Please cite this article as: Clayton DJ, Stensel DJ, James LJ, Effect of breakfast omission on subjective appetite, metabolism, acylated ghrelin and GLP-1 7-36 during rest and exercise, Nutrition (2015), doi: 10.1016/j.nut.2015.06.013. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Breakfast omission induces compensatory eating behaviour at lunch, but often reduces daily 21 energy intake. This study investigated the effect of breakfast omission on within-day 22 subjective appetite, energy expenditure, substrate utilisation and appetite hormone profiles, in 23 response to standardised feeding and exercise. Eight male, habitual breakfast eaters 24 completed two randomised trials. Subjects arrived overnight fasted (0 h), and either 25 consumed (BC) or omitted (BO) a standardised breakfast (Mean (SD) (3085 (217)
kJ). Lunch 26(4162 (510) kJ) and dinner (4914 (345) kJ) were provided at 4.5 and 10 h, respectively and 27 subjects performed 60 min fixed-intensity cycling (50% VO 2 peak) at 8 h. Blood samples 28 were collected at 0, 4.5, 6 and 8 h, with expired air and subjective appetite sensations 29 (hunger, fullness, desire to eat (DTE) and prospective food consumption (PFC)) collected 30 throughout. Heart rate and perceived exertion were measured during exercise. Hunger, DTE 31 and PFC were greater and fullness lower during BO (P<0.05) between breakfast and lunch, 32 with no differences after lunch (P>0.193). Resting energy expenditure was greater at 2.5 h 33 during BC (P<0.05) with no other differences between trials (P>0.156). GLP-1 7-36 was 34 greater (P<0.05) and acylated ghrelin tended to be greater (P=0.078) at 4.5 h during BC. 35Heart rate was greater on BO (P<0.05) during exercise. The results of this laboratory-36 controlled study suggest that the effects of breakfast omission are transient and do not extend 37 beyond lunch, even when the negative energy balance created by breakfast omission is 38 sustained via standardised feeding and exercise.