Nutritional Pearls: Can Skipping Breakfast Affect Weight Loss?
Sarah is a 40-year-old overweight woman with prediabetes who is having a hard time losing weight.
At a routine check-up, she mentions that she rarely has time to eat breakfast and instead opts for a large lunch and dinner to make up for missing the morning meal.
She asks if this could be affecting her weight loss efforts—and if so, how she can improve.
How do you advise your patient?
What is the correct answer?
(Answer and discussion on next page)
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Answer: Skipping breakfast affects your metabolism and delays fat burning.
I've said for years that breakfast really is the most important meal of the day. Skipping breakfast appears to reduce your metabolism while actually delaying fat burning and increasing fat deposition. Having a higher-fiber breakfast of quick breads or cereal not only helps you remain satisfied longer, but you'll also eat your other meals more regularly throughout the day. We also know that those who eat breakfast tend to snack more sensibly, have better cholesterol scores, and have better insulin response than those who usually skip breakfast.
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But should you have a big breakfast, or a small one? Because Americans are used to eating our largest meal in the evening, I advise that my patients who aim for 1200 to 1500 calories per day have between 250 and 500 calories at their breakfast meal, about the same at lunchtime, and the remainder at the evening meal. Recent research published in the journal Obesity, however, suggests that those who are working on losing weight might do better to reverse that pattern of small meal in the morning/large meal in the evening.1
The Research
For their study, the researchers recruited 74 overweight and clinically obese women to participate in a 12-week diet study. All of the women met with a dietitian to plan for a 1400 calorie per day daily intake. Half of the women were directed to eat half of their calories at breakfast, while the other half were directed to eat half their daily calories at the evening meal. All of the women had their cholesterol, glucose, and insulin sensitivity tested along with their blood pressure at the start of the study as well as at regular intervals throughout the study.
The Results
You would think that eating the same number of calories would mean losing about the same amount of weight regardless of when those calories were eaten. Not so! The women who ate the majority of their calories at the breakfast meal lost about 11% of their body weight, while those who ate a big dinner lost only 4% of their body weight.
Not only did they lose more weight, but their blood pressures, insulin resistance, and cholesterol scores improved more than those eating the big evening meal. (Indeed, those eating the large evening meal actually saw their triglycerides increase by almost 15% while the big breakfast eaters reduced their triglycerides by about 30%.)
What’s the Take-Home?
The women in this study who ate the big breakfast ate about 700 calories at breakfast, about 500 calories at lunch, and about 200 calories at dinner. While I won't necessarily be changing my usual recommendations—it's hard enough for many people to eat a muffin for breakfast, let alone a significant meal—if your daily life allows it and you're working on your weight, by all means, have your main meal at breakfast.
1. Jakubowicz D, Barnea M, Wainstein J, Froy O. High Caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity. 2013;21:2504-2512