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Breakfast is considered as the most important meal of the day. The habit of skipping this meal in adolescence tends to remain until adulthood and has been associated with cardiometabolic risk factors. The present study estimated the prevalence of skipping breakfast and its association with cardiometabolic risk factors. This is a cross-sectional study with data from the Study of Cardiovascular Risks in Adolescents (ERICA), with a nationally representative sample of 36 956 Brazilian adolescents, aged 12–17 years, enrolled in public and private schools. The outcomes were excess body weight (BMI), central obesity (waist circumference and waist:height ratio), lipid profile (total cholesterol (TC), LDL-cholesterol, HDL-cholesterol and TAG) and glycidic profile (fasting glycaemia, fasting insulin and glycated Hb). The association between skipping breakfast and each outcome was estimated using multiple Poisson regression models (prevalence ratio (PR) and 95 % CI). Prevalence of skipping breakfast was 68·7 % and, after adjustments, it was associated with excess body weight (PR = 1·30; 95 % CI 1·18, 1·43), central obesity both by waist circumference (PR = 1·27; 95 % CI 1·00, 1·61) and by waist:height ratio (PR = 1·32; 95 % CI 1·13, 1·54) and high fasting glucose levels (PR = 1·54; 95 % CI 1·09, 2·18), fasting insulin (PR = 1·64; 95 % CI 1·21, 2·22), glycated Hb (PR = 1·16; 95 % CI 1·03, 1·31) and total cholesterol (PR = 1·14; 95 % CI 1·02, 1·27). Skipping breakfast was associated with cardiometabolic risk factors in adolescence. In this context, the school environment is an ideal space to promote healthy eating habits, favouring the implementation of food and nutrition education activities to make adolescents aware of the importance of consuming breakfast daily. [ABSTRACT FROM AUTHOR]

The future of conferences, today: Are virtual conferences a viable supplement to "live" conferences? If you have any questions about ADA accessibility at the conference, contact the conference venue (e.g., if it is a conference hall attached to a hotel) or contact the conference organizer (the conference website will contain this information). Finally, mentor your students - particularly marginalized students who may find academia and conferences less than welcoming - through the conference experience and their overall professional development with "compassion, advocacy, and support" [[20]]. Virtual conferences Virtual conferences generally cost less than their in-person counterparts [[3]], and many virtual conferences have reduced or waived the student fees associated with conference registration. [Extracted from the article]

Objective: We examined whether breakfast frequency was associated with chronic inflammatory, as assessed by high-sensitivity C-reactive protein (CRP) concentration.Design: Cross-sectional study.Setting: Kailuan community, China.Participants: Included were 70 092 Chinese adults without CVD and cancer in 2014 with CRP concentrations <10 mg/l, when breakfast frequency was assessed via a questionnaire, and plasma CRP concentration was measured.Results: Breakfast frequency was associated with CRP concentration (P-trend < 0·001). The adjusted mean CRP was 1·33 mg/l (95 % CI 1·23, 1·44) for the 'no breakfast' group and 1·07 mg/l (95 % CI 1·0, 1·14) for the 'breakfast everyday' group (P-difference < 0·001), adjusting for age, sex, diet quality, total energy, obesity, education, occupation, marital status, smoking, alcohol consumption, blood pressure, sleep parameters, fasting blood glucose and lipid profiles. Consistently, the adjusted OR for CRP ≥ 1·0 mg/l and CRP ≥ 3·0 mg/l were 1·86 (95 % CI 1·73, 2·00) and 1·27 (95 % CI 1·15, 1·40), respectively, when comparing these two breakfast consumption groups (P-trend < 0·001 for both). The associations were more pronounced among older adults, relative to those who were younger (P-interaction < 0·001). Significant association between breakfast skipping and elevated CRP concentration was observed in those with poor diet quality, but not those with good diet quality.Conclusions: Habitually skipping breakfast is associated with elevated concentrations of CRP. Future prospective studies including repeated assessment of inflammatory biomarkers and a collection of detailed information on type and amount of breakfast foods are warranted. [ABSTRACT FROM AUTHOR]

Context: Emerging evidence suggests that not only the quantity but also the quality and food sources of macronutrients plays an important role in CVD. However, limited studies have examined the association of meal timing of different quality of macronutrients with CVD risk.Objective: This study aimed to examine the association of subtypes of macronutrient consumption at dinner vs breakfast with cardiovascular diseases (CVD).Methods: A total of 27 911 participants from the National Health and Nutrition Examination Survey (2003-2016) were included. The differences of subtypes of macronutrients at dinner vs breakfast (Δratio) were categorized into quintiles. Multiple logistic regression models and isocaloric substitution effects of subtypes were performed.Results: After adjustment of a variety of covariates, participants in the highest quintile of the Δratio of low-quality carbohydrates had a higher risk of angina (odds ratio [OR] = 1.63; 95% CI, 1.16-2.29) (Pfor trend = .007) and heart attack (OR = 1.47; 95% CI, 1.13-1.93) (Pfor trend = .068) compared with the lowest quintile. The highest quintile of the Δratio of animal protein had a higher risk of coronary heart disease (OR = 1.44; 95% CI, 1.06-1.95) (Pfor trend = .014) and angina (OR = 1.44; 95% CI, 1.01-2.07) (Pfor trend = .047). For the Δratio of unsaturated fatty acid (USFA), the highest quintile of the Δratio of USFA was related to lower stroke risk (OR = 0.76; 95% CI, 0.58-0.99) (Pfor trend = .049). Isocaloric substitution of low-quality carbohydrates/animal protein by high-quality carbohydrates/plant protein at dinner reduced CVD risk by around 10%.Conclusion: This study indicated that overconsumption of low-quality carbohydrates and animal protein at dinner rather than breakfast was significantly associated with higher CVD risk and USFA consumption at dinner related to lower CVD risk among US adults. Substitution of low-quality carbohydrates or animal protein by high-quality carbohydrates or plant protein at dinner could reduce CVD risk. [ABSTRACT FROM AUTHOR]

Background and Objectives: The objective of the current study was to investigate associations between food and nutrition literacy (FNLIT) and eating behaviors of elementary school children in Tehran, Iran. Materials and Methods: In this cross-sectional study, 803 students aged 10-12 years were participated from 44 primary schools in Tehran, Iran. A valid, reliable self-administered questionnaire was used to investigate participants' food and nutrition literacy. A research-made questionnaire was used to assess eating behaviors of the students. Furthermore, the multinomial adjusted odds ratios of food and nutrition literacy for eating behaviors were analyzed. Results: Food and nutrition literacy cognitive domain included understanding food and nutrition information and nutritional health knowledge. Food and nutrition literacy skill domain included functional, interactive, critical food and nutrition literacy, food choice and food label literacy. High levels of food and nutrition literacy scores in the cognitive domain were negatively associated to irregular breakfast intakes compared to everyday eating breakfast (1-2 times a week, OR = 0.32, CI = 0.17-0.60), irregular lunch intakes compared to everyday eating lunch (never/1-2 times a week, OR = 0.40, CI = 0.17-0.93; 3-6 times a week, OR = 0.45, CI = 0.25-0.80) and irregular dinner intakes compared to everyday eating dinner (never/1-2 times a week, OR = 0.32, CI = 0.17-0.68). High food and nutrition literacy scores in the cognitive domain were attributed to never eating sausage/hamburger (OR = 2.20, CI = 1.01-4.83) and eating salty snacks 3-4 times a week (OR = 2.58, CI = 1.09-6.13). The FNLIT scores in the skill domain were negatively associated to irregular breakfast intakes compared to everyday eating breakfast (3-6 times a week, OR = 0.33, CI = 0.13-0.78). Food and nutrition literacy scores in the skill domain were positively associated to never eating sweet snacks (OR = 4.19, CI = 1.39-12.62). Conclusions: The current manuscript highlights the necessity of continuous improvements in health education curriculum of schools in Iran, particularly highlighting the importance of greater attention needs to practical and skillbased lessons rather than theoretical lessens. Further studies with long-term follow-up plans are needed to understand associations between food and nutrition literacy and eating behaviors more comprehensively. [ABSTRACT FROM AUTHOR]

Ogi is a fermented maize product which is commonly used as weaning food for children and as breakfast for adults. This study was conducted to evaluate the effect of enrichment with turmeric and ginger on some quality parameters of ogi flour. Turmeric and ginger slurries were prepared and added to the ogi slurry at different percentages as follows: 0CC (100% ogi), GN1 (95% ogi + 5% ginger), GN2 (90% ogi + 10% ginger), GN3 (85% ogi + 15% ginger), TM1 (95% ogi + 5% turmeric), TM2 (90% ogi + 10% turmeric) and TM3 (85% ogi + 15% turmeric). The samples were fermented for 48 h, dried at 55 °C for 24 h to flour and then packaged. Microbial, pH and total titratable acidity (TTA) evaluations were carried out on the samples during fermentation. Nutritional and anti-nutritional contents were also determined. Results showed that the pH of the spiced ogi slurry decreased as total titratable acidity increased during fermentation. The proximate composition showed significant differences (p≤0.05) and increased with the addition of ginger and turmeric, respectively. Considering the ash, crude fat and crude protein contents, the sample TM1 had the highest value of 1.21, 5.92, and 11.89%, while the sample 0CC had the lowest value of 0.64, 3.64, and 5.58%, respectively. The vitamin determinations showed that the sample TM3 had the highest values of vitamin B2, B6 and D. The highest value was recorded in Vitamin C for the sample GN3 (85% ogi + 15% ginger), while the lowest value was recorded in the sample TM1 (95% ogi + 5% turmeric). Tannin, phytate and trypsin inhibitor showed the highest values in the sample TM3. The sensory evaluation showed that the sample GN1 was the most preferred sample. The study established that the enrichment of ogi with turmeric and [ABSTRACT FROM AUTHOR]

Objective: The Food Quality Observatory was created in the province of Quebec (Canada) in 2016. In this study, the Observatory aimed to generate a methodology to (1) test the use of sales data combined with nutrient values to characterise the nutritional composition of ready-to-eat (RTE) breakfast cereals offered and purchased in the province of Quebec (Canada) and (2) verify the extent to which a front-of-pack label based on the percentage of daily value (DV) for total sugar, as a strategy to improve the food supply, would be distributed in this food category.Design: Nutritional information were obtained by purchasing each RTE breakfast cereal available in the Greater Montreal area. Cereals were then classified according to their processing type.Setting: The nutritional values of 331 RTE breakfast cereals available in Quebec were merged with sales data covering the period between May 2016 and May 2017. A total of 306 products were successfully cross-referenced.Results: Granola and sweetened cereals were the most available (36·6 % and 19·6 %, respectively) and purchased (19·8 % and 40·9 % of sales, respectively). When compared with other types of cereals, granola cereals had a higher energy, fat, saturated fat, protein content and a lower Na content. A larger proportion of chocolate (65 %) and sweetened cereals (49 %) were above 15 % of the DV for sugar.Conclusions: This study showed that the methodology developed generates important data to monitor nutritional quality of the food supply and ultimately contribute to improve the nutritional quality of processed foods. [ABSTRACT FROM AUTHOR]

Objective: To assess associations between household food security status and indicators of food skills, health literacy and home meal preparation, among young Canadian adults.Design: Cross-sectional data were analysed using logistic regression and general linear models to assess associations between food security status and food skills, health literacy and the proportion of meals prepared at home, by gender.Setting: Participants recruited from five Canadian cities (Vancouver (BC), Edmonton (AB), Toronto (ON), Montreal (QB) and Halifax (NS)) completed an online survey.Participants: 1389 men and 1340 women aged 16-30 years.Results: Self-reported food skills were not associated with food security status (P > 0·05) among men or women. Compared to those with high health literacy (based on interpretation of a nutrition label), higher odds of food insecurity were observed among men (adjusted OR (AOR): 2·58, 95 % CI 1·74, 3·82 and 1·56, 95 % CI 1·07, 2·28) and women (AOR: 2·34, 95 % CI 1·48, 3·70 and 1·92, 95 % CI 1·34, 2·74) with lower health literacy. Women in food-insecure households reported preparing a lower proportion of breakfasts (β = -0·051, 95 % CI -0·085, -0·017), lunches (β = -0·062, 95 % CI -0·098, -0·026) and total meals at home (β = -0·041, 95 % CI -0·065, -0·016). Men and women identifying as Black or Indigenous, reporting financial difficulty and with lower levels of education had heightened odds of experiencing food insecurity.Conclusions: Findings are consistent with other studies underscoring the financial precarity, rather than lack of food skills, associated with food insecurity. This precarity may reduce opportunities to apply health literacy and undertake meal preparation. [ABSTRACT FROM AUTHOR]

Objective: The aim of the current study was to identify and describe the meal and snack patterns (breakfast, mid-morning snack, lunch, mid-afternoon snack, dinner and evening snack) of public schoolchildren.Design: Cross-sectional study. Information on the previous day's food intake was obtained through the Web-CAAFE (Food Intake and Physical Activity of Schoolchildren), an interactive questionnaire, which divides daily food consumption into three meals (breakfast, lunch and dinner) and three snacks (mid-morning, mid-afternoon and evening). Each meal contains thirty-one food items and the schoolchildren clicked on the food items consumed in each meal. Factor analysis was used to identify meal and snack patterns. The descriptions of the dietary patterns (DP) were based on food items with factor loads ≥ 0·30 that were considered representative of each DP.Setting: Schoolchildren, Florianopolis, Brazil.Participants: Children (n 1074) aged 7-13 years.Results: Lunch was the most consumed meal (96·0 %), followed by dinner (86·4 %), breakfast (85·3 %) and mid-afternoon snack (81·7 %). Four DP were identified for breakfast, mid-morning snack, lunch, dinner and evening snack, and three for mid-afternoon snack. Breakfast, lunch and dinner patterns included traditional Brazilian foods. DP consisting of fast foods and sugary beverages were also observed, mainly for the evening snack.Conclusions: The results of the current study provide important information regarding the meal and snack patterns of schoolchildren to guide the development of nutrition interventions in public health. [ABSTRACT FROM AUTHOR]

Objectives: Global evidence has shown that behaviour acquired during adolescence often lasts into adulthood. Diet quality of and malnutrition in Indonesian adolescents is a neglected area of research. The current study reviews all studies related to eating behaviour in Indonesian adolescents to support evidence-based policy to improve diets.Design: We searched electronic databases (six international and one local), from January 2000 to April 2018. The search terms used were (1) prevalence (prevalence OR number* OR case*, incidence OR survey), (2) adolescents (adolescen* OR school-age OR young adult), (3) Indonesia (Indonesia*) and (4) eating pattern (eat* OR fruit OR vegetable OR food recall OR food OR frequenc* OR consumption OR dietary intake). Articles were assessed against a critical appraisal tool.Setting: Indonesia.Participants: 10-19 years.Results: We discovered 15 studies related to eating behaviour, 5 of which were secondary analyses of nationally representative surveys and one was a nationwide survey. Of the nine studies, one study was conducted in multiple cities, and the rest were conducted in a single city or smaller area. There were seven main topics from the included studies: nutrient adequacy, fruit and vegetable consumption, water and beverage intake, Na intake, breakfast habit, snacking frequency and western fast food consumption.Conclusions: Adolescents consume inadequate amounts of protein, fruits and vegetables, and excessive amounts of Na and western fast food. Measures are needed to improve and motivate adolescents to adopt healthier eating patterns. Furthermore, there is a need to have one standard definition and measurement of eating behaviour in Indonesia. [ABSTRACT FROM AUTHOR]

Chocolate spread is one of the favourite breakfast meals and snacks among people of all generations. Increased consumption of these kinds of products with high-energy value leads to obesity and several health problems. Many researchers are trying to produce acceptable products with lower calorie values by reducing fat and sugar contents. Oleogels are one of the most explored solutions for the development of low-fat products and products with lower content of saturated fats. In addition, the fat composition of chocolate spreads can be changed to obtain a better fatty acid profile. Products with a low-sugar content have been proven to have sensory acceptability when sweeteners with low caloric value were used. In addition, researchers proved that chocolate spreads could be enriched with many different bioactive components by using by-products and minimally processed raw materials in the production process. [ABSTRACT FROM AUTHOR]

To investigate the influence of the home environment, defined as family socioeconomic status (SES) (parent education level, household income), student resource-mediated SES (access to nutritional resources and cognitively stimulating experiences), reading ability, and difficulty with homework on quality of life in children and adolescents residing in urban and suburban areas in Hangzhou City, Zhejiang Province, China. This study included 3200 Grade 3–6 students from 8 elementary schools in Hangzhou City. Assessments included questionnaires that evaluated student quality of life, family SES, resource-mediated SES (dietary behavior and the home literacy environment), reading ability, and difficulty with homework. The effects of the home environment on student quality of life were analyzed by univariate analysis, multiple linear regression analysis, and structural equation modeling. Overall, 80.6% of students had a medium or better quality of life. Young age (Grade 3 or 4), female sex, household income of 10000–15000 RMB, high breakfast consumption, daily intake of fruit, a balanced diet, and good reading habits were positively correlated with student quality of life (P < 0.05), while overuse of electronic devices was negatively correlated with quality of life (P < 0.05). Dietary behaviors, home literacy environment, and student reading ability and difficulty with homework directly affected quality of life. Family SES indirectly affected student quality of life. Children and adolescents in China should have access to good nutrition and cognitively stimulating experiences to enhance their well-being and provide them with social and academic advantages. Highlights: The influence of the home environment on quality of life in students in China was explored with structural equation modeling. Student quality of life was directly affected by diet, the literacy environment, reading ability and difficulty with homework. Student quality of life was indirectly affected by family socioeconomic status. These findings will inform the development of programs that promote improved quality of life in Chinese children. [ABSTRACT FROM AUTHOR]

Background: Despite the rising double burden of malnutrition, adolescent nutrition has received little attention in Indonesia. Eating and physical activity behaviors established in adolescence are known to track into adulthood and may contribute to chronic diseases in later life. This study aimed to explore the eating behaviors and physical activity of Indonesian adolescents, and their influencing factors.Methods: The study, designed as a qualitative study, was conducted in 2 selected districts in Indonesia: Klaten and Lombok Barat. Data were collected through immersion, open and informal discussions, and participant observations with 302 adolescent girls and boys.Results: The eating and physical activity behaviors of adolescent boys and girls are influenced by contextual changes in their family lifestyles and environment. The adolescents in this study only conflate physical activity with participation in sport. Even when a wider view of physical activity is cast, their level of physical activity remains low, especially for adolescent girls. Adolescents and their families generally eat 3 meals a day, with schools an important source of food for adolescents. Adolescents skip breakfast at home, and breakfast and lunch are usually purchased and eaten at school. Fewer families cook and families rarely eat together due to increasingly busy lives, increased mobility, and digital connectivity.Conclusions: The rapid contextual shifts taking place in Indonesia influence the home, school, and peer environment to shape eating behaviors and physical activity among adolescent boys and girls. Gender-responsive multicomponent school-based interventions have the potential to serve as an important entry point for influencing adolescent nutrition. [ABSTRACT FROM AUTHOR]

With the rise in the availability of absenteeism data, it is clear that students are missing a staggering amount of school. Policymakers have focused efforts on identifying school programs that might reduce absenteeism. This study examined whether implementing the program "Breakfast After-the-Bell" (BAB) might reduce school absenteeism. Exploring longitudinal statewide datasets (Colorado and Nevada) containing school breakfast information linked to national data on chronic absenteeism rates, we used sharp and fuzzy regression discontinuity designs to examine the effects of BAB. Our findings suggest that schools serving BAB experienced declines in chronic absenteeism. The strongest effects were experienced by high schools, schools with higher rates of breakfast participation, schools serving universally free meals, and suburban schools. Implications are discussed. [ABSTRACT FROM AUTHOR]

Objective: The study sought to assess the influence of nutrition education and intervention programmes on nutrition knowledge and dietary practice among both students and staff (including faculty) of Princess Nourah Bint Abdulrahman University in Saudi Arabia.Design: A pretest-posttest, non-randomised experimental study design was implemented at Princess Nourah Bint Abdulrahman University in Riyadh City between September 2019 and February 2020.Setting: Princess Nourah Bint Abdulrahman University is the largest women's university in the world and has eighteen colleges and institutions and around ninety academic programmes.Participants: The survey was completed by 1824 participants (1350 students and 474 staff/faculty) before the intervention and by a different cohort of 1731 participants (1317 students and 414 staff/faculty) after the intervention. In total, an independent sample of 3555 staff and students participated. Participants were asked about dietary knowledge and practices. Dietary knowledge entailed food variety and nutrients, fast food and its poor nutritional value, and the influence of cooking style on the nutritional quality of food. Dietary practices involved eating breakfast; consuming salt/sugar, eating high-salt food; eating pre-packaged food and consumption of vegetables, fruits, supplements, water and caffeine.Results: The majority of the sample consisted of students (75·1 %) and had not been diagnosed with any disease (73·7 %). The result of the current study showed that nutrition knowledge improved after completion of the nutrition programme.Conclusions: The nutrition awareness programme improved students' nutritional knowledge; however, there was no significant effect on their dietary practices. Future nutrition awareness programmes should separate activities for students and staff, focusing on one target population at a time. [ABSTRACT FROM AUTHOR]

Breakfast After the Bell (BATB) has become the unofficial standard in school breakfast, particularly in larger, urban districts. However, there is sometimes concern that students eat at home or buy food before school, therefore eating breakfast twice. Additionally, student perceptions of BATB, its benefits and challenges, remain largely unstudied. To understand if students are eating multiple breakfasts when BATB is served, and to measure students' opinions of BATB. Middle school (MS) students from a low-income urban school district that operates under the Community Eligibility Provision took a paper-and-pencil survey during homeroom. This MS had switched from BATB back to breakfast before the bell midway through the schoolyear (n = 1149). District breakfast participation data were also collected and analyzed. Participants answered questions regarding their perceptions of school breakfast. Participants were also asked their opinions of the traditional model of serving breakfast before the bell compared to BATB. District breakfast participation data and descriptive statistics are presented. The majority of students reported a positive impression of BATB, specifically that they feel better when they eat breakfast (69%); eating school breakfast saves time at home in the morning (56%); and school breakfast saves their family money (53%). In addition, they stated they were more likely to eat breakfast when it was served in the classroom (55%). Importantly, the vast majority of students said that they never, or only sometimes, buy breakfast on the way to school (92%), and only 18% reported that they always eat at home. District breakfast participation data show a significant decrease in breakfast participation after the switch to breakfast before the bell. Overall, students reported many benefits of the BATB model. For most students, BATB was the only breakfast they report eating, which should remove the double-breakfast concern for school administrators. Returning to BATB would likely increase breakfast participation in the MS. Rutgers University Community-University Research Partnership Grant. [ABSTRACT FROM AUTHOR]

Background: Positive parental feeding practices and a higher frequency of family meals are related to healthier child dietary habits. Parents play an essential role when it comes to the development of their child's eating habits. However, parents are increasingly distracted by their mobile phone during mealtimes. The aim of this study was to describe the feeding practices and daily shared family meals among parents who use and do not use a mobile phone during mealtimes, and further to explore the associations between the use of a mobile phone during mealtimes and feeding practices and daily shared family meals, respectively.Methods: Cross-sectional data from the Food4toddler study were used to explore the association between mobile use during meals and parental feeding practices including family meals. In 2017/2018 parents of toddlers were recruited through social media to participate in the study. In total 298 out of 404 who volunteered to participate, filled in a baseline questionnaire, including questions from the comprehensive feeding practices questionnaire (CFPQ), questions of frequency of family meals and use of mobile phone during meals.Results: Herein, 4 out of 10 parents reported various levels of phone use (meal distraction) during mealtimes. Parental phone use was associated with lower use of positive parental feeding practices like modelling (B = - 1.05 (95% CI -1.69; - 0.41)) and family food environment (B = - 0.77 (95% CI -1.51; - 0.03)), and more use of negative parental feeding practices like emotional regulation (B = 0.73 (95% CI 0.32; 1.14)) and the use of pressure to eat (B = 1.22 (95% CI 0.41; 2.03)). Furthermore, parental phone use was associated with a lower frequency of daily family breakfast (OR = 0.50 (95% CI 0.31; 0.82)) and dinner (OR = 0.57 (95% CI 0.35; 0.93)).Conclusions: Mobile phone use is common among parents during mealtimes, and findings indicate that parental phone use is associated with less healthy feeding practices and shared family meals. These findings highlight the importance of making parents aware of potential impacts of meal distractions.Trial Registration: ISRCTN92980420 . Registered 13 September 2017. Retrospectively registered. [ABSTRACT FROM AUTHOR]

Background: A protein intake of 30‐40 g per meal is suggested to maximally stimulate muscle protein synthesis in older adults and could therefore contribute to the prevention of sarcopenia. Protein intake at breakfast and lunch is often low and offers a great opportunity to improve daily protein intake. Protein, however, is known for its satiating effects. Therefore, we explored the association between the amount of protein intake at breakfast and lunch and total daily protein intake in older adults. Methods: Protein intake was assessed by a 3‐day food record in 498 community dwelling older adults (≥55 years) participating different lifestyle interventions. Linear mixed model analysis was used to examine the association between protein intake at breakfast or lunch and total daily protein intake, adjusted for sex, age, body mass index, smoking status, study and total energy intake. Results: After adjustment for potential confounders, a 10 g higher protein intake at breakfast was associated with a 3.2 g higher total daily protein intake (P = 0.008) for males and a 4.9 g (P < 0.001) higher total daily protein intake for females. A 10 g higher protein intake at lunch was associated with a 3.7 g higher total daily protein intake (P < 0.001) for males, and a 5.8 g higher total daily protein intake (P < 0.001) for females. Conclusions: A higher protein intake at breakfast and lunch is associated with a higher total daily protein intake in community dwelling older adults. Stimulating a higher protein intake at breakfast and lunch might represent a promising nutritional strategy to optimise the amount of protein per meal without compromising total daily protein intake. [ABSTRACT FROM AUTHOR]

Aim: To verify the reliability and validity of a Japanese translation of the Satter eating competence Inventory‐2.0™ (ecSI‐2.0™) for parents of fifth and sixth grade elementary school students. Methods: Participants were parents who prepared meals for their children aged 10–12 years. A preliminary study was conducted with 11 parents using semi‐structured interviews and questionnaires, followed by a main study of 2,825 parents. Internal consistency and test–retest methods were used to verify reliability. Face and content validity were confirmed in the preliminary study, and feasibility was examined by the valid response rate and response time. Construct validity was verified using factor validity and known population validity. Results: Of the 2,825 persons surveyed, 626 returned valid responses, and among the 60 persons who received the re‐survey, 48 returned valid responses. The average score of the Japanese translation of the ecSI‐2.0™ was 33.1 (SD ± 7.8) points. Cronbach's alpha coefficient for the whole scale was.87 and ranged from.67–.79 for the four subscales. The test–retest method confirmed the scale's stability. Factor analysis confirmed that reproducibility of the four factors was similar to the original version. In the examination of known population validity, the same correlation as the original edition was confirmed. Conclusions: The Japanese translation of the ecSI‐2.0™ may be reliable and valid for understanding eating competence related to behavior of parents of school‐age children. [ABSTRACT FROM AUTHOR]

BACKGROUND We assessed the cost‐effectiveness and student outcomes related to providing breakfast in the classroom (BIC) setting versus breakfast in the traditional school cafeteria (Cafe). METHODS: The sample included 2906 African American and Hispanic students attending urban elementary and middle schools in a city in the Northeastern United States. Teachers and other school personnel completed interviews. Teachers completed an online survey. RESULTS: School absences were lower for students in the BIC program than in the Cafe program. The school suspension rate was lower for the BIC students than the Cafe students. A larger percentage of BIC students (80%) ate breakfast than Cafe students (30%). The BIC program was more cost‐effective than the Cafe program. CONCLUSIONS: Our findings demonstrate that low‐income students in the BIC program showed improved attendance and increased breakfast consumption. Students who consume a healthy in‐class breakfast may develop better eating habits and academic performance. [ABSTRACT FROM AUTHOR]

Aim: Breakfast consumption may be associated favourably with cardiometabolic health. Most studies only measure breakfast consumption at one timepoint, whereas repeated measures allow for associations to be explored from a life course perspective. This systematic review assessed evidence from cohort studies on associations between breakfast consumption from childhood to adulthood and cardiometabolic health. Methods: Seven databases were searched; eligible records included analyses assessing breakfast consumption in childhood and adulthood, and type 2 diabetes, cardiovascular disease, obesity or associated clinical risk factors. Risk of bias was assessed using the Joanna Briggs Institute checklist for cohort studies. Results: Six eligible articles were reviewed, representing four cohort studies from two countries. Body composition was the only outcome investigated by five articles; the sixth article investigated body composition as well as a metabolic syndrome score and serum cardiometabolic risk markers. Most articles found significant associations between breakfast consumption in childhood and adulthood and cardiometabolic benefits, however the quality of evidence was poor. Childhood and adulthood breakfast consumption were each associated with cardiometabolic benefits, and breakfast consumption over both life stages was associated with greater benefits. An increase in breakfast consumption from childhood to adulthood was also associated with cardiometabolic benefits. Conclusions: We evaluated the available literature and found limited studies of low quality to suggest that more frequent breakfast consumption across both childhood and adulthood may be associated with the greatest cardiometabolic benefits. Further research is needed to develop an understanding of the relationship between breakfast and cardiometabolic health from a cross‐lifestage perspective. [ABSTRACT FROM AUTHOR]

Background: Media use is pervasive among pupils. This study aimed to determine lifestyle factors associated with screen time. Methods: The study used a cross‐sectional design, and 2,722 questionnaires obtained from pupils in grades 5–12 were analyzed. Multiple regression analysis was used to determine significant lifestyle factors associated with screen time. Grade, gender, bedtime and waking time on both school days and non‐school days, academic performance, sleepiness, breakfast, dinner regularity, defecation habits, hours of after‐school activities, physical activity, and body mass index were used as the variables. Results: Significant regression formulae were obtained for all school types: adjusted R2/P values were 0.21/<0.001 for elementary school, 0.21/<0.001 for junior high school, and 0.14/<0.001 for high school. Later non‐school‐day bedtime (standardized regression coefficient/P values were 0.14/< 0.001 for elementary school, 0.14/<0.001 for junior high school, and 0.09/<0.05 for high school) was significantly associated with increased screen time for all school types. In both elementary and junior high schools, more sleepiness (0.12/<0.001 for elementary school, 0.13/<0.001 for junior high school), shorter after‐school activity (−0.24/<0.001 for elementary school, −0.19/<0.001 for junior high school), and higher standardized body mass index (0.08/<0.05 for elementary school, 0.08/<0.01 for junior high school) were significantly associated with screen time increase. In both junior and senior high schools, breakfast skipping (0.15/<0.001 for junior school, 0.14/<0.001 for high school) revealed a significant association with screen time increase. Conclusions: Media use is associated with variable lifestyle habits. Effective approaches to reduce heavy media use remain to be determined. [ABSTRACT FROM AUTHOR]

Objective: The Table Talk tool is an observational assessment of early care and education teacher (ECET) mealtime practices. The Table Talk Revised (TT-R) tool incorporates new constructs that emerged from qualitative research and teases apart existing categories to improve nuance of data capture. The objective of this study was to evaluate the TT-R, document interrater reliability for the TT-R, and report on ECET feeding communications in broader settings than previously studied (i.e., beyond a single Lunch and Head Start only).Methods: Trained observers conducted mealtime observations in classrooms (Nclassroms = 63, 10 sites) during Breakfast and two Lunches for both Lead and Assistant ECETs (N = 126). Classrooms were spread across Head Start in an urban area (60%), Head Starts in a rural area (24%), and a state-funded preschool (16%).Results: On average, there were 22.17 (SD = 10.92) total verbal feeding communications at Breakfast, 37.72 (SD = 15.83) at Lunch1, and 34.39 (SD = 15.05) at Lunch2 with meals averaging 25 min. The most commonly observed supportive statement category was Exploring Foods for Lead (Breakfast = 1.61, Lunch1 = 3.23, Lunch2 = 2.70) and Assistant ECETs (Breakfast = .89, Lunch1 = 2.03) except for Lunch2 which was Encourages Trying in a Positive Way (Lunch2 = 1.30). The most commonly observed unsupportive statement category was Firm Behavioral Control for both Lead (Breakfast = 3.61, Lunch1 = 5.84, Lunch2 = 5.51) and Assistants ECETs (Breakfast = 3.11, Lunch1 = 6.38, Lunch2 = 4.32). The majority of Interclass Correlation Coefficients indicating interrater reliability were in the excellent range (64%) for commonly occurring statement categories, and 14 of the 19 low frequency statement categories had > 80% agreement.Conclusions and Implications: Overall, items added to the Table Talk tool performed well, and interrater reliability was favorable. Our study also documented differences between Lead and Assistant teachers in mealtime practices and illustrated differing patterns of interaction between lunches and breakfast, important findings to inform future research and practice. The TT-R may be a useful measurement tool for monitoring and evaluating ECET practices in mealtime environments as well as informing intervention. [ABSTRACT FROM AUTHOR]

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Summary: Breakfast is most important meal of the day and usually taken after night fast or after a long gap. Various health surveys and cross‐sectional studies reported morning meal positive effect on memory recall, children performance, mood, work performance, cognitive function, women health like irregular mensuration and reduction in obesity and effect on body mass index. Still people skip breakfast throughout the world due to several reasons like lack of time, family environment, single‐parent family, not feeling hunger in morning or having several misconceptions like thinking of being obese. Skipping morning meal has an adverse effect on health. This review focuses on awareness of breakfast and its positive impact on health as the breakfast skipping trend is increasing around the world and also drawing the attention of researchers to develop convenient, nutritious breakfast options and awareness programmes for significance of breakfast. [ABSTRACT FROM AUTHOR]

Ready-to-eat food litters most urban places in developing countries. It constitutes a major part of the informal sector in the food industry. Their activities were investigated especially with implications to sustainable urban development. The focus was on morning food vendors, where ten were selected to reflect different parts of the city. The methodology included placement of a GPS in their wheel-drawn cart, an undercover enumerator and personal interview. Average daily distance of 5km was observed to serve average of 95 customers per vendor. It was further revealed that more middle aged (15-45years) men accounts for majority of the customers. Major land uses where most stops were recorded include uncompleted building/construction sites (34.3%); mechanic workshops (27.4%); bus terminals/motor parks (19%); MDAs (7.2%); school/institution gates (4%), market areas (6.1%); and other (3%). The implications of these finding support the argument that most breakfast-related trips are minimized by food vendors. This survey indicates an average of 950 food-based morning trips discouraged by 10 vendors. It is recommended that food vendoring activity be regularized to enhance sanitary dispensing of food and help ascertain estimated number of vendors in the city. Allowing the food vendors stray with their wheel-carts remain a major traffic bottlenecks in some parts of the city and therefore the need for proper regulation. [ABSTRACT FROM AUTHOR]

Breakfast intake is associated with numerous positive physical and mental health outcomes, yet skipping breakfast remains common in adults. Sleep behaviors show potential as predictors of breakfast intake; the existing literature, however, has methodological limitations. The current investigation explored the association of means and intraindividual variability of a variety of sleep behaviors (bedtime, midsleep, sleep duration) as predictors of the frequency of eating breakfast and frequency of high-protein breakfast intake. Hierarchical regressions were conducted to assess direct associations between sleep behaviors and breakfast intake frequency. Variability in bedtime was a significant predictor of the frequency of breakfast intake, with greater variability associated with less frequent intake. Variability in sleep duration and midsleep was not significant predictors of the frequency of breakfast intake. Both variability and mean sleep behaviors were not significant predictors of the frequency of breakfast intake or high-protein breakfast intake. Because greater regularity in bedtimes was associated with more frequent breakfast intake, it is plausible that there should be increased education regarding the importance of regularity of sleep behaviors. [ABSTRACT FROM AUTHOR]

Healthy lifestyles are important during adolescence due to their impact on health-related problems and life expectancy during adulthood. Despite the emphasis on the importance of healthy habits, the high prevalence of breakfast skipping, physical inactivity, and insufficient sleep is reported among adolescents. This study was aimed to investigate the relationship between sleep quality (SQ) and nutritional habits among adolescents of Yazd. This cross-sectional study was conducted among 569 students aged 12–16 years of six high schools in Yazd, Iran, by a multistage random cluster sampling method. Anthropometric data were measured by precise instruments. Nutritional and PA habits were collected by asking some questions. Pittsburgh Sleep Quality Index questionnaire was used to assess SQ. Data were analyzed by SPSS software (version 22). The breakfast skipping and semi-skipping (57.2%), overweight or obesity (37.8%), and insufficient sleep duration (38.9%) were common. Poor SQ was reported in 63.7% of the students, but a significant relationship was not illustrated between SQ with breakfast frequency, weight, breakfast time, and midmorning snack intake. A significant relationship was found between poor SQ with a later bedtime (p < 0.0001), mild PA (p = 0.016), late dinner (p < 0.004), and famine (p = 0.02). This study highlighted the associations between SQ with dinnertime, bedtime, and PA. Also, a significant association was not reported between the SQ with breakfast frequency, breakfast time, snack consumption, and weight. This study suggested paying more attention to healthy sleep habits during adolescence, apart from guidance for diet and PA during adolescence. [ABSTRACT FROM AUTHOR]

Background: Data on the association of breakfast habits and changes in cardiometabolic markers in children are limited.Methods: In total, 6964 children aged 6-13 years from Beijing, Shanghai, Chongqing, Jinan, Harbin, and Guangzhou were included in the final analysis. Daily consumption, consumption of ≥3 food groups, and at-home consumption were defined as healthy breakfast habits. Blood pressure, % fat mass, total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides, glucose, and 50-m × 8 shuttle run were measured at baseline (May 2009) and follow-up (May 2010). Clustered cardiometabolic risk score (CCRS) was computed by summing Z scores of five components: % fat mass, systolic blood pressure, glucose, TC to HDL-C ratio, and triglyceride.Results: Children who ate breakfast daily had a higher decrease in TC to HDL-C ratio and a higher increase in HDL-C compared with breakfast skippers (both P values < 0.05). There was an inverse association of the number of food groups consumed at breakfast with the change in CCRS (P trend = 0.005). At-home breakfast consumption was associated with a lower increase in BMI, LDL-C, TC to HDL-C ratio, fasting glucose, and 50-m × 8 shuttle run and a higher increase in HDL-C (all P values < 0.05). Children with two or three healthy breakfast habits had a lower increase in CCRS, LDL-C, TC to HDL-C ratio, glucose, and a higher increase in HDL-C compared with those with none or one (all P values < 0.05).Conclusions: Healthy breakfast habits might help minimize the cardiometabolic risk factors in children. [ABSTRACT FROM AUTHOR]

Background: Breakfast is consider to be the most important meal of the day. It provides the essential nutrients needed for the day's activities. Many pupils and students hear their parents say that breakfast is the most important meal. Many factors lead to skipping breakfast as sleeping in late or busy lessons and homework schedule. Lack of breakfast in the body has a profound effect on body systems function and it can lead to food headache and other symptoms. Skipping breakfast or school meals lead to hypoglycemia therefore brain does not regularly receive enough glucose. Hypoglycemia can trigger headaches and migraines. Aim: Evaluate the relation between skipping breakfast and school meal in relation to headache among Secondary school students in Tikrit City Subject and methods: The study is a cross-sectional study that had conducted from 1st of November 2019 to 10th of April 2020 on 400 students in Tikrit secondary school using a questionnaire. All data management and analysis done by manual statistical methods. Results: There were 50% skipped breakfast and school meal, and 30% of them complain from headache. The study found major cause to left breakfast was loss of appetite. Conclusion: There was a relationship between headache and leave breakfast and school meal. [ABSTRACT FROM AUTHOR]

His mother took three-year-old Brian Tan to your clinic because she had a lot of difficulty waking him up that morning. He was awake but irritable, and she noted that he was refusing his breakfast. [ABSTRACT FROM AUTHOR]

There is a lack of research on associations of social jetlag with eating behaviours and obesity among adolescents. We examined the associations of social jetlag with eating behaviours and BMI in adolescents before and after adjustment for potential confounders. Self-report data were collected from 3060 adolescents (48·1 % female, mean age 15·59 (sd 0·77) years) from the Fragile Families and Child Wellbeing Study. In regression models, social jetlag predicted odds of consumption of breakfast, fruits/vegetables, fast food and sweetened drinks and BMI percentile. Primary models adjusted for school night sleep duration, sex, age, household income and youth living arrangements; secondary models further adjusted for race/ethnicity. In fully adjusted models, greater social jetlag was associated with lower odds of consumption of breakfast (OR = 0·92, P = 0·003) and fruits/vegetables (OR = 0·92, P = 0·009) and higher odds of consumption of fast food (OR = 1·18, P < 0·001) and sweetened drinks (OR = 1·18, P < 0·001). Social jetlag was positively associated with BMI percentile after additional adjustment for eating behaviours (b = 0·84, P = 0·037), but this relationship was attenuated after adjustment for race/ethnicity (b = 0·72, P = 0·072). Ethnoracial differences in social jetlag may attenuate the association of social jetlag with BMI and should be considered in future studies of circadian misalignment, eating behaviours and obesity markers. [ABSTRACT FROM AUTHOR]

This paper examines the fortified food consumption of elementary school-aged children. It also examines the reasons these parents fed fortified foods to their children. A survey was distributed to the respective parents of these children. Eighty-four percent of parents said their children eat fortified foods. Breakfast foods were the highest fortified food category with ready-to-eat breakfast cereals the top choice. The issue of how fortified foods should fit into our children's intake is also discussed. A large percentage of the U.S. population falls short of meeting certain nutrient recommendations and children are no exception. Meeting nutrient needs of children has become a major concern for healthcare providers, nutrition educators and health teachers. Research studies have shown that many nutrients are deficient in children's diets, including iron and calcium (Wardlaw, 2003; National Dairy Council, 2003; Smith, 1999). Calcium and iron deficiency are the most widespread nutrient deficiencies seen in children. Fifty percent of children do not get adequate calcium (Kellett, 2003). As the most abundant mineral in the body, calcium should be an essential part of everyone's diet. Most of the body's calcium is stored in the bones and plays an important role in building and maintaining bones. If an individual does not consume an adequate amount of calcium, the body must compensate by taking and utilizing calcium from the existing supply in the bones. This is an especially serious problem for children and adolescents because bones grow and develop most rapidly during these years. It is important to build strong bones in childhood with adequate mineral intake; so that later in life when you start losing bone minerals, you will have an ample supply to delay diseases and disorders related to calcium deficiency. Calcium deficiency in childhood puts individuals at risk for future health problems, especially osteoporosis. Other diseases and conditions associated with calcium deficient diets include high blood pressure, colon cancer, obesity, type II diabetes and kidney stone formation. Iron deficiency anemia is the most common form of anemia and is becoming widespread among children and teenagers. Approximately 20% of women (50% in pregnancy) and 3% of men are iron deficient (Medlineplus, 2003). It is estimated that 25% of babies are iron deficient (Merck Source, 2003). Iron deficiency is commonly seen in babies between 9 and 24 months and may continue into childhood (University of Maryland Medicine, 2003). Children are especially at risk for iron deficiency because of increased requirements during rapid growth and physiological changes (Wardlaw, 2003). Adolescent girls are also at risk of anemia once they begin menstruation (Iannelli, 2003). Signs of iron deficiency include: pale skin color, fatigue, irritability, weakness, shortness of breath, sore tongue, brittle nails, decreased appetite and headache. Iron deficiency is also an important cause of decreased attention span, alertness, and learning -- both in young children and in adolescents -- which may affect school performance. Calcium and iron deficiency can cause problems in growth during childhood as well as lead to long-term adverse health effects. Two suggested approaches to combating nutrient deficiencies include supplementation and consumption of foods fortified with key nutrients that may be lacking in children's diets (Gibson, 1997). Fortified food product development and consumption has steadily increased in children and adolescents over the past 15 years (Sichert-Hillert, 1999). Fortified foods are foods to which nutrients such as vitamins and minerals have been added to boost the nutritive value. Most foods are fortified to achieve a particular dietary purpose. Examples of nutrients added at specified levels are thiamin, riboflavin, niacin, and iron. More recently calcium, zinc and folic acid have been added to a wide variety of foods including fruit juices, breads, ready-to-eat breakfast cereals, and snack foods. Fortified food product sales have increased dramatically over the last several years and in 1999 consumers spent $17 billion (Platzman, 1999) and this number is expected to steadily increase. According to the National Cancer Institute and U.S. Department of Agriculture (USDA), fortified foods contribute significant amounts of vitamins and minerals to children's diets. This is probably due to the fact that ready-to-eat breakfast cereals are a popular food choice by this group and are frequently consumed. Cereals have also been fortified with essential nutrients that children need. Not to mention, many cereal manufacturers are adding key nutrients to cereals based on common nutrient deficiencies reported in American children today (KidSource, 2003). Based on the USDA Continuing Survey of Food Intakes by Individuals, researchers found that ready-to-eat cereal is among the top sources of folate, vitamin A, vitamin C, iron and zinc among children 2-18 years old (USDA, 2003; KidSource, 2003). Also important to note is that children who eat breakfast are also more likely to meet their needs for vitamins and minerals compared to children who do not consume breakfast (Wardlaw, 2003). [ABSTRACT FROM AUTHOR]

BACKGROUND: The National School Lunch and Breakfast Programs help to reduce food insecurity and improve nutrition. The Community Eligibility Provision (CEP) enables high‐poverty schools to offer breakfast and lunch at no cost to all students. This study examines associations between CEP and participation among students eligible for free or reduced‐price meals ("FRPM"), possibly eligible ("near‐cutoff"), or ineligible ("full‐price"). METHODS: Using data from the 2013‐2015 Healthy Communities Study, we compared school breakfast and lunch participation between 842 students in K‐8 at 80 CEP schools and 1463 students at 118 schools without CEP. Cross‐sectional difference‐in‐difference (DID) models compared meal participation among near‐cutoff and full‐price groups to that in the FRPM group. RESULTS: Overall, FRPM students had high participation in school lunch and breakfast at both types of schools. In adjusted DID models, lunch participation among near‐cutoff students was 12 points higher in CEP versus comparison schools (p <.05). Among full‐price students, breakfast participation was 20 points higher and lunch participation 19 points higher in CEP than comparison schools (p <.001). CONCLUSIONS: Community Eligibility Provision improves access to school breakfast and lunch in high‐poverty schools, particularly for students who are near or above the cutoff for FRPM eligibility. [ABSTRACT FROM AUTHOR]

The Community Eligibility Provision (CEP) allows high-poverty schools participating in US Department of Agriculture meal programs to offer universal free breakfast and lunch. Authorized as part of the Healthy, Hunger-Free Kids Act of 2010, CEP became available to eligible schools nationwide in 2014. Emerging evidence suggests that schools that provide universal free meals experience positive impacts on student nutrition, behavior, and academic performance. In particular, schools benefit from increased meal participation rates. There is mixed evidence of impacts on test scores and attendance, and limited but promising results showing improvements in weight outcomes, on-time grade promotion rates, disciplinary referrals, and food security. In this article, we summarize the growing evidence base and suggest policy approaches to increase the use of CEP by eligible schools. [ABSTRACT FROM AUTHOR]

Breakfast habits affect the nutritional status and health of people, in particular children and adolescents. This is the second part a previous study about the adherence to the Mediterranean diet in a Sicilian (Italy) student population. The investigation analysed both normal weight and overweight subjects in order to understand how eating habits, number of meals and daily calorie intakes could affect their body mass indexes (BMI). The aim of this second part was to analyse the breakfast nutritional profiles of this student population. The results highlighted that breakfast was regularly consumed by a percentage ranging from a maximum of 84% (in normal subjects) to a minimum value of 57.4% (in overweight/obese students). Milk, yoghurt, sugar, bread/rusk and tea contributed as main foods to the breakfast composition. The results highlighted that subjects who consumed breakfast showed lower BMI values with significant differences between normal and overweight/obese students. [ABSTRACT FROM AUTHOR]

Purpose: We examined the effect on the postprandial plasma metabolome of protein pre-meals before a fat-rich main meal. Methods: Two randomized, cross-over meal studies were conducted to test the dose–response effect (0 g, 10 g, 20 g) of a pre-meal with whey protein (WP) (PREMEAL I), and the effect of protein quality (10 g WP, casein, or gluten) and timing (− 15 min vs − 30 min) of the pre-meal (PREMEAL II). Participants with metabolic syndrome received one of the test meals on each test day, − 15 min (or − 30 min) prior to a standardized fat-rich breakfast. Plasma samples were collected at − 15 min (or − 30 min), 0, 120, 240 a nd 360 min and analyzed using liquid chromatography–mass spectrometry with an untargeted method. Results: Pre-meal WP intake elevated plasma branched-chain amino acids (BCAA), aromatic amino acids and methionine and decreased plasma LPC (16:0) and PC (32:1) levels before the main meal. Early (− 15 to 0 min) aromatic amino acids and BCAA in response to pre-meal WP partially predict the glucose and insulin response after the main meal. A pre-meal with WP altered the postprandial plasma metabolic pattern of acyl-carnitines, specific PCs, LPCs and LPEs, betaine, citric acid, linoleic acid, and β-hydroxypalmitic acid compared to no pre-meal. The casein and WP pre-meals exhibited similar postprandial amino acid responses whereas a pre-meal with gluten resulted in lower levels of plasma amino acids and its metabolites. Conclusion: A pre-meal with protein affects the postprandial metabolic pattern indicating facilitated glucose and lipid disposal from plasma in participants with metabolic syndrome. [ABSTRACT FROM AUTHOR]