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Background <p>Despite widespread recognition of breakfast as a key contributor to adolescent health, breakfast skipping remains common and concerning. It has been associated with increased consumption of energy-dense snacks, lower intake of essential nutrients, and irregular eating patterns throughout the day. This study aimed to assess the prevalence of breakfast skipping on the day of the survey among adolescents in Witten, Germany, and to explore its associations with selected sociodemographic characteristics, health-related behaviours, and self-reported health indicators.</p> Methods <p>Between November 2, 2021, and February 25, 2022, a cross-sectional, survey-based study was conducted among 10th-grade students in all nine municipally managed secondary schools in Witten. The questionnaire assessed breakfast consumption on the surveyed day, school type, sociodemographic factors, health status, and physical activity. Statistical analyses were conducted using SPSS, including chi-square tests and multivariable logistic regression to estimate odds ratios and identify predictors of breakfast skipping.</p> Results <p>In a sample of 646 students (response rate 98.3%), 50.6% (<i>n</i> = 327) reported skipping breakfast before school on the day of the survey. Students attending intermediate secondary schools (aOR 1.66, 95% CI 1.1–2.51) or comprehensive schools (aOR 1.62, 95% CI 1.11–2.36), and those with a migration background (defined in Germany as having at least one parent born abroad) (aOR 1.46, 95% CI 1.04–2.04), were significantly more likely to skip breakfast. In contrast, students reporting “excellent” (aOR 0.29, 95% CI 0.17–0.48) or “very good” (aOR 0.63, 95% CI 0.43–0.91) general health, and those categorized as underweight (aOR 0.44, 95% CI 0.2–0.98), were significantly less likely to skip breakfast. No significant associations were found for gender, age, socioeconomic status, physical activity, or family doctor consultations.</p> Conclusion <p>This study indicates that the educational environment and cultural background might significantly impact adolescents’ breakfast consumption behaviours on the surveyed day, underscoring the need for targeted educational interventions. Promoting a positive perception of personal health is key to encouraging regular breakfast consumption among adolescents. These findings provide important insights for public health strategies to enhance adolescents’ dietary habits.</p> Trial registration <p>Not applicable.</p>

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Rise and dine: unraveling breakfast habits among tenth graders - a cross-sectional study among 646 students in the City of Witten, Germany (GeWIT study)

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月15日

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  • Mohamed Salah Anwar Mohamed,
  • Nessia Rachma Dianti,
  • Anne-Lisa Heye,
  • Klaus Völkel,
  • Judith Tillmann,
  • Oxana Klassen,
  • Paul Wiesheu,
  • Klaus Weckbecker,
  • Eva Münster

摘要

Background

Despite widespread recognition of breakfast as a key contributor to adolescent health, breakfast skipping remains common and concerning. It has been associated with increased consumption of energy-dense snacks, lower intake of essential nutrients, and irregular eating patterns throughout the day. This study aimed to assess the prevalence of breakfast skipping on the day of the survey among adolescents in Witten, Germany, and to explore its associations with selected sociodemographic characteristics, health-related behaviours, and self-reported health indicators.

Methods

Between November 2, 2021, and February 25, 2022, a cross-sectional, survey-based study was conducted among 10th-grade students in all nine municipally managed secondary schools in Witten. The questionnaire assessed breakfast consumption on the surveyed day, school type, sociodemographic factors, health status, and physical activity. Statistical analyses were conducted using SPSS, including chi-square tests and multivariable logistic regression to estimate odds ratios and identify predictors of breakfast skipping.

Results

In a sample of 646 students (response rate 98.3%), 50.6% (n = 327) reported skipping breakfast before school on the day of the survey. Students attending intermediate secondary schools (aOR 1.66, 95% CI 1.1–2.51) or comprehensive schools (aOR 1.62, 95% CI 1.11–2.36), and those with a migration background (defined in Germany as having at least one parent born abroad) (aOR 1.46, 95% CI 1.04–2.04), were significantly more likely to skip breakfast. In contrast, students reporting “excellent” (aOR 0.29, 95% CI 0.17–0.48) or “very good” (aOR 0.63, 95% CI 0.43–0.91) general health, and those categorized as underweight (aOR 0.44, 95% CI 0.2–0.98), were significantly less likely to skip breakfast. No significant associations were found for gender, age, socioeconomic status, physical activity, or family doctor consultations.

Conclusion

This study indicates that the educational environment and cultural background might significantly impact adolescents’ breakfast consumption behaviours on the surveyed day, underscoring the need for targeted educational interventions. Promoting a positive perception of personal health is key to encouraging regular breakfast consumption among adolescents. These findings provide important insights for public health strategies to enhance adolescents’ dietary habits.

Trial registration

Not applicable.