Doctors newspaper online, 11/19/2018
Whoever misses breakfast may increase the risk of developing diabetes. A meta-analysis of nearly 100,000 participants indicates that the danger increases over time.
In the morning, check your email on your smartphone and just have a cup of coffee before starting work: this way life can increase the risk of diabetes.
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DÜSSELDORF. Epidemiological studies have shown that abstinence from breakfast is associated with an increased risk of type 2 diabetes. However, it has not yet been proven how this is associated with obesity.
Obesity is known to be a major risk factor for developing type 2 diabetes. It has been shown that obese people more often skip breakfast than regular people, according to the German Diabetes Center. In addition, abstinence from breakfast is discussed with weight gain.
The research team around Dr. Sabrina Schlesinger from the German Center for Diabetes compared men and women in six long-term studies, given BMI (J Nutr 2018, online November 9).
The results showed a dose-response relationship, which means that as the number of non-breakfast days increases, the risk of developing diabetes increases, the center reports.
The greatest risk was observed for abstaining from breakfast 4-5 days a week. From the fifth day in a row, when breakfast was canceled, there was no further increase in risk.
“This relationship is partly due to the effect of being overweight. Even after taking into account BMI, refusal from breakfast was associated with an increased risk of developing diabetes, ”says the report, Schlesinger.
In a meta-analysis, the team summarized data from six different international observational studies. Overall, data from 96,175 participants were evaluated, of which 4,935 who suffered from type 2 diabetes during the study.
Is it because of the (healthy) lifestyle?
Explaining the relationship between breakfast and the risk of type 2 diabetes can be a healthy lifestyle as such.
Participants who have missed their breakfast can usually have a less favorable diet, for example, consuming high-calorie snacks and drinks. In addition, they may be less physically active or smoke more.
However, these factors were included in the assessment, so that the observed relationship could be explained by other factors.
“Further research is needed that, in addition to clarifying the mechanisms, also examine the effect of breakfast on the risk of developing diabetes,” Schlesinger concludes.
“In principle, a regular and balanced breakfast is recommended for all people – with and without diabetes,” emphasizes the epidemiologist and nutritionist. (Eb)
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|Dr. Thomas Georg Schatzler|
|Refusal of breakfast / BMI, as well as suspenders are surrogate parameters of type 2 diabetes!|
“Skipping breakfast can increase the risk of type 2 diabetes”
All this recalls, fortunately, a fictitious, promising design of a study on the use of suspenders for male obesity. The frequency of wearing braces increases the age likelihood of visceral obesity, excessive alcohol consumption and physical inactivity. This would mean that the owners of the suspensions would be at increased risk of diabetes, IHD, acute coronary syndrome, metabolic syndrome and, let's face it, obesity and high BMI.
But even if you deduct the extra weight for braces and consider that double-blind testing with / without braces is impossible, brackets, as well as non-breakfasts are and remain classic surrogate parameters for other biological and socio-social and nosologically based subjects of the disease.
Mf + kG, dr. honey. Thomas G. Schatzler, FAfAM Dortmund
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