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A pilot study examining the effects of consuming a high-protein vs normal-protein breakfast on free-living glycemic control in overweight/obese ‘breakfast skipping’ adolescents

Abstract

To examine whether the daily consumption of normal-protein (NP) vs higher-protein (HP) breakfasts improve free-living glycemic control in overweight/obese, ‘breakfast skipping’ adolescents. Twenty-eight healthy, but overweight, teens (age: 19±1 year; BMI: 29.9±0.8 kg m−2) completed a 12-week randomized parallel-arm study in which the adolescents consumed either a 350 kcal NP breakfast (13 g protein) or HP breakfast (35 g protein). Pre- and post-study 24-h blood glucose measures were assessed using continuous glucose monitoring. Although no main effects of time or group were detected, time by group interactions were observed. Post hoc pairwise comparisons assessing the post–pre changes revealed that the daily consumption of the HP breakfasts tended to reduce the 24-h glucose variability (s.d.) vs NP (−0.17±0.09 vs +0.09±0.10 s.d.; P=0.06) and tended to reduce the time spent above the high glucose limit (−292±118 vs −24±80 min; P=0.09). The consumption of the HP breakfasts also reduced the 24-h maximal (peak) glucose response (−0.94±0.36 vs +0.30±0.18 mmol l−1; P<0.01) and reduced postprandial glucose fluctuations (−0.88±0.44 vs +0.49±0.34 mmol l−1; P<0.03) vs NP. These data suggest that the daily addition of a HP breakfast, containing 35 g of high-quality protein, has better efficacy at improving free-living glycemic control compared with a NP breakfast in overweight/obese, but otherwise healthy, ‘breakfast skipping’ adolescents.

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References

  1. Deshmukh-Taskar PR, Nicklas TA, O'Neil CE, Keast DR, Radcliffe JD, Cho S . The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: the National Health and Nutrition Examination Survey 1999–2006. J Am Diet Assoc 2010; 110: 869–878.

    Article  CAS  Google Scholar 

  2. Siega-Riz AM, Popkin BM, Carson T . Trends in breakfast consumption for children in the United States from 1965–1991. Am J Clin Nutr 1998; 67: 748S–756S.

    Article  CAS  Google Scholar 

  3. Song WO, Chun OK, Kerver J, Cho S, Chung CE, Chung SJ . Ready-to-eat breakfast cereal consumption enhances milk and calcium intake in the US population. J Am Diet Assoc 2006; 106: 1783–1789.

    Article  Google Scholar 

  4. Moag-Stahlberg A . ADAF Family nutrition and physical activity survey background data 2010. Available from: www.Eatright.org accessed 1 October 2015.

  5. Brian W . Breakfast habits by the numbers (Hint: It isn't good for breakfast), 2013. Available from http://www.fooddive.com/news/breakfast-habits-by-the-numbers-hint-it-isnt-good-for-breakfast/175630/ accessed 1 October 2015.

  6. Brown AW, Bohan Brown MM, Allison DB . Belief beyond the evidence: using the proposed effect of breakfast on obesity to show 2 practices that distort scientific evidence. Am J Clin Nutr 2013; 98: 1298–1308.

    Article  CAS  Google Scholar 

  7. Deshmukh-Taskar P, Nicklas TA, Radcliffe JD, O'Neil CE, Liu Y . The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999–2006. Public Health Nutr 2012; 16: 2073–2082.

    Article  Google Scholar 

  8. Mekary RA, Giovannucci E, Willett WC, van Dam RM, Hu FB . Eating patterns and type 2 diabetes risk in men: breakfast omission, eating frequency, and snacking. Am J Clin Nutr 2012; 95: 1182–1189.

    Article  CAS  Google Scholar 

  9. Jovanovic A, Gerrard J, Taylor R . The second-meal phenomenon in type 2 diabetes. Diabetes Care 2009; 32: 1199–1201.

    Article  Google Scholar 

  10. Leidy HJ, Clifton PM, Astrup A, Wycherley TP, Westerterp-Plantenga MS, Luscombe-Marsh ND et al. The role of protein in weight loss and maintenance. Am J Clin Nutr 2015. e-pub ahead of print 29 April 2015 doi:10.3945/ajcn.114.084038.

    Article  CAS  Google Scholar 

  11. Rains T, Leidy H, Sanoshy K, Lawless A, Maki K . A randomized, controlled, crossover trial to assess the acute appetitive and metabolic effects of sausage and egg-based convenience breakfast meals in overweight premenopausal women. Nutr J 2015; 14: 17.

    Article  Google Scholar 

  12. Heather JL, Heather AH, Steve MD, Rebecca SS . Daily Addition of a Protein-rich Breakfast for Long-term Improvements In Energy Intake Regulation and Body Weight Management in Overweight & Obese ‘Breakfast Skipping’ Young People. FASEB J 2013; 27: 249.7.

    Google Scholar 

  13. Oberlin DJ, Mikus CR, Kearney ML, Hinton PS, Manrique C, Leidy HJ et al. One bout of exercise alters free-living postprandial glycemia in type 2 diabetes. Med Sci Sports Exerc 2014; 46: 232–238.

    Article  CAS  Google Scholar 

  14. Mikus CR, Oberlin DJ, Libla J, Boyle LJ, Thyfault JP . Glycaemic control is improved by 7 days of aerobic exercise training in patients with type 2 diabetes. Diabetologia 2012; 55: 1417–1423.

    Article  CAS  Google Scholar 

  15. Mikus CR, Oberlin DJ, Libla JL, Taylor AM, Booth FW, Thyfault JP . Lowering physical activity impairs glycemic control in healthy volunteers. Med Sci Sports Exerc 2012; 44: 225–231.

    Article  CAS  Google Scholar 

  16. Leidy HJ, Ortinau LC, Douglas SM, Hoertel HA . Beneficial effects of a higher-protein breakfast on the appetitive, hormonal, and neural signals controlling energy intake regulation in overweight/obese, ‘breakfast-skipping,’ late-adolescent girls. Am J Clin Nutr 2013; 97: 677–688.

    Article  CAS  Google Scholar 

  17. Betts JA, Richardson JD, Chowdhury EA, Holman GD, Tsintzas K, Thompson D . The causal role of breakfast in energy balance and health: a randomized controlled trial in lean adults. Am J Clin Nutr 2014; 100: 539–547.

    Article  CAS  Google Scholar 

  18. Kobayashi F, Ogata H, Omi N, Nagasaka S, Yamaguchi S, Hibi M et al. Effect of breakfast skipping on diurnal variation of energy metabolism and blood glucose. Obes Res Clin Pract 2014; 8: e201–e298.

    Article  Google Scholar 

  19. Chaput JP, Tremblay A . The glucostatic theory of appetite control and the risk of obesity and diabetes. Int J Obes 2009; 33: 46–53.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Lana Merrick, research chief, for the development and preparation of the breakfast meals. The study was funded by the Pork Checkoff.

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Correspondence to H J Leidy.

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Bauer, L., Reynolds, L., Douglas, S. et al. A pilot study examining the effects of consuming a high-protein vs normal-protein breakfast on free-living glycemic control in overweight/obese ‘breakfast skipping’ adolescents. Int J Obes 39, 1421–1424 (2015). https://doi.org/10.1038/ijo.2015.101

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