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The link between breakfast skipping and overweigh/obesity in children and adolescents: a meta-analysis of observational studies

  • Edris Ardeshirlarijani
  • Nazli NamaziEmail author
  • Masoumeh Jabbari
  • Mina Zeinali
  • Hadis Gerami
  • Reza B. Jalili
  • Bagher LarijaniEmail author
  • Leila AzadbakhtEmail author
Review article

Abstract

Purpose

Childhood overweight/ obesity is one of critical public health concern. It has been suggested that there is a link between breakfast skipping and obesity. However, results are conflicting. The aim of the present study was to summarize the association between breakfast skipping and overweight/obesity in children and adolescent.

Methods

We performed a literature search using Pubmed/Medline, Scopus, Web of Science and EMBASE electronic databases from 2000 through 28 February 2018 without language limitation. Observational studies in which risk measures were reported regarding the link between breakfast skipping and obesity in children and adolescent were included. Studies with at least the score of 5 from Newcastle-Ottawa Scale were considered as low risk of bias. Random effect model was used for data synthesis.

Results

Of 3276 publications, finally 16 studies (14 cross-sectional studies, 2 cohort studies) were included for meta-analysis. Based on cross-sectional studies, we found a positive association between breakfast skipping and obesity (Odd ratio (OR) trim & fill: 1.43; 95%CI: 1.32, 1.54), while cohort studies showed no significant link (OR:1.01, 95%CI: 0.93, 1.11; I2: 48%, p = 0.14). Subgroup analysis in cross-sectional studies showed that the association between breakfast skipping and the risk of obesity in boys was OR: 1.64; 95% CI: 1.38, 1.95; I2: 38.3%, p = 0.18, while it was 1.56 (95% CI: 1.38, 1.77, I2: 0.0%, p = 0.49) in girls.

Conclusion

The risk of obesity in children and adolescents who skipped breakfast was 43% greater than those who ate breakfast regularly in cross-sectional studies, while no significant link was found in cohort studies. However, due to high heterogeneity and limited cohort studies, findings should be interpreted by caution.

Keywords

Breakfast skipping Child Adolescent Obesity 

Notes

Availability of data and materials

Not applicable

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict interests.

Ethics approval and consent to participate

Not applicable

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Simon Fraser UniversityVancouverCanada
  2. 2.Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences InstituteTehran University of Medical SciencesTehranIran
  3. 3.Student Research Committee, Faculty of Nutrition Sciences and Food IndustryShahid Beheshti University of Medical SciencesTehranIran
  4. 4.Department of Nutrition, Faculty of HealthQazvin University of Medical SciencesQazvinIran
  5. 5.Obesity and Eating Habits Research Center, Endocrinology and Metabolism Molecular- Cellular Sciences InstituteTehran University of Medical SciencesTehranIran
  6. 6.Burn and Wound Healing Laboratory, Department of Surgery, Division of Plastic SurgeryUniversity of British ColumbiaVancouverCanada
  7. 7.Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences InstituteTehran University of Medical SciencesTehranIran
  8. 8.Department of Community Nutrition, School of Nutritional Sciences and DieteticsTehran University of Medical SciencesTehranIran
  9. 9.Department of Community Nutrition, School of Nutrition and Food ScienceIsfahan University of Medical SciencesIsfahanIran

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