Effect of habitual breakfast skipping on information processing capacity, cortical response, and cognitive flexibility among medical collegiate – a cross-sectional study
Abstract
Objectives
Breakfast replenishes glucose homeostasis and provides other micro-nutrients for the normal functioning of the body after a long night at night. Habitually skipping breakfast leads not only to metabolic disturbances but also to neurocognitive impairment. Hence, the current study was carried out to study the effect of skipping breakfast on neurocognitive functions.
Methods
A 9-item breakfast questionnaire was distributed online to students for identifying habitual breakfast skippers from non-skippers based on inclusion criteria. Random blood glucose was noted and visual and auditory reaction time, critical flicker fusion frequency, and Stroop test were assessed in both groups to assess cognition.
Results
Forty one habitual breakfast skippers who met the inclusion criteria showed increased visual reaction time, and auditory reaction time indicating cognitive impairment. A significant reduction in the Stroop test was observed among the non-skipper group when compared to the skipper group.
Conclusions
This study suggests that skipping breakfast diminishes neurocognitive functions like problem-solving, planning, judgment, information retention, and reasoning.
Acknowledgments
Mahatma Gandhi Medical College & Research Institute, Pondicherry for providing amenities to complete the study.
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Research ethics: Ethics approval was obtained from Institute human ethics committee, MGMCRI/IRC/06/2020/93/IHEC/235.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Author contributions: Anugraha Jennifer – First author – involved in recruiting subjects, analysis and drafting the content. Krishnan Srinivasan – Second author – supervisor/quality controller – involved in analyzing data and drafting. Jeneth Berlin Raj – Corresponding author – Principal investigator – involved in designing, data analyzing and drafting. All the authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: All other authors state no conflict of interest.
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Research funding: None declared.
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Data availability: The raw data can be obtained on request from the corresponding author.
References
1. Ruxton, CH, Kirk, TR. Breakfast: a review of associations with measures of dietary intake, physiology and biochemistry. Br J Nutr 1997;78:199–213. https://doi.org/10.1079/bjn19970140.Search in Google Scholar PubMed
2. Rampersaud, GC, Pereira, MA, Girard, BL, Adams, J, Metzl, JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc 2005;105:743–60. https://doi.org/10.1016/j.jada.2005.02.007.Search in Google Scholar PubMed
3. Hoyland, A, Dye, L, Lawton, CL. A systematic review of the effect of breakfast on the cognitive performance of children and adolescents. Nutr Res Rev 2009;22:220–43. https://doi.org/10.1017/s0954422409990175.Search in Google Scholar
4. Masoomi, H, Taheri, M, Irandoust, K, H’Mida, C, Chtourou, H. The relationship of breakfast and snack foods with cognitive and academic performance and physical activity levels of adolescent students. Biol Rhythm Res 2020;51:481–8. https://doi.org/10.1080/09291016.2019.1566994.Search in Google Scholar
5. Ackuaku-Dogbe, EM, Abaidoo, B. Breakfast eating habits among medical students. Ghana Med J 2014;48:66–70. https://doi.org/10.4314/gmj.v48i2.2.Search in Google Scholar PubMed PubMed Central
6. Douglas, SM, Byers, AW, Leidy, HJ. Habitual breakfast patterns do not influence appetite and satiety responses in normal vs. High-protein breakfasts in overweight adolescent girls. Nutrients 2019;11:1223. https://doi.org/10.3390/nu11061223.Search in Google Scholar PubMed PubMed Central
7. Scarpina, F, Tagini, S. The stroop color and word test. Front Psychol 2017;12:1–8. https://doi.org/10.3389/fpsyg.2017.00557.Search in Google Scholar PubMed PubMed Central
8. Krishnan, S, Mohan, S, Manikandan, S. Study of acute effect of caffeine on cognition among adults--a cross sectional study from puducherry, India. J Evol Med Dent Sci 2021;10:2924–8.10.14260/jemds/2021/596Search in Google Scholar
9. Cheatham, RA, Roberts, SB, Das, SK, Gilhooly, CH, Golden, JK, Hyatt, R, et al.. Long-term effects of provided low and high glycaemic load low energy diets on mood and cognition. Physiol Behav 2009;98:374–9. https://doi.org/10.1016/j.physbeh.2009.06.015.Search in Google Scholar PubMed PubMed Central
10. Gibson, SA, O’Sullivan, KR. Breakfast cereal consumption patterns and nutrient intakes of British schoolchildren. J Roy Soc Health 1995;115:366–70. https://doi.org/10.1177/146642409511500608.Search in Google Scholar PubMed
11. Halberg, F. Chronobiology and nutrition. Contemp Nutr 1983;9:1–2.Search in Google Scholar
12. Resnicow, K. The relationship between breakfast habits and plasma cholesterol levels in schoolchildren. J Sch Health 1991;61:81–5. https://doi.org/10.1111/j.1746-1561.1991.tb03242.x.Search in Google Scholar PubMed
13. Timlin, MT, Pereira, MA. Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev 2007;65:268–81. https://doi.org/10.1111/j.1753-4887.2007.tb00304.x.Search in Google Scholar
14. Zabik, ME. Impact of ready-to-eat cereal consumption on nutrient intake. Cereal Foods World 1987;32:234.Search in Google Scholar
15. Morgan, KJ, Zabik, ME, Leveille, GA. The role of breakfast in nutrient intake of 5-to 12-year-old children. Am J Clin Nutr 1981;34:1418–27. https://doi.org/10.1093/ajcn/34.7.1418.Search in Google Scholar PubMed
16. Morgan, KJ, Zabik, ME, Leveille, GA. The role of breakfast in nutrient intake of 5 to 12-year-old children. Am J Clin Nutr 1981;34:1418–27. https://doi.org/10.1093/ajcn/34.7.1418.Search in Google Scholar
17. Magarey, A, Nichols, J, Boulton, J. Food intake at age 8 3. Distribution and food density by meal. J Paediatr Child Health 1987;23:217–21. https://doi.org/10.1111/j.1440-1754.1987.tb00253.x.Search in Google Scholar PubMed
18. Kosinski, RJ. A literature review on reaction time. Clemson University. 2008 Sep;10:337–44.Search in Google Scholar
19. Siegler, RS, Stern, E. Conscious and unconscious strategy discoveries: a microgenetic analysis. J Exp Psychol Gen 1998;127:377. https://doi.org/10.1037/0096-3445.127.4.377.Search in Google Scholar
20. Walter, BL, Shaikh, AG. Midbrain. In: Michael JA, Robert BD, editors. Encyclopedia of the neurological sciences, 2nd ed. Cambridge, MA: Academic Press; 2014, 28–33 pp.10.1016/B978-0-12-385157-4.01161-1Search in Google Scholar
21. Durkin, TP, Messier, C, de Boer, P, Westerink, BH. Raised glucose levels enhance scopolamine-induced acetylcholine overflow from the hippocampus: an in vivo microdialysis study in the rat. Behav Brain Res 1992;49:181–8. https://doi.org/10.1016/s0166-4328(05)80163-9.Search in Google Scholar PubMed
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Articles in the same Issue
- Frontmatter
- Editorial
- Breaking the mold: revolutionary new obesity drugs set to transform treatment landscape?
- Reviews
- The relationship between the history of PDE5-inhibitors assumption and melanoma: a systematic review
- Stem cell therapy in sports medicine: current applications, challenges and future perspectives
- Original Articles
- Modulatory action of Moringa oleifera Lam. on L-arginine induced acute pancreatitis
- Isotonic saline causes greater volume overload than electrolyte-free irrigating fluids
- Anti-atherosclerotic activity of aqueous extract of Ipomoea batatas (L.) leaves in high-fat diet-induced atherosclerosis model rats
- Efficacy of Habb-e-Asab in diabetic peripheral neuropathy: a randomized placebo control study
- Indoleamine 2,3-dioxygenase controls purinergic receptor-mediated ischemia-reperfusion injury in renal tubular epithelial cells
- Effect of habitual breakfast skipping on information processing capacity, cortical response, and cognitive flexibility among medical collegiate – a cross-sectional study
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- 3-Day food record: efficacy in patients with type 2 diabetes mellitus
- Development and user acceptability testing of healthy heart mobile application – a tool for cardiovascular risk modification among patients with type 2 diabetes mellitus
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