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

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:71

Enthalten in:

Nutrition (Burbank, Los Angeles County, Calif.) - 71(2020) vom: 01. März, Seite 110639

Sprache:

Englisch

Beteiligte Personen:

Hashimoto, Yoshitaka [VerfasserIn]
Kaji, Ayumi [VerfasserIn]
Sakai, Ryosuke [VerfasserIn]
Osaka, Takafumi [VerfasserIn]
Ushigome, Emi [VerfasserIn]
Hamaguchi, Masahide [VerfasserIn]
Yamazaki, Masahiro [VerfasserIn]
Fukui, Michiaki [VerfasserIn]

Links:

Volltext

Themen:

Blood Glucose
Breakfast
Diet
Diet habit
Glycated Hemoglobin A
Glycemic control
Glycemic variability
Journal Article
Type 2 diabetes

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

doi:

10.1016/j.nut.2019.110639

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM304699128