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An eating pattern characterised by skipped or delayed breakfast is associated with mood disorders among an Australian adult cohort


Wilson, JE and Blizzard, L and Gall, SL and Magnussen, CG and Oddy, WH and Dwyer, T and Sanderson, K and Venn, AJ and Smith, KJ, An eating pattern characterised by skipped or delayed breakfast is associated with mood disorders among an Australian adult cohort, Psychological Medicine pp. 1-11. ISSN 0033-2917 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 Cambridge University Press

DOI: doi:10.1017/S0033291719002800


Background: Meal timing may influence food choices, neurobiology and psychological states. Our exploratory study examined if time-of-day eating patterns were associated with mood disorders among adults.

Methods: During 2004-2006 (age 26-36 years) and 2009-2011 (follow-up, age 31-41 years), N = 1304 participants reported 24-h food and beverage intake. Time-of-day eating patterns were derived by principal components analysis. At follow-up, the Composite International Diagnostic Interview measured lifetime mood disorder. Log binomial and adjacent categories log-link regression were used to examine bidirectional associations between eating patterns and mood disorder. Covariates included sex, age, marital status, social support, education, work schedule, body mass index and smoking.

Results: Three patterns were derived at each time-point: Grazing (intake spread across the day), Traditional (highest intakes reflected breakfast, lunch and dinner), and Late (skipped/delayed breakfast with higher evening intakes). Compared to those in the lowest third of the respective pattern at baseline and follow-up, during the 5-year follow-up, those in the highest third of the Late pattern at both time-points had a higher prevalence of mood disorder [prevalence ratio (PR) = 2.04; 95% confidence interval (CI) 1.20-3.48], and those in the highest third of the Traditional pattern at both time-points had a lower prevalence of first onset mood disorder (PR = 0.31; 95% CI 0.11-0.87). Participants who experienced a mood disorder during follow-up had a 1.07 higher relative risk of being in a higher Late pattern score category at follow-up than those without mood disorder (95% CI 1.00-1.14).

Conclusions: Non-traditional eating patterns, particularly skipped or delayed breakfast, may be associated with mood disorders.

Item Details

Item Type:Refereed Article
Keywords:chronobiology, depression, diet, eating pattern, meal pattern, mental health, mood disorder, skipped breakfast, snacking, young adult
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Nutrition
UTAS Author:Wilson, JE (Dr Johanna Wilson)
UTAS Author:Blizzard, L (Professor Leigh Blizzard)
UTAS Author:Gall, SL (Associate Professor Seana Gall)
UTAS Author:Magnussen, CG (Associate Professor Costan Magnussen)
UTAS Author:Oddy, WH (Professor Wendy Oddy)
UTAS Author:Sanderson, K (Associate Professor Kristy Sanderson)
UTAS Author:Venn, AJ (Professor Alison Venn)
UTAS Author:Smith, KJ (Dr Kylie Smith)
ID Code:136550
Year Published:2019
Web of Science® Times Cited:1
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-01-07
Last Modified:2020-03-30

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