Breakfast Consumption Among Saudi Primary-school Children Relative to Sex and Socio-demographic Factors

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2020 Apr 8

PMID 32252722

Citations 9

Authors

Hazzaa M Al-Hazzaa

Abdulrahman M Alhowikan

Maha H Alhussain

Omar A Obeid

Affiliations

Soon will be listed here.

Abstract

Background: Breakfast is an important meal that provides essential nutrients and energy. However, few comprehensive studies have reported breakfast habits and related behaviors among Saudi children. This study investigated breakfast consumption patterns and the associations of socio-demographic variables with daily breakfast intake among Saudi children.

Methods: A multistage stratified cluster random sampling technique was used to select 1051 elementary school boys and girls in Riyadh. Body weight and height were measured and body mass index (BMI) was computed. The breakfast eating habits and behaviors were assessed using a specifically designed self-reported questionnaire that was completed by the children's parents.

Results: More than 79% of children skipped daily breakfast, with no significant sex difference. Children in private schools consumed breakfast more frequently than those attending public schools. Multivariate analyses showed that boys in private schools had a significantly higher intake of breakfast than that in boys in public schools, yet, boys in public schools had significantly higher BMI than boys in private schools. Using logistic regression while adjusting for confounders showed insignificant effect for parent education. Among breakfast eaters, spread cheese sandwiches were consumed most frequently, followed by fried egg sandwiches and breakfast cereals. Full-fat milk, tea with milk, water, and fruit juice were the most consumed drinks. Girls consumed significantly more fresh fruits during breakfast than did boys. Mothers prepared breakfast at home most of the time (84.5%). Parents appeared mostly satisfied with the breakfast consumed by their child at home and placed high importance on breakfast compared to lunch or dinner.

Conclusions: The proportion of school children who ate daily breakfast at home was low, which may have implications for children's school performance. Effort is needed to promote daily breakfast consumption among Saudi school children and to introduce appropriate interventions aimed at promoting daily breakfast consumption among Saudi children.

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References

Nas A, Mirza N, Hagele F, Kahlhofer J, Keller J, Rising R . Impact of breakfast skipping compared with dinner skipping on regulation of energy balance and metabolic risk. Am J Clin Nutr. 2017; 105(6):1351-1361. DOI: 10.3945/ajcn.116.151332. View

Al-Hazzaa H, Alhussain M, Alhowikan A, Obeid O . Insufficient Sleep Duration And Its Association With Breakfast Intake, Overweight/Obesity, Socio-Demographics And Selected Lifestyle Behaviors Among Saudi School Children. Nat Sci Sleep. 2019; 11:253-263. PMC: 6818670. DOI: 10.2147/NSS.S225883. View

Sirichakwal P, Janesiripanich N, Kunapun P, Senaprom S, Purttipornthanee S . BREAKFAST CONSUMPTION BEHAVIORS OF ELEMENTARY SCHOOL CHILDREN IN BANGKOK METROPOLITAN REGION. Southeast Asian J Trop Med Public Health. 2016; 46(5):939-48. View

Vereecken C, Dupuy M, Rasmussen M, Kelly C, Nansel T, Al Sabbah H . 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. PMC: 3408388. DOI: 10.1007/s00038-009-5409-5. View

Mielgo-Ayuso J, Valtuena J, Cuenca-Garcia M, Gottrand F, Breidenassel C, Ferrari M . Regular breakfast consumption is associated with higher blood vitamin status in adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. Public Health Nutr. 2017; 20(8):1393-1404. PMC: 10261472. DOI: 10.1017/S1368980016003645. View

Pearson N, Biddle S, Gorely T . Family correlates of breakfast consumption among children and adolescents. A systematic review. Appetite. 2008; 52(1):1-7. DOI: 10.1016/j.appet.2008.08.006. View

Shafiee G, Kelishadi R, Qorbani M, Motlagh M, Taheri M, Ardalan G . Association of breakfast intake with cardiometabolic risk factors. J Pediatr (Rio J). 2013; 89(6):575-82. DOI: 10.1016/j.jped.2013.03.020. View

Williams P . The benefits of breakfast cereal consumption: a systematic review of the evidence base. Adv Nutr. 2014; 5(5):636S-673S. PMC: 4188247. DOI: 10.3945/an.114.006247. View

Hirshkowitz M, Whiton K, Albert S, Alessi C, Bruni O, DonCarlos L . National Sleep Foundation's sleep time duration recommendations: methodology and results summary. Sleep Health. 2017; 1(1):40-43. DOI: 10.1016/j.sleh.2014.12.010. View

10.

Rampersaud G, Pereira M, Girard B, Adams J, Metzl J . Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc. 2005; 105(5):743-60. DOI: 10.1016/j.jada.2005.02.007. View

11.

Al-Hazzaa H, Abahussain N, Al-Sobayel H, Qahwaji D, Musaiger A . Physical activity, sedentary behaviors and dietary habits among Saudi adolescents relative to age, gender and region. Int J Behav Nutr Phys Act. 2011; 8:140. PMC: 3339333. DOI: 10.1186/1479-5868-8-140. View

12.

Cheng T, Tse L, Yu I, Griffiths S . Children's perceptions of parental attitude affecting breakfast skipping in primary sixth-grade students. J Sch Health. 2008; 78(4):203-8. DOI: 10.1111/j.1746-1561.2008.00287.x. View

13.

Montenegro-Bethancourt G, Vossenaar M, Kuijper L, Doak C, Solomons N . Ready-to-eat cereals are key sources of selected micronutrients among schoolchildren from public and private elementary schools in Quetzaltenango, Guatemala. Nutr Res. 2009; 29(5):335-42. DOI: 10.1016/j.nutres.2009.05.003. View

14.

Uzhova I, Fuster V, Fernandez-Ortiz A, Ordovas J, Sanz J, Fernandez-Friera L . The Importance of Breakfast in Atherosclerosis Disease: Insights From the PESA Study. J Am Coll Cardiol. 2017; 70(15):1833-1842. DOI: 10.1016/j.jacc.2017.08.027. View

15.

Manios Y, Moschonis G, Androutsos O, Filippou C, Van Lippevelde W, Vik F . Family sociodemographic characteristics as correlates of children's breakfast habits and weight status in eight European countries. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project. Public Health Nutr. 2014; 18(5):774-83. PMC: 10271610. DOI: 10.1017/S1368980014001219. View

16.

Al-Hazzaa H, Musaiger A, Abahussain N, Al-Sobayel H, Qahwaji D . Lifestyle correlates of self-reported sleep duration among Saudi adolescents: a multicentre school-based cross-sectional study. Child Care Health Dev. 2013; 40(4):533-42. DOI: 10.1111/cch.12051. View

17.

Lazzeri G, Ahluwalia N, Niclasen B, Pammolli A, Vereecken C, Rasmussen M . Trends from 2002 to 2010 in Daily Breakfast Consumption and its Socio-Demographic Correlates in Adolescents across 31 Countries Participating in the HBSC Study. PLoS One. 2016; 11(3):e0151052. PMC: 4814074. DOI: 10.1371/journal.pone.0151052. View

18.

Al-Othaimeen A, Osman A, Al Orf S . Prevalence of nutritional anaemia among primary school girls in Riyadh City, Saudi Arabia. Int J Food Sci Nutr. 2000; 50(4):237-43. DOI: 10.1080/096374899101111. View

19.

Hallstrom L, Vereecken C, Ruiz J, Patterson E, Gilbert C, Catasta G . Breakfast habits and factors influencing food choices at breakfast in relation to socio-demographic and family factors among European adolescents. The HELENA Study. Appetite. 2011; 56(3):649-57. DOI: 10.1016/j.appet.2011.02.019. View

20.

Timlin M, Pereira M, Story M, Neumark-Sztainer D . Breakfast eating and weight change in a 5-year prospective analysis of adolescents: Project EAT (Eating Among Teens). Pediatrics. 2008; 121(3):e638-45. DOI: 10.1542/peds.2007-1035. View