Skipping breakfast increases the risk of diabetes



Physicians newspaper online, 19.11.2018

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Who misses breakfast, and thus increases the risk of developing diabetes. A meta-analysis with nearly 100,000 participants shows that the danger is growing with days.

Skipping breakfast increases the risk of diabetes

In the morning, check your emails on your smartphone and you need fast coffee before you start work: Life may increase your risk of diabetes.

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DÜSSELDORF. Epidemiological studies have shown that delaying breakfast is associated with an increased risk of type 2 diabetes. It has not yet been shown how this is related to obesity.

Obesity is known to be the major risk factor for the onset of type 2 diabetes. It has been shown that obese people probably eat breakfast rather than normal people, says the German center of diabetes. In addition, there is talk of abstinence of weight gain breakfasts.

Research team around Dr. Sabrina Schlesinger of the German Diabetes Center compared women and men in six long-term studies, taking into account BMI (J Nutr 2018, online November 9).

dose-response relationship

The results of the study have shown a relationship between dose and response, which means that the increasing number of days without breakfast increases the risk of developing diabetes, says the center.

The greatest risk was due to a reduced breakfast of 4-5 days a week. From the fifth consecutive day when breakfast was lowered, no further increase in risk was observed.

"This relationship is partly due to overweight." Even after taking BMI into account, reduced breakfast entitlements were associated with an increased risk of diabetes, "Schlesinger said in a report.

In their meta-analysis, they collected data from six different international observational studies. In total, data from 96,175 participants were evaluated, of which 4935 suffered from type 2 diabetes during the study.

Is it because of (healthy) lifestyle?

Explaining the relationship between eating breakfast and the risk of type 2 diabetes could be a healthy way of life.

Participants who lack breakfast may generally have a less favorable diet, such as eating snacks and calorie-containing drinks. They may also be less physically active or smoke more.

However, these factors were included in the evaluation so that the observed relationship could be explained by other factors.

"Further studies are needed that, in addition to clarifying the mechanisms, also examine the effect of breakfast composition on the risk of developing diabetes," Schlesinger concludes.

"Basically, everyone recommends a regular and balanced breakfast – with or without diabetes," says an epidemiologist and nutritionist. (EB)

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

Reducing breakfast / BMI entitlements as well as brassieres are the parameters of type 2 diabetes substitutes!

In addition, he writes below
https://diabeticmediterraneandiet.com/2018/11/15/skipping-breakfast-may-increase-your-risk-of-type-2-diabetes/
"Diabetic Mediterranean Diet" magazine titled:

"Skipping breakfast can increase the risk of developing type 2 diabetes"
following:
A total of 6 trials were based on 96,175 participants and 4935 cases. RRR for comparison with type 2 diabetes with never taking breakfast was 1.33 (95% CI: 1.22, 1.46, n = 6 studies) without BMI and 1.22 (95% CI: 1, 12, 1.34, n = 4 studies) after treatment for BMI Nonlinear dose-response meta-analysis of the skip but the curve reached (4.5%, 95% CI: 1.41, 1.71). No further increase in the risk of type 2 diabetes mellitus that was observed after 5 days of breakfast / week (P for nonlinearity = 0.08).
Conclusions – This meta-analysis shows that breakfast is associated with an increased risk of type 2 diabetes and that the association is mediated by BMI. "
Source: Drop reduction is associated with an increased risk of type 2 diabetes in adults: Systematic review and meta-analysis of cohort studies, if any | Of the Oxford Academic Nutrition Bulletin

1. critique
If most people give very inaccurate and quantifiably vague answers about what they eat in return, it is almost impossible to predict what they will eat prospectively. Therefore prospective studies without concurrent metabolic testing are not. B. by measuring HbA1c or by controlling alcohol consumption by determining CDT (carbohydrate-deficient transferrin) is of little importance.

2. critique
BMI is less significant than abdominal measurement to measure visceral fat mass. Also, the pass-to-hip ratio (THV) describes and identifies the risks of metabolic syndrome and / or type 2 diabetes mellitus better than BMI.

3. critique
The fact that the risk ratio (RR) or BMI ratio is higher than the BMI setting shows that BMI is rather a substitute parameter. RR (risk ratio) decreased to breakfast at 1.33 (95% CI: 1.22, 1.46, n = 6 studies) without BMI. However, only BMI increased by 1.22. There is neither a linear relationship to BMI: eating more than 5 times a week does not cause any further increase in the risk of type 2 diabetes mellitus.

The whole thing is fortunately resembling a fictitious, perspective study of the use of a suspension of male obesity. The occurrence of wearing garters increases the age probability of visceral obesity, excessive alcohol consumption, and physical inactivity. This would mean that dental carriers would have an increased risk of developing diabetes, CHD, acute coronary syndrome, metabolic syndrome, and obesity and high BMI.

But even if you subtract extra weight for garters, and you think double-blind study with / without garter is impossible, parallel as well as non-breakfast are and will remain the classic substitute parameters for other, biopsychosocially and nasologically based illnesses.

Mf + kG, dr. copper. Thomas G. Schätzler, FAfAM Dortmund

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