All Boards >> Irritable Bowel Syndrome Research Library

HeatherAdministrator

Reged: 12/09/02
Posts: 7681
Loc: Seattle, WA
Yet another reason to not skip breakfast
      06/18/13 11:24 AM

Skip Breakfast, Fuel Insulin Resistance

By Todd Neale, Senior Staff Writer, MedPage Today

Published: June 17, 2013

Reviewed by F. Perry Wilson, MD, MSCE; Instructor of Medicine, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner

Note that this small cross-over study demonstrated that skipping breakfast may be associated with a less favorable insulin profile around lunchtime.

SAN FRANCISCO -- Overweight or obese women who did not eat breakfast had impaired metabolic responses after eating lunch, a small crossover study showed.

On the days the women skipped breakfast, there were greater spikes in insulin and glucose levels after lunch compared with those seen on the days the women only had water in the morning, according to Elizabeth Thomas, MD, of the University of Colorado School of Medicine in Aurora.

In addition, not eating breakfast was associated with significantly higher levels of free fatty acids before lunch because lipolysis was occurring, she reported at the Endocrine Society meeting here.

"It's possible that insulin resistance over time may predispose to further metabolic derangements and possibly progression to type 2 diabetes," she said, noting that longitudinal studies have identified a relationship between skipping breakfast and both increased weight gain and risk of type 2 diabetes.

"Learning about these mechanisms does give us better data to recommend eating habits to people, and I think our society is having trouble with eating habits," said Lisa Fish, MD, an endocrinologist practicing in Minneapolis and a member of the society's Advocacy and Public Outreach Core Committee.

Fish said that many people eat only one or two meals a day and then snack.

"People may be doing that to try and eat less but they end up with a dysfunctional use of fuel for their bodies that causes them to actually gain more weight and develop more insulin resistance," she said.

An estimated 10% to 20% of the population skips breakfast, and that practice has been associated with increased body mass index (BMI) in both adolescents and adults.

Some short-term studies -- mostly in lean individuals who habitually ate breakfast -- have looked at the metabolic effects of skipping breakfast and produced varying results: impaired insulin sensitivity; no change or an increase in energy intake; increased hunger; decreased satiety' and worse lipid profiles.

Thomas and colleagues explored the issue in a crossover study involving 10 women, ages 25 to 40 (mean 29), who had a BMI of 27 to 35 kg/m2 (mean 31.4). Eight of the women regularly ate breakfast and two regularly skipped the meal.

The study took place on 2 separate days, 1 month apart, during the follicular phase of the women's menstrual cycles. The women were told to not exercise the day before each assessment. The night before each study day, the researchers provided the women with a standardized dinner -- 15% protein, 30% fat, and 55% carbohydrates -- that provided 35% of the total daily energy requirements.

On the morning of the first study day, the women were randomized to either eat a standardized breakfast -- with the same macronutrient breakdown as the dinner the night before -- containing 25% of daily energy requirements or to consume only a glass of water. On the second study day, the women did the opposite.

Four hours after eating breakfast or drinking the glass of water, the participants were given a standardized lunch providing 35% of daily energy requirements.

Pre-lunch insulin levels were similar in both the breakfast and no-breakfast groups, but insulin levels increased to higher levels after lunch in women who did not eat breakfast that day. The area under the curve (AUC) was significantly greater in the no-breakfast group (P=0.001).

The findings were similar for glucose, for which the AUC was significantly greater in the women who did not eat breakfast that day (P=0.004).

The level of free fatty acids before lunch was higher in the no-breakfast group, and eating lunch resulted in a rapid drop. However, the AUC was still significantly higher in the women who skipped breakfast (P=0.03).

Fish noted that one potential limitation of the study was the use of a healthy breakfast with a mix of protein, fat, and carbohydrates, which doesn't reflect a typical American breakfast consisting mostly of carbohydrates.

"It may be helpful for [the researchers] to look, in addition, to things that are more realistic for what's actually going on," Fish said.

Thomas disclosed support from an NIH grant, an NIH/NCRR Colorado CTSI grant, the Endocrine Fellows Foundation (Fellows Development Research Grant Program in Diabetes, Obesity, and Fat Cell Biology), and a Colorado Nutrition Obesity Research Center Pilot Grant.

She did not report any conflicts of interest.

Primary source: The Endocrine Society
Source reference:
Thomas E, et al "Metabolic effects of skipping breakfast in obese women" ENDO 2013; Abstract OR09-2.


http://www.medpagetoday.com/meetingcoverage/endo/39883

--------------------
Heather is the Administrator of the IBS Message Boards. She’s the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!

Post Extras Print Post   Remind Me!     Notify Moderator

Entire thread
Subject Posted by Posted on
* Diet HeatherAdministrator 07/14/03 01:58 PM
. * Prebiotics vs a Diet Low in Fodmaps in Patients with Functional Gut Disorder HeatherAdministrator   07/18/18 02:58 PM
. * Diet, lifestyle outweigh genetic impact on gut microbiome HeatherAdministrator   03/19/18 02:39 PM
. * Fecal Profiling May Predict Dietary Response in IBS to FODMAPS Diet HeatherAdministrator   03/15/18 11:51 AM
. * Can a Western diet permanently alter the immune system? HeatherAdministrator   01/19/18 01:17 PM
. * High-fat diet leads to same intestinal inflammation as a virus HeatherAdministrator   06/23/17 04:25 PM
. * Gluten-free diet could increase cardiovascular risk in people without celiac disease HeatherAdministrator   05/09/17 01:35 PM
. * Gut microbiome profiles predict response to low FODMAP diet in IBS HeatherAdministrator   11/02/16 02:45 PM
. * Fructose malabsorption, symptom severity, IBS subtype predict response to low FODMAP diet HeatherAdministrator   06/27/16 02:44 PM
. * Fiber-Rich Diet May Boost Lung Function HeatherAdministrator   01/27/16 02:52 PM
. * 'Very limited evidence' to show FODMAPS diet helps IBS HeatherAdministrator   08/07/15 11:56 AM
. * Intestinal Microbiota And Diet in IBS HeatherAdministrator   01/27/15 11:50 AM
. * Low-FODMAP diet NOT superior to traditional diet for reducing IBS symptoms HeatherAdministrator   11/24/14 10:17 AM
. * Rapid increase in IBD caused by dietary trigger? HeatherAdministrator   10/07/14 02:34 PM
. * FODMAPS diet reduces good gut bacteria levels HeatherAdministrator   08/04/14 04:25 PM
. * White bread good for the gut HeatherAdministrator   06/24/14 12:03 PM
. * IBS diet quick tip - HOW to eat for IBS HeatherAdministrator   04/01/14 04:25 PM
. * Dairy and IBS HeatherAdministrator   03/11/14 02:12 PM
. * Soda pop and IBS HeatherAdministrator   03/11/14 02:11 PM
. * Popular blood type diet debunked HeatherAdministrator   01/17/14 11:51 AM
. * Chowing Down On Meat, Dairy Alters Gut Bacteria A Lot HeatherAdministrator   12/11/13 02:20 PM
. * Non-Celiac Wheat Sensitivity in IBS May Be a Food Allergy HeatherAdministrator   11/13/13 12:02 PM
. * Red meat linked to Barrett’s esophagus risk HeatherAdministrator   09/06/13 12:03 PM
. * 16 Foods that May Help Fight Acid Reflux HeatherAdministrator   08/23/13 01:38 PM
. * Coconut Oil for IBS? HeatherAdministrator   08/16/13 01:02 PM
. * Spicy Foods and IBS HeatherAdministrator   08/16/13 12:59 PM
. * Soy foods protect against colon cancer HeatherAdministrator   08/06/13 10:09 AM
. * A Tale of Two Fibers HeatherAdministrator   06/28/13 01:42 PM
. * Yet another reason to not skip breakfast HeatherAdministrator   06/18/13 11:24 AM
. * Less Meat = Longer Life HeatherAdministrator   06/12/13 05:18 PM
. * Limiting poorly digested carbs called FODMAPS may help ease irritable bowel syndrome HeatherAdministrator   05/22/13 02:55 PM
. * Fluids may prevent constipation better than anything HeatherAdministrator   05/21/13 01:46 PM
. * Fried foods have similar impact on your liver as hepatitis HeatherAdministrator   02/20/13 10:26 AM
. * Taming Stomachs With Fodmap Diet Spurs $8 Billion Market HeatherAdministrator   10/31/12 11:39 AM
. * Green tea drinkers show lower cancer risks HeatherAdministrator   10/31/12 11:37 AM
. * Atkins Low Carb-High Protein Diets May Put Heart at Risk HeatherAdministrator   06/27/12 02:36 PM
. * Milk fat may lead to bowel diseases by altering gut bacteria HeatherAdministrator   06/19/12 04:25 PM
. * Buddhist mindful eating practices enter the mainstream HeatherAdministrator   06/15/12 03:17 PM
. * High levels of fructose can damage liver HeatherAdministrator   06/15/12 03:15 PM
. * Vegetarian diet provides good nutrition, health benefits, study finds HeatherAdministrator   06/15/12 03:04 PM
. * Doubts cast on food intolerance testing HeatherAdministrator   05/03/12 03:19 PM
. * Starchy foods cut bowel cancer risk HeatherAdministrator   05/02/12 10:34 AM
. * Worldwide prevalence of lactose intolerance HeatherAdministrator   05/02/12 10:31 AM
. * Eating fish tied to lower risk of colon polyps HeatherAdministrator   04/23/12 01:25 PM
. * Dietary and other modifiable risk factors may account for as many as 90 percent of colorectal cancers HeatherAdministrator   04/23/12 01:14 PM
. * Helpful Gut Microbes May Differ Based on Diet HeatherAdministrator   09/07/11 12:16 PM
. * Soluble Fiber Appears Key to Trimming Bad Body Fat HeatherAdministrator   07/06/11 11:52 AM
. * Colon response to food is abnormal in irritable bowel syndrome HeatherAdministrator   04/19/11 01:42 PM
. * Red meat linked to cancer risks HeatherAdministrator   11/10/10 11:24 AM
. * White Rice for Functional Constipation HeatherAdministrator   10/13/10 02:53 PM
. * Adding gluten early may cause constipation in babies HeatherAdministrator   03/12/10 11:31 AM
. * Processed Meat May Harm the Heart HeatherAdministrator   03/12/10 11:27 AM
. * Increasing Soda Consumption Fuels Rise in Diabetes, Heart Disease HeatherAdministrator   03/12/10 11:26 AM
. * Strategy to combat cancer: Avoid meats and dairy products HeatherAdministrator   03/05/10 12:25 PM
. * Dietary Fiber May Help Prevent Weight Gain & Obesity HeatherAdministrator   03/05/10 12:16 PM
. * Soluble Fiber Helps IBS, Insoluble Fiber Hurts HeatherAdministrator   09/16/09 01:53 PM
. * IBS Diet Cheat Sheet Celebrates 1 Million Downloads by Irritable Bowel Syndrome Patients HeatherAdministrator   06/12/09 11:09 AM
. * Meat intake and mortality HeatherAdministrator   04/30/09 01:16 PM
. * Dietary changes highly acceptable to IBS patients HeatherAdministrator   03/18/09 05:51 PM
. * Role of dietary fructose and fructans in initiating symptoms of IBS in fructose malabsorbers HeatherAdministrator   08/07/08 12:20 PM
. * Therapeutic effects of eliminating allergic foods according to food-specific IgG antibodies in irritable bowel syndrome HeatherAdministrator   11/07/07 02:42 PM
. * Is there any food I can eat? Living with inflammatory bowel disease and/or irritable bowel syndrome. HeatherAdministrator   06/20/07 02:16 PM
. * More GI Symptoms, Less Anxiety With Tryptophan Supplementation in IBS HeatherAdministrator   04/28/07 10:18 AM
. * Abnormalities of GI transit in bloated irritable bowel syndrome: effect of bran HeatherAdministrator   12/01/06 02:08 PM
. * Influence of alcohol consumption on IBS and dyspepsia HeatherAdministrator   10/26/06 10:39 AM
. * Dietary means of diagnosing IBS HeatherAdministrator   02/01/06 12:10 PM
. * No evidence that soy estrogens increase cancer risk HeatherAdministrator   02/01/06 11:53 AM
. * Organic Diets Significantly Lower Children’s Dietary Exposure to Organophosphorus Pesticides HeatherAdministrator   01/08/06 05:21 PM
. * Carbonated Soft Drink Consumption and Risk of Esophageal Adenocarcinoma HeatherAdministrator   01/08/06 04:40 PM
. * Utility of Glycemic Index / Glycemic Load Questioned HeatherAdministrator   09/13/05 01:10 PM
. * IBS Sufferers Hypersensitive to Common Foods HeatherAdministrator   06/30/05 04:05 PM
. * Fruit, vegetable juices may stall Alzheimer's disease HeatherAdministrator   06/20/05 04:16 PM
. * UK investigates dietary management of constipation HeatherAdministrator   06/05/05 05:45 PM
. * Fructose intolerance in IBS could lead to fructose-free products HeatherAdministrator   04/10/05 06:45 PM
. * Fats and visceral sensitivity In IBS patients HeatherAdministrator   03/04/05 11:50 AM
. * Grapefruit Juice Can Interact With Medicines HeatherAdministrator   02/06/05 02:41 PM
. * Red Meat Consumption Linked to Colorectal Cancer HeatherAdministrator   01/23/05 05:12 PM
. * Dietary Fiber and GERD HeatherAdministrator   01/23/05 04:51 PM
. * Higher Fiber Shown To Reduce Estrogen Levels HeatherAdministrator   01/07/05 05:00 PM
. * Psyllium increases gas production and promotes gas retention HeatherAdministrator   11/28/04 02:43 PM
. * Soy could stop spread of breast cancer HeatherAdministrator   11/08/04 04:10 PM
. * Vegetarian Diet With Soy and Soluble Fiber Lowers Cholesterol HeatherAdministrator   10/28/04 07:09 PM
. * Soy is unlikely to damage fertility in women HeatherAdministrator   10/24/04 07:27 PM
. * Health-promoting compounds found in honey HeatherAdministrator   10/24/04 07:17 PM
. * Food Elimination Based on IgG Antibodies Helpful in Irritable Bowel Syndrome HeatherAdministrator   10/11/04 04:24 PM
. * The Lowdown on Low Carbs HeatherAdministrator   10/11/04 04:00 PM
. * Nut Consumption and Decreased Risk of Gallbladder Removal in Women HeatherAdministrator   09/26/04 03:12 PM
. * Yogurt and gut function HeatherAdministrator   09/26/04 03:06 PM
. * Cranberry Juice Found to Help Prevent Peptic Ulcers HeatherAdministrator   09/26/04 02:51 PM
. * High-Fiber, Low-Fat Diet Helps Calcium Prevent Colon Cancer HeatherAdministrator   08/30/04 01:18 PM
. * Herbs are an Abundant Source of Antioxidants HeatherAdministrator   08/08/04 03:17 PM
. * Soybean protein reduces body fat and triglycerides in women HeatherAdministrator   08/08/04 03:12 PM
. * Soy Cuts Risk of Endometrial Cancer HeatherAdministrator   07/24/04 02:23 PM
. * Alpha-Linoleic Acid in Walnuts Good for Cardiovascular Health HeatherAdministrator   07/24/04 02:02 PM
. * New list of the 20 most antioxidant-rich foods HeatherAdministrator   07/11/04 02:26 PM
. * Effect of fiber source on Clostridium difficile HeatherAdministrator   07/11/04 01:32 PM
. * High Protein Diet May Affect Female Fertility HeatherAdministrator   07/11/04 01:08 PM
. * Green Tea and Fruits May Have a Large Impact on GI Health HeatherAdministrator   06/04/04 06:35 PM
. * GI HEALTH AFFECTED BY CONSUMPTION OF COFFEE AND CARBONATED DRINKS HeatherAdministrator   06/04/04 06:30 PM
. * Bad news for low-carb dieters HeatherAdministrator   05/25/04 12:41 PM
. * Cancer Society Promotes Disease with Beef Fundraisers, Say Doctors HeatherAdministrator   05/25/04 12:37 PM
. * Too Much Drinking Could Serve Up Colon Cancer HeatherAdministrator   05/25/04 12:18 PM
. * Nutrition experts push trans fats ban - Say trans-fats are disastrous for your health. HeatherAdministrator   05/25/04 12:08 PM
. * Low-carb diets increase demand for laxatives HeatherAdministrator   05/10/04 12:59 PM
. * Systematic Review: The Role of Different Types of Fibre in IBS HeatherAdministrator   03/30/04 02:56 PM
. * High fructose corn syrup a major culprit in the nation's obesity crisis HeatherAdministrator   03/09/04 11:37 AM
. * While health foods may seem expensive, healthy diets save money in the long run HeatherAdministrator   03/08/04 06:50 PM
. * Stress May Lead To Food Allergies HeatherAdministrator   03/08/04 06:45 PM
. * McDonald's has documentary beef HeatherAdministrator   02/24/04 02:26 PM
. * Low Carb Diets are a Prescription for Prebiotics HeatherAdministrator   02/24/04 12:49 PM
. * Effects of a Low-Fat, High-Carbohydrate Diet on Body Weight HeatherAdministrator   01/26/04 05:28 PM
. * Fat, Fructose May Contribute to IBS Symptoms HeatherAdministrator   10/15/03 03:31 PM
. * Fructose may play role in irritable bowel syndrome HeatherAdministrator   10/13/03 12:11 PM
. * Essential Oils as Components of a Diet-Based Approach to Management of Helicobacter Infection HeatherAdministrator   09/30/03 01:34 PM
. * High Fiber, Low Fat Diet Reduces Estrogen Levels & Breast Cancer Risk HeatherAdministrator   09/30/03 12:56 PM
. * Milk Slows Recovery from Bowel Surgery HeatherAdministrator   09/16/03 04:03 PM
. * Water Works - Soluble Fiber and Heart Disease HeatherAdministrator   09/16/03 11:43 AM
. * Cows milk consumption in constipation and anal fissure in infants and young children HeatherAdministrator   08/12/03 12:03 PM
. * Intestinal gas production from bacterial fermentation of undigested carbohydrate in IBS HeatherAdministrator   07/18/03 12:05 PM
. * Fructose- and sorbitol-reduced diet improves mood and gastrointestinal disturbances HeatherAdministrator   07/18/03 11:58 AM
. * Beneficial health effects of low-digestible carbohydrate consumption. HeatherAdministrator   07/18/03 11:56 AM
. * Calcium polycarbophil compared with placebo in IBS HeatherAdministrator   07/15/03 11:10 PM
. * Nutritional therapy of irritable bowel syndrome. HeatherAdministrator   07/15/03 11:05 PM
. * Rice Demonstrates a Preventive Effect on Constipation HeatherAdministrator   07/14/03 04:05 PM
. * High-Protein Diets Can Hurt Kidneys HeatherAdministrator   07/14/03 04:01 PM
. * Diet and the irritable bowel syndrome. HeatherAdministrator   07/14/03 03:44 PM
. * Bran and irritable bowel syndrome: time for reappraisal HeatherAdministrator   07/14/03 03:41 PM
. * Bran: may irritate irritable bowel HeatherAdministrator   07/14/03 03:37 PM
. * Wheat bran vs. partially hydrolyzed guar gum for IBS patients HeatherAdministrator   07/14/03 03:34 PM
. * Dietary fibre in food and protection against colorectal cancer HeatherAdministrator   07/14/03 03:21 PM
. * Eating Food Too Fast Speeds Heartburn HeatherAdministrator   07/14/03 02:57 PM
. * Glycemic Load, Carbohydrate Intake, and Risk of Colorectal Cancer in Women HeatherAdministrator   07/14/03 02:37 PM

Extra information
0 registered and 3 anonymous users are browsing this forum.

Moderator:  Heather 



Permissions
      You cannot post until you login
      You cannot reply until you login
      HTML is enabled
      UBBCode is enabled

Thread views: 418572

Jump to

| Privacy statement Help for IBS Home

*
UBB.threads™ 6.2


Shop For IBS Here!