title: Breakfast consumption in Spanish children and young people.
abstract: OBJECTIVE
  Breakfast consumption is important for nutritional balance in all population groups. The objective of this paper is to describe breakfast consumption patterns in Spanish children and young people.
  
  
  METHODS
  Random population cross-sectional nutritional survey.
  
  
  METHODS
  A random sample of 3534 people aged 2 to 24 years were interviewed by a team of 43 dietitians. The protocol included 24-hour recalls (a second 24-hour recall in 30% of the sample), a food-frequency questionnaire and other questions including lifestyles, knowledge and food preferences.
  
  
  RESULTS
  Participation rate in the survey was 68%. Of the boys, 91.2% and 92.2% of the girls in the sample usually had breakfast. Males aged 18 years and above and 14-17-year-old girls showed the lowest consumption rates. Some 4.1% of the sample did not have any food at all before lunch. Main sources of energy with breakfast were milk and dairy products (34%) and buns, cookies, croissants, etc. (24.6%). Some 44.7% of the sample was classified in the poor-quality breakfast group. Subjects from a low socio-economic background and low educated parents had lower Quality Breakfast Score.
  
  
  CONCLUSIONS
  The proportion of children having breakfast before attending school has increased in Spain in recent decades. However, intake of breakfast is not adequate in a large proportion of this population and a number of children and young people still do not eat anything before lunch. School-based nutrition education involving families, teachers and health professionals, supported by community actions, can contribute to improve this situation.
authors.affiliation: Community Nutrition Unit, Department of Public Health, Bilbao, Spain. bisaludpublica@jet.es
authors.forename: J
authors.initials: J
authors.lastname: Aranceta
authors.forename: L
authors.initials: L
authors.lastname: Serra-Majem
authors.forename: L
authors.initials: L
authors.lastname: Ribas
authors.forename: C
authors.initials: C
authors.lastname: Pérez-Rodrigo
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D002149:Energy Intake / Q000502:physiology; D005247:Feeding Behavior / Q000502:physiology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009749:Nutrition Surveys; D009747:Nutritional Physiological Phenomena / Q000502:physiology; D013030:Spain; D011795:Surveys and Questionnaires