Skipping breakfast is associated with glycemic variability in patients with type 2 diabetes
Copyright © 2019 Elsevier Inc. All rights reserved..
OBJECTIVES: The association between skipping breakfast and glycemic parameters, including glycemic variability, in patients with type 2 diabetes is not well understood. Therefore, the aim of this study was to investigate the effects of skipping breakfast on glycemic parameters, including glycemic variability, in patients with type 2 diabetes.
METHODS: In this cross-sectional study, we assessed lifestyle factors, including skipping breakfast, using a questionnaire method. We calculated the average, SD, and coefficient of variation (CV) of hemoglobin (Hb)A1c levels. The CV of HbA1c was defined as follows: CV = (SD / average HbA1c) × 100 (%).
RESULTS: Among 317 patients, 22 (6.9%) skipped breakfast. Patients who did not eat breakfast were younger (58 [14.5] versus 67.4 [10.1] y, P < 0.001) than those who did. The proportion of current smokers among patients skipping breakfast was higher than the proportion of smokers among patients who did not (40.9 versus 11.5%, P < 0.001). Average (7.7 [1.3] versus 7.1 [0.8]%, P = 0.003), SD (0.32 [0.17-0.85] versus 0.21 [0.14-0.35], P = 0.024) and CV (0.04 [0.03-0.10] versus 0.03 [0.02-0.05], P = 0.028) of HbA1c level were higher among patients who skipped breakfast than among those who did not. Multiple regression analysis revealed that skipping breakfast was associated with average HbA1c (β = 0.527, P = 0.006) and CV of HbA1c (β = 0.026, P = 0.001) after adjusting for age, sex, body mass index, duration of diabetes, exercise, smoking, amount of alcohol consumption, total energy intake, carbohydrate intake, and medications for diabetes.
CONCLUSIONS: Skipping breakfast is independently associated with poor glycemic control, including glycemic variability, in patients with type 2 diabetes.
Errataetall: |
CommentIn: MMW Fortschr Med. 2020 Apr;162(6):30. - PMID 32248484 |
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Medienart: |
E-Artikel |
Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:71 |
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Enthalten in: |
Nutrition (Burbank, Los Angeles County, Calif.) - 71(2020) vom: 01. März, Seite 110639 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Hashimoto, Yoshitaka [VerfasserIn] |
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Links: |
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Themen: |
Blood Glucose |
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Anmerkungen: |
Date Completed 21.01.2021 Date Revised 07.12.2022 published: Print-Electronic CommentIn: MMW Fortschr Med. 2020 Apr;162(6):30. - PMID 32248484 Citation Status MEDLINE |
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doi: |
10.1016/j.nut.2019.110639 |
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funding: |
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PPN (Katalog-ID): |
NLM304699128 |
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520 | |a Copyright © 2019 Elsevier Inc. All rights reserved. | ||
520 | |a OBJECTIVES: The association between skipping breakfast and glycemic parameters, including glycemic variability, in patients with type 2 diabetes is not well understood. Therefore, the aim of this study was to investigate the effects of skipping breakfast on glycemic parameters, including glycemic variability, in patients with type 2 diabetes | ||
520 | |a METHODS: In this cross-sectional study, we assessed lifestyle factors, including skipping breakfast, using a questionnaire method. We calculated the average, SD, and coefficient of variation (CV) of hemoglobin (Hb)A1c levels. The CV of HbA1c was defined as follows: CV = (SD / average HbA1c) × 100 (%) | ||
520 | |a RESULTS: Among 317 patients, 22 (6.9%) skipped breakfast. Patients who did not eat breakfast were younger (58 [14.5] versus 67.4 [10.1] y, P < 0.001) than those who did. The proportion of current smokers among patients skipping breakfast was higher than the proportion of smokers among patients who did not (40.9 versus 11.5%, P < 0.001). Average (7.7 [1.3] versus 7.1 [0.8]%, P = 0.003), SD (0.32 [0.17-0.85] versus 0.21 [0.14-0.35], P = 0.024) and CV (0.04 [0.03-0.10] versus 0.03 [0.02-0.05], P = 0.028) of HbA1c level were higher among patients who skipped breakfast than among those who did not. Multiple regression analysis revealed that skipping breakfast was associated with average HbA1c (β = 0.527, P = 0.006) and CV of HbA1c (β = 0.026, P = 0.001) after adjusting for age, sex, body mass index, duration of diabetes, exercise, smoking, amount of alcohol consumption, total energy intake, carbohydrate intake, and medications for diabetes | ||
520 | |a CONCLUSIONS: Skipping breakfast is independently associated with poor glycemic control, including glycemic variability, in patients with type 2 diabetes | ||
650 | 4 | |a Journal Article | |
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