Skip to main content
Log in

The effect of the macronutrient composition of breakfast on satiety and cognitive function in undergraduate students

  • Original Contribution
  • Published:
European Journal of Nutrition Aims and scope Submit manuscript

Abstract

Purpose

It is believed that breakfast is an important meal due to its effect on appetite control and cognitive performance, yet little evidence exists to support this hypothesis.

Methods

Using a crossover design, 33 healthy undergraduates (aged 22 ± 2 years with a BMI of 23.5 ± 1.7 kg/m2) were randomized one of four breakfast treatments: no breakfast, a low-protein breakfast containing no animal protein, a high-carbohydrate/low-protein breakfast containing animal protein or a low-carbohydrate/high-protein breakfast. After an overnight fast, participants reported to the laboratory and baseline appetite questionnaires and cognitive tests were completed. A baseline blood sample was also collected. These measures were repeated at regular intervals throughout the test session. An ad libitum lunch meal was provided 240 min after breakfast, and the amount eaten recorded. Diet diaries and hourly appetite questionnaires were completed for the rest of the day.

Results

The no-breakfast treatment had a marked effect on appetite before lunch (p < .05). Moreover, participants consumed more energy at lunch following the no-breakfast treatment (p < .05). There was no difference in appetite before lunch or food intake at lunch following any treatment when breakfast was eaten. However, food intake over the entire test day was lowest for the no-breakfast treatment (p < .05). Plasma glucose and insulin were lower following the high-protein/low-carbohydrate treatment compared to the low-protein/high-carbohydrate—no animal protein treatment (p < .05). Participants were less happy when they missed breakfast (p < .05), but there were no other statistically significant effects of breakfast on mood or cognitive performance.

Conclusions

These results suggest that changing the macronutrient content of breakfast influences the glycemic response, but has no effect on the appetitive or cognitive performance measures used in this present study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Colditz GA, Willett WC, Stampfer MJ, Manson JE, Hennekens CH, Arky RA, Speizer FE (1990) Weight as a risk factor for clinical diabetes in women. Am J of Epidemiol 132(3):501–513

    Article  CAS  Google Scholar 

  2. Cassano PA, Rosner B, Vokonas PS, Weiss ST (1992) Obesity and body fat distribution in relation to the incidence of non-insulin-dependent diabetes mellitus: a prospective cohort study of men in the Normative Aging Study. Am J of Epidemiol 136(12):1474–1486

    Article  CAS  Google Scholar 

  3. Lipton RB, Liao YL, Cao G, Cooper RS, McGee D (1993) Determinants of incident non-insulin-dependent diabetes mellitus among blacks and white in a national sample. The NHANES i epidemiologic follow-up study. Am J Epidemiol 138(10):826–839

    Article  CAS  Google Scholar 

  4. Lavie CJ, Milani RV, Ventura HO (2009) Obesity and cardiovascular risk. J Am Coll Cardiol 53(21):1925–1932

    Article  Google Scholar 

  5. Larsson SC, Wolk A (2007) Overweight, obesity and risk of liver cancer: a meta-analysis of cohort studies. Brit J Cancer 97(7):1005–1008

    CAS  Google Scholar 

  6. Yang P, Zhou Y, Chen B, Wan H, Jia G, Bai H, Wu X (2009) Overweight, obesity and gastric cancer risk: results from a met-analysis of cohort studies. Euro J Cancer 45(16):2867–2873

    Article  Google Scholar 

  7. Urayama KY, Holcatova I, Janout V, Foretova L, Fabianova E, Adamcakova Z, Ryska M, Martinek A, Shonova O, Brennan P, Scelo G (2011) Body mass index and body size in early adulthood and risk of pancreatic cancer in a central European multicenter case-control study. Int J Cancer 129(12):2875–2884

    Article  CAS  Google Scholar 

  8. Levitsky DA, Halbmaier CA, Mrdjenovic G (2004) The freshman weight gain: a model for the study of the epidemic of obesity. Int J Obes 28(11):1435–1442

    Article  CAS  Google Scholar 

  9. Hoffman DJ, Policastro P, Quick V, Lee SK (2006) Changes in body weight and fat mass of men and women in the first year of college: a study of the “freshman 15”. J Am Coll Health 55(1):41–45

    Article  Google Scholar 

  10. Gropper SS, Newton A, Harrington P, Simmons KP, Connell LJ, Ulrich P (2011) Body composition changes during the first two years of university. Prev Med 52(1):20–22

    Article  Google Scholar 

  11. Mihalopoulos NL, Auinger P, Klein JD (2008) The freshman 15: is it real? J Am Coll Health 56(5):531–533

    Article  Google Scholar 

  12. Kant AK, Andon MB, Angelopoulos TJ, Rippe JM (2008) Association of breakfast energy density with diet quality and body mass index in American adults: National Health and Nutrition Examination Surveys 1999-2004. Am J Clin Nutr 88(5):1396–1404

    CAS  Google Scholar 

  13. Deshmukh-Taskar PR, Nicklas TA, O’Neil CE, Keast DR, Radcliffe JD, Cho S (2010) The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: the National Health and Nutrition Examination Survey 1999–2006. J Am Diet Assoc 110(6):869–878

    Article  CAS  Google Scholar 

  14. Summerbell CD, Moody RC, Shanks J, Stock MJ, Geissler C (1996) Relationship between feeding patter and body mass index in 220 free-living people in four age groups. Euro J Clin Nutr 50(8):513–519

    CAS  Google Scholar 

  15. Cho S, Dietrich M, Brown CJ, Block G (2003) The effect of breakfast type on total daily energy intake and body mass index: results from the Third National Health and Nutrition Examination Survey (NHANES III). J Am Coll Nutr 22(4):296–302

    Article  Google Scholar 

  16. van der Heijden AF, Hu FB, Rimm EB, van Dam RM (2007) A prospective study of breakfast consumption and weight gain among U.S. men. Obesity 15(10):2463–2469

    Article  Google Scholar 

  17. Dhurandhar EJ, Dawson J, Alcorn A, Larsen LH, Thomas EA, Cardel M, Bourland AC et al. (2014). The effectiveness of breakfast recommendation on weight loss: a randomized controlled trial. Am J Clin Nutr. 253–260

  18. Betts JA, Richardson JD, Chowdhury EA, Holman GD, Tsintzas K, Thompson D (2014) The causal role of breakfast in energy balance and health: a randomized controlled trial in lean adults. Am J Clin Nutr. doi:10.3945/ajcn.114.083402

    Google Scholar 

  19. Ball SD, Keller KR, Moyer-Mileur LJ, Ding Y, Donaldson D, Jackson WD (2003) Prolongation of satiety after low versus moderately high glycemic index meals in obese adolescents. Pediatrics 111(3):488–494

    Article  Google Scholar 

  20. Krog-Mikkelsen I, Sloth B, Dimitrov D, Tetens I, Björck I, Flint A, Holst JJ, Astrup A, Elmståhl H, Raben A (2011) A low glycemic index diet does not affect postprandial energy metabolism but decreases postprandial insulinemia and increases fullness rating in healthy women. J Nutr 141(9):1679–1684

    Article  CAS  Google Scholar 

  21. Warren JM, Henry CJ, Simonite V (2003) Low glycemic index breakfasts and reduced food intake in preadolescent children. Pediatrics 112(5):E414–E419

    Article  Google Scholar 

  22. Halton TL, Hu FB (2004) The effects of high protein diets on thermogenesis, satiety and weight loss: a critical review. J Am Coll Nutr 23(5):373–385

    Article  Google Scholar 

  23. Weigle DS, Breen PA, Matthys CC, Callahan HS, Meeuws KE, Burden VR, Purnell JQ (2005) A high-protein diet induces sustained reductions in appetite, ad libitum caloric intake, and body weight despite compensatory changes in diurnal plasma leptin and ghrelin concentration. Am J Clin Nutr 82(1):41–48

    CAS  Google Scholar 

  24. Paddon-Jones DE, Westman E, Mattes RD, Wolfe RR, Astrup A, Wwsterterp-Plantenga M (2008) Protein, weight management, and satiety. Am J Clin Nutr 87(5):1558S–1561S

    CAS  Google Scholar 

  25. Leidy HJ, Racki EM (2010) The addition of a protein-rich breakfast and its effects on acute appetite control and food intake in ‘breakfast–skipping’ adolescents. Int J Obesity. 34(7):1125–1133

    Article  CAS  Google Scholar 

  26. Stubbs RJ, vanWyk MC, Johnstone AM, Harbron CG (1996) Breakfasts high in protein, fat or carbohydrate: effect on within-day appetite and energy balance. Euro J Clin Nutr. 50(7):409–417

    CAS  Google Scholar 

  27. Vander JS, Marth JM, Khosla P, Jen KL, Dhurandhar NV (2005) Short-term effect of eggs on satiety in overweight and obese subjects. J Am Coll Nutr 24(6):510–515

    Article  Google Scholar 

  28. Hursel RL, van der Zee L, Westerterp-Plamtemga MS (2010) Effects of a breakfast yoghurt, with additional total whey protein or caseinomacropeptide-depleted alpha-lactalbumin-enriched whey protein, on diet-induced thermogenesis and appetite suppression. Brit J Nutr 103(5):775–780

    Article  CAS  Google Scholar 

  29. Ratliff J, Leite JO, de Oqburn R, Puglisi MJ, VanHeest J, Fernandez ML (2010) Consuming eggs for breakfast influences plasma glucose and ghrelin, while reducing energy intake during the next 24 hours in adult men. Nutr Res 30(2):96–103

    Article  CAS  Google Scholar 

  30. Leidy HJ, Bossingham MJ, Mattes RD, Campbell WW (2009) Increased dietary protein consumed at breakfast leads to an initial and sustained feeling of fullness during energy restriction compared to other meal times. Brit J Nutr 101(6):798–803

    Article  CAS  Google Scholar 

  31. Pollitt ER, Leibel L, Greenfield D (1981) Brief fasting, stress and cognition in children. Am J Clin Nutr 34(8):1526–1533

    CAS  Google Scholar 

  32. Conners CK, Blouin AG (1982) Nutritional effects on behavior of children. J Psych Res 17(2):193–201

    Article  Google Scholar 

  33. Wesnes KA, Pincock C, Richardson D, Helm G, Hails S (2003) Breakfast reduces declines in attention and memory over the morning in schoolchildren. Appetite 41(3):329–331

    Article  Google Scholar 

  34. Mahoney CR, Taylor HA, Kanarek RB, Samuel P (2005) Effect of breakfast composition on cognitive processes in elementary school children. Physiol Beh 85(5):635–645

    Article  CAS  Google Scholar 

  35. Kennedy DO, Scholey AB (2000) Glucose administration, heart rate and cognitive performance: effects of increasing mental effort. Psychopharmacology 149(1):63–71

    Article  CAS  Google Scholar 

  36. Scholey AB, Kennedy DO (2004) Cognitive and physiological effects of an “energy drink”: an evaluation of the whole drink and of glucose, caffeine and herbal flavouring fractions. Psychopharmacology 176(3–4):320–330

    Article  CAS  Google Scholar 

  37. Owen L, Scholey AB, Finnegan Y, Hu H, Sünram-Lea SI (2012) The effect of glucose dose and fasting interval on cognitive function: a double-blind, placebo-controlled, six-way crossover study. Psychopharmacology 220(3):577–589

    Article  CAS  Google Scholar 

  38. Jenkins DJ, Wolever TM, Taylor R, Barker H, Fielden H, Baldwin JM, Bowling AC, Newman HC, Jenkins AL, Goff DV (1981) Glycemic index of foods: a physiologic basis for carbohydrate exchange. Am J Clin Nutr 34(3):362–366

    CAS  Google Scholar 

  39. Benton D, Maconie A, Williams C (2007) The influence of the glycaemic load of breakfast on the behavior of children in school. Physiol Beh 92(4):717–724

    Article  CAS  Google Scholar 

  40. Micha R, Rogers PJ, Nelson M (2010) Glycaemic index and glycaemic load of breakfast predict cognitive function and mood in school children: a randomized controlled trial. Brit J Nutr 106(10):1552–1561

    Article  Google Scholar 

  41. Moghaddam EJ, Vogt JA, Wolever TMS (2006) The effects of fat and protein on glycemic responses in nondiabetic humans vary with waist circumference, fasting plasma insulin, and dietary fiber intake. J Nutr 136(10):2506–2511

    CAS  Google Scholar 

  42. Fischer KP, Colombani C, Wolfgang L, Weng C (2002) Carbohydrate to protein ratio in food and cognitive performance in the morning. Physiol Beh 75(3):411–423

    Article  CAS  Google Scholar 

  43. Stunkard AJ, Messick S (1985) The 3-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 29:71–83

    Article  CAS  Google Scholar 

  44. Schofield WN (1985) Predicting basal metabolic rate, new standards and review of previous work. Hun Nur Clin Nutr 39(Suppl 1):5–41

    Google Scholar 

  45. Zhu Y, Hsu W, Hollis JH (2013) The effect of food form on satiety. I J Food Sci Nutr 64(4):385–391

    CAS  Google Scholar 

  46. Pruessner JC, Kirschbaum C, Meinlschmid G et al (2003) Two formulas for computation of the area under the curve represent measures of total hormone concentration versus time-dependent change. Psychoneuroendocrinology 28:916–931

    Article  CAS  Google Scholar 

  47. Porrini M, Santangelo A, Crovetti R, Riso P, Testolin G, Blundell JE (1997) Weight, protein, fat and timing of preloads affect food intake. Physiol Behav 62:563–570

    Article  CAS  Google Scholar 

  48. Rolls BJ, Hetherington M, Burley VJ (1988) The specificity of satiety: the influence of foods of different macronutrient content on the development of satiety. Physiol Behav 43(1):145–153

    Article  CAS  Google Scholar 

  49. Westerterp-Plantenga MS, Rolland V, Wilson SAJ, Westerterp KR (1999) Satiety related to 24 h diet-induced thermogenesis during high protein/carbohydrate vs high fat diets measured in a respiration chamber. Eur J Clin Nutr 53:495–502

    Article  CAS  Google Scholar 

  50. De Graaf C, Hulshof T, Weststrate JA, Jas P (1992) Short term effects of different amounts of protein, fats and carbohydrate on satiety. Am J Clin Nutr 55:33–38

    Google Scholar 

  51. Clayton DJ, Baruteu A, Machin C, Stensel DJ, James LJ (2015) Effect of breakfast omission on energy intake and evening exercise performance. Med Sci Sports Exerc 47:2645–2652

    Article  Google Scholar 

  52. Chowdhury EA, Richardson JD, Tsintzas K, Thopson D, Betts JA (2015) Carbohydrate-rich breakfast attenuates glycaemic, insulinaemic and ghrlin response to ad libitum lunch relative to morning fasting in lean adults. Br J Nutr 114:98–107

    Article  CAS  Google Scholar 

  53. Hubert P (1998) Uncoupling the effects of energy expenditure and energy intake: appetite response to short-term energy deficit induced by meal omission and physical activity. Appetite 31:9–19

    Article  CAS  Google Scholar 

  54. Levitsky DA, Pacanowski CR (2013) Effect of skipping breakfast on subsequent energy intake. Physiol Behav 119:9–16

    Article  CAS  Google Scholar 

  55. Kral TV, Whiteford LM, Heo M, Faith MS (2011) Effects of eating breakfast compared with skipping breakfast on ratings of appetite and intake at subsequent meals in 8- to 10-year old children. Am J Clin Nutr 93:284–291

    Article  CAS  Google Scholar 

  56. Gonzalez JT, Veaswey RC, Rumbol PLS, Stevenson EJ (2013) Breakfast and exercise contingently affect postprandial metabolism and energy balance in physically active males. Br J Nutr 110:721–732

    Article  CAS  Google Scholar 

  57. Chowdury EA, Richardson JD, Tsintzas K, Thopson D, Betts JA (2015) Effect of extended morning fasting upon ad libitum lunch intake and associated metabolic and hormonal responses in obese adults. Int J Obes 40(2):305–311

    Article  Google Scholar 

  58. Schlundt DC, Hill JO, Sbrocco T, Pope-Cordle J, Sharp T (1992) The role of breakfast in the treatment of obesity: a randomized clinical trial. Am J Clin Nutr 55(3):645–651

    CAS  Google Scholar 

  59. Dhurandhar EJ, Dawson J, Alcorn A, Larsen LH, Thomas EA, Cardel M et al (2014) The effectiveness of breakfast recommendations on weight loss: a randomized controlled trial. Am J Clin Nutr 100(2):507–513

    Article  CAS  Google Scholar 

  60. Mollica CM, Maruff P, Collie A, Vance A (2005) Repeated assessment of cognition in children and the measurement of performance change. Child Neuropsychol. 11(3):303–310

    Article  Google Scholar 

  61. Friendly M (1996), Paivio et al. Word List Generator, Online application. http://www.datavis.ca/online/paivio/. Accessed: 28/10/2014

  62. Murphy KJ, West R, Armilio ML, Craik FIM, Stuss DT (2007) Word list learning performance in younger and older adults: intra-individual performance variability and false memory. Aging Neuropsychol Cogn 14:70–94

    Article  Google Scholar 

  63. Troyer AK (2000) Normative data for clustering and switching on verbal fluency tasks. J Clin Exper Neuropsychology. 22:370–380

    Article  CAS  Google Scholar 

  64. Stroop JR (1935) Studies of interference in serial verbal reactions. J Exp Psychol 18(6):643–662

    Article  Google Scholar 

  65. Macleod CM (1991) Half a century of research on the Stroop effect: an integrative review. Psychol Bull 109(2):163–203

    Article  CAS  Google Scholar 

  66. Salthouse TA (1992) Influence of processing speed on adult age differences in working memory. Acta Psychologia 79:155–170

    Article  CAS  Google Scholar 

  67. Stubbs RJ, O’Reilly LM, Johnstone AM, Harrison CLS, Clark H, Franklin MF (1999) Description and evaluation of an experimental model to examine changes in selection between high protein, high carbohydrate and high fat foods in humans. Euro J Clin Nutr. 53(2):13–21

    Article  CAS  Google Scholar 

Download references

Acknowledgments

We thank Visha Arumugam for her technical assistance and dedication. This study was funded by the National Pork Board.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to James H. Hollis.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Emilien, C.H., West, R. & Hollis, J.H. The effect of the macronutrient composition of breakfast on satiety and cognitive function in undergraduate students. Eur J Nutr 56, 2139–2150 (2017). https://doi.org/10.1007/s00394-016-1254-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00394-016-1254-5

Keywords

Navigation