Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation of the Relationship Between Students' Breakfast Habits and Chronotype: A Cross-Sectional Study
Öğrencilerin Kahvaltı Alışkanlıkları ile Kronotip Arasındaki İlişkinin Değerlendirilmesi: Kesitsel Bir Çalışma
Duygu AKÇAYa, Bülent Devrim AKÇAYb
aDepartment of Military Health Services, Ministry of National Defense, Ankara, Türkiye
bDepartment of Mental Health and Diseases, University of Health Sciences Gülhane Training and Research Hospital, Ankara, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(3):668-77
doi: 10.5336/nurses.2023-95865
Article Language: EN
Full Text
ABSTRACT
 Objective: This research was conducted to evaluate the relationship between the breakfast habits of students and their chronotypes. Material and Methods: The research, which was carried out as a cross-sectional study, was carried out with the participation of parents with children in 6-12 age range between December 21st, 2018 and May 18th, 2019 by the online survey method. Socio-Demographic and Breakfast Habits Survey Form and Children's Chrono type Questionnaire were used as data collection tools. A total of 431 parents (77% mothers, mean age: 40.61±6.51, 61.5% daughters, children's mean age: 10.1±1.9) were included in the study. p<0.05 was considered statistically significant in the evaluation. Results: It was determined that 4.4% of the intermediate type children and 15.7% of the E-type children did not have breakfast on weekdays. It was found that 10.4% of the E-type children did not have breakfast at the weekend. E-type students were found to be skipping breakfast (SB) both on weekdays and at weekends. In the split-day schooling hours practice, morning students (attending school from 07.00 to 13.00) were determined to be SB much more on weekdays. It was found that children had a higher risk of skipping the weekday breakfast as weekday sleep decreased, and the risk of skipping the weekend breakfast was higher as the weekend sleep periods increased. Conclusion: Health service providers are recommended to evaluate the sleep, chronotype and breakfast habits of children and their families and involve families in health promotion interventions regarding breakfast consumption.

Keywords: Child; breakfast; sleep; chronotype
ÖZET
 Amaç: Bu araştırma, öğrencilerin kahvaltı alışkanlıkları ile kronotipleri arasındaki ilişkiyi değerlendirmek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel bir çalışma olarak yürütülen araştırma, 21 Aralık 2018-18 Mayıs 2019 tarihleri arasında 6-12 yaş aralığında çocuğu olan ebeveynlerin katılımıyla çevrim içi anket yöntemiyle gerçekleştirilmiştir. Veri toplama aracı olarak sosyodemografik ve Kahvaltı Alışkanlığı Anket Formu ve Çocukluk Dönemi Kronotip Anketi kullanılmıştır. Çalışmaya toplam 431 (%77 anne, yaş ortalaması: 40,61±6,51, %61,5 kız çocuğu, çocukların yaş ortalaması: 10,1±1,9) ebeveyn dâhil edilmiştir. p<0,05 değerlendirmede istatistiksel olarak anlamlı kabul edilmiştir. Bulgular: Ara tip çocukların %4,4'ünün, E tipi çocukların ise %15,7'sinin hafta içi kahvaltı yapmadığı belirlenmiştir. E tipi çocukların %10,4'ünün hafta sonu kahvaltı yapmadığı saptanmıştır. E tipi öğrencilerin hem hafta içi hem de hafta sonu kahvaltıyı atladıkları tespit edilmiştir. Bölünmüş okul saatleri uygulamasında sabah 07.00-13.00 saatleri arasında okula giden öğrencilerin hafta içi kahvaltıyı daha fazla atladıkları belirlenmiştir. Çocukların hafta içi uykuları azaldıkça hafta içi kahvaltıyı atlama riskinin, hafta sonu uyku süreleri arttıkça hafta sonu kahvaltısını atlama riskinin daha yüksek olduğu saptanmıştır. Sonuç: Sağlık hizmet sunucularının çocukların ve ailelerinin uyku, kronotip ve kahvaltı alışkanlıklarını değerlendirmeleri ve kahvaltı tüketimine ilişkin sağlığı geliştirme müdahalelerine aileleri dâhil etmeleri önerilmektedir.

Anahtar Kelimeler: Çocuk; kahvaltı; uyku; kronotip
REFERENCES:
  1. Selvi Y, Beşiroğlu L, Aydın A. Kronobiyoloji ve duygudurum bozuklukları [Chronobiology and mood disorders]. Psikiyatride Guncel Yaklasimlar. 2011;3(3):368-86. [Link] 
  2. Adan A, Archer SN, Hidalgo MP, Di Milia L, Natale V, Randler C. Circadian typology: a comprehensive review. Chronobiol Int. 2012;29(9):1153-75. [Crossref]  [PubMed] 
  3. Chauhan S, Norbury R, Faßbender KC, Ettinger U, Kumari V. Beyond sleep: A multidimensional model of chronotype. Neurosci Biobehav Rev. 2023;148:105114. [Crossref]  [PubMed] 
  4. Nakade M, Takeuchi H, Kurotani M, Harada T. Effects of meal habits and alcohol/cigarette consumption on morningness-eveningness preference and sleep habits by Japanese female students aged 18-29. J Physiol Anthropol. 2009;28(2):83-90. [Crossref]  [PubMed] 
  5. Garaulet M, Gómez-Abellán P, Alburquerque-Béjar JJ, Lee YC, Ordovás JM, Scheer FA. Timing of food intake predicts weight loss effectiveness. Int J Obes (Lond). 2013;37(4):604-11. Erratum in: Int J Obes (Lond). 2013;37(4):624. [Crossref]  [PubMed]  [PMC] 
  6. Boschloo A, Ouwehand C, Dekker S, Lee N, De Groot R, Krabbendam L, et al. The relation between breakfast skipping and school performance in adolescents. Mind, Brain, and Education. 2012;6(2): 81-88. [Crossref] 
  7. Zimmermann LK. The influence of chronotype in the daily lives of young children. Chronobiol Int. 2016;33(3):268-79. [Crossref]  [PubMed] 
  8. Martínez-Gómez D, Veiga OL, Gomez-Martinez S, Zapatera B, Calle ME, Marcos A; AFINOS Study Group. Behavioural correlates of active commuting to school in Spanish adolescents: the AFINOS (Physical Activity as a Preventive Measure Against Overweight, Obesity, Infections, Allergies, and Cardiovascular Disease Risk Factors in Adolescents) study. Public Health Nutr. 2011;14(10):1779-86. [Crossref]  [PubMed] 
  9. Adolphus K, Lawton CL, Dye L. The effects of breakfast on behavior and academic performance in children and adolescents. Front Hum Neurosci. 2013;7:425. [Crossref]  [PubMed]  [PMC] 
  10. Liu J, Hwang WT, Dickerman B, Compher C. Regular breakfast consumption is associated with increased IQ in kindergarten children. Early Hum Dev. 2013;89(4):257-62. [Crossref]  [PubMed]  [PMC] 
  11. Pivik RT, Tennal KB, Chapman SD, Gu Y. Eating breakfast enhances the efficiency of neural networks engaged during mental arithmetic in school-aged children. Physiol Behav. 2012;106(4):548-55. [Crossref]  [PubMed] 
  12. Littlecott HJ, Moore GF, Moore L, Lyons RA, Murphy S. Association between breakfast consumption and educational outcomes in 9-11-year-old children. Public Health Nutr. 2016;19(9):1575-82. Erratum in: Public Health Nutr. 2016;19(9):1583. [Crossref]  [PubMed]  [PMC] 
  13. Monzani A, Ricotti R, Caputo M, Solito A, Archero F, Bellone S, et al. A systematic review of the association of skipping breakfast with weight and cardiometabolic risk factors in children and adolescents. what should we better ınvestigate in the future? Nutrients. 2019;11(2):387. [Crossref]  [PubMed]  [PMC] 
  14. Ma X, Chen Q, Pu Y, Guo M, Jiang Z, Huang W, et al. Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obes Res Clin Pract. 2020;14(1):1-8. [Crossref]  [PubMed] 
  15. Zakrzewski JK, Gillison FB, Cumming S, Church TS, Katzmarzyk PT, Broyles ST, et al; ISCOLE Research Group. Associations between breakfast frequency and adiposity indicators in children from 12 countries. Int J Obes Suppl. 2015;5(Suppl 2):S80-8. [Crossref]  [PubMed]  [PMC] 
  16. Vereecken C, Dupuy M, Rasmussen M, Kelly C, Nansel TR, Al Sabbah H, et al; HBSC Eating & Dieting Focus Group. Breakfast consumption and its socio-demographic and lifestyle correlates in schoolchildren in 41 countries participating in the HBSC study. Int J Public Health. 2009;54 Suppl 2(Suppl 2):180-90. [Crossref]  [PubMed]  [PMC] 
  17. Cebiray MA, Aktaş N. Okulöncesi kurumlara devam eden 4-6 yaş grubu çocukların kahvaltı alışkanlıkları ve ebeveynlerinin beslenme bilgilerinin belirlenmesi [Determination of breakfast habits of 4-6 year old children attending preschool education institutions and their parents' nutrition knowledge]. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2016;3(1):1-11. [Link] 
  18. Özdoğan Y, Altuhul S. İlköğretim II. Kademe öğrencilerinin kahvaltı alışkanlıkları [Breakfast habits of the second level of primary school students]. Ankara Sağlık Bilimleri Dergisi. 2012;1(1):141-56. [Crossref] 
  19. Teixeira GP, Guimarães KC, Soares AGN, Marqueze EC, Moreno CR, Mota MC, et al. Role of chronotype in dietary intake, meal timing, and obesity: a systematic review. Nutr. Rev. 2023;81(1):75-90. [Crossref]  [PubMed] 
  20. Ohara K, Tani S, Mase T, Momoi K, Kouda K, Fujita Y, et al. Attitude toward breakfast mediates the associations of wake time and appetite for breakfast with frequency of eating breakfast. Eat Weight Disord. 2022;27(3):1141-51. [Crossref]  [PubMed] 
  21. Lebacq T, Holmberg E, Pedroni C, Dujeu M, Castetbon K. Weekday sleep duration and morning tiredness are independent covariates of breakfast skipping in adolescents. Eur J Clin Nutr. 2022;76(10):1403-8. [Crossref]  [PubMed] 
  22. Ricotti R, Caputo M, Monzani A, Pigni S, Antoniotti V, Bellone S, et al. Breakfast skipping, weight, cardiometabolic risk, and nutrition quality in children and adolescents: a systematic review of randomized controlled and ıntervention longitudinal trials. Nutrients. 2021;13(10):3331. [Crossref]  [PubMed]  [PMC] 
  23. Werner H, Lebourgeois MK, Geiger A, Jenni OG. Assessment of chronotype in four- to eleven-year-old children: reliability and validity of the Children's Chronotype Questionnaire (CCTQ). Chronobiol Int. 2009;26(5):992-1014. [Crossref]  [PubMed]  [PMC] 
  24. Dursun OB, Ogutlu H, Esin IS. Turkish Validation and Adaptation of Children's Chronotype Questionnaire (CCTQ). Eurasian J Med. 2015;47(1):56-61. [Crossref]  [PubMed]  [PMC] 
  25. Akgul A. Tıbbi Araştırmalarda İstatistiksel Analiz Teknikleri. SPSS uygulamalari. 1. Baskı. Ankara: Alfa Yayıncılık; 2021.
  26. Ali RA, Razeq NMA, Alnuaimi KM, Alzoubi FA. Maternal sociodemographic characteristics and behaviors as correlates of preadolescent's breakfast habits. J Pediatr Nurs. 2018;39:61-7. [Link] 
  27. Mullan BA, Singh MA systematic review of the quality, content, and context of breakfast consumption. Nutrition & Food Science. 2010;40(1):81-114. [Crossref] 
  28. American Academy of Pediatrics Let them sleep: AAP recommends delaying start times of middle and high schools to combat teen sleep deprivation. press release. 2014;25. Available from: [Link] 
  29. Wang L, Qin P, Zhao Y, Duan S, Zhang Q, Liu Y, et al. Prevalence and risk factors of poor sleep quality among Inner Mongolia Medical University students: A cross-sectional survey. Psychiatry Res. 2016;244:243-8. [Crossref]  [PubMed] 
  30. Pereira EF, Moreno C, Louzada FM. Increased commuting to school time reduces sleep duration in adolescents. Chronobiol Int. 2014;31(1):87-94. [Crossref]  [PubMed] 
  31. Pearson N, Biddle SJ, Gorely T. Family correlates of breakfast consumption among children and adolescents. A systematic review. Appetite. 2009;52(1):1-7. [Crossref]  [PubMed] 
  32. Rani R, Dharaiya CN, Singh B. Importance of not skipping breakfast: A review. Int. J. Food Sci. 2021;56(1):28-38. [Crossref] 
  33. Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The influence of parental dietary behaviors and practices on children's eating habits. Nutrients. 2021;13(4):1138. [Crossref]  [PubMed]  [PMC] 
  34. Keski-Rahkonen A, Kaprio J, Rissanen A, Virkkunen M, Rose RJ. Breakfast skipping and health-compromising behaviors in adolescents and adults. Eur J Clin Nutr. 2003;57(7):842-53. [Crossref]  [PubMed] 
  35. Cheng TS, Tse LA, Yu IT, Griffiths S. Children's perceptions of parental attitude affecting breakfast skipping in primary sixth-grade students. J Sch Health. 2008;78(4):203-8. [Crossref]  [PubMed] 

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