Effects of breakfast and supper on energy expenditure

ISRCTN ISRCTN17457198
DOI https://doi.org/10.1186/ISRCTN17457198
Secondary identifying numbers 007629
Submission date
10/08/2016
Registration date
10/08/2016
Last edited
29/11/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
It is often said that breakfast is the most important meal of the day. However, the benefits of breakfast consumption have not been thoroughly investigated in well-designed studies. A recent study carried out in The University of Sheffield clearly showed that consuming a fortified cereal (cereal enriched with vitamins and minerals) with milk every day for 12 weeks led to an increase in the intake of vitamins and minerals and improved measures of nutritional status. The study was carried out in adolescent girls who rarely ate breakfast. Interestingly, if the cereal and milk was consumed for supper there was a small weight gain. This could not be explained by an increase in the amount of energy consumed. It is thought possible that taking cereal and milk as a breakfast might lead to an increase in the amount of energy used in physical activity (physical activity energy expenditure) later in the day, and that this is not seen when cereal with milk is taken as a supper. The aim of this study is to find out whether eating cereal with milk as breakfast will lead to an increase in physical activity energy expenditure compared with eating cereal with milk for supper.

Who can participate?
Healthy women aged 18-24 of normal weight who regularly skip breakfast

What does the study involve?
Participants are randomly allocated into two groups, who either eat cereal with milk for four days for breakfast or for supper. After a one week break, the two groups swap so that those who were eating the cereal for breakfast now eat it for dinner and vice versa. Participants are asked to wear an accelerometer (device to measure physical activity) on their wrist for all of their waking hours during the two four day study periods. Participants also complete a food diary for four days before and during the four day study periods. At the end of the study, energy expenditure is calculated from the accelerometer readings and dietary intakes are compared.

What are the possible benefits and risks of participating?
There are no direct benefits or risks involved with participating in this study.

Where is the study run from?
The University of Sheffield (UK)

When is the study starting and how long is it expected to run for?
April 2007 to December 2015

Who is funding the study?
Kelloggs Company of Great Britain (UK)

Who is the main contact?
Professor Hilary Powers

Contact information

Prof Hilary Powers
Scientific

Department of Oncology and Metabolism
The Medical School
The University of Sheffield
Sheffield
S102RX
United Kingdom

ORCiD logoORCID ID 0000-0002-0496-5446

Study information

Study designSingle-centre randomised crossover trial
Primary study designInterventional
Secondary study design
Study setting(s)Community
Study typeOther
Participant information sheet ISRCTN17457198_PIS_10Aug16.docx
Scientific titleA comparison of the effect of consuming cereal with milk as a breakfast or as a supper, on physical activity energy expenditure
Study acronymBEES
Study objectivesThe consumption of cereal with milk as breakfast will elicit an increase in physical activity energy expenditure compared with consumption of cereal with milk as supper.
Ethics approval(s)University of Sheffield Research Ethics Committee, 12/02/2016, ref: 007629
Health condition(s) or problem(s) studiedEnergy expenditure
InterventionParticipants are randomly allocated to eat 50g fortified breakfast cereal with 150ml semi-skimmed milk for breakfast or dinner for four days in a random order. There is a wash out period of one week between the two interventions.

Participants are asked to wear the Actigraph monitor for all their waking hours for each of the 4 day intervention periods. They are asked to take the monitor off when bathing or showering or swimming. They are asked not to wear the monitor when they go to bed.

Participants complete a food and beverage diary on three occasions - for 4 days prior to intervention and for 4 days for each of the interventions (i.e. cereal and milk at supper and at breakfast time). Participants are shown how much detail to put in the diaries and at the end of each 4-day period they meet with the researcher to discuss the details of their diary entries. They are asked to eat and drink what they liked, as long as they took their intervention cereal and milk. There is no follow-up. Data collection finishes when the last food diary has been completed and discussed.
Intervention typeOther
Primary outcome measurePhysical activity energy expenditure is measured using an accelerometer (Actigraph), worn on the wrist during waking hours of each 4 day intervention period.
Secondary outcome measuresDietary intake is assessed using 4-day food and beverage diaries, facilitated by using food portion booklets.
Overall study start date09/05/2016
Completion date31/08/2016

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit24 Years
SexFemale
Target number of participants20
Key inclusion criteria1. Female
2. Age 18-24 years
3. BMI between 18.5 and 25kg/m2
4. Report regularly skipping breakfast
Key exclusion criteria1. BMI outside 18.5-25 kg/m2 range
2. Report in training for sporting event
3. Known allergy to wheat, barley or milk
Date of first enrolment09/05/2016
Date of final enrolment31/08/2016

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

The University of Sheffield
Sheffield Medical School
Beech Hill Road
Sheffield
S10 2RX
United Kingdom

Sponsor information

The University of Sheffield
University/education

The medical School
Beech Hill Road
Sheffield
S102RX
England
United Kingdom

ROR logo "ROR" https://ror.org/05krs5044

Funders

Funder type

Industry

Kelloggs Company of Great Britain

No information available

Results and Publications

Intention to publish date31/12/2016
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planAnticipated publishing a peer reviewed paper within 6 months of completion of the study. Potential target journals are: European Journal of Nutrition, British Journal of Nutrition, Public Health Nutrition.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 10/08/2016 11/08/2016 No Yes

Additional files

ISRCTN17457198_PIS_10Aug16.docx
Uploaded 11/08/2016

Editorial Notes

29/11/2019: No publications found, verifying study status with principal investigator.
11/08/2016: Uploaded participant information sheet.