Impact of Breakfast Counselling and 6 Days of Breakfast on the Nutritional Status and Knowledge of Middle School Students in Berastagi, Indonesia
DOI:
https://doi.org/10.3923/pjn.2020.12.18Keywords:
Breakfast, knowledge, malnutrition, nutritional status, obesityAbstract
Background and Objective: Adolescent malnutrition will determine a person’s nutritional status in adulthood. Factors that determine whether a person will develop obesity or malnutrition will persist well into adulthood. Breakfast is a full meal that is consumed in the morning. It is recommended to consume meals that are low in fat content and have a sufficient amount of carbohydrates and protein. This study aimed to evaluate the impact of consuming a full breakfast for 6 days on the nutritional status and knowledge of breakfast among junior high school students. Materials and Methods: We recruited a total of 68 students from the 7th, 8th and 9th grades at Al Washliyah 42 Junior High School in Berastagi, North Sumatera, Indonesia. These students were given breakfast for 6 days in a row with counselling on the importance of breakfast via the “Breakfast Ambassador” programme. Breakfast was served by the school catering service and supervised by five ambassadors. Participants were asked to complete a questionnaire before and after the study. Nutritional status and knowledge of breakfast and a balanced diet were also assessed. Results: Approximately 63.2% of students had good nutritional status. The students’ knowledge of breakfast prior to the start of the study was considered sufficient (20.3%). We found an association between the knowledge on the importance of breakfast and breakfast habits but no association was observed between nutritional status and having breakfast. Conclusion: Breakfast habits are not associated with nutritional status. Knowledge of the importance of breakfast is associated with breakfast habits.
References
Asao, K., A.S. Marekani, J. VanCleave and A.E. Rothberg, 2016. Leptin level and skipping breakfast: the national health and nutrition examination survey III (NHANES III). Nutrients, Vol. 8, No. 3.
Baum, J.I., B.L. Gaines, G.C. Kubas, C.F. Mitchell and S.L. Russell, 2017. Educational nutrition messaging at breakfast reduces snack intake and influences snack preferences in adult men and women. Appetite, 117: 67-73.
Cho, S., M. Dietrich, C.J.P. Brown, C.A. Clark and G. Block, 2003. The effect of breakfast type on total daily energy intake and body mass index: Results from the third National Health and Nutrition Examination Survey (NHANES III). J. Am. Colle. Nutr., 22: 296-302.
Food and Nutrition Service, USDA., 2012. Nutrition standards in the national school lunch and school breakfast programs. Final rule. Fed. Regist., 77: 4088-4167.
Kant, A.K., M.B. Andon, T.J. Angelopoulos and J.M. Rippe, 2008. Association of breakfast energy density with diet quality and body mass index in American adults: National health and nutrition examination surveys, 1999-2004. Am. J. Clin. Nutr., 88: 1396-1404.
Smith, K.J., M.C. Breslin, S.A. McNaughton, S.L. Gall, L. Blizzard and A.J. Venn, 2017. Skipping breakfast among Australian children and adolescents; findings from the 2011–12 national nutrition and physical activity survey. Aust. N.Z. J. Public Health, 41: 572-578.
Melby, M.K. and W. Takeda, 2014. Lifestyle constraints, not inadequate nutrition education, cause gap between breakfast ideals and realities among Japanese in Tokyo. Appetite, 72: 37-49.
Taskar, P.D., T.A. Nicklas, J.D. Radcliffe, C.E O'Neil and Y. Liu, 2013. The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999–2006. Public Health Nutr., 16: 2073-2082.
GarcÃa, M.C., J.R. Ruiz, F.B. Ortega, I. Labayen and M.G. Gross et al., 2014. Association of breakfast consumption with objectively measured and self-reported physical activity, sedentary time and physical fitness in European adolescents: The HELENA (Healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr., 17: 2226-2236.
Chanet, A., S. Verlaan, J. Salles, C. Giraudet and V. Patrac et al., 2017. Supplementing breakfast with a vitamin D and leucine-enriched whey protein medical nutrition drink enhances postprandial muscle protein synthesis and muscle mass in healthy older men. J. Nutr., 147: 2262-2271.
Coulthard, J.D., L. Palla and G.K. Pot, 2017. Breakfast consumption and nutrient intakes in 4–18-year-olds: UK national diet and nutrition survey rolling programme (2008-2012). Br. J. Nutr., 118: 280-290.
Food and Nutrition Service USDA., 2013. National school lunch program and school breakfast program: nutrition standards for all foods sold in school as required by the healthy, hunger-free kids act of 2010. Interim final rule. Fed. Regist., 78: 39067-39120.
Gibney, M.J., S.I. Barr, F. Bellisle, A. Drewnowski and S. Fagt et al., 2018. Breakfast in human nutrition: The international breakfast research initiative. Nutrients, Vol. 10, No. 5.
Hallström, L., C.A. Vereecken, I. Labayen, J.R. Ruiz and C. Le Donne et al., 2012. Breakfast habits among European adolescents and their association with sociodemographic factors: the HELENA (Healthy lifestyle in Europe by nutrition in adolescence) study. Public Health Nutr., 15: 1879-1889.
Lyerly, J.E., L.R. Huber, J.W. Findlow, E.F. Racine and J. Dmochowski, 2014. Is breakfast skipping associated with physical activity among US adolescents? A cross-sectional study of adolescents aged 12–19 years, National Health and Nutrition Examination Survey (NHANES). Public Health Nutr., 17: 896-905.
Utter, J., R. Scragg, C.N. Mhurchu and D. Schaaf, 2007. At-home breakfast consumption among New Zealand children: Associations with body mass index and related nutrition behaviors. J. Am. Diet. Assoc., 107: 570-576.
Hallstrom, L., I. Labayen, J.R. Ruiz, E. Patterson and C.A. Vereecken et al., 2013. Breakfast consumption and CVD risk factors in European adolescents: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public Health Nutr., 16: 1296-1305.
Marcason, W., 2012. What are the new national school lunch and breakfast program nutrition standards? J. Acad. Nutr. Diet., 112: 1112-1112.
Matsumoto, M., N. Ishige, A. Sakamoto, A. Saito and S. Ikemoto, 2019. Nutrition knowledge related to breakfast skipping among Japanese adults aged 18–64 years: a cross-sectional study. Public Health Nutr., 22: 1029-1036.
González-Vallejo, C. and B.D. Lavins, 2016. Evaluation of breakfast cereals with the current nutrition facts panel (NFP) and the food and drug administration's NFP proposal. Public Health Nutr., 19: 1047-1058.
Mhurchu, C.N., M. Turley, D. Gorton, Y. Jiang, J. Michie, R. Maddison and J. Hattie, 2010. Effects of a free school breakfast programme on school attendance, achievement, psychosocial function and nutrition: A stepped wedge cluster randomised trial. BMC Public Health, Vol. 10.
Nicklas, T.A., C. O'Neil and L. Myers, 2004. The importance of breakfast consumption to nutrition of children, adolescents and young adults. Nutr. Today, 39: 30-39.
Powell, C.A., S.P. Walker, S.M. Chang and S.M. Grantham-McGregor, 1998. Nutrition and education: A randomized trial of the effects of breakfast in rural primary school children. Am. J. Clin. Nutr., 68: 873-879.
Uzhova, I., D. Mullally, J.L. Peñalvo and E.R. Gibney, 2018. Regularity of breakfast consumption and diet: Insights from national adult nutrition survey. Nutrients, Vol. 10, No. 11.
Deshmukh-Taskar, P.R., T.A. Nicklas, C.E. O'Neil, D.R. Keast, J.D. Radcliffe and S. Cho, 2010. 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., 110: 869-878.
Frisvold, D.E., 2015. Nutrition and cognitive achievement: an evaluation of the school breakfast program. J. Public Econ., 124: 91-104.
Fernanández-Ruiz, I., 2017. Nutrition: Start your day with a high-energy breakfast. Nat. Rev. Cardiol., Vol. 14.
Williams, P., 2007. Breakfast and the diets of Australian children and adolescents: An analysis of data from the 1995 National Nutrition Survey. Int. J. Food Sci. Nutr., 58: 201-216.
Au, L.E., S. Whaley, N.J. Rosen, M. Meza and L.D. Ritchie, 2016. Online and in-person nutrition education improves breakfast knowledge, attitudes and behaviors: A randomized trial of participants in the special supplemental nutrition program for women, infants and children. J. Acad. Nutr. Diet., 116: 490-500.
Dehdari, T., T. Rahimi, N. Aryaeian and M.R. Gohari, 2013. Effect of nutrition education intervention based on Pender's Health Promotion Model in improving the frequency and nutrient intake of breakfast consumption among female Iranian students. Public Health Nutr., 17: 657-666.
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