Kosti Rena I, Panagiotakos Demosthenes B, Zampelas Antonis, Mihas Costas, Alevizos Alevizos, Leonard Clare, Tountas Yannis, Mariolis Anargiros
Unit of Human Nutrition, Department of Food Science and Technology, Agricultural University of Athens, 75 Iera Odos, 11855 Athens, Greece.
Public Health Nutr. 2008 Oct;11(10):1015-21. doi: 10.1017/S1368980007001437. Epub 2007 Dec 20.
To evaluate whether consumption of breakfast cereals is associated with BMI in a sample of Greek adolescents.
A cross-sectional health and nutrition survey.
During 2004-5, 2008 schoolchildren aged 12-17 years were selected from twelve schools located in Vyronas region (Athens metropolitan area). Height and weight were measured and BMI was calculated. A semiquantitative FFQ was applied and multiple logistic regression analysis was used.
Overall, 4.7% of boys and 1.7% of girls were obese, whereas 19.4% of boys and 13.2% of girls were overweight. Only 20.7% of boys and 15.5% of girls reported that they consume cereals as a first choice for breakfast. Consumption of breakfast cereals was associated with lower BMI in boys (P=0.08) and girls(P=0.019), irrespective of age and physical activity status. More prominent results were observed for daily cereal consumption or for more than two daily servings of cereals consumed for breakfast. Consumption of pre-sweetened breakfast cereals was associated with lower BMI compared with non-pre-sweetened or no intake of cereals, in both genders (P<0.001). Consumption of breakfast cereals was associated with 33% (95% CI 14%, 48%) lower likelihood of overweight/obesity, irrespective of age, sex and physical activity status.
Consumption of breakfast cereals was associated with lower BMI levels and a lower likelihood of overweight/obesity in both genders; thus a solid basis for public health professionals could be built when issuing advice on weight management.
评估在希腊青少年样本中，食用早餐谷物与体重指数（BMI）之间是否存在关联。
一项横断面健康与营养调查。
在2004年至2005年期间，从位于维罗纳斯地区（雅典大都市区）的12所学校选取了2008名12至17岁的学童。测量身高和体重并计算BMI。应用了半定量食物频率问卷（FFQ）并进行了多因素逻辑回归分析。
总体而言，4.7%的男孩和1.7%的女孩肥胖，而19.4%的男孩和13.2%的女孩超重。只有20.7%的男孩和15.5%的女孩报告称他们将谷物作为早餐的首选。无论年龄和身体活动状况如何，食用早餐谷物与男孩（P = 0.08）和女孩（P = 0.019）较低的BMI相关。对于每日食用谷物或早餐食用超过两份谷物的情况，观察到更显著的结果。与未加糖或不食用谷物相比，食用预加糖早餐谷物与两性较低的BMI相关（P < 0.001）。无论年龄、性别和身体活动状况如何，食用早餐谷物与超重/肥胖可能性降低33%（95%置信区间14%，48%）相关。
食用早餐谷物与两性较低的BMI水平以及较低的超重/肥胖可能性相关；因此，在发布体重管理建议时，可为公共卫生专业人员建立坚实的依据。
