Breakfast frequency and fruit and vegetable consumption in Belgian adolescents A cross-sectional study

Purpose - Several cross-sectional studies reported that breakfast skipping and a poor consumption of fruits and vegetables are associated with overweight and obesity-related morbidities. In this respect healthy eating habits such as regular breakfast and a sufficient intake of fruit and vegetables are two important items to prevent childhood and adolescent obesity. The purpose of this study is to determine the breakfast frequency and the fruit and vegetable consumption in Belgian adolescents.Design methodology approach - A cross-sectional study using pupils contacted by nurses in schools during an information session about female hygiene. On that occasion all pupils (boys and girls) completed a questionnaire concerning their eating habits. Subjects were boys (n = 1390) and girls (n = 3610) between 12 and 15 years of age from the main three educational programmes (general, technical and occupational programme).Findings - Socio-economic status significantly influenced breakfast frequency with differences between the highest educational programme (general) and the lower technical- and occupational programmes. The use of daily breakfast was respectively 67 versus 49 and 48 per cent for the boys and 60 versus 42 and 39 per cent for the girls). For both sexes breakfast frequency decreased when comparing age groups from 12 with 15 years of age respectively from 67 to 55 per cent for the boys and from 61 to 47 per cent for the girls. Half of the subjects who declared to have overweight (self-image) did not take breakfast at a regular base. Twenty six per cent of the boys of the French speaking part and 19 per cent of the boys of the Flemish speaking part of Belgium declared to take only one or less than one portion of fruit and or vegetables a day. For the girls the reported intake of one or less than one portion of fruit and or vegetables was respectively 20 and 16 per cent. Only 13 per cent of the French speaking boys and 10 per cent of the Flemish speaking boys reported an intake of four or more fruits and or vegetables a day. The percentage of girls reaching an intake of four or more a day was 15 per cent for the two language regions. Fruit and or vegetable intake was influenced significantly by the educational programme and by the educational level of the mother. In conclusion, healthy eating habits among girls and boys in Belgium (as estimated by breakfast frequency and fruit and or vegetable intake) are rather poor. These habits are influenced by age, educa