健康的早餐或可减少腹部肥胖

创作:梁婷 审核:沈志勋 12月06日
以18岁至75岁的成年人为样本,采用24小时饮食回忆法对饮食进行评估;
发现有1351人(67%)吃早餐,早餐类型包括三种:“传统型”−白面包、黄油、甜甜圈,”节俭型”−水果、未加工和不加糖的谷物片、坚果和酸奶,“西方型”—加工谷物早餐和牛奶;
“节俭型”的早餐与腹部肥胖呈负相关,“传统型”和“西式型”与腰臀比之间没有联系;
早餐食用水果、天然谷物片、坚果和酸奶,可能降低腹部肥胖的几率。
延伸阅读

Association between breakfast composition and abdominal obesity in the Swiss adult population eating breakfast regularly

瑞士成年人规律的早餐与腹部肥胖的关系

11-20, Article, 10.1186/s12966-018-0752-7more

Abstract:
BACKGROUND: Evidence from experimental and observational studies is limited regarding the most favorable breakfast composition to prevent abdominal fat accumulation. We explored the association between breakfast composition (a posteriori derived dietary patterns) and abdominal obesity among regular breakfast eaters from a Swiss population-based sample.
METHODS: The cross-sectional survey assessed diet using two 24-h dietary recalls in a nationally representative sample of adults aged 18 to 75 years. We derived dietary patterns using principal component analysis based on the intake of 22 breakfast-specific food groups. All regular breakfast eaters were predicted an individual score for each identified pattern, and then classified into tertiles (T1, T2, T3). We defined abdominal obesity as waist-to-hip ratio (WHR) ≥ 0.9 in men and ≥ 0.85 in women. Logistic models were adjusted for sociodemographic characteristics, relevant nutrition- and health-related behaviors, and diet quality during the rest of the day.
RESULTS: Of the 2019 included survey participants, 1351 (67%) were regular breakfast eaters. Among them, we identified three breakfast types: 1) 'traditional' - white bread, butter, sweet spread, 2) 'prudent' - fruit, unprocessed and unsweetened cereal flakes, nuts/seeds, yogurt, and 3) 'western' - processed breakfast cereals, and milk. The 'prudent' breakfast was negatively associated with abdominal obesity. After full adjustment, including diet quality during the rest of the day, the association was weaker (T3 vs. T1: OR 0.72, 95% CI: 0.47 to 1.08). People taking a 'prudent' breakfast (in T3) had 1.2% lower WHR compared to people taking a breakfast distant from 'prudent' (in T1) (P = 0.02, fully adjusted model with continuous log-WHR). We found no association between 'traditional' or 'western' breakfasts and WHR (OR 1.00, 95% CI: 0.67 to 1.50 and OR 1.16, 95% CI: 0.79 to 1.71, respectively). Findings were in the same directions for the three breakfast types when defining obesity with waist circumference, waist-to-height ratio, or body mass index (≥ 30 kg/m, for 'prudent' breakfast: OR 0.51, 95% CI: 0.31 to 0.85).
CONCLUSIONS: Regular breakfast consumers had less abdominal obesity if their breakfast was composed of fruit, natural cereal flakes, nuts/seeds and yogurt. This association was partly explained by their healthier diet during the rest of the day.
TRIAL REGISTRATION: ISRCTN16778734 .

First Authors:
Angeline Chatelan

Correspondence Authors:
Murielle Bochud

All Authors:
Angeline Chatelan,Katia Castetbon,Jerome Pasquier,Chloe Allemann,Alexandre Zuber,Esther Camenzind-Frey,Christine Anne Zuberbuehler,Murielle Bochud