Skip Navigation


American Journal of Epidemiology Advance Access originally published online on December 12, 2007
American Journal of Epidemiology 2008 167(2):188-192; doi:10.1093/aje/kwm309
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
167/2/188    most recent
kwm309v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Purslow, L. R.
Right arrow Articles by Wareham, N. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Purslow, L. R.
Right arrow Articles by Wareham, N. J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

American Journal of Epidemiology © The Author 2007. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

ORIGINAL CONTRIBUTIONS

Energy Intake at Breakfast and Weight Change: Prospective Study of 6,764 Middle-aged Men and Women

Lisa R. Purslow1,2, Manjinder S. Sandhu1,3, Nita Forouhi1, Elizabeth H. Young1,3, Robert N. Luben3, Ailsa A. Welch3, Kay-Tee Khaw3, Sheila A. Bingham4,5 and Nicholas J. Wareham1

1 MRC Epidemiology Unit, Institute of Medical Science, Addenbrooke's Hospital, Cambridge, United Kingdom
2 Cancer Research UK Health Behaviour Unit, University College London, London, United Kingdom
3 Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom
4 MRC Dunn Human Nutrition Unit, University of Cambridge, Cambridge, United Kingdom
5 MRC Centre for Nutrition in Cancer Epidemiology Prevention and Survival, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom

Correspondence to Dr. Nicholas Wareham, MRC Epidemiology Unit, University of Cambridge, Cambridge CB1 9NL, United Kingdom (e-mail: nick.wareham{at}mrc-epid.cam.ac.uk).

Received for publication July 3, 2007. Accepted for publication September 21, 2007.

To investigate the association between percentage of total daily energy intake consumed at breakfast and weight change in middle-aged men and women, the authors analyzed data from a prospective population-based cohort study from Norfolk, United Kingdom. Participants were 6,764 men and women aged 40–75 years at baseline (1993–1997). Participants completed a 7-day food diary at baseline, and objective measurements of height and weight were carried out at baseline and follow-up (1998–2000). Mean baseline body mass index (weight (kg)/height (m)2) was lowest among persons in the highest quintile of percentage of daily energy consumed at breakfast (mean values were 26.0 in the highest quintile and 26.3 in the lowest quintile), despite higher daily total energy intake in this group. Although all participants gained weight, increased percentage of daily energy consumed at breakfast was associated with relatively lower weight gain (adjusted β coefficient = –0.021, 95% confidence interval: –0.035, –0.007; p = 0.004). The association between percentage of daily energy intake consumed at breakfast and weight gain was independent of age, sex, smoking, total energy intake, macronutrient intake, social class, and physical activity. Redistribution of daily energy intake, so that more energy is consumed at breakfast and less energy is consumed later in the day, may help to reduce weight gain in middle-aged adults.

body mass index; diet; feeding behavior; food; obesity; prospective studies; weight gain

Abbreviations: BMI, body mass index; %TEI, percentage of total energy intake


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.