Evidence map›Paper›PMID 22494882›Full record

ArticlePublic health nutrition2013

Breakfast consumption and CVD risk factors in European adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.

Lena Hallström, Idoia Labayen, Jonatan R Ruiz, Emma Patterson, Carine A Vereecken, Christina Breidenassel, Frédéric Gottrand, Inge Huybrechts, Yannis Manios, Lorenza Mistura and 5 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05000944 (Impact of Breakfast Consumption Timing on Postprandial Glycaemia and Insulinaemia in Adolescent Girls Who Habitually Skip Breakfast), which is not on this map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05000944 nacompletednot on this mapstarted 2021, after this paper: background citation

Impact of Breakfast Consumption Timing on Postprandial Glycaemia and Insulinaemia in Adolescent Girls Who Habitually Skip Breakfast

TypeinterventionalSponsorLoughborough UniversityRan2021 to 2022Enrolled15ConditionsPostprandial HyperglycemiaArmsbreakfast omission (BO), early-morning breakfast consumption (EM-BC), mid-morning breakfast consumption (MM-BC)
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Impact of breakfast consumption timingThe British journal of nutrition · 2025
    Trial
  5. Trial
  6. Trial
  7. Article
  8. Beyond theChildren (Basel, Switzerland) · 2026
    Article
  9. The Role of Exercise in Fat Oxidation and Its Impact on Adolescent Metabolism.Advances in experimental medicine and biology · 2026
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Breakfast Quality and Insulin Resistance in Spanish Schoolchildren: A Cross-Sectional Study.International journal of environmental research and public health · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 8 countries.

Lena HallströmSchool of Health, Care and Social Welfare, Box 883, Mälardalens University, 72123 Västerås, Sweden. lena.hallstrom@mdh.se
Idoia Labayen
Jonatan R Ruiz
Emma Patterson
Carine A Vereecken
Christina Breidenassel
Frédéric Gottrand
Inge Huybrechts
Yannis Manios
Lorenza Mistura
Kurt Widhalm
Katerina Kondaki
Luis A Moreno
Michael Sjöström
HELENA Study Group
Karolinska Institutet · SEHarokopio University of Athens · GRGhent University · BEIstituto Nazionale di Ricerca per gli Alimenti e la Nutrizione · ITMedical University of Vienna · ATResearch Foundation - Flanders · BEUniversidad de Zaragoza · ESUniversité de Lille · FRUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the association between breakfast consumption and CVD risk factors in European adolescents.

designCross-sectional. Breakfast consumption was assessed by the statement ‘I often skip breakfast’ and categorized into ‘consumer’, ‘occasional consumer’ and ‘skipper’. Blood pressure, weight, height, waist circumference, skinfold thickness, total cholesterol (TC), HDL cholesterol (HDL-C), LDL cholesterol (LDL-C), TAG, insulin and glucose were measured and BMI, TC:HDL-C, LDL-C:HDL-C and homeostasis model assessment–insulin resistance index (HOMA-IR) were calculated.

settingThe European Union-funded HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study. SUBJECTS: European adolescents, aged 12?50–17?49 years, from ten cities within the HELENA study (n 2929, n 925 with blood sample, 53% females).

resultsIn males, significant differences across breakfast consumption category (‘consumer’, ‘occasional consumer’ and ‘skipper’) were seen for age, BMI, skinfold thickness, waist circumference, cardiorespiratory fitness, systolic and diastolic blood pressures, TC:HDL-C, LDL-C:HDL-C, glucose, insulin, HOMA-IR and LDL-C; in females, for cardiorespiratory fitness, skinfold thickness, BMI, insulin and HOMA-IR. In overweight/obese males significant differences were also seen for TC and LDL-C, whereas no differences were observed in non-overweight males or in females regardless of weight status.

conclusionsOur findings among European adolescents confirm previous data indicating that adolescents who regularly consume breakfast have lower body fat content. The results also show that regular breakfast consumption is associated with higher cardiorespiratory fitness in adolescents, and with a healthier cardiovascular profile, especially in males. Eating breakfast regularly may also negate somewhat the effect of excess adiposity on TC and LDL-C, especially in male adolescents.

Indexed as

BreakfastLife StyleAdipose TissueAdiposityAdolescentBlood GlucoseBlood PressureBody Mass IndexBody WeightCardiovascular DiseasesChildCholesterol, HDLCholesterol, LDLCross-Sectional StudiesDiet SurveysEuropeBlood GlucoseCholesterol, HDLCholesterol, LDLInsulinTriglycerides

Identifiers

PMID22494882
PMCPMC10271783
OpenAlexW1986636414

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.