Friday, August 9, 2013

Rescuing the breakfast habit

Breaking the fast is essential for health… but what to eat?

Recent US research shows that people who skip breakfast are 27% more likely to have heart problems than those who start the day with a meal.1  This large study of over 25,000 US men is yet another reminder of the importance of breakfast in a healthy eating pattern. Despite the persuasive evidence for eating breakfast daily, there is a growing number of Australians who are skipping breakfast – currently one in ten school kids, one quarter of teenagers and two thirds of adults skip breakfast.2,3 Here we discuss why every Australian should start the day with breakfast and also provide guidance on breakfast food choices with a word on the hotly debated place of liquid breakfasts.  

What’s so special about breakfast? It’s the first opportunity to supply the body and brain with the essential nutrients after a night’s sleep. Based on the Australian National Nutrition Survey of 1995 we know that breakfast eaters are more likely to have an adequate diet and are twice as likely to get enough protein, calcium, magnesium, iron, thiamine and riboflavin.4,5  Breakfast eaters are also more likely to be slimmer,6,7  have more control over their appetite,7,8   have a lower risk of disease and experience better cognitive performance9,10,11 - for kids this mean better performance at school.

Despite the convincing benefits to enjoy breakfast daily, society has changed and Australians are leading busier lives which is putting more and more pressure on ‘the most important meal of the day’.12  Today, when breakfast is eaten it is the fastest meal of the day, and when it is skipped, a lack of time is one of the top reasons given.13  In an ideal world we would all spend a relaxed 10 minutes to fuel our bodies, muscles and brain first thing in the morning, however the reality is that many people are looking for whatever is quick, tasty and hits the spot.

So what’s quick, tasty, hits the spot AND provides essential nutrition to start the day? We know that the foods you eat at breakfast influence your mood, physical and mental performance, weight, and your general and long-term health.4,5,7,11,14-15 Choosing foods from the core food groups (grain foods, fruit, vegetables, meat and alternatives and dairy) is a sure way to start the day providing your body with a variety of nutrients. While breakfast choices may vary considerably between people and cultures some common breakfast options which are ideal include breakfast cereals, porridge, milk, yoghurt, fruit, breads, eggs, and legumes (e.g. baked beans). These food choices are nutritious and also meet the essential criteria for many busy Australians of being easily prepared, tasty and cost effective.

In particular grain foods are a favourite of many Australians at breakfast time, and around half of all Australians eat breakfast cereal most or every morning.3 Research supports breakfast cereal consumption as a good option for breakfast; people who eat breakfast cereal have better nutrient intakes,4,5 tend to be slimmer7,11, have a lower risk of chronic diseases16,17,18  and have improved cognitive performance.11,19 By making smart grain food choices at breakfast such as choosing whole grain or high fibre you can significantly boost your fibre intake and contribute to your whole grain daily target intake. This could be as easy as a bowl of high fibre breakfast cereal with milk and fruit, or whole grain bread with eggs or baked beans.

A word on liquid breakfasts…

Grains & Legumes Nutrition CouncilTM encourages Australians to make time to eat a breakfast based on the core food groups including grain foods (mostly whole grain or high fibre), dairy, fruit, eggs, and legumes like baked beans every day. However, as more Australians are skipping breakfast, there is an increasing demand for breakfast options which can be consumed on the run and outside of the home; which has seen the growth of the liquid breakfast category. Nutritionally, liquid breakfasts are similar to flavoured milk, often with added fibre, vitamins and minerals – and while they contribute important nutrients they do not replace a breakfast based on the core food groups. In saying this, for children or adults at risk of skipping breakfast, liquid breakfast offer an occasional option which is convenient and provides important nutrition on some days.


1. Cahill, L. E., et al. (2013). "Prospective Study of Breakfast Eating and Incident Coronary Heart Disease in a Cohort of Male US Health Professionals." Circulation 128(4): 337-343.
2. Flinders University. Analysis 2007 Australian National Children’s Nutrition & Physical Activity Survey for Kellogg Australia. 2009 unpublished.
3. Cereal Social Trends Report 2012. Australian Breakfast Cereal Manufacturers Forum
4. Williams P. Breakfast and the diets of Australian adults: an analysis of data from the 1995 National Nutrition Survey. International Journal of Food Sciences and Nutrition 2005; 56 (1): 65-79
5. Williams P. (2007) Breakfast and the diets of Australian children and adolescents. An analysis of data from the 1995 National Nutrition Survey. International Journal of Food Sciences and Nutrition, 58, 201–216.
6. Croezen S, et al. (2009) Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: results of the E-MOVO project. European Journal of Clinical Nutrition. V63-I3: 405-12.
7. De la Hunty A, Ashwell M. (2007) Are people who regularly eat breakfast cereals slimmer than those who don´t? A systematic review of the evidence. Nutrition Bulletin. V32-I2: 118-28.
8. Deshmukh-Taskar PR, et al. (2010). The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: The national health and nutrition examination survey 1999-2006. J Am Diet Assoc. 110: 869-878.
9. Benton, D., Parker, P.Y. 1998. Breakfast, blood glucose, and cognition. American Journal of Clinical Nutrition. 67: 772S-8S.
10. Mahoney CR, et al. (2005) Effect of breakfast composition on cognitive processes in elementary school children. Physiology & Behavior. V85: 635-645.
11. Rampersaud GC, et al. (2005) Breakfast Habits, Nutritional Status, Body Weight, and Academic Performance in Children and Adolescents. Journal of American Dietetic Association. V105-I5: 743-760.
12. Fear J, et al. Long time, no see. Theimpact of time poverty on Australian workers.The Australia Institute. November 2010.
13. Reeves S, et al. Breakfast habits, beliefs and measures of health and wellbeing in a nationally representative UK sample. Appetite 2013; 60: 51-57
14. Albertson AM, Thompson D, Franko DL, Kleinman RE, Barton, BA, & Crockett, SJ. (2008) Consumption of breakfast cereal is associated with positive health outcomes. Evidence from the National Heart, Lung, and Blood 433 Institute Growth and Health Study. Nutrition Research, 28, 744–752.
15. Gibson SA, & Gunn P. (2011) What’s for breakfast? Nutritional implications of breakfast habits. Insights from the NDNS dietary records. Nutrition Bulletin, 36, 505 78–86.
16. Kleemola P. et. al. (1999) Eur J Clin Nutr 53(9):716-721.)
17. Franko DL, Albertson AM, Thompson DR, Barton BA. (2011) Cereal consumption and indicators of cardiovascular risk in adolescent girls. Public Health Nutr. Apr;14(4):584-90. Epub 2010 Jul 19.
18. Huang CJ, Hu HT, Fan YC, Liao YM, and Tsai, PS. (2010) Association of breakfast skipping with obesity and health-related quality-of-life: evidence from a national survey in Taiwan. Int J Obesity, 34;720-725.
19. Chaplin K and Smith AP. (2011) Breakfast and Snacks: Associations with Cognitive Failures, Minor Injuries, Accidents and Stress, Nutrients 3;515- 528;doi:10.3390/nu3050515.

What does ‘High in Whole Grain’ mean?

A new industry code sets standard for whole grain ingredient content claims
Do you know how much whole grain needs to be in your breakfast cereal, bread or crispbread for it to be considered high in whole grain or very high in whole grain? Like all Australians, you can be forgiven for not knowing this as there is currently no regulation for the use of whole grain ingredient content claims to describe the different amount of whole grain in different foods. However, with the development of the Code of Practice for Whole Grain Ingredient Content Claims clarity for consumers around the labels and advertising of the whole grain content of foods is on the horizon.

Developed by the Grains & Legumes Nutrition CouncilTM (GLNC) – the independent authority on the nutrition and health benefits of grains and legumes in Australia and New Zealand – the voluntary Code of Practice for Whole Grain Ingredient Content Claims (the Code), for the first time sets a standard for labelling of whole grain foods, which vary widely in whole grain content.

Under the new Code, from 2014 consumers will begin to see consistent messages for the whole grain ingredient content of foods on food packaging and advertising. According to GLNC Managing Director, Georgie Aley, “ the new standard is being welcomed by the food industry, and will help consumers to identify whole grain foods which can help them meet the recommended amount of whole grain each day.”

While an increased emphasis has been placed on whole grain foods in the revised Australian Dietary Guidelines, GLNC consumption study data from 2009 and 2011 confirms that Australians aren’t eating enough whole grain foods. In fact, whole grain food intake decreased by around 20% during this time, which may be attributed in part to mixed messages about whole grain foods, which can create confusion among consumers.

The whole grain ingredient content claim levels are based on the Australian Dietary Guidelines and the whole grain Daily Target Intake of 48g per day, established in 2006. Here is a summary of the whole grain ingredient content claim levels, as outlined in the code:

The whole grain ingredient content claim was developed through consultation with the public health and nutrition research community, as well as the food industry based on scientific rationale. If you are interested in the evidence underpinning the code here is a summary from the recent DAA National Conference.

The Australian content claim levels are also in line with international labelling and characterisation of whole grain foods, including the recently approved characterisation by the AACC International of 8 grams of whole grain per 30 grams of product.

As well as setting a standard by which food manufacturers can demonstrate the whole grain content of their foods to consumers, the new Code also enables manufacturers’ claims relating to high fibre grains or legume foods to be certified by GLNC, and permits on-pack use of GLNC’s certification statement and logo by registered users. Ms Aley said, “This additional certification will highlight healthier product choices for consumers within the grains and legumes category, and bring greater understanding about the value of enjoying grain foods three to four times a day, and legumes at least two to three times a week.”