Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Factors associated with skipping breakfast among Inner Mongolia Medical students in China

Authors: Juan Sun, He Yi, Zhiyue Liu, Yan Wu, Jiang Bian, Yanyan Wu, Yuki Eshita, Gaimei Li, Qing Zhang, Ying Yang

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Few studies on the breakfast consumption habits of medical students in China have been carried out. The aim of the present study was to determine the prevalence of skipping breakfast and factors associated with skipping breakfast among medical students in Inner Mongolia of China, and to assist in the design of interventions to improve breakfast consumption habits of medical college students in this region.

Methods

From December 2010 to January 2011 a cross-sectional survey was conducted among medical students in the Inner Mongolia Medical College using a self-administered questionnaire. The prevalence of skipping breakfast in relation to lifestyle habits was described and factors associated with breakfast consumption were identified using multiple logistic regression analysis.

Results

The overall prevalence of skipping breakfast was 41.7% and 23.5% for males and females, respectively. The Faculty of Medicine Information Management had the highest breakfast skipping prevalence. Logistic regression models found that the main factors associated with breakfast consumption habits among medical students were gender, class years of education, monthly expenses, faculty, appetite, sleeping quality, and the learning process; monthly expenses, sleeping quality, and the learning process showed a dose-dependent relationship.

Conclusions

Breakfast consumption was associated with many factors, most importantly monthly expenses, sleeping quality and the learning process. The prevalence of skipping breakfast is significantly higher compared recently reported figures for medical students in western countries and other areas of China. Improvement of breakfast education should be considered for students in which higher monthly expenses, poor sleeping quality, or a laborious learning process have been identified.
Literature
1.
go back to reference Behrens B: Is breakfast or breakfast skipping associated with adiposity in adults? Methodological considerations. CFS Honors Program Undergraduate. Theses 2009, Paper 1 Behrens B: Is breakfast or breakfast skipping associated with adiposity in adults? Methodological considerations. CFS Honors Program Undergraduate. Theses 2009, Paper 1
2.
go back to reference Morgan KJ, Zabik ME, Stampiey GL: Breakfast consumption Pattems of U.S. children and dolescents. Nutr Res. 1986, 6: 635-645. 10.1016/S0271-5317(86)80005-7.CrossRef Morgan KJ, Zabik ME, Stampiey GL: Breakfast consumption Pattems of U.S. children and dolescents. Nutr Res. 1986, 6: 635-645. 10.1016/S0271-5317(86)80005-7.CrossRef
3.
go back to reference Sandercock GRH, Voss C, Dye L: Associations between habitual school-day breakfast consumption, body mass index, physical activity and cardiorespiratory fitness in English schoolchildren. Eur J Clin Nutr. 2010, 64: 1086-1092. 10.1038/ejcn.2010.145.CrossRefPubMed Sandercock GRH, Voss C, Dye L: Associations between habitual school-day breakfast consumption, body mass index, physical activity and cardiorespiratory fitness in English schoolchildren. Eur J Clin Nutr. 2010, 64: 1086-1092. 10.1038/ejcn.2010.145.CrossRefPubMed
4.
go back to reference Hoyland A, Dye L, Lawton CL: A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr Res Rev. 2009, 22: 220-243.CrossRefPubMed Hoyland A, Dye L, Lawton CL: A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr Res Rev. 2009, 22: 220-243.CrossRefPubMed
5.
go back to reference Moore L, Moore GF, Tapper K, Lynch R, Desousa C, Hale J, Roberts C, Murphy S: Free breakfasts in schools: design and conduct of a cluster randomised controlled trial of the Primary School Free Breakfast Initiative in Wales. BMC Publ Health. 2007, 7 (258): 1-12. Moore L, Moore GF, Tapper K, Lynch R, Desousa C, Hale J, Roberts C, Murphy S: Free breakfasts in schools: design and conduct of a cluster randomised controlled trial of the Primary School Free Breakfast Initiative in Wales. BMC Publ Health. 2007, 7 (258): 1-12.
6.
go back to reference Rampersaud G, Pereira M, Girard B, Adams J, Metzl J: Breakfast habits, nutritional status, body weight and academic performance in children and adolescents. J Am Diet Assoc. 2005, 105: 743-760. 10.1016/j.jada.2005.02.007.CrossRefPubMed Rampersaud G, Pereira M, Girard B, Adams J, Metzl J: Breakfast habits, nutritional status, body weight and academic performance in children and adolescents. J Am Diet Assoc. 2005, 105: 743-760. 10.1016/j.jada.2005.02.007.CrossRefPubMed
7.
go back to reference Schusdziarra V, Hausmann M, Wittke C, Mittermeier J, Kellner M, Naumann A, Wagenpfeil S, Erdmann J: Impact of breakfast on daily energy intake - ananalysis of absolute versus relative breakfast calories. Nutr J. 2011, 10 (5): 1-8. Schusdziarra V, Hausmann M, Wittke C, Mittermeier J, Kellner M, Naumann A, Wagenpfeil S, Erdmann J: Impact of breakfast on daily energy intake - ananalysis of absolute versus relative breakfast calories. Nutr J. 2011, 10 (5): 1-8.
8.
go back to reference Timlin MT, Pereira MA: Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev. 2007, 65: 268-281. 10.1111/j.1753-4887.2007.tb00304.x.CrossRefPubMed Timlin MT, Pereira MA: Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev. 2007, 65: 268-281. 10.1111/j.1753-4887.2007.tb00304.x.CrossRefPubMed
9.
go back to reference Lien N, Jr DRJ, Klepp K-I: Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutrition. 2002, 5 (5): 671-681.CrossRefPubMed Lien N, Jr DRJ, Klepp K-I: Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutrition. 2002, 5 (5): 671-681.CrossRefPubMed
10.
go back to reference Zeng YC, Li SM, Xiong GL, Su HM, Wan JC: Influences of protein to energy ratios in breakfast on mood, alertness and attention in the healthy undergraduate students. Health. 2011, 3 (6): 383-393. 10.4236/health.2011.36065.CrossRef Zeng YC, Li SM, Xiong GL, Su HM, Wan JC: Influences of protein to energy ratios in breakfast on mood, alertness and attention in the healthy undergraduate students. Health. 2011, 3 (6): 383-393. 10.4236/health.2011.36065.CrossRef
11.
go back to reference Boo NY, Chia GJQ, Wong LC, Chew RM, Chong W, Loo RCN: The prevalence of obesity among clinical students in a Malaysian medical school. Singapore Med J. 2010, 51 (2): 126-132.PubMed Boo NY, Chia GJQ, Wong LC, Chew RM, Chong W, Loo RCN: The prevalence of obesity among clinical students in a Malaysian medical school. Singapore Med J. 2010, 51 (2): 126-132.PubMed
12.
go back to reference Sakamaki R, Toyama K, Amamoto R, Liu CJ, Shinfuku N: Nutritional knowledge, food habits and health attitude of Chinese university students –a cross sectional study. Nutr J. 2005, 4 (4): 1-5. Sakamaki R, Toyama K, Amamoto R, Liu CJ, Shinfuku N: Nutritional knowledge, food habits and health attitude of Chinese university students –a cross sectional study. Nutr J. 2005, 4 (4): 1-5.
13.
go back to reference World Health Organization: Leave the Pack Behind. 1999, Geneva: WHO, 33-39. World Health Organization: Leave the Pack Behind. 1999, Geneva: WHO, 33-39.
14.
go back to reference Chao ESM, Vanderkooy PS: An overview of breakfast nutrition. J Can Diet Assoc. 1989, 50: 225-228. Chao ESM, Vanderkooy PS: An overview of breakfast nutrition. J Can Diet Assoc. 1989, 50: 225-228.
15.
go back to reference Devaney BL, Thomas F: The Dietary Impacts of the School Breakfast Program. Am J Agric Econ. 1989, 71 (4): 932-948. 10.2307/1242670.CrossRef Devaney BL, Thomas F: The Dietary Impacts of the School Breakfast Program. Am J Agric Econ. 1989, 71 (4): 932-948. 10.2307/1242670.CrossRef
16.
go back to reference Harada T, Hirotani M, Maeda M, Nomura H, Takeuchi H: Correlation between Breakfast Tryptophan Content and Morningness-Eveningness in Japanese Infants and Students Aged 0–15 yrs. J Physiol Anthropol. 2007, 26 (2): 201-208. 10.2114/jpa2.26.201.CrossRefPubMed Harada T, Hirotani M, Maeda M, Nomura H, Takeuchi H: Correlation between Breakfast Tryptophan Content and Morningness-Eveningness in Japanese Infants and Students Aged 0–15 yrs. J Physiol Anthropol. 2007, 26 (2): 201-208. 10.2114/jpa2.26.201.CrossRefPubMed
17.
go back to reference Nakade M, Akimitsu O, Wada K, Krejci M, Noji T, Taniwaki N, Takeuchi H, Harada T: Can breakfast tryptophan and vitamin B6 intake and morning exposure to sunlight promote morning-typology in young children aged 2 to 6 years?. J Physiol Anthropol. 2012, 31 (1): 11-10.1186/1880-6805-31-11.CrossRefPubMedPubMedCentral Nakade M, Akimitsu O, Wada K, Krejci M, Noji T, Taniwaki N, Takeuchi H, Harada T: Can breakfast tryptophan and vitamin B6 intake and morning exposure to sunlight promote morning-typology in young children aged 2 to 6 years?. J Physiol Anthropol. 2012, 31 (1): 11-10.1186/1880-6805-31-11.CrossRefPubMedPubMedCentral
18.
go back to reference Ask AS, Hernes S, Aarek I, Johannessen G, Haugen M: Changes in dietary pattern in 15 year old adolescents following a 4 month dietary intervention with school breakfast – a pilot study. Nutr J. 2006, 5 (33): 1-6. Ask AS, Hernes S, Aarek I, Johannessen G, Haugen M: Changes in dietary pattern in 15 year old adolescents following a 4 month dietary intervention with school breakfast – a pilot study. Nutr J. 2006, 5 (33): 1-6.
19.
go back to reference Isaksson H, Rakha A, Andersson R, Fredriksson H, Olsson J, Åman P: Rye kernel breakfast increases satiety in the afternoon - an effect of food structure. Nutr J. 2011, 10 (31): 1-10. Isaksson H, Rakha A, Andersson R, Fredriksson H, Olsson J, Åman P: Rye kernel breakfast increases satiety in the afternoon - an effect of food structure. Nutr J. 2011, 10 (31): 1-10.
20.
go back to reference Bian J, Du M, Fan Y, Eshita Y, Qin P, Sun J: Incidence of and factors associated with daily smoking among Inner Mongolia medical students in China: a cross-sectional questionnaire survey. Subst Abuse Treat Prev Policy. 2012, 7 (20): 1-11. Bian J, Du M, Fan Y, Eshita Y, Qin P, Sun J: Incidence of and factors associated with daily smoking among Inner Mongolia medical students in China: a cross-sectional questionnaire survey. Subst Abuse Treat Prev Policy. 2012, 7 (20): 1-11.
21.
go back to reference Gleason PM: Participation in the National School Lunch Program and the School Breakfast Program. Am J Clin Nutr. 1995, 61: 213-220. Gleason PM: Participation in the National School Lunch Program and the School Breakfast Program. Am J Clin Nutr. 1995, 61: 213-220.
22.
go back to reference Alexander KE, Ventura EE, Metz DS, Weigensberg MJ, Goran MI, Davis JN: Association of breakfast skipping with visceral fat and insulin indices in overweight latino youth. Obesity. 2009, 17 (8): 1528-1533. 10.1038/oby.2009.127.CrossRefPubMedPubMedCentral Alexander KE, Ventura EE, Metz DS, Weigensberg MJ, Goran MI, Davis JN: Association of breakfast skipping with visceral fat and insulin indices in overweight latino youth. Obesity. 2009, 17 (8): 1528-1533. 10.1038/oby.2009.127.CrossRefPubMedPubMedCentral
23.
go back to reference Siega-Riz AM, Popkin BM, Carson T: Trends in breakfast consumption for children in the United States from 1965 to 1991. Am J Clin Nutr. 1998, 67: 748s-756s.PubMed Siega-Riz AM, Popkin BM, Carson T: Trends in breakfast consumption for children in the United States from 1965 to 1991. Am J Clin Nutr. 1998, 67: 748s-756s.PubMed
24.
go back to reference Deshmukh-Taskar PR, Nicklas TA, O’Neil C, Keast D, Radcliffe JD, Cho S: The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: The National Health and Nutrition Examination Survey 1999–2006. J Am Diet Assoc. 2010, 110: 869-878. 10.1016/j.jada.2010.03.023.CrossRefPubMed Deshmukh-Taskar PR, Nicklas TA, O’Neil C, Keast D, Radcliffe JD, Cho S: The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: The National Health and Nutrition Examination Survey 1999–2006. J Am Diet Assoc. 2010, 110: 869-878. 10.1016/j.jada.2010.03.023.CrossRefPubMed
25.
go back to reference Preziosi P, Galan P, Deheeger M, Yacoub N, Drewnowski A, Hercberg S: Breakfast type, daily nutrient intakes and vitamin and mineral status of french children, adolescents and adults. J Am Coll Nutr. 1999, 18 (2): 171-178.CrossRefPubMed Preziosi P, Galan P, Deheeger M, Yacoub N, Drewnowski A, Hercberg S: Breakfast type, daily nutrient intakes and vitamin and mineral status of french children, adolescents and adults. J Am Coll Nutr. 1999, 18 (2): 171-178.CrossRefPubMed
26.
go back to reference Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ: Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health Study. Am Soc Nutr. 2010, 92: 1316-1325. Smith KJ, Gall SL, McNaughton SA, Blizzard L, Dwyer T, Venn AJ: Skipping breakfast: longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health Study. Am Soc Nutr. 2010, 92: 1316-1325.
27.
go back to reference Yahia N, Achkar A, Abdallah A, Rizk S: Eating habits and obesity among Lebanese university students. Nutr J. 2008, 7 (32): 1-6. Yahia N, Achkar A, Abdallah A, Rizk S: Eating habits and obesity among Lebanese university students. Nutr J. 2008, 7 (32): 1-6.
28.
go back to reference Biró L, Rabin B, Regöly-Mérei A, Nagy K, Pintér B, Beretvás E, Morava E, Antal M: Dietary habits of medical and pharmacy studentds at Semmelweis University, Budapest. Acta Alimentaria. 2005, 34 (4): 463-471. 10.1556/AAlim.34.2005.4.13.CrossRef Biró L, Rabin B, Regöly-Mérei A, Nagy K, Pintér B, Beretvás E, Morava E, Antal M: Dietary habits of medical and pharmacy studentds at Semmelweis University, Budapest. Acta Alimentaria. 2005, 34 (4): 463-471. 10.1556/AAlim.34.2005.4.13.CrossRef
29.
go back to reference Timlin MT, Pereira MA, Story M, Neumark-Sztainer D: Breakfast eating and weight change in a 5-year prospective analysis of adolescents: Project EAT (Eating Among Teens). Pediatrics. 2008, 121 (3): e638-e646. 10.1542/peds.2007-1035.CrossRefPubMed Timlin MT, Pereira MA, Story M, Neumark-Sztainer D: Breakfast eating and weight change in a 5-year prospective analysis of adolescents: Project EAT (Eating Among Teens). Pediatrics. 2008, 121 (3): e638-e646. 10.1542/peds.2007-1035.CrossRefPubMed
30.
go back to reference Liu Y, Zhai F, Popkin BM: Trends in eating behaviours among Chinese children (1991–1997). Asia Pac J Clin Nutr. 2006, 15 (1): 72-80.PubMed Liu Y, Zhai F, Popkin BM: Trends in eating behaviours among Chinese children (1991–1997). Asia Pac J Clin Nutr. 2006, 15 (1): 72-80.PubMed
31.
go back to reference Jahns L, Siega-Riz A, Popkin B: The Increasing prevalence of snacking among U.S. children and adolescents from1977 to 1996. J Pediatr. 2001, 138: 493-498. 10.1067/mpd.2001.112162.CrossRefPubMed Jahns L, Siega-Riz A, Popkin B: The Increasing prevalence of snacking among U.S. children and adolescents from1977 to 1996. J Pediatr. 2001, 138: 493-498. 10.1067/mpd.2001.112162.CrossRefPubMed
32.
go back to reference Bian J, Yi H, Zhiyue L, Li G, Teer B, Zhang Q, Sun J: Prevalence of and factors associated with various level of body weight among inner Mongolia medical students in China. Open J Prev Med. 2012, 2 (2): 123-130. 10.4236/ojpm.2012.22018.CrossRef Bian J, Yi H, Zhiyue L, Li G, Teer B, Zhang Q, Sun J: Prevalence of and factors associated with various level of body weight among inner Mongolia medical students in China. Open J Prev Med. 2012, 2 (2): 123-130. 10.4236/ojpm.2012.22018.CrossRef
33.
go back to reference Spiegel K, Tasali E, Leproult R, Cauter EV: Effects of poor and short sleep on glucose metabolism and obesity risk. Nat Rev Endocrinol. 2009, 5: 253-261. 10.1038/nrendo.2009.23.CrossRefPubMedPubMedCentral Spiegel K, Tasali E, Leproult R, Cauter EV: Effects of poor and short sleep on glucose metabolism and obesity risk. Nat Rev Endocrinol. 2009, 5: 253-261. 10.1038/nrendo.2009.23.CrossRefPubMedPubMedCentral
34.
go back to reference Mhurchu CN, Turley M, Gorton D, Jiang Y, Michie J, Maddison R, Hattie J: Effects of a free school breakfast programme on school attendance, achievement, psychosocial function, and nutrition: a stepped wedge cluster randomised trial. BMC Publ Health. 2010, 10 (738): 1-6. Mhurchu CN, Turley M, Gorton D, Jiang Y, Michie J, Maddison R, Hattie J: Effects of a free school breakfast programme on school attendance, achievement, psychosocial function, and nutrition: a stepped wedge cluster randomised trial. BMC Publ Health. 2010, 10 (738): 1-6.
Metadata
Title
Factors associated with skipping breakfast among Inner Mongolia Medical students in China
Authors
Juan Sun
He Yi
Zhiyue Liu
Yan Wu
Jiang Bian
Yanyan Wu
Yuki Eshita
Gaimei Li
Qing Zhang
Ying Yang
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-42

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue