Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study

Abstract Background Breakfast quality, together with regularity of breakfast, has been suggested to be associated with cardiometabolic health advantages. We aimed to evaluate the quality of breakfast and its socioeconomic and psychosocial correlates in a large sample of the Italian population. Metho...

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Main Authors: Claudia Francisca Martinez, Emilia Ruggiero, Augusto Di Castelnuovo, Simona Esposito, Simona Costanzo, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Marialaura Bonaccio, INHES Study Investigators
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Nutrition Journal
Subjects:
Online Access:https://doi.org/10.1186/s12937-024-00924-6
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author Claudia Francisca Martinez
Emilia Ruggiero
Augusto Di Castelnuovo
Simona Esposito
Simona Costanzo
Chiara Cerletti
Maria Benedetta Donati
Giovanni de Gaetano
Licia Iacoviello
Marialaura Bonaccio
INHES Study Investigators
author_facet Claudia Francisca Martinez
Emilia Ruggiero
Augusto Di Castelnuovo
Simona Esposito
Simona Costanzo
Chiara Cerletti
Maria Benedetta Donati
Giovanni de Gaetano
Licia Iacoviello
Marialaura Bonaccio
INHES Study Investigators
author_sort Claudia Francisca Martinez
collection DOAJ
description Abstract Background Breakfast quality, together with regularity of breakfast, has been suggested to be associated with cardiometabolic health advantages. We aimed to evaluate the quality of breakfast and its socioeconomic and psychosocial correlates in a large sample of the Italian population. Methods Cross-sectional analyses on 7,673 adult and 505 children/adolescent regular breakfast eaters from the Italian Nutrition & Health Survey (INHES; 2010-2013). Dietary data were collected through a single 24-h dietary recall. Breakfast quality was assessed through the Breakfast Quality Index (BQI) combining intake of ten food groups, energy, and nutrients of public health concern, and potentially ranging from 0 to 10. The association of sociodemographic and psychosocial factors with BQI were analyzed by multivariable-adjusted linear regression models. Results The average BQI was 4.65 (SD ± 1.13) and 4.97 (SD ± 1.00) in adults and children/adolescents, respectively. Amongst adults, older age (β = 0.19; 95%CI 0.06 to 0.31 for > 65 vs. 20–40 years) and having a high educational level (β = 0.13; 0.03 to 0.23; for postsecondary vs. up to elementary) were independent predictors of better breakfast quality, while men reported lower BQI (β = -0.08; -0.14 to -0.02 vs. women). Perceived stress levels at home and work and financial stress were inversely associated with BQI. Children/adolescents living in Central and Southern Italian regions had lower BQI compared to residents in Northern Italy (β = -0.55; -0.91 to -0.19 and β = -0.24; -0.47 to -0.01, respectively). Conclusions In adults, breakfast quality was associated with age, sex, and educational level. Perceived stress levels were inversely associated with the quality of breakfast. In children/adolescents, a north-south gradient in breakfast quality was observed.
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spelling doaj.art-8297287122894c81ad8741b1da44aeed2024-03-05T17:45:49ZengBMCNutrition Journal1475-28912024-02-0123111410.1186/s12937-024-00924-6Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) studyClaudia Francisca Martinez0Emilia Ruggiero1Augusto Di Castelnuovo2Simona Esposito3Simona Costanzo4Chiara Cerletti5Maria Benedetta Donati6Giovanni de Gaetano7Licia Iacoviello8Marialaura Bonaccio9INHES Study InvestigatorsDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDMediterranea CardiocentroDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDDepartment of Epidemiology and Prevention, IRCCS NEUROMEDAbstract Background Breakfast quality, together with regularity of breakfast, has been suggested to be associated with cardiometabolic health advantages. We aimed to evaluate the quality of breakfast and its socioeconomic and psychosocial correlates in a large sample of the Italian population. Methods Cross-sectional analyses on 7,673 adult and 505 children/adolescent regular breakfast eaters from the Italian Nutrition & Health Survey (INHES; 2010-2013). Dietary data were collected through a single 24-h dietary recall. Breakfast quality was assessed through the Breakfast Quality Index (BQI) combining intake of ten food groups, energy, and nutrients of public health concern, and potentially ranging from 0 to 10. The association of sociodemographic and psychosocial factors with BQI were analyzed by multivariable-adjusted linear regression models. Results The average BQI was 4.65 (SD ± 1.13) and 4.97 (SD ± 1.00) in adults and children/adolescents, respectively. Amongst adults, older age (β = 0.19; 95%CI 0.06 to 0.31 for > 65 vs. 20–40 years) and having a high educational level (β = 0.13; 0.03 to 0.23; for postsecondary vs. up to elementary) were independent predictors of better breakfast quality, while men reported lower BQI (β = -0.08; -0.14 to -0.02 vs. women). Perceived stress levels at home and work and financial stress were inversely associated with BQI. Children/adolescents living in Central and Southern Italian regions had lower BQI compared to residents in Northern Italy (β = -0.55; -0.91 to -0.19 and β = -0.24; -0.47 to -0.01, respectively). Conclusions In adults, breakfast quality was associated with age, sex, and educational level. Perceived stress levels were inversely associated with the quality of breakfast. In children/adolescents, a north-south gradient in breakfast quality was observed.https://doi.org/10.1186/s12937-024-00924-6Breakfast qualityPsychosocial factorsSociodemographic factors
spellingShingle Claudia Francisca Martinez
Emilia Ruggiero
Augusto Di Castelnuovo
Simona Esposito
Simona Costanzo
Chiara Cerletti
Maria Benedetta Donati
Giovanni de Gaetano
Licia Iacoviello
Marialaura Bonaccio
INHES Study Investigators
Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study
Nutrition Journal
Breakfast quality
Psychosocial factors
Sociodemographic factors
title Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study
title_full Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study
title_fullStr Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study
title_full_unstemmed Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study
title_short Breakfast quality and its sociodemographic and psychosocial correlates among Italian children, adolescents, and adults from the Italian Nutrition & HEalth Survey (INHES) study
title_sort breakfast quality and its sociodemographic and psychosocial correlates among italian children adolescents and adults from the italian nutrition health survey inhes study
topic Breakfast quality
Psychosocial factors
Sociodemographic factors
url https://doi.org/10.1186/s12937-024-00924-6
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