Adolescent Behavior, Adolescent Obesity, Insulin Resistance
Conditions
Keywords
Breakfast, Physical activity, Nutrition, Appetite, Sedentary
Brief summary
There is a distinct lack of experimental evidence on whether breakfast consumption and omission affect energy balance-related variables. This research is of particular relevance to adolescent girls due to concerns of low rates of breakfast consumption and physical activity in this population. This study aims to compare the effect of seven consecutive days of breakfast omission with standardised breakfast consumption on free-living physical activity energy expenditure, energy intake and perceived appetite and energy levels in adolescent girls.
Detailed description
Observational reports showing infrequent breakfast consumption to be associated with increased adiposity and cardiometabolic disease risk in children and adolescents have fuelled concerns over the low prevalence of habitual breakfast consumption among adolescents. Yet, only experimental study designs can determine the causal effects of breakfast consumption on health-related variables and such research has typically targeted adults. Adolescent girls may respond differently to manipulations in breakfast consumption than adults because they have distinct hormonal, metabolic and behavioural profiles. Further, a link between breakfast and physical activity in adolescent girls has particular public health relevance because the adolescent decline in both breakfast consumption frequency and physical activity is more pronounced in girls than in boys. Thus, the primary aim of the current study is to use a randomised, cross-over design to compare the effect of seven consecutive days of breakfast omission with standardised breakfast consumption on free-living PAEE in adolescent girls. The secondary aims are to examine the effects on energy intake, perceived appetite and energy levels. Using a randomized crossover design, girls aged 11-14 years will complete two, 7-day conditions. A standardized breakfast will consumed every day before 09:00 in the daily breakfast consumption condition. No energy-providing nutrients will consumed (i.e., only water) before 10:30 in the breakfast omission condition. Combined heart rate-accelerometry will be used to estimate physical activity energy expenditure and digital photography complemented with written food diaries will be used to assess energy intake during each condition; these data will be separated into three time segments: wake to 10:30, 10:30 to 15:30 and 15:30 to bed. Visual analogue scales will be used to assess perceptions of hunger, fullness, tiredness and energy levels on waking and at 09:00 and 10:30. Statistical analyses will be completed using condition by time of day linear mixed models.
Interventions
Standardised breakfast consumption across seven days
OTHERBreakfast omission
No breakfast consumed across seven days
Sponsors
University of Bedfordshire
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
11 Years to 14 Years
Healthy volunteers
Yes
Inclusion criteria
* Parental informed consent * Child assent
Exclusion criteria
* Health related issues identified from a health screen questionnaire that could be adversely affected by participation or could affect the study outcomes (e.g., allergies to the breakfast meals, fitted with a pacemaker) * Unable to walk or wear a combined heart rate-accelerometer on the chest.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity energy expenditure (kJ/day) | Seven days | Free-living physical activity energy expenditure from sedentary, light, moderate and vigorous activities (kJ/day) assessed using combined heart rate-accelerometry across seven consecutive days. |
| Time spent in physical activity (minutes/day) | Seven days | Time spent sedentary and in light, moderate and vigorous physical activity (minutes/day) assessed using combined heart rate-accelerometry across seven consecutive days. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Carbohydrate intake (g/day) | Four days | Carbohydrate intake (g/day) assessed using combined digital photography and food diaries across four days. |
| Protein intake (g/day) | Four days | Protein intake (g/day) assessed using combined digital photography and food diaries across four days. |
| Fibre intake (g/day) | Four days | Fibre intake (g/day) assessed using combined digital photography and food diaries across four days. |
| Fat intake (g/day) | Four days | Fat intake (g/day) assessed using combined digital photography and food diaries across four days. |
| Perceived fullness (mm) | Four days | Perceived fullness (mm) assessed using 0-100 mm visual analogue scales on waking, at 09:00 and at 10:30 on four days. Higher values equate to higher fullness. |
| Perceived tiredness levels (mm) | Four days | Perceived tiredness levels (mm) assessed using 0-100 mm visual analogue scales on waking, at 09:00 and at 10:30 on four days. Higher values equate to higher tiredness. |
| Perceived energy levels (mm) | Four days | Perceived energy levels (mm) assessed using 0-100 mm visual analogue scales on waking, at 09:00 and at 10:30 on four days. Higher values equate to higher energy levels. |
| Perceived hunger (mm) | Four days | Perceived hunger (mm) assessed using 0-100 mm visual analogue scales on waking, at 09:00 and at 10:30 on four days. Higher values equate to higher hunger. |
| Energy intake (kJ/day) | Four days | Energy intake (kJ/day) assessed using combined digital photography and food diaries across four days. |
Countries
United Kingdom
Outcome results
None listed