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Healthy breakfast may mean healthier diet overall

2008-12-19 13:27:48

Thu Dec 18, 11:10 am ET

NEW YORK (Reuters Health) Breakfast may indeed be the most important meal of

the day -- as long as that meal is not a doughnut -- a study suggests.

Using data from a national health survey of U.S. adults, researchers found that

people who ate lower-calorie foods for breakfast tended to have a

higher-quality diet overall.

Furthermore, men who ate a healthy breakfast generally weighed less. Among

women, breakfast eaters -- regardless of the food involved -- tended to weigh

less than those who skipped the morning meal.

The findings, reported in the American Journal of Clinical Nutrition, give some

support to past studies finding that breakfast eaters are less likely to be

overweight -- and that eating a high-quality breakfast, rather than grabbing a

pastry, is the key.

Research has shown, for example, that people who eat a bowl of cereal for

breakfast have a lower average weight than either those who skip breakfast or

those who sit down to a plate of steak and eggs.

What's "unique" about the current study is that it suggests that breakfast

foods low in "energy density" -- low in calories for a given amount of food --

"appear to predict better food choices for the rest of the day and may help

with better management of body weight," Dr. James Rippe, one of the researchers

on the work, said in a written statement.

Fruits, vegetables and high-fiber whole grains, for example, are low in energy

density, while confections like Danish pastries and doughnuts have a high

energy density.

The current findings underscore the importance of choosing low-energy- density

options for breakfast, according to Rippe, a cardiologist with the Rippe

Lifestyle Institute in Shrewsbury, Massachusetts.

The Rippe organization manages the Breakfast Research Institute, an

industry-sponsored group that funds health and nutrition research. The BRI

financed the current study.

The findings are based on responses from more than 12,000 U.S. adults who took

part in three federal health surveys between 1999 and 2004.

Overall, people who reported eating a low-energy-density breakfast in the past

day were more likely than their counterparts to choose lower-calorie foods for

the rest of the day as well. As a group, they also had a higher-quality diet --

eating a wider variety of foods and more vitamins and minerals.

Among men, those who ate a breakfast low in energy density tended to weigh

less, even with factors like exercise and income considered. For women, any

type of breakfast was related to a lower likelihood of obesity -- though the

calorie density of other meals did seem to be important.

More research is needed to confirm those particular findings, Rippe's team

notes. For now, they suggest that men should be encouraged to eat a breakfast

low in energy density, whereas women should eat breakfast but also focus on

choosing low-energy-density foods throughout the day.

SOURCE: American Journal of Clinical Nutrition, November 2008.