Evidence map›Paper›PMID 40221786›Full record

ArticleNutrition journal2025

Meal skipping among adolescents in the Philippines: prevalence, associated factors, and associations with dietary, mental health, and health risk behavioural outcomes.

Supa Pengpid, Karl Peltzer, Thanh-Thao Nguyen-Thi, Isareethika Jayasvasti

Abstract read
In one paragraph

Article in Nutrition journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
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

4 authors.

Supa PengpidDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand. supa.pen@mahidol.ac.th.
Karl PeltzerDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand. kfpeltzer@gmail.com.
Thanh-Thao Nguyen-ThiDepartment of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Isareethika JayasvastiInterdisciplinary Studies and Lifelong Education Unit, Faculty of Public Health, Mahidol University, Bangkok, 10400, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeal skipping is poorly understood among adolescents in Southeast Asia. The study aimed to investigate the type of and any meal skipping prevalence, its associated factors (sociodemographic and protective) and associations between meal skipping types and dietary, mental, and various health risk behaviour outcomes among school adolescents in the Philippines.

methodThe 2019 Philippines Global School-based Student Health Survey (GSHS), a nationally representative survey of teenagers aged 11 to 18 (mean age 13.8 years, Standard Deviation-SD = 1.5) that used a multistage sampling technique, provided the study's data. In order to determine the variables associated with meal skipping (breakfast, lunch, dinner, any meal) and associations of meal skipping with six dietary indicators, four mental health indicators, and ten health risk behaviours, the study used bivariate and multivariable multinomial and binary logistic regression analysis.

resultsThe past-month prevalence of most skipping breakfast was 37.1%, most skipping lunch 20.1%, most skipping dinner 10.8%, and any meal skipping 68.1%. Most of the students (89.1%) reported having been exposed to healthy eating classes in school, and 51.7% said that they cannot buy soft drinks in school. Female sex, older adolescents, lower socioeconomic status, not being religious, no school truancy, low or no peer and/or parental support were associated with meal (breakfast, lunch, and/or dinner) skipping. Exposure to skipping breakfast, lunch, dinner, or any meal increased the odds of low vegetable, soft drink, and fast-food intake, overweight, obesity, suicidal ideation, plan, attempt, psychological distress, sedentary behaviour, alcohol use, drug use, physical injury, poor hand, and oral hygiene, and not always wearing a seatbelt.

conclusionAlmost seven in 10 adolescents skipped any meal in the past month. Sociodemographic and protective factors were associated with meal skipping. Exposure to meal skipping was associated with 15 out of 17 dietary, mental health, and other health risk behaviour outcomes. In order to lower various adverse health outcomes in adolescents, the results thus showed how important it is to improve in a regular meal pattern, particularly meal frequency and meal skipping. Interventions incorporating parental and peer engagement could be strengthened alongside school health education to effectively address meal skipping behaviours.

Indexed as

Adolescent BehaviorDietFeeding BehaviorHealth Risk BehaviorsMealsMental HealthAdolescentChildCross-Sectional StudiesFemaleHealth SurveysHumansIntermittent FastingMalePhilippinesPrevalenceAdolescentsDietaryHealth risk behaviourMeal skippingMental health

Identifiers

PMID40221786
PMCPMC11992802

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.