2026-06-28T20:38:40Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1041642025-09-02T13:07:21Zcom_20.500.14352_14col_20.500.14352_15

Breakfast Quality and Insulin Resistance in Spanish Schoolchildren: A Cross-Sectional Study Salas González, María Dolores Lozano Estevan, María Del Carmen Aparicio Vizuete, Aranzazu Bermejo López, Laura María Loria Kohen, Viviana Constanza Ortega Anta, Rosa María López Sobaler, Ana María Background: Breakfast has traditionally been considered one of the most important meals of the day; however, there is little evidence for the influence of breakfast quality and insulin resistance (IR). This study aimed to assess the quality of breakfast in a group of schoolchildren, and its association with IR. Methods: A cross-sectional study with 852 children (8–13 years) was carried out. Fasting plasma glucose, insulin and anthropometric parameters were measured. A three-day dietary record was used to assess their diet and to calculate the Breakfast Quality Index (BQI). The sample was divided into tertiles according to the BQI (tertile 3: better breakfast quality). The homeostatic model was used to assess insulin resistance (HOMA-IR), and IR was defined as HOMA-IR > 3.16. Results: The prevalence of IR was 5.2%. The mean BQI score was 4.50 ± 1.25, and boys had lower scores than girls. Children in the BQI tertile 3 had a better global diet quality. In boys, being in the BQI tertile 3 was associated with a lower risk of IR (OR [95% CI]: 0.10 [0.01–0.77], p < 0.05). Conclusions: A higher-quality breakfast was associated with better overall diet quality and a lower risk of IR, especially in boys. 2024-05-17T11:43:59Z 2024-05-17T11:43:59Z 2023 journal article Salas-González MD, Lozano-Estevan MDC, Aparicio A, Bermejo LM, Loria-Kohen V, Ortega RM, López-Sobaler AM. Breakfast Quality and Insulin Resistance in Spanish Schoolchildren: A Cross-Sectional Study. Int J Environ Res Public Health. 2023 Jan 9;20(2):1181 1660-4601 10.3390/ijerph20021181 https://hdl.handle.net/20.500.14352/104164 https://doi.org/10.3390/ijerph20021181 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ open access Attribution-NonCommercial-NoDerivatives 4.0 International MDPI