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A systematic review of the effect of breakfast on the cognitive performance of children and adolescents

Bibliographic Data

ID23357331
AuthorsAlexa Hoyland, Louise Dye (0000-0002-2331-4227), Clare L Lawton
Year2009
Volume22
Issue2
Pages220-243
Publication date2009-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueNutrition Research Reviews (JOURNAL)
Journal identifiersISSN: 0954-4224 • E-ISSN: 1475-2700
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s0954422409990175
PMID19930787
LanguageEN
Citations received70
References cited64

Breakfast is recommended as part of a healthy diet because it is associated with healthier macro- and micronutrient intakes, BMI and lifestyle. Breakfast is also widely promoted to improve cognitive function and academic performance, leading to the provision of breakfast initiatives by public health bodies. Despite this positive and intuitive perception of cognitive benefits, there has been no systematic review of the evidence. Systematic review methodology was employed to evaluate the effects of breakfast on cognitive performance in well-nourished children and nutritionally at-risk or stunted children. Acute experimental studies, school feeding programmes and studies of habitual breakfast intake are reviewed. Comparisons of breakfast v. no breakfast and breakfasts differing in energy and macronutrient composition are discussed. Included are forty-five studies described in forty-one papers published between 1950 and 2008. The evidence indicates that breakfast consumption is more beneficial than skipping breakfast, but this effect is more apparent in children whose nutritional status is compromised. There is a lack of research comparing breakfast type, precluding recommendations for the size and composition of an optimal breakfast for children's cognitive function. Few studies examined adolescents. Studies of school breakfast programmes suggest that such interventions can have positive effects on academic performance, but this may be in part explained by the increased school attendance that programmes encourage. The present systematic review considers methodological issues in this field and makes recommendations for future research design and policy priorities.

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Unique citing works70
Citations per year4,38
Citation span2010 - 2026 (17)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 70

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