The association between consumption of breakfast cereals and BMI in schoolchildren aged 12-17 years: the VYRONAS study.
OBJECTIVE
To evaluate whether consumption of breakfast cereals is associated with BMI in a sample of Greek adolescents.


METHODS
A cross-sectional health and nutrition survey.


METHODS
During 2004-5, 2008 schoolchildren aged 12-17 years were selected from twelve schools located in Vyronas region (Athens metropolitan area). Height and weight were measured and BMI was calculated. A semiquantitative FFQ was applied and multiple logistic regression analysis was used.


RESULTS
Overall, 4.7% of boys and 1.7% of girls were obese, whereas 19.4% of boys and 13.2% of girls were overweight. Only 20.7% of boys and 15.5% of girls reported that they consume cereals as a first choice for breakfast. Consumption of breakfast cereals was associated with lower BMI in boys (P=0.08) and girls(P=0.019), irrespective of age and physical activity status. More prominent results were observed for daily cereal consumption or for more than two daily servings of cereals consumed for breakfast. Consumption of pre-sweetened breakfast cereals was associated with lower BMI compared with non-pre-sweetened or no intake of cereals, in both genders (P<0.001). Consumption of breakfast cereals was associated with 33% (95% CI 14%, 48%) lower likelihood of overweight/obesity, irrespective of age, sex and physical activity status.


CONCLUSIONS
Consumption of breakfast cereals was associated with lower BMI levels and a lower likelihood of overweight/obesity in both genders; thus a solid basis for public health professionals could be built when issuing advice on weight management.
Kosti
Rena I
RI
Unit of Human Nutrition, Department of Food Science and Technology, Agricultural University of Athens, 75 Iera Odos, 11855 Athens, Greece. renakst@yahoo.gr
Panagiotakos
Demosthenes B
DB
Zampelas
Antonis
A
Mihas
Costas
C
Alevizos
Alevizos
A
Leonard
Clare
C
Tountas
Yannis
Y
Mariolis
Anargiros
A
D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena / Q000502:physiology*; D015992:Body Mass Index; D002648:Child; D003430:Cross-Sectional Studies; D004435:Eating / Q000502:physiology; D002523:Edible Grain; D002149:Energy Intake / Q000502:physiology; D015444:Exercise / Q000502:physiology; D005247:Feeding Behavior / Q000502:physiology; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D016015:Logistic Models; D008297:Male; D009749:Nutrition Surveys; D009765:Obesity / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology*; D015995:Prevalence; D017678:Sex Distribution; D011795:Surveys and Questionnaires