Regular breakfast consumption is associated with higher blood vitamin status in adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

Public Health Nutr. 2017 Jun;20(8):1393-1404. doi: 10.1017/S1368980016003645. Epub 2017 Feb 10.

Abstract

Objective: The present study aimed to examine the association between different breakfast consumption patterns and vitamin intakes and blood vitamin concentrations in European adolescents.

Design: Breakfast consumption was assessed by a questionnaire. Vitamin intake was calculated from two 24 h recalls. Blood vitamin and total homocysteine (tHcy) concentrations were analysed from fasting blood samples.

Setting: The European Commission-funded HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study.

Subjects: Participants were 1058 (52·8 % females) European adolescents (aged 12·5-17·5 years) from ten cities.

Results: Lower vitamin D and vitamin C concentrations were observed in male and female breakfast skippers than in consumers (P<0·05). Female breakfast consumers presented higher holo-transcobalamin and lower tHcy (P<0·05), while males had higher cobalamin concentrations, compared with skippers (P<0·05). Higher vitamin D and total folate intakes were observed in adolescents who consumed breakfast compared with skippers (P<0·05). Likewise, female consumers had higher intakes of vitamin B6 and vitamin E than occasional consumers (P<0·05).

Conclusions: Regular breakfast consumption is associated with higher blood vitamin D and cobalamin concentrations in males and with higher vitamin D and holo-transcobalamin and lower tHcy concentrations in females. Moreover, breakfast consumption is associated with high intakes of vitamin D and total folate in both sexes, and with high intakes of vitamin B6 and vitamin E in females.

Keywords: Adolescents; Breakfast; Vitamin D.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Ascorbic Acid / administration & dosage
  • Ascorbic Acid / blood
  • Body Composition
  • Body Mass Index
  • Body Weight
  • Breakfast*
  • Child
  • Cross-Sectional Studies
  • Diet
  • Female
  • Folic Acid / administration & dosage
  • Folic Acid / blood
  • Health Behavior
  • Healthy Lifestyle*
  • Homocysteine / metabolism
  • Humans
  • Male
  • Mental Recall
  • Nutrition Assessment
  • Nutritional Status*
  • Socioeconomic Factors
  • Specimen Handling
  • Surveys and Questionnaires
  • Transcobalamins / metabolism
  • Vitamin B 12 / blood
  • Vitamin D / administration & dosage
  • Vitamin D / blood
  • Vitamins / administration & dosage*
  • Vitamins / blood*

Substances

  • Transcobalamins
  • Vitamins
  • Homocysteine
  • Vitamin D
  • Folic Acid
  • Vitamin B 12
  • Ascorbic Acid