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The risk of diabetes increases due to breakfast.



Doctors newspaper online, 11/19/2018

nutrition

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.

The risk of diabetes increases due to breakfast.

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).

Dose-response ratio

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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[19.11.2018, 14:17:42]
Dr. Thomas Georg Schatzler

Refusal of breakfast / BMI, as well as suspenders are surrogate parameters of type 2 diabetes!

Besides,
https://diabeticmediterraneandiet.com/2018/11/15/skipping-breakfast-may-increase-your-riskof-type-2-diabetes/
the magazine "Diabetic Mediterranean Diet" under the heading:

“Skipping breakfast can increase the risk of type 2 diabetes”
following:
A total of 6 trials were included based on 96,175 participants and 4935 cases. Summary RR for comparing type 2 diabetes with never missing breakfast was 1.33 (95% CI: 1.22, 1.46, n = 6 studies) without adjusting the BMI, and 1.22 (95% CI: 1.12, 1.34, n = 4 studies) after adjusting BMI. Nonlinear dose-response meta-analysis Pass, but the curve reached a plateau at 4-5 d / dk, indicating an increased risk of 55% (RR report: 1.55, 95% CI: 1.41, 1.71). A further increase in the risk of type 2 diabetes was not observed after 5 days skips / (P for nonlinearity = 0.08).
Findings. This meta-analysis suggests that breakfast is associated with an increased risk of type 2 diabetes, and the association is mediated by BMI. ”
Source: Going to breakfast is associated with an increased risk of type 2 diabetes in adults: a systematic review and meta-analysis of promising cohort studies | Nutrition Magazine | Oxford Academic

1st criticism
If most people can only give very inaccurate and quantitatively vague answers about what they ate in retrospect, it is almost impossible to predict that they will be prospectively. Therefore, prospective studies without concurrent metabolic checks are not. B. According to the indications of HbA1c or control of alcohol consumption by definition CDT (carbohydrate deficiency with transferrin deficiency) hardly makes sense.

Second criticism
BMI is less significant than measuring the circumference of the abdominal cavity to measure the mass of visceral fat. In addition, the waist-to-hip ratio (THV) describes and identifies risks for metabolic syndrome and / or type 2 diabetes mellitus better than BMI.

Third criticism
The fact that risk adjustment (RR) or BMI adjustment is higher than when setting up BMI proves that BMI is a more surrogate parameter here. RR (risk ratio) increased to breakfast at 1.33 (95% CI: 1.22, 1.46, n = 6 studies) without adjusting the BMI. However, with the BMI adjustment only 1.22 increased. There is also no linear dependence on BMI: do not have breakfast more than 5 times a week, does not cause a further increase in the risk of developing 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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