Regularity in Breakfast and Snacks Intake and Its Relationship with Weight Status in Elementary School Students: A Cross Sectional Study

Background: Childhood weight status is one of the important predictors of health status later in life. Some previous studies have postulated a relationship between the pattern of breakfast intake and weight status, but this relationship has not yet been clearly confirmed. This study aimed to assess the status of regularity in intake of breakfast and snacks and its relationship with weight status in elementary school students. Method: This study was done with a descriptive-analytic design. ۳۶۲ ۳۶۲ children (Males: ۱۹۲, Females: ۱۷۰ child) were selected from elementary schools of Urmia by the use of stratified cluster sampling. A dietary ۲۴-hour recall form was used for the assessment of intakes. Data about breakfast, snacks, height, weight, and waist circumferences were collected. Children's Physical Activity Questionnaire (PAQ-C) was used to assess the participants’ physical activity level. Data were analyzed using the descriptive and inferential statistics in SPSS software. Results: Mean student age, weight and BMI were ۱۰.۵۷±۱.۱۷ years, ۳۷.۴۴±۱۱.۳۰ kg and ۱۸.۴±۳.۳۹, respectively. ۵۳.۲% of girls had a regular breakfast and ۵۵% regular snack intake. Among the boys, ۴۶.۸% had regular breakfast and ۴۵% regular snack intake. Results showed a significant relationship between BMI and snacks consumption (p = ۰.۰۲). There was a significant relationship between the frequency of irregular breakfast intake and weight (P=۰.۰۱), but the relationship was not significant for the body mass index (P = ۰.۱۱). ۵۸.۱% of the students in the irregular breakfast group and ۶۴.۴% of those in the irregular snacks group were lean. Conclusions: Regular intake of snacks was correlated with higher weight status and maintaining desirable BMI. Irregular breakfast intake was related to lower weight. Most students with irregular breakfast and snack intake were underweight and thin.

Keywords:

Obesity , , , , , Overweight , , , , , BMI , , , , , Breakfast , , , , , Snacks , , , , , Elementary school