Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: results of a cross-sectional study

Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: results of a cross-sectional study

This cross-sectional study aims to describe the frequency of breakfast consumption among school-going adolescents in Delhi and evaluate its association with overweight and obesity as well as other dietary, physical activity, and sedentary behaviors. Eight schools (Private and Government) were studied in Delhi with a total of 1814 students. Body mass index, self-reported breakfast consumption, diet and physical activity related behaviors, and psychosocial factors were measured. The study found that significantly more Government school (lower SES) students consumed breakfast daily as compared to Private school (higher SES) students; more 8th graders consumed breakfast daily vs.10th graders, overall prevalence of overweight and obesity among adolescents who consumed breakfast daily was significantly lower vs. those who only sometimes or never consumed breakfast. Intake of dairy products, fruits and vegetables was 5.5 (95% CI 2.4-12.5), 1.7 (95% CI 1.1-2.5) and 2.2 (95% CI 1.3-3.5) times higher among those who consumed breakfast daily vs. those who never consumed breakfast. Breakfast consumption was associated with greater physical activity vs. those who never consumed breakfast.

The authors conclude that although prospective studies should confirm the present results, intervention programs to prevent or treat childhood obesity in India should consider emphasizing regular breakfast consumption.