title: Prevalence and Correlates of Missing Meals Among High School Students-United States, 2010.
abstract: OBJECTIVE
  To determine the prevalence and correlates of missing meals among adolescents.
  
  
  METHODS
  The 2010 National Youth Physical Activity and Nutrition Study, a cross-sectional study.
  
  
  METHODS
  School based.
  
  
  METHODS
  A nationally representative sample of 11 429 high school students.
  
  
  METHODS
  Breakfast, lunch, and dinner consumption; demographics; measured and perceived weight status; physical activity and sedentary behaviors; and fruit, vegetable, milk, sugar-sweetened beverage, and fast-food intake.
  
  
  METHODS
  Prevalence estimates for missing breakfast, lunch, or dinner on ≥1 day during the past 7 days were calculated. Associations between demographics and missing meals were tested. Associations of lifestyle and dietary behaviors with missing meals were examined using logistic regression controlling for sex, race/ethnicity, and grade.
  
  
  RESULTS
  In 2010, 63.1% of students missed breakfast, 38.2% missed lunch, and 23.3% missed dinner; the prevalence was highest among female and non-Hispanic black students. Being overweight/obese, perceiving oneself to be overweight, and video game/computer use were associated with increased risk of missing meals. Physical activity behaviors were associated with reduced risk of missing meals. Students who missed breakfast were less likely to eat fruits and vegetables and more likely to consume sugar-sweetened beverages and fast food.
  
  
  CONCLUSIONS
  Breakfast was the most frequently missed meal, and missing breakfast was associated with the greatest number of less healthy dietary practices. Intervention and education efforts might prioritize breakfast consumption.
authors.affiliation: 1 Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.|2 Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.|3 US Public Health Service Commissioned Corps, Rockville, MD, USA.
authors.forename: Zewditu
authors.initials: Z
authors.lastname: Demissie
authors.affiliation: 2 Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.|3 US Public Health Service Commissioned Corps, Rockville, MD, USA.
authors.forename: Danice K
authors.initials: DK
authors.lastname: Eaton
authors.affiliation: 2 Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Lowry
authors.affiliation: 4 Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Allison J
authors.initials: AJ
authors.lastname: Nihiser
authors.affiliation: 3 US Public Health Service Commissioned Corps, Rockville, MD, USA.|5 Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Foltz
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003430:Cross-Sectional Studies; D002149:Energy Intake; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D015995:Prevalence; D012574:Schools / Q000706:statistics & numerical data*; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data*; D014481:United States
keywords: adolescent; behavior; breakfast; demographics; diet; meals