Breakfast-Based Dietary Patterns and Obesity in Tehranian Adults

Zahra Akbarzade, Saba Mohammadpour, Kurosh Djafarian, Cain C T Clark, Parivash Ghorbaninejad, Maryam Mohtashami, Sakineh Shab-Bidar

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)
    39 Downloads (Pure)


    Background: Breakfast is an important meal of the day that contributes to an overall healthy dietary pattern, better nutrient intake, and diet quality. This study sought to investigate the relationship between breakfast patterns and general and central obesity among middle-aged adults.

    Methods: In this cross-sectional study of 840 apparently healthy women and men, aged 20-59 years, we assessed usual dietary intake by means of three 24-hour dietary recalls and we took anthropometric measurements. Dietary patterns were subsequently identified by factor analysis. To assess the association between breakfast composition and central and general obesity, logistic regression analysis was performed.

    Results: We identified three major dietary patterns by factor analysis: the "bread and grains, meat products, and coffee" dietary pattern, the "sweets, desserts, tea and coffee" dietary pattern, and the "fruits, vegetables, and eggs" dietary pattern. Those people in the third tertile of the "sweets, tea and coffee" dietary category had a greater chance of having central obesity (odds ratio, 1.80; 95% confidence interval, 1.25-2.59; P=0.001). Moreover, higher adherence to the "bread and grains, meat products, and coffee" pattern increased the chance of central obesity (odds ratio, 1.67; 95% confidence interval, 1.47-1.97; P=0.03).

    Conclusion: Overall, our results suggest that specific breakfast dietary patterns are associated with increased odds of central obesity in Iranian adults.

    Original languageEnglish
    Pages (from-to)222-232
    Number of pages11
    JournalJournal of obesity & metabolic syndrome
    Issue number3
    Early online date30 Sept 2020
    Publication statusPublished - 2020

    Bibliographical note

    This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


    • Dietary patterns;
    • Breakfast
    • Adults
    • Cross-sectional study
    • General obesity
    • Central obesity
    • Dietary patterns

    ASJC Scopus subject areas

    • Endocrinology, Diabetes and Metabolism


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