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Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity

There is a general belief that having breakfast is an important healthy lifestyle factor; however, there is scarce evidence on the influence of breakfast quality and energy density on cardiometabolic risk in children, as well as on the role of physical activity in this association. The aims of this...

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Autores principales: Arenaza, Lide, Muñoz-Hernández, Victoria, Medrano, María, Oses, Maddi, Amasene, Maria, Merchán-Ramírez, Elisa, Cadenas-Sanchez, Cristina, Ortega, Francisco B., Ruiz, Jonatan R., Labayen, Idoia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116118/
https://www.ncbi.nlm.nih.gov/pubmed/30103429
http://dx.doi.org/10.3390/nu10081066
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author Arenaza, Lide
Muñoz-Hernández, Victoria
Medrano, María
Oses, Maddi
Amasene, Maria
Merchán-Ramírez, Elisa
Cadenas-Sanchez, Cristina
Ortega, Francisco B.
Ruiz, Jonatan R.
Labayen, Idoia
author_facet Arenaza, Lide
Muñoz-Hernández, Victoria
Medrano, María
Oses, Maddi
Amasene, Maria
Merchán-Ramírez, Elisa
Cadenas-Sanchez, Cristina
Ortega, Francisco B.
Ruiz, Jonatan R.
Labayen, Idoia
author_sort Arenaza, Lide
collection PubMed
description There is a general belief that having breakfast is an important healthy lifestyle factor; however, there is scarce evidence on the influence of breakfast quality and energy density on cardiometabolic risk in children, as well as on the role of physical activity in this association. The aims of this paper were (i) to examine the associations of breakfast quality and energy density from both solids and beverages with cardiometabolic risk factors, and (ii) to explore whether physical activity levels may attenuate these relationships in children with overweight/obesity from two projects carried out in the north and south of Spain. Breakfast consumption, breakfast quality index (BQI) score, BEDs/BEDb (24 h-recalls and the KIDMED questionnaire), and physical activity (PA; accelerometry) were assessed, in 203 children aged 8–12 years who were overweight or obese. We measured body composition (Dual X-ray Absorptiometry), uric acid, blood pressure, lipid profile, gamma-glutamyl-transferase (GGT), glucose, and insulin, and calculated the HOMA and metabolic syndrome z-score. The BQI score was inversely associated with serum uric acid independently of a set of relevant confounders (β = −0.172, p = 0.028), but the relationship was attenuated after further controlling for total PA (p < 0.07). BEDs was positively associated with total and HDL cholesterol, and systolic blood pressure regardless of confounders (all p < 0.05), while BEDb was positively associated with HOMA in either active/inactive children (all p < 0.03). In conclusion, higher breakfast quality and lower breakfast energy density should be promoted in overweight/obesity children to improve their cardiometabolic health.
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spelling pubmed-61161182018-09-04 Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity Arenaza, Lide Muñoz-Hernández, Victoria Medrano, María Oses, Maddi Amasene, Maria Merchán-Ramírez, Elisa Cadenas-Sanchez, Cristina Ortega, Francisco B. Ruiz, Jonatan R. Labayen, Idoia Nutrients Article There is a general belief that having breakfast is an important healthy lifestyle factor; however, there is scarce evidence on the influence of breakfast quality and energy density on cardiometabolic risk in children, as well as on the role of physical activity in this association. The aims of this paper were (i) to examine the associations of breakfast quality and energy density from both solids and beverages with cardiometabolic risk factors, and (ii) to explore whether physical activity levels may attenuate these relationships in children with overweight/obesity from two projects carried out in the north and south of Spain. Breakfast consumption, breakfast quality index (BQI) score, BEDs/BEDb (24 h-recalls and the KIDMED questionnaire), and physical activity (PA; accelerometry) were assessed, in 203 children aged 8–12 years who were overweight or obese. We measured body composition (Dual X-ray Absorptiometry), uric acid, blood pressure, lipid profile, gamma-glutamyl-transferase (GGT), glucose, and insulin, and calculated the HOMA and metabolic syndrome z-score. The BQI score was inversely associated with serum uric acid independently of a set of relevant confounders (β = −0.172, p = 0.028), but the relationship was attenuated after further controlling for total PA (p < 0.07). BEDs was positively associated with total and HDL cholesterol, and systolic blood pressure regardless of confounders (all p < 0.05), while BEDb was positively associated with HOMA in either active/inactive children (all p < 0.03). In conclusion, higher breakfast quality and lower breakfast energy density should be promoted in overweight/obesity children to improve their cardiometabolic health. MDPI 2018-08-10 /pmc/articles/PMC6116118/ /pubmed/30103429 http://dx.doi.org/10.3390/nu10081066 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Arenaza, Lide
Muñoz-Hernández, Victoria
Medrano, María
Oses, Maddi
Amasene, Maria
Merchán-Ramírez, Elisa
Cadenas-Sanchez, Cristina
Ortega, Francisco B.
Ruiz, Jonatan R.
Labayen, Idoia
Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity
title Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity
title_full Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity
title_fullStr Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity
title_full_unstemmed Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity
title_short Association of Breakfast Quality and Energy Density with Cardiometabolic Risk Factors in Overweight/Obese Children: Role of Physical Activity
title_sort association of breakfast quality and energy density with cardiometabolic risk factors in overweight/obese children: role of physical activity
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116118/
https://www.ncbi.nlm.nih.gov/pubmed/30103429
http://dx.doi.org/10.3390/nu10081066
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