Late-night overeating is associated with smaller breakfast, breakfast skipping, and obesity in children: The Healthy Growth Study

Late-night overeating is associated with smaller breakfast, breakfast skipping, and obesity in children: The Healthy Growth Study
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DOI:
10.1016/j.nut.2016.05.010
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发表时间:
2017-01-01
期刊:
影响因子:
4.4
通讯作者:
Manios, Yannis
Manios, Yannis
中科院分区:
医学3区
文献类型:
--
作者:
Karatzi, Kalliopi;Moschonis, George;Manios, Yannis

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目的:晚上摄入过多的能量与一些健康问题有关。本研究的目的是调查第一次可能的关联深夜暴饮暴食与早餐的习惯和肥胖的大样本的希腊儿童年龄在9至13 y.Methods:在所有,2655学童(9-13 y)参加了健康成长研究,在77所小学在希腊的四个大地区进行的横断面流行病学研究。本研究以1912名儿童为研究对象,对儿童的人体测量、饮食、体力活动和体格检查指标进行了全面的研究。结果:晚餐和晚餐零食的高能量摄入与不吃早餐的可能性较高相关(比值比,1.85; 95%可信区间1.42-2.39)和早餐热量摄入较低(β = 0.14; P < 0.001)。研究发现,体力活动水平最低四分位数的儿童在晚餐时消耗的卡路里与他们的体重指数之间存在正相关(β = 0.11; P = 0.019)。在体力活动水平最高的四分位数的儿童中,这种关联是相反的(β = -0.10; P = 0.033)。结论:深夜暴饮暴食与跳过和/或消耗较少的早餐有关。在身体活动水平低的儿童中,它与体重指数增加有关。未来的相关研究对进一步探索和证实本研究的结果至关重要。(C)2016 Elsevier Inc. All rights reserved.
Objective: Excessive energy intake during evening hours is associated with several health problems. The aim of this study was to investigate for the first time the possible association of late-night overeating with breakfast habits and obesity in a large sample of Greek children ages 9 to 13 y.Methods: In all, 2655 schoolchildren (9-13 y) participated in the Healthy Growth Study, a cross-sectional epidemiologic study conducted in 77 primary schools in four large regions in Greece. The present study presents results on 1912 children having full data regarding anthropometric, dietary, physical activity, and physical examination indices.Results: High-energy intake at dinner and evening snack was associated with higher likelihood of skipping breakfast (odds ratio, 1.85; 95% confidence interval 1.42-2.39) and with lower caloric intake at breakfast (beta = 0.14; P < 0.001). Children at the lowest quartile of physical activity levels were found to have a positive association between the calories consumed at dinner and their body mass index (beta = 0.11; P = 0.019). This association was inverse for children at the highest quartile of physical activity levels (beta = -0.10; P = 0.033).Conclusions: Late-night overeating is associated with skipping and/or consuming a smaller breakfast. In children with low levels of physical activity, it is associated with increased body mass index. Future relevant studies are essential to further explore and confirm the findings of the present study. (C) 2016 Elsevier Inc. All rights reserved.