Table 3.
Association between breakfast skipping or breakfast consumption from a reported 24 h dietary recall and anthropometric/other cardiometabolic risk factors and the MetS in young adults (20–39 years of age): NHANES 1999–2006
| Breakfast consumption group | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Risk factor (dependent variable: | BS | RTEC | OB | Total | RTEC v. BS (ref.) | BS v. OB (ref.) | RTEC v. OB (ref.) | ||||||||
| present v. absent (ref.))* | %† | se | %† | se | %† | se | %† | se | P value‡ | OR*,§ | 95 % CI | OR*,§ | 95 % CI | OR*,§ | 95 % CI |
| Overweight/obesity§,∥ | 59·2a | 1·5 | 52·1b | 2·0 | 58·4a | 1·3 | 57·5 | 0·9 | 0·008 | 0·69 | 0·55, 0·87†† | 1·13 | 0·95, 1·34 | 0·78 | 0·64, 0·95†† |
| Abdominal obesity§,∥ | 36·8a | 1·3 | 30·2b | 1·7 | 37·9a | 1·3 | 36·3 | 1·0 | <0·0001 | 0·61 | 0·50, 0·75†† | 1·12 | 0·95, 1·32 | 0·69 | 0·57, 0·83†† |
| Elevated blood pressure§,∥ | 20·3a | 1·5 | 13·7b | 1·5 | 17·8a | 0·8 | 17·7 | 0·7 | 0·017 | 0·63 | 0·46, 0·87†† | 1·21 | 0·98, 1·48 | 0·76 | 0·58, 0·99†† |
| Elevated serum TAG§,∥,¶ | 26·1 | 2·0 | 25·8 | 2·6 | 23·5 | 1·5 | 24·5 | 1·1 | 0·24 | 0·87 | 0·61, 1·22 | 1·29 | 0·95, 1·14 | 1·11 | 0·85, 1·45 |
| Elevated serum total cholesterol§,∥ | 35·1a | 1·5 | 29·3b | 2·0 | 34·0b | 1·0 | 33·5 | 0·7 | 0·013 | 0·72 | 0·56, 0·93†† | 1·24 | 1·06, 1·45†† | 0·89 | 0·72, 1·10 |
| Elevated serum LDL-cholesterol§,∥,¶ | 32·2a | 2·4 | 20·8b | 2·8 | 27·4b | 1·4 | 27·5 | 1·2 | 0·039 | 0·77 | 0·61, 0·97†† | 1·26 | 1·04, 1·53†† | 0·98 | 0·80, 1·19 |
| Reduced serum HDL-cholesterol§,∥ | 37·7a | 1·9 | 33·1b | 1·9 | 32·7b | 1·1 | 33·9 | 0·9 | 0·008 | 0·60 | 0·40, 0·89†† | 1·44 | 1·11, 1·88†† | 0·86 | 0·58, 1·26 |
| Elevated plasma glucose§,∥,¶ | 21·7 | 2·4 | 17·0 | 2·6 | 21·1 | 1·3 | 20·6 | 1·0 | 0·25 | 0·76 | 0·47, 1·23 | 1·29 | 0·95, 1·73 | 0·98 | 0·64, 1·48 |
| Elevated serum insulin§,∥,¶ | 12·3a | 1·9 | 9·6b | 1·7 | 11·0a,b | 0·8 | 11·1 | 0·9 | 0·14 | 0·58 | 0·34, 0·96†† | 1·27 | 0·86, 1·87 | 0·74 | 0·49, 1·12 |
| Elevated glycosylated Hb§,∥ | 2·6a | 0·7 | 0·2b | 0·1 | 1·1c | 0·2 | 1·3 | 0·2 | 0·002 | 0·06 | 0·01, 0·31†† | 2·53 | 1·07, 5·96†† | 0·16 | 0·03, 0·76†† |
| Elevated plasma homocysteine§,∥ | 2·8 | 0·6 | 1·5 | 0·5 | 3·0 | 0·4 | 2·7 | 0·3 | 0·16 | 0·40 | 0·15, 1·03 | 1·36 | 0·80, 2·34 | 0·54 | 0·23, 1·25 |
| Elevated serum hs-CRP§,∥ | 1·1 | 0·3 | 1·1 | 0·4 | 1·2 | 0·2 | 1·2 | 0·2 | 0·99 | 1·05 | 0·42, 2·65 | 0·95 | 0·44, 2·05 | 0·10 | 0·44, 2·25 |
| MetS§,∥A–E,¶,** | 20·7 | 2·3 | 17·6 | 2·5 | 18·4 | 1·5 | 18·8 | 1·0 | 0·16 | 0·66 | 0·42, 1·05 | 1·38 | 0·94, 2·03 | 0·91 | 0·61, 1·36 |
MetS, metabolic syndrome; NHANES, National Health and Nutrition Examination Survey; ref., reference group; BS, breakfast skippers; RTEC, ready-to-eat cereal; OB, other breakfast; hs-CRP, high-sensitivity C-reactive protein; WC, waist circumference; SBP, systolic blood pressure; DBP, diastolic blood pressure.
a,b,cValues within a row with unlike superscript letters were significantly different (P < 0·0167 using Bonferroni's correction).
*From covariate-adjusted logistic regression models.
†All values are sample-weighted.
‡Indicates overall P value from the χ 2 test.
§Covariates: energy intake, age, gender, ethnicity, ethnicity × gender, poverty income ratio, smoking status, alcohol consumption, physical activity and marital status.
∥Definitions: overweight/obesity, BMI ≥ 25 kg/m2; abdominal obesityA, WC ≥ 102 cm (males) or WC ≥ 88 cm (females); elevated blood pressureB, SBP ≥ 130 mm Hg or DBP ≥ 85 mm Hg or medication use; elevated serum TAGC, ≥150 mg/dl or medication use; elevated serum total cholesterol, >200 mg/dl; elevated serum LDL-cholesterol, ≥130 mg/dl; reduced serum HDL-cholesterolD, <40 mg/dl (males) or <50 mg/dl (females); elevated plasma glucoseE, ≥100 mg/dl or medication use; elevated serum insulin, >20 μU/ml; elevated glycosylated Hb, >5·9 %; elevated plasma homocysteine, ≥16 μmol/l; elevated serum hs-CRP, >0·3 mg/dl; MetS, three or more of five risk factorsA–E.
¶Only data for those who were fasting for at least 8·5 h before the blood draw were used.
**Only those who had data available on all five MetS risk factors were included.
††Indicates statistical significance (unity not in the 95 % CI of an OR).