Le bien-fondé du petit-déjeuner dans le rythme alimentaire occidental

摘要

Background: Overweight's increase might be spectacular. French women overweight should go through the 28th European rank in 2010 to the 15th in 2030, obesity from the 19th to the 9th. Breakfast is known in weight loss and chronic disease's prevention if obesity. Objective: The objective of this study was body mass index (BMI) changes while fasting in overweightpersons, side effects know as limited. Design: In this interventional prospective study, we included, from 6/25 to 8/6/2012, all patients with BMI>25kg/m2 coming to the general practice. They were separated in two groups, B as taking a breakfast and OB as omitting breakfast. Dietary recommendations were delivered following the PNNS (Plan National Nutrition Santé). 3 months later, weight, observance, tolerance, sleep and physical activity were re-estimated. Results: 160 patients were included. At 3 months follow-up, 89 persons finished the study. 41 OB and 48 B, 71 excluded or lost. BMI is going up in 65% in B and down in 23% and respectively, 39% and 51% in OB. Observance was 46% in OB and 86% in B. Sleep got worse in B (7.52h at M3 vs 7.73h at M0). It got better in OB (6.78h vs 6.7) and its quality too (61% vs 56%). There were no side effects offasting, unless hungryness in the beginning. Conclusion: Despite the lot of bias, this study tends towards weight loss while fasting in the morning in overweight persons.