Evaluation of the Nutritional Quality of French Children Breakfasts According to the Breakfast Quality Score (BQS)

Overview

Journal Front Nutr

Specialty Nutritional Sciences

Date 2024 Jul 18

PMID 39021597

Authors

Romane Poinsot

Sinead Hopkins

Matthieu Maillot

Affiliations

Soon will be listed here.

Abstract

Background: Breakfast meals provide essential nutrients and energy to children and adolescents. Based on recommendations from the International Breakfast Research Initiative (IBRI), the Breakfast Quality Score (BQS) was developed to assess breakfast nutritional value among the French adult population. However, its application to children remains unexplored.

Objective: This study aimed to evaluate the BQS in assessing the nutritional quality of breakfasts consumed by French children aged 4-17 years.

Methods: A total of 4,015 breakfasts, obtained from dietary recalls provided by 1,448 children participating in the French representative dietary survey (INCA3), were analyzed. As for adults, the performance of the BQS was tested through correlations with other nutritional indicators and comparison of nutrients and dietary components between tertiles of scores. The study examined the regularity of breakfast consumption and compared the BQS of children's breakfasts across socio-demographic modalities and breakfast categories distinguished by their primary grain component. Additionally, a predictive modeling using Partial Least Squares (PLS) regression identified influential INCA3 food groups.

Results: The majority of children consumed solid breakfasts regularly. Socio-professional category, household income and food insecurity influenced BQS, revealing contradictory disparities. Ready-to-eat cereal (RTEC) breakfasts had the highest BQS (73.5% for children and 73.1% for adolescent), while biscuits and viennoiseries scored the lowest (52% for children and 49.1% for adolescent). PLS highlighted RTECs, milk, and hot beverages (mainly containing chocolate milk) as being positively associated with BQS, while sweet beverages and viennoiseries were negatively associated.

Conclusion: The study demonstrates the effectiveness of the BQS in assessing children's breakfast quality, with RTEC breakfasts showing the highest nutritional value. The findings provide insights into factors influencing breakfast nutritional quality and underscore the importance of promoting healthier breakfast choices among all children.

References

Moreno-Aznar L, Vidal Carou M, Lopez Sobaler A, Varela-Moreiras G, Moreno Villares J . [Role of breakfast and its quality in the health of children and adolescents in Spain]. Nutr Hosp. 2021; 38(2):396-409. DOI: 10.20960/nh.03398. View

Akbarzade Z, Mohammadpour S, Djafarian K, Clark C, Ghorbaninejad P, Mohtashami M . Breakfast-Based Dietary Patterns and Obesity in Tehranian Adults. J Obes Metab Syndr. 2020; 29(3):222-232. PMC: 7539348. DOI: 10.7570/jomes20042. View

Bocquier A, Vieux F, Lioret S, Dubuisson C, Caillavet F, Darmon N . Socio-economic characteristics, living conditions and diet quality are associated with food insecurity in France. Public Health Nutr. 2015; 18(16):2952-61. PMC: 10271578. DOI: 10.1017/S1368980014002912. View

Smith J, Jain N, Normington J, Holschuh N, Zhu Y . Associations of Ready-to-Eat Cereal Consumption and Income With Dietary Outcomes: Results From the National Health and Nutrition Examination Survey 2015-2018. Front Nutr. 2022; 9:816548. PMC: 9002128. DOI: 10.3389/fnut.2022.816548. View

Santos M, Matias F, Rito A, Castanheira I, Torres D, Loureiro I . Breakfast Cereals Intended for Children: Opportunities for Reformulation and Potential Impact on Nutrient Intake. Foods. 2021; 10(8). PMC: 8394760. DOI: 10.3390/foods10081772. View

Poinsot R, Maillot M, Masset G, Drewnowski A . A three-component Breakfast Quality Score (BQS) to evaluate the nutrient density of breakfast meals. Front Nutr. 2023; 10:1213065. PMC: 10569224. DOI: 10.3389/fnut.2023.1213065. View

Fulgoni 3rd V, Keast D, Drewnowski A . Development and validation of the nutrient-rich foods index: a tool to measure nutritional quality of foods. J Nutr. 2009; 139(8):1549-54. DOI: 10.3945/jn.108.101360. View

Gibson-Moore H, Spiro A, Stanner S . No food for thought-How important is breakfast to the health, educational attainment and wellbeing of school-aged children and young people?. Nutr Bull. 2023; 48(4):458-481. DOI: 10.1111/nbu.12652. View

Blondin S, Anzman-Frasca S, Djang H, Economos C . Breakfast consumption and adiposity among children and adolescents: an updated review of the literature. Pediatr Obes. 2016; 11(5):333-48. DOI: 10.1111/ijpo.12082. View

10.

Ardeshirlarijani E, Namazi N, Jabbari M, Zeinali M, Gerami H, Jalili R . The link between breakfast skipping and overweigh/obesity in children and adolescents: a meta-analysis of observational studies. J Diabetes Metab Disord. 2020; 18(2):657-664. PMC: 6915174. DOI: 10.1007/s40200-019-00446-7. View

11.

Gibney M, Barr S, Bellisle F, Drewnowski A, Fagt S, Hopkins S . Towards an Evidence-Based Recommendation for a Balanced Breakfast-A Proposal from the International Breakfast Research Initiative. Nutrients. 2018; 10(10). PMC: 6213610. DOI: 10.3390/nu10101540. View

12.

Louie J, Moshtaghian H, Boylan S, Flood V, Rangan A, Barclay A . A systematic methodology to estimate added sugar content of foods. Eur J Clin Nutr. 2014; 69(2):154-61. DOI: 10.1038/ejcn.2014.256. View

13.

Bellisle F, Hebel P, Salmon-Legagneur A, Vieux F . Breakfast Consumption in French Children, Adolescents, and Adults: A Nationally Representative Cross-Sectional Survey Examined in the Context of the International Breakfast Research Initiative. Nutrients. 2018; 10(8). PMC: 6115921. DOI: 10.3390/nu10081056. View

14.

Matsumoto M, Hatamoto Y, Sakamoto A, Masumoto A, Ikemoto S . Breakfast skipping is related to inadequacy of vitamin and mineral intakes among Japanese female junior high school students: a cross-sectional study. J Nutr Sci. 2020; 9:e9. PMC: 7054306. DOI: 10.1017/jns.2019.44. View

15.

Lepicard E, Maillot M, Vieux F, Viltard M, Bonnet F . Quantitative and qualitative analysis of breakfast nutritional composition in French schoolchildren aged 9-11 years. J Hum Nutr Diet. 2016; 30(2):151-158. DOI: 10.1111/jhn.12412. View

16.

Delbosq S, Velasco V, Vercesi C, Gruppo Regionale Hbsc Lombardia , Vecchio L . Adolescents' Nutrition: The Role of Health Literacy, Family and Socio-Demographic Variables. Int J Environ Res Public Health. 2022; 19(23). PMC: 9736019. DOI: 10.3390/ijerph192315719. View

17.

Coulthard J, Palla L, Pot G . Breakfast consumption and nutrient intakes in 4-18-year-olds: UK National Diet and Nutrition Survey Rolling Programme (2008-2012). Br J Nutr. 2017; 118(4):280-290. DOI: 10.1017/S0007114517001714. View

18.

Vermote M, Bonnewyn S, Matthys C, Vandevijvere S . Nutritional Content, Labelling and Marketing of Breakfast Cereals on the Belgian Market and Their Reformulation in Anticipation of the Implementation of the Nutri-Score Front-Of-Pack Labelling System. Nutrients. 2020; 12(4). PMC: 7230794. DOI: 10.3390/nu12040884. View

19.

Fayet-Moore F, Kim J, Sritharan N, Petocz P . Impact of Breakfast Skipping and Breakfast Choice on the Nutrient Intake and Body Mass Index of Australian Children. Nutrients. 2016; 8(8). PMC: 4997400. DOI: 10.3390/nu8080487. View

20.

Afeiche M, Smith Taillie L, Hopkins S, Eldridge A, Popkin B . Breakfast Dietary Patterns among Mexican Children Are Related to Total-Day Diet Quality. J Nutr. 2017; 147(3):404-412. DOI: 10.3945/jn.116.239780. View