The Association of Breakfast Frequency and Cardiovascular Disease (CVD) Risk Factors among Adolescents in Malaysia

Norashikin Mustafa, Hazreen Abd Majid, Zoi Toumpakari, Harriet Amy Carroll, Muhammad Yazid Jalaludin , Nabilla Al Sadat, Laura Johnson (Corresponding Author)

Research output: Contribution to journalArticle

Abstract

Breakfast frequency is associated with cardiovascular disease (CVD) risk in Western populations, possibly via the types of food eaten or the timing of food consumption, but associations in Malaysian adolescents are unknown. While the timing of breakfast is similar, the type of food consumed at breakfast in Malaysia differs from Western diets, which allows novel insight into the mechanisms underlying breakfast-CVD risk associations. We investigated foods eaten for breakfast and associations between breakfast frequency and CVD risk factors in the Malaysian Health and Adolescents Longitudinal Research Team study (MyHeARTs). Breakfast (frequency of any food/drink reported as breakfast in 7-day diet history interviews) and CVD risk factors (body mass index (BMI), waist circumference, fasting blood glucose, triacylglycerol, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), and systolic and diastolic blood pressure) were cross-sectionally associated using linear regression adjusting for potential confounders (n = 795, age 13 years). Twelve percent of adolescents never ate breakfast and 50% ate breakfast daily, containing mean (SD) 400 (±127) kilocalories. Commonly consumed breakfast foods were cereal-based dishes (primarily rice), confectionery (primarily sugar), hot/powdered drinks (primarily Milo), and high-fat milk (primarily sweetened condensed milk). After adjustment, each extra day of breakfast consumption per week was associated with a lower BMI (-0.34 kg/m2, 95% confidence interval (CI) -0.02, -0.66), and serum total (-0.07 mmol/L 95% CI -0.02, -0.13) and LDL (-0.07 mmol/L 95% CI -0.02, -0.12) cholesterol concentrations. Eating daily breakfast in Malaysia was associated with slightly lower BMI and total and LDL cholesterol concentrations among adolescents. Longitudinal studies and randomized trials could further establish causality.
Original languageEnglish
Article number973
JournalNutrients
Volume11
Issue number5
DOIs
Publication statusPublished - 28 Apr 2019

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Breakfast
breakfast
Malaysia
cardiovascular diseases
Cardiovascular Diseases
risk factors
Food
body mass index
confidence interval
Body Mass Index
Confidence Intervals
low density lipoprotein
LDL Lipoproteins
sweetened condensed milk
Milk
Blood Pressure
Social Adjustment
diet history
diastolic blood pressure
waist circumference

Keywords

  • breakfast
  • obesity
  • cardiovascular
  • health
  • BMI
  • waist circumference
  • cholesterol
  • blood pressure
  • MyHeaRTs

Cite this

Mustafa, N., Majid, H. A., Toumpakari, Z., Carroll, H. A., Jalaludin , M. Y., Al Sadat, N., & Johnson, L. (2019). The Association of Breakfast Frequency and Cardiovascular Disease (CVD) Risk Factors among Adolescents in Malaysia. Nutrients, 11(5), [973]. https://doi.org/10.3390/nu11050973

The Association of Breakfast Frequency and Cardiovascular Disease (CVD) Risk Factors among Adolescents in Malaysia. / Mustafa, Norashikin; Majid, Hazreen Abd ; Toumpakari, Zoi; Carroll, Harriet Amy; Jalaludin , Muhammad Yazid ; Al Sadat, Nabilla ; Johnson, Laura (Corresponding Author).

In: Nutrients, Vol. 11, No. 5, 973, 28.04.2019.

Research output: Contribution to journalArticle

Mustafa, Norashikin ; Majid, Hazreen Abd ; Toumpakari, Zoi ; Carroll, Harriet Amy ; Jalaludin , Muhammad Yazid ; Al Sadat, Nabilla ; Johnson, Laura. / The Association of Breakfast Frequency and Cardiovascular Disease (CVD) Risk Factors among Adolescents in Malaysia. In: Nutrients. 2019 ; Vol. 11, No. 5.
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