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Development of a scale to measure 9–11-year-olds' attitudes towards breakfast

Abstract

Objective:

Development and validation of a questionnaire to measure children's attitudes towards breakfast.

Design:

A pilot study was used to select questionnaire items and assess test–retest reliability. The questionnaire was then administered to a larger sample of children together with a dietary recall questionnaire. Randomly selected subsets of these children also completed a dietary recall interview or their parents were asked to complete a questionnaire relating to their child's breakfast eating habits.

Setting:

Primary schools in south, west and north Wales, UK.

Subjects:

A total of 2495 children (199 in pilot testing, 2382 in the main study) in years 5 and 6 (aged 9–11 years).

Results:

The 13-item scale showed good construct validity, high internal reliability and acceptable test–retest reliability. Boys displayed more positive attitudes towards breakfast than girls but differences between the two age groups did not reach statistical significance. Children who did not skip breakfast displayed more positive attitudes than children who skipped breakfast. In addition, more positive attitudes towards breakfast were significantly correlated with consumption of a greater number of ‘healthy’ foods for breakfast (i.e., fruit, bread, cereal, milk products), consumption of fewer ‘unhealthy’ foods for breakfast (i.e., sweet items, crisps) and parental perceptions that their child usually ate a healthy breakfast.

Conclusions:

The breakfast attitudes questionnaire is a robust measure that is relatively quick to administer and simple to score. These qualities make it ideal for use where validity at the individual level is important or where more time-consuming dietary measures are not feasible.

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References

  • Ajzen I (1985). From intentions to action: a theory of planned behaviour. In: J Kuhl J and Beckman (eds). Action Control: From Cognitions to Behaviors. Springer: New York:, NY, pp 11–39.

    Chapter  Google Scholar 

  • Benton D, Parker P (1998). Breakfast blood glucose and cognition. Am J Clin Nutr 67, 772S–778S.

    Article  CAS  Google Scholar 

  • Benton D, Sargent J (1992). Breakfast blood glucose and memory. Biol Psychol 33, 207–210.

    Article  CAS  Google Scholar 

  • Benton D, Slater O, Donohoe RT (2001). The influence of breakfast and a snack on psychological functioning. Physiol Behav 74, 559–571.

    Article  CAS  Google Scholar 

  • Berg C, Jonsson I, Conner M (2000). Understanding choice of milk and bread for breakfast among Swedish children aged 11–15 years: an application of the Theory of Planned Behaviour. Appetite 34, 5–19.

    Article  CAS  Google Scholar 

  • Bro RT, Shank L, Williams R, McLaughlin TF (1994). The effects of an in-class breakfast program on attendance and on-task behaviour of high school students. Child and Family Behavior Therapy 16, 1–8.

    Article  Google Scholar 

  • Chandler AK, Walker SP, Connolly K, Grantham-McGregor SM (1995). School breakfast improves verbal fluency in undernourished Jamaican children. J Nutr 125, 894–900.

    CAS  PubMed  Google Scholar 

  • Conner M, Armitage CJ (1998). Extending the theory of planned behaviour: a review and avenues for further research. J Appl Soc Psychol 28, 1429–1464.

    Article  Google Scholar 

  • Cromer BA, Tarnowski KJ, Stein AM, Harton P, Thornton DJ (1990). The school breakfast program and cognition in adolescents. J Dev Behav Pediatr 11, 157–158.

    Article  Google Scholar 

  • Cureton E, D'Agostino R (1983). Factor Analysis: An Applied Approach. Lawrence Erlbaum: Mahwah, NJ.

    Google Scholar 

  • Edmunds LD, Ziebland S (2002). Development and validation of the Day in the Life Questionnaire (DILQ) as a measure of fruit and vegetable questionnaire for 7–9 year olds. Health Educ Res 17, 211–220.

    Article  CAS  Google Scholar 

  • Haines PS, Guilkey DK, Popkin BM (1996). Trends in breakfast consumption of US adults between 1965 and 1991. J Am Diet Assoc 96, 464–470.

    Article  CAS  Google Scholar 

  • Lloyd HM, Rogers PJ, Hedderley DI, Walker AF (1996). Acute effects on mood and cognitive performance of breakfasts differing in fat and carbohydrate content. Appetite 27, 151–164.

    Article  CAS  Google Scholar 

  • Lytle LA, Nichaman MZ, Obarzanek E, Glovsky E, Montgomery D, Nicklas T et al. (1993). Validation of 24-hour recalls assisted by food records in third-grade children. J Am Diet Assoc 93, 1431–1436.

    Article  CAS  Google Scholar 

  • Maio GR, Haddock G (2007). Attitude change. In: Kruglanski AW and Higgins ET (eds). Social Psychology: Handbook of basic principles, Vol. 2. Guildford Press: New York, NY.

    Google Scholar 

  • Martens MK, va Assema P, Brug J (2005). Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12–14-year-old Dutch students. Public Health Nutr 8, 1258–1265.

    Article  CAS  Google Scholar 

  • Moore GF, Tapper K, Murphy S, Clark R, Lynch R, Moore L (2007). Validation of a self completion measure of breakfast foods, snacks and fruit and vegetables consumed by 9–11 year old schoolchildren. Eur J Clin Nutr 61, 412–419.

    Article  Google Scholar 

  • Moore L, Tapper K, Dennehy A, Cooper A (2005). Development and testing of a computerised 24-hour recall questionnaire measuring fruit and snack consumption among 9–11 year olds. Eur J Clin Nutr 59, 809–816.

    Article  CAS  Google Scholar 

  • Morgan KJ, Zabik ME, Stampley GL (1986). Breakfast consumption patterns of U.S. children and adolescents. Nutr Res 6, 635–646.

    Article  Google Scholar 

  • Nicklas TA, Myers L, Reger C, Beech B, Berenson G (1998a). Impact of breakfast consumption on nutritional adequacy of the diets of young adults in Bogalusa, Louisiana: ethnic and gender contrasts. J Am Diet Assoc 98, 1432–1438.

    Article  CAS  Google Scholar 

  • Nicklas TA, O'Neil CE, Berenson GS (1998b). Nutrient contribution of breakfast, secular trends, and the role of ready-to-eat cereals: a review of data from the Bogalusa Heart Study. Am J Clin Nutr 67, 757S–763S.

    Article  CAS  Google Scholar 

  • Nicklas TA, Reger C, Myers L, O'Neil C (2000). Breakfast consumption with and without vitamin-mineral supplement use favourably impacts daily nutrient intake of ninth-grade students. J Adolesc Health 27, 314–321.

    Article  CAS  Google Scholar 

  • Petty RE, Wegener DY, Fabrigar LR (1997). Attitudes and attitude change. Annu Rev Psychol 48, 609–647.

    Article  CAS  Google Scholar 

  • Pollitt E (1995). Does breakfast make a difference in school? J Am Diet Assoc 95, 1134–1139.

    Article  CAS  Google Scholar 

  • Powell CA, Walker SP, Chang SM, Grantham-McGregor SM (1998). Nutrition and education: a randomised trial of the effects of breakfast in rural primary school children. Am J Clin Nutr 68, 873–879.

    Article  CAS  Google Scholar 

  • Ruxton CH, Kirk TR (1997). Breakfast: a review of associations with measures of dietary intake, physiology and biochemistry. Br J Nutr 78, 199–213.

    Article  CAS  Google Scholar 

  • Shemilt I, O'Brien M, Thoburn J, Harvey I, Belderson P, Robinson J et al. (2003). School breakfast clubs, children and family support. Children and Society 17, 111–112.

    Article  Google Scholar 

  • Siega-Riz AM, Popkin BM, Carson T (1998). Trends in breakfast consumption for children in the United States between 1965 and 1991. Am J Clin Nutr 67, 748S–756S.

    Article  CAS  Google Scholar 

  • Smith AP (1998). Breakfast and mental health. Int J Food Sci Nutr 49, 397–402.

    Article  CAS  Google Scholar 

  • Smith AP, Clark R, Gallagher J (1999). Breakfast cereal and caffeinated coffee: effects on working memory, attention, mood and cardiovascular function. Physiol Behav 67, 9–17.

    Article  CAS  Google Scholar 

  • Smith AP, Kendrick A, Maben A, Salmon J (1994). Effects of breakfast and caffeine on cognitive performance, mood and cardiovascular functioning. Appetite 22, 39–55.

    Article  CAS  Google Scholar 

  • Smith AP, Kendrick AM, Maben AL (1992). Effects of breakfast and caffeine on performance and mood in the late morning and after lunch. Neuropsychobiology 2, 198–204.

    Article  Google Scholar 

  • Sutton S (2004). Determinants of health-related behaviours: Theoretical and methodological issues. In: Sutton S, Baum A and Johnston M (eds). The Sage Handbook of Health Psychology. Sage: London, pp 94–126.

    Google Scholar 

  • Tapper K, Murphy S, Moore L, Lynch R, Clark R (2007). Evaluating the Free School Breakfast Initiative in Wales: Methodological Issues. Br Food J.

  • Unsan N, Sanlier N, Danisik H (2006). Comparison of attitudes towards breakfast by Turkish fourth graders living in Turkey and Germany. Appetite 46, 248–253.

    Article  Google Scholar 

  • Vaisman N, Voet H, Akivis A, Vakil E (1996). Effect of breakfast timing on the cognitive functions of elementary school students. Arch Pediatr Adolesc Med 150, 1089–1092.

    Article  CAS  Google Scholar 

  • Wesnes KA, Pincock C, Richardson D, Helm G, Hails S (2003). Breakfast reduces declines in attention and memory over the morning in schoolchildren. Appetite 41, 329–331.

    Article  Google Scholar 

  • Wyon DP, Abrahamsson L, Jartelius M, Fletcher RJ (1997). An experimental study of the effects of energy intake at breakfast on the test performance of 10-year-old children in school. Int J Food Sci Nutr 48, 5–12.

    Article  CAS  Google Scholar 

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Acknowledgements

Laurence Moore is supported by a Public Health Career Scientist Award funded by the Welsh Assembly Government. We thank Emily Harrop, Lorelei Simon, Iolo Madoc-Jones, Julian Buchanon and Joan Ashdown-Lambert for help with data collection, Zoe Macdonald for administrative assistance and Odette Parry for contributions to project management and data collection. We also thank the members of our advisory group (Andrew Smith, Rona Campbell, Barrie Margetts and Ian Shemilt), Janine Hale and Ruth Conway for their continued support and assistance and the Welsh Assembly Government for funding the research. In addition, we gratefully acknowledge the co-operation of all school staff, pupils and parents for participating in this study. The research was funded by the Health Promotion Division of the Welsh Assembly Government.

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Correspondence to K Tapper.

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Guarantor: K Tapper. Contributors: KT, SM, LM, RC and RL developed and piloted the attitude, dietary and parental measures. RC, GM and KT developed the dietary coding scheme. KT and GM carried out the statistical analysis. KT drafted the paper and all authors contributed to the final paper.

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Tapper, K., Murphy, S., Lynch, R. et al. Development of a scale to measure 9–11-year-olds' attitudes towards breakfast. Eur J Clin Nutr 62, 511–518 (2008). https://doi.org/10.1038/sj.ejcn.1602735

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