title: Breakfast skipping as a risk correlate of overweight and obesity in school-going ethnic Fijian adolescent girls.
abstract: The prevalence of overweight and obesity has increased globally, and population data suggest that it is also increasing among ethnic Fijian youth. Among numerous behavioural changes contributing to overweight in youth residing in nations undergoing rapid economic and social change, meal skipping has not been examined as a potential risk factor. The study objectives were to assess the prevalence of overweight, obesity, and breakfast skipping and examine their cross-sectional association in a community sample of school-going ethnic Fijian adolescent girls (N=523). We measured height and weight, and assessed dietary patterns, eating pathology, dimensions of acculturation, and other socio-demographic and cultural data by self-report. We observed a high prevalence of both overweight (41%, including 15% who were obese) and breakfast skipping (68%). In addition, in multivariable analyses unadjusted for eating pathology, we found that more frequent breakfast skipping was associated with greater odds of overweight (odds ratio (OR)=1.15, confidence interval (CI)=1.06, 1.26, p<0.01) and obesity (OR=1.18, CI=1.05, 1.33, p<0.01). Regression models adjusting for eating pathology attenuated this relation so that it was non-significant, but demonstrated that greater eating pathology was associated with greater odds of both overweight and obesity. Future research is necessary to clarify the relation among breakfast skipping, eating pathology, and overweight in ethnic Fijian girls, and to identify whether breakfast skipping may be a modifiable risk factor for overweight in this population.
authors.affiliation: Eating Disorders Clinical Research Program, Massachusetts General Hospital, and Department of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave. Boston, MA 02115, USA.
authors.forename: Jonas J
authors.initials: JJ
authors.lastname: Thompson-McCormick
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Thomas
authors.forename: Asenaca
authors.initials: A
authors.lastname: Bainivualiku
authors.forename: A Nisha
authors.initials: AN
authors.lastname: Khan
authors.forename: Anne E
authors.initials: AE
authors.lastname: Becker
mesh_terms: D000293:Adolescent; D003430:Cross-Sectional Studies; D005247:Feeding Behavior / Q000502:physiology*; D005260:Female; D005367:Fiji / Q000453:epidemiology; D006801:Humans; D015999:Multivariate Analysis; D009765:Obesity / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology*; D012307:Risk Factors; D013334:Students
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