The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study

Obesity is closely related with diet, including the regularity of meals and inflammation in the diet. No previous study focused on the associations among eating breakfast, which is regarded the most important meal, dietary inflammation, and obesity. This study analyzed data from the National Health...

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Main Authors: Mengzi Sun, Xuhan Wang, Ling Wang, Wenyu Hu, Yixue Yang, Nan Yao, Jing Li, Zechun Xie, Ruirui Guo, Yuxiang Wang, Bo Li
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/20/4378
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author Mengzi Sun
Xuhan Wang
Ling Wang
Wenyu Hu
Yixue Yang
Nan Yao
Jing Li
Zechun Xie
Ruirui Guo
Yuxiang Wang
Bo Li
author_facet Mengzi Sun
Xuhan Wang
Ling Wang
Wenyu Hu
Yixue Yang
Nan Yao
Jing Li
Zechun Xie
Ruirui Guo
Yuxiang Wang
Bo Li
author_sort Mengzi Sun
collection DOAJ
description Obesity is closely related with diet, including the regularity of meals and inflammation in the diet. No previous study focused on the associations among eating breakfast, which is regarded the most important meal, dietary inflammation, and obesity. This study analyzed data from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018, with 23,758 participants involved. Obesity and dietary inflammation were measured by body mass index (BMI) and dietary inflammatory index (DII), respectively. Eating breakfast was defined by two days of dietary recalls based on NHANES dietary data. Pro-inflammatory diet and skipping breakfast were positively associated with obesity in the whole population. Compared with eating breakfast in both recalls, skipping breakfast had the higher OR of obesity, especially for individuals who reported no recall. Participants with diabetes were the sensitive population of these associations. Compared with participants who reported breakfast in both recalls, the mediated proportion of participants reported breakfast in one recall and in no recall were 24.71% and 27.34%, respectively. The association between eating breakfast and obesity was partly mediated by DII. We recommended eating breakfast regularly to reduce dietary inflammation, as well as further obesity, especially for diabetic populations.
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spelling doaj.art-cadcc1c310c141779b3c54c9b668c84b2023-11-24T01:45:43ZengMDPI AGNutrients2072-66432022-10-011420437810.3390/nu14204378The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional StudyMengzi Sun0Xuhan Wang1Ling Wang2Wenyu Hu3Yixue Yang4Nan Yao5Jing Li6Zechun Xie7Ruirui Guo8Yuxiang Wang9Bo Li10Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaDepartment of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, ChinaObesity is closely related with diet, including the regularity of meals and inflammation in the diet. No previous study focused on the associations among eating breakfast, which is regarded the most important meal, dietary inflammation, and obesity. This study analyzed data from the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018, with 23,758 participants involved. Obesity and dietary inflammation were measured by body mass index (BMI) and dietary inflammatory index (DII), respectively. Eating breakfast was defined by two days of dietary recalls based on NHANES dietary data. Pro-inflammatory diet and skipping breakfast were positively associated with obesity in the whole population. Compared with eating breakfast in both recalls, skipping breakfast had the higher OR of obesity, especially for individuals who reported no recall. Participants with diabetes were the sensitive population of these associations. Compared with participants who reported breakfast in both recalls, the mediated proportion of participants reported breakfast in one recall and in no recall were 24.71% and 27.34%, respectively. The association between eating breakfast and obesity was partly mediated by DII. We recommended eating breakfast regularly to reduce dietary inflammation, as well as further obesity, especially for diabetic populations.https://www.mdpi.com/2072-6643/14/20/4378dietary inflammatory indexeating breakfastobesity
spellingShingle Mengzi Sun
Xuhan Wang
Ling Wang
Wenyu Hu
Yixue Yang
Nan Yao
Jing Li
Zechun Xie
Ruirui Guo
Yuxiang Wang
Bo Li
The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study
Nutrients
dietary inflammatory index
eating breakfast
obesity
title The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study
title_full The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study
title_fullStr The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study
title_full_unstemmed The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study
title_short The Mediating Role of Dietary Inflammatory Index in the Association between Eating Breakfast and Obesity: A Cross-Sectional Study
title_sort mediating role of dietary inflammatory index in the association between eating breakfast and obesity a cross sectional study
topic dietary inflammatory index
eating breakfast
obesity
url https://www.mdpi.com/2072-6643/14/20/4378
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