Objective: To describe breakfast consumption patterns, on a nutrient and food item level, in Belgian adolescents. Design: A 7-day estimated food record was administered in a cross-sectional survey. Setting: Secondary schools in Ghent, Belgium. Subjects: A total of 341 adolescents (13-18 years old), multistage clustered sampling. Results: The energy contribution of breakfast to daily energy intake was on average 15.7% in boys and 14.9% in girls. Significantly more overweight girls and significantly more girls following vocational training were categorised as eating a low-quality breakfast. In boys, the energy contribution of polysaccharides was significantly higher in consumers of good-quality breakfasts. The intake of all selected micronutrients was significantly higher in consumers of good-quality breakfasts. In girls, the total energy intake and the proportional intake of proteins and polysaccharides were significantly higher in consumers of good-quality breakfasts, while the proportional contribution of total fat, monounsaturated and polyunsaturated fatty acids was significantly lower in these girls. The intake of all micronutrients was significantly higher in girls consuming a good-quality breakfast. In all adolescents, consumers of a good-quality breakfast had significantly higher intakes of bread, fruit, vegetables, milk and milk products, and fruit juice, while intake of soft drinks was significantly lower than in consumers of low-quality breakfasts. Conclusions: Consumers of a good-quality breakfast had a better overall dietary pattern -on a nutrient and food group level -than consumers of a low-quality breakfast. A daily breakfast, including whole-grain products, fruit and (semi-) skimmed milk products or an alternative source of calcium, is recommended.
Keywords
Adolescents Breakfast habits Dietary intake Nutritional surveyBreakfast is widely being promoted as essential for the nutritional well-being of children. Skipping breakfast is associated with health-compromising behaviours in adults and adolescents 1 . Breakfast consumers tend to have higher intakes of micronutrients and lower intake of fat, and are more likely to have a better overall diet quality 2,3 . The consumption of breakfast has been positively associated with enhanced cognitive and academic performance, psychosocial function and school attendance 4,5 . However, other studies indicate that cognitive performance is relatively robust to short-term fasting in relatively well-nourished children 6 . Aranceta and co-workers stated that it is not clear to what extent breakfast contributes to a better cognitive performance in school. Learning is a complex process resulting from multiple interactions 7 . However, a recent review stated that breakfast may possibly benefit cognitive function, but the interpretation of the results can be complicated by confounding factors such as social and educational variables 3 .It has been reported that routinely eating breakfast may lead to more regular eating habits and exercise patterns, healthy food...