Association between breakfast consumption and educational outcomes in 9-11-year-old children.

Association between breakfast consumption and educational outcomes in 9-11-year-old children.
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DOI:
10.1017/s1368980015002669
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发表时间:
2016-06
影响因子:
3.2
通讯作者:
Murphy S
Murphy S
中科院分区:
医学3区
文献类型:
--
作者:
Littlecott HJ;Moore GF;Moore L;Lyons RA;Murphy S

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早餐消费一直与学童的健康状况和认知功能有关。与教育成果直接相关的证据仍然模棱两可。我们的目的是研究9 - 11岁儿童的早餐消费与6-18个月后获得的教育成果之间的联系。个人层面的免费校餐权利和教育成果(关键阶段2的法定评估测试)的数据是通过SAIL数据库获得的,并与早期收集的早餐消费数据相关联。多层模型评估了早餐消费与sat之间的关系。威尔士小学免费早餐倡议试验。5年级和6年级的学生,3093名(基线)和3055名(随访)。经性别、个人和学校免费校餐资格调整后,发现所有饮食行为与sat更好成绩之间存在显著关联(OR= 1.95;早餐方面的置信区间为1.58、2.40,OR= 1.08;健康早餐方面的置信区间为1.04、1.13)。不健康早餐的数量与学习成绩之间没有关联。当早餐消费的测量与sat测试更接近时,早餐消费与教育成绩的关联更强(在sat测试前6个月测量的OR= 2.02,在sat测试前18个月测量的OR= 1.61)。在自我报告的早餐消费和教育成果之间观察到显著的正相关。未来的研究应旨在探索早餐消费与教育成果之间的联系机制,并了解如何促进学童的早餐消费。向学校宣传教育效益的发现可能有助于加强对改善学生健康行为的努力的支持。
Breakfast consumption has been consistently associated with health outcomes and cognitive functioning in schoolchildren. Evidence of direct links with educational outcomes remains equivocal. We aimed to examine the link between breakfast consumption in 9–11-year-old children and educational outcomes obtained 6–18 months later. Data on individual-level free school meal entitlement and educational outcomes (Statutory Assessment Tests (SATs) at Key Stage 2) were obtained via the SAIL databank and linked to earlier data collected on breakfast consumption. Multilevel modelling assessed associations between breakfast consumption and SATs. Trial of the Primary School Free Breakfast Initiative in Wales. Year 5 and 6 students, n 3093 (baseline) and n 3055 (follow-up). Significant associations were found between all dietary behaviours and better performance in SATs, adjusted for gender and individual- and school-level free school meal entitlement (OR=1·95; CI 1·58, 2·40 for breakfast, OR=1·08; CI 1·04, 1·13 for healthy breakfast items). No association was observed between number of unhealthy breakfast items consumed and educational performance. Association of breakfast consumption with educational performance was stronger where the measure of breakfast consumption was more proximal to SATs tests (OR=2·02 measured 6 months prior to SATs, OR=1·61 measured 18 months prior). Significant positive associations between self-reported breakfast consumption and educational outcomes were observed. Future research should aim to explore the mechanisms by which breakfast consumption and educational outcomes are linked, and understand how to promote breakfast consumption among schoolchildren. Communicating findings of educational benefits to schools may help to enhance buy-in to efforts to improve health behaviours of pupils.