The Importance of Breakfast in Atherosclerosis Disease

Daily habits, including the number and quality of eating occasions, are potential targets for primary prevention strategies with large health impacts. Skipping breakfast is considered a frequent and unhealthy habit associated with an increased cardiovascular (CV) risk. The study sought to explore th...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2017-10, Vol.70 (15), p.1833-1842
Main Authors: Uzhova, Irina, Fuster, Valentín, Fernández-Ortiz, Antonio, Ordovás, José M., Sanz, Javier, Fernández-Friera, Leticia, López-Melgar, Beatriz, Mendiguren, José M., Ibáñez, Borja, Bueno, Héctor, Peñalvo, José L.
Format: Article
Language:English
Subjects:
atherosclerosis
atherosclerotic plaque
coronary artery calcification
lifestyle
skipping breakfast
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Summary:Daily habits, including the number and quality of eating occasions, are potential targets for primary prevention strategies with large health impacts. Skipping breakfast is considered a frequent and unhealthy habit associated with an increased cardiovascular (CV) risk. The study sought to explore the association between different breakfast patterns and CV risk factors and the presence, distribution, and extension of subclinical atherosclerosis. Cross-sectional analysis was performed within the PESA (Progression of Early Subclinical Atherosclerosis) study, a prospective cohort of asymptomatic (free of CV events at baseline) adults 40 to 54 years of age. Lifestyle and multivascular imaging data along with clinical covariates were collected from 4,052 participants. Multivariate logistic regression models were used in the analysis. Three patterns of breakfast consumption were studied: high-energy breakfast, when contributing to >20% of total daily energy intake (27% of the population); low-energy breakfast, when contributing between 5% and 20% of total daily energy intake (70% of the population); and skipping breakfast, when consuming 
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2017.08.027