Potential Association between Breakfast Skipping and Concomitant Late-Night-Dinner Eating with Metabolic Syndrome and Proteinuria in the Japanese Population.
Potential Association between Breakfast Skipping and Concomitant Late-Night-Dinner Eating with Metabolic Syndrome and Proteinuria in the Japanese Population.
复制标题
作者：
Kutsuma A;Nakajima K;Suwa K
不吃早餐被认为是一种不健康的饮食习惯，与肥胖和2型糖尿病的易感性有关。因为深夜吃晚餐可能会导致随后不吃早餐，我们调查了日本普通人群中不吃早餐伴深夜吃晚餐（LNDE）是否与代谢综合征（MetS）和蛋白尿相关。我们对60,800名年龄在20-75岁的日本成年人进行了一项横断面研究，检查了自我报告的习惯性不吃早餐和LNDE、MetS（修改的ATP-III标准）和蛋白尿。共有14，068名受试者（23.1%）不吃早餐，其中大约一半（52.8%）单独不吃早餐（没有LNDE）。不吃早餐的比例与体重指数呈J型关系。多变量logistic回归分析显示，不吃早餐合并LNDE（n = 6，645）与MetS和蛋白尿显著相关，即使调整了相关混杂因素（比值比（95%CI），1.17（1.08-1.28），P = 0.0003和1.37（1.24-1.52），P < 0.0001，分别）。单独不吃早餐和单独LNDE分别与MetS和蛋白尿无关。总之，在日本普通人群中，习惯性不吃早餐伴随LNDE可能比单独不吃早餐代表更差的饮食行为，与MetS、无症状蛋白尿、肥胖和低体重相关。
Skipping breakfast is considered to be an unhealthy eating habit linked to predispositions to obesity and type 2 diabetes. Because eating dinner late at night can elicit subsequent breakfast skipping, we investigated if skipping breakfast concomitant with late-night-dinner eating (LNDE) was associated with metabolic syndrome (MetS) and proteinuria in the general Japanese population. We examined self-reported habitual breakfast skipping and LNDE, MetS (modified ATP-III criteria), and proteinuria in a cross-sectional study of 60,800 Japanese adults aged 20–75 years. A total of 14,068 subjects (23.1%) skipped breakfast, of whom approximately half (52.8%) skipped breakfast alone (without LNDE). The percentages of subjects who skipped breakfast showed a J-shaped relationship with body mass index (BMI). Multivariate logistic regression analysis showed that skipping breakfast concomitant with LNDE (n = 6,645) was significantly associated with MetS and proteinuria, even after adjusting for relevant confounders (odds ratio (95% CI), 1.17 (1.08–1.28), P = 0.0003, and 1.37 (1.24–1.52), P < 0.0001, resp.). Skipping breakfast alone and LNDE alone were not associated with MetS and proteinuria, respectively. In conclusion, habitual breakfast skipping concomitant with LNDE may represent poorer eating behavior than skipping breakfast alone, associated with MetS, asymptomatic proteinuria, obesity, and low body weight in the general Japanese population.