt DG, Hill JO, Sbrocco T, Pope-Cordle J, Sharp T. The role of breakfast in the treatment of obesity: a randomized clinical trial. Am J Clin Nutr 1992; 55: 645-51.
    Pubmed CrossRef
  10. Alexander KE, Ventura EE, Spruijt-Metz D, Weigensberg MJ, Goran MI, Davis JN. Association of breakfast skipping with visceral fat and insulin indices in overweight Latino youth. Obesity (Silver Spring) 2009; 17: 1528-33.
    Pubmed KoreaMed CrossRef
  11. 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
  12. Farshchi HR, Taylor MA, Macdonald IA. Deleterious effects of omitting breakfast on insulin sensitivity and fasting lipid profiles in healthy lean women. Am J Clin Nutr 2005; 81: 388-96.
    Pubmed CrossRef
  13. Vereecken C, Dupuy M, Rasmussen M, Kelly C, Nansel TR, Al Sabbah H, et al. Breakfast consumption and its socio-demographic and lifestyle correlates in schoolchildren in 41 countries participating in the HBSC study. Int J Public Health 2009; 54 Suppl 2: 180-90.
    Pubmed KoreaMed CrossRef
  14. Cohen B, Evers S, Manske S, Bercovitz K, Edward HG. Smoking, physical activity and breakfast consumption among secondary school students in a southwestern Ontario community. Can J Public Health 2003; 94: 41-4.
    Pubmed
  15. Croezen S, Visscher TL, Ter Bogt NC, Veling ML, Haveman-Nies A. Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. Eur J Clin Nutr 2009; 63: 405-12.
    Pubmed CrossRef
  16. Ruel MT. Is dietary diversity an indicator of food security or dietary quality? A review of measurement issues and research needs. Food Nutr Bull 2003;24: 231-2.
    Pubmed CrossRef
  17. Kim OS, Ryu HS. The study on blood lipid levels according to the food habits and food intake patterns in Korean elderly. Korean J Food Nutr 2009; 22:421-9.
  18. Edelstein SL, Barrett-Connor EL, Wingard DL, Cohn BA. Increased meal frequency associated with decreased cholesterol concentrations; Rancho Bernardo, CA, 1984-1987. Am J Clin Nutr 1992; 55: 664-9.
    Pubmed CrossRef
  19. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc 2005; 105: 743-60.
    Pubmed CrossRef
  20. Matthys C, De Henauw S, Bellemans M, De Maeyer M, De Backer G. Breakfast habits affect overall nutrient profiles in adolescents. Public Health Nutr 2007; 10: 413-21.
    Pubmed CrossRef
  21. Jones PJ, Leitch CA, Pederson RA. Meal-frequency effects on plasma hormone concentrations and cholesterol synthesis in humans. Am J Clin Nutr 1993; 3: 868-74.
    Pubmed CrossRef
  22. Farshchi HR, Taylor MA, Macdonald IA. Beneficial metabolic effects of regular meal frequency on dietary thermogenesis, insulin sensitivity, and fasting lipid profiles in healthy obese women. Am J Clin Nutr 2005; 81: 16-24.
    Pubmed CrossRef
  23. Farshchi HR, Taylor MA, Macdonald IA. Regular meal frequency creates more appropriate insulin sensitivity and lipid profiles compared with irregular meal frequency in healthy lean women. Eur J Clin Nutr 2004; 58: 1071-7.
    Pubmed CrossRef


This Article


Author ORCID Information

Services
Social Network Service

e-submission

Archives