PMID- 35581727
OWN - NLM
STAT- MEDLINE
DCOM- 20231204
LR  - 20231216
IS  - 0260-1060 (Print)
IS  - 0260-1060 (Linking)
VI  - 29
IP  - 4
DP  - 2023 Dec
TI  - The path between breakfast eating habit, sleep duration and physical activity on 
      obesity status: An epidemiological study in schoolchildren.
PG  - 721-730
LID - 10.1177/02601060221102270 [doi]
AB  - Background: Although the literature suggests that skipping breakfast, 
      insufficient sleep, and reduced physical activity are associated with childhood 
      obesity their co-influence and their in-between interactions on weight status 
      have rarely been studied. Aim: To examine the co-influence of breakfast eating 
      habits, sleep duration, and physical activity on the weight status of children 
      10-12 years old from several schools of Greece. Methods: A cross-sectional study 
      was conducted on 1688 students in Greece, during 2014-2016. Children's Body Mass 
      Index (BMI) was calculated and classified according to the International Obesity 
      Task Force (IOTF) classification. Logistic regression models and path analysis 
      were used. Results: Overweight/obesity prevalence was higher in boys (32.5% vs. 
      20.4%; p < 0.001). Average sleep duration decreased the odds of 
      overweight/obesity [OR (95% CI): 0.86 (0.76, 0.97)] independently of the 
      frequency of breakfast habit. Interaction between sleep duration with breakfast 
      habit (p = 0.002) and physical activity (p < 0.001) was observed. Path analysis 
      showed a negative association of BMI with sleep duration (standardized 
      beta = -0.095, p < 0.001). A third-order interaction between breakfast habit, 
      sleep duration, and physical activity revealed that daily breakfast eating along 
      with adequate sleep and moderate/adequate physical activity levels, decreased the 
      odds of over-weight/obesity by 55% [OR 0.45, 95% CI (0.27, 0.72)]. Conclusion: 
      Although sleep duration is inversely associated with weight status independently 
      of breakfast habit, the co-influence of adequate sleep duration with frequent 
      breakfast eating and moderate/adequate physical activity seems to be a profoundly 
      higher associated as a result of synergy against childhood obesity.
FAU - Kosti, Rena I
AU  - Kosti RI
AD  - Department of Nutrition and Dietetics, School of Physical Education, Sports and 
      Dietetics, University of Thessaly, Trikala, Greece. RINGGOLD: 37786
FAU - Kanellopoulou, Aikaterini
AU  - Kanellopoulou A
AUID- ORCID: 0000-0002-4766-6040
AD  - Department of Nutrition and Dietetics, School of Health Science and Education, 
      Harokopio University, Athens, Greece. RINGGOLD: 68996
FAU - Morogianni, Konstantina
AU  - Morogianni K
AUID- ORCID: 0000-0002-3730-3262
AD  - Department of Nutrition and Dietetics, School of Health Science and Education, 
      Harokopio University, Athens, Greece. RINGGOLD: 68996
FAU - Notara, Venetia
AU  - Notara V
AUID- ORCID: 0000-0002-4080-8392
AD  - Department of Public and Community Health, Laboratory of Hygiene and 
      Epidemiology, School of Public Health, University of West Attica, Athens, Greece. 
      RINGGOLD: 523391
FAU - Antonogeorgos, George
AU  - Antonogeorgos G
AD  - Department of Nutrition and Dietetics, School of Health Science and Education, 
      Harokopio University, Athens, Greece. RINGGOLD: 68996
FAU - Kourtesa, Triada
AU  - Kourtesa T
AD  - Department of Public and Community Health, Laboratory of Hygiene and 
      Epidemiology, School of Public Health, University of West Attica, Athens, Greece. 
      RINGGOLD: 523391
FAU - Rojas-Gil, Andrea Paola
AU  - Rojas-Gil AP
AD  - Department of Nursing, Faculty of Health Sciences, University of Peloponnese, 
      Tripoli, Greece.
FAU - Kornilaki, Ekaterina N
AU  - Kornilaki EN
AD  - Department of Preschool Education, School of Education, University of Crete, 
      Rethimno, Greece.
FAU - Lagiou, Areti
AU  - Lagiou A
AD  - Department of Public and Community Health, Laboratory of Hygiene and 
      Epidemiology, School of Public Health, University of West Attica, Athens, Greece. 
      RINGGOLD: 523391
FAU - Panagiotakos, Demosthenes B
AU  - Panagiotakos DB
AUID- ORCID: 0000-0001-8583-153X
AD  - Department of Nutrition and Dietetics, School of Health Science and Education, 
      Harokopio University, Athens, Greece. RINGGOLD: 68996
AD  - Faculty of Health, University of Canberra, Bruce ACT, Australia.
LA  - eng
PT  - Journal Article
DEP - 20220517
PL  - England
TA  - Nutr Health
JT  - Nutrition and health
JID - 8306569
SB  - IM
MH  - Male
MH  - Humans
MH  - Child
MH  - *Pediatric Obesity/epidemiology/etiology
MH  - Overweight/epidemiology
MH  - Cross-Sectional Studies
MH  - Breakfast
MH  - Sleep Duration
MH  - Feeding Behavior
MH  - Exercise
MH  - Body Mass Index
MH  - Epidemiologic Studies
MH  - Habits
OTO - NOTNLM
OT  - breakfast consumption
OT  - children
OT  - overweight/obesity status
OT  - physical activity
OT  - sleep duration
COIS- Declaration of conflicting interestsThe authors declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article. Two of the authors, D.B. Panagiotakos and V. Notara are Editorial Board 
      Members of the Nutrition and Health Journal.
EDAT- 2022/05/19 06:00
MHDA- 2023/12/04 12:42
CRDT- 2022/05/18 00:43
PHST- 2023/12/04 12:42 [medline]
PHST- 2022/05/19 06:00 [pubmed]
PHST- 2022/05/18 00:43 [entrez]
AID - 10.1177/02601060221102270 [doi]
PST - ppublish
SO  - Nutr Health. 2023 Dec;29(4):721-730. doi: 10.1177/02601060221102270. Epub 2022 
      May 17.