ArticlePublic health nutrition2014
Dietary patterns and breakfast consumption in relation to insulin resistance in children. The Healthy Growth Study.
Article in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Pooled it
- A brief bout of moderate intensity physical activity improves preadolescent children's behavioral inhibition but does not change their energy intake.Journal of behavioral medicine · 2024Trial
- Ponderal Status, Eating and Lifestyle Habits in Rural School Children: A Pilot Survey of the SBAM-ONFOODS Cohort Study.Nutrients · 2026Article
- Dietary behaviors and physical fitness among Chinese adolescents aged 13-16 years: a comparative study on breakfast, eggs, dairy, and sugar-sweetened beverages by urban-rural location and sex.Frontiers in nutrition · 2026Article
- Article
- Urban-Rural Disparities in the Association Between Dietary Patterns and Physical Fitness Among Chinese Children, Adolescents, and Young Adults.Nutrients · 2025Article
- Prevalence of Metabolic Syndrome According to Physical Activity, Dietary Habits, Mental Status, Social Status, Health Behavior, and Obesity Phenotypes in Korean Adolescents: 2016-2021.Foods (Basel, Switzerland) · 2023Article
- Association of Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet and metabolically unhealthy overweight/obesity phenotypes among Iranian women: a cross sectional study.BMC endocrine disorders · 2023Article
- Sleep duration and timing are prospectively linked with insulin resistance during late adolescence.Obesity (Silver Spring, Md.) · 2023Article
- Breakfast Quality and Insulin Resistance in Spanish Schoolchildren: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Dietary Patterns Associated with Diabetes in an Older Population from Southern Italy Using an Unsupervised Learning Approach.Sensors (Basel, Switzerland) · 2022Article
- Urinary metabolic biomarkers of diet quality in European children are associated with metabolic health.eLife · 2022Article
- Familial dietary intervention in children with excess body weight and its impact on eating habits, anthropometric and biochemical parameters.Frontiers in endocrinology · 2022Article
- Dietary approaches to stop hypertension (DASH) score and obesity phenotypes in children and adolescents.Nutrition journal · 2020Article
- Association of dietary patterns with the newly diagnosed diabetes mellitus and central obesity: a community based cross-sectional study.Nutrition & diabetes · 2020Article
- Association of Dietary Patterns with Excess Weight and Body Adiposity in Brazilian Children: The Pase-Brasil Study.Arquivos brasileiros de cardiologia · 2019Article
- What Do We Know about Diet and Markers of Cardiovascular Health in Children: A Review.International journal of environmental research and public health · 2019Review
- Effects of eating breakfast on children and adolescents: A systematic review of potentially relevant outcomes in economic evaluations.Food & nutrition research · 2019Review
- Association of dietary patterns with continuous metabolic syndrome in children and adolescents; a nationwide propensity score-matched analysis: the CASPIAN-V study.Diabetology & metabolic syndrome · 2018Article
- Inappropriate Use of Homeostasis Model Assessment Cutoff Values for Diagnosing Insulin Resistance in Pediatric Studies.The Journal of the American Osteopathic Association · 2017Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveInsulin resistance is a significant cross-point for the manifestation of several chronic diseases in children and adults. The aim of the present study was to investigate the possible relationship of certain dietary patterns and breakfast consumption habits with insulin resistance in children. SUBJECTS: A representative sample of 1912 schoolchildren (aged 9-13 years) participated in a cross-sectional epidemiological study, the Healthy Growth Study, which was initiated in May 2007 and completed in June 2009.
settingIt was conducted in seventy-seven primary schools in four large regions in Greece.
designDietary intake, breakfast consumption, anthropometric and physical examination data, biochemical indices and socio-economic information collected from parents were assessed in all children. Principal components analysis was used to identify dietary patterns.
resultsA dietary pattern of increased consumption of margarine, sweets (candies, lollipops, jellies, traditional fruit in heavy syrup) and savoury snacks (chips, cheese puffs and not home-made popcorn) was associated with homeostasis model assessment of insulin resistance index (HOMA-IR; β = 0·08, P < 0·001) in multivariate models. Children in the third tertile of this dietary pattern had a 2·51 (95 % CI 1·30, 4·90) times higher risk of insulin resistance (HOMA-IR > 3·16) than those in the first tertile. Breakfast consumption had an inverse correlation with insulin resistance, but the correlation lost its significance after adjustments for waist circumference, birth weight, parental BMI and socio-economic status.
conclusionsIncreased consumption of margarine, sweets and savoury snacks, which is a common dietary pattern in childhood, was positively associated with insulin resistance, while breakfast consumption had an inverse association with HOMA-IR, in schoolchildren (aged 9-13 years). Identification of dietary behaviours that might affect insulin resistance in children offers valuable advice in cardiometabolic risk prevention strategies.
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