1. WHY EAT BREAKFAST? JOEY VAN CAMP, RN, PNP, MED WESTMINSTER SCHOOL DISTRICT

2. A Look at “Breakfast” Breakfast is two words – break and fast Breakfast is two words – break and fast Our last meal for the day is supper – 5:00 – 8:30 pm Our last meal for the day is supper – 5:00 – 8:30 pm We fast or do not eat for a long time – 8 – 14 hours We fast or do not eat for a long time – 8 – 14 hours When we eat in the morning, we break the fast When we eat in the morning, we break the fast

3. A Look at “Breakfast” To do this, our brain needs fuel or simple carbohydrates To do this, our brain needs fuel or simple carbohydrates When we wake up, we need to think, reason, play, etc. When we wake up, we need to think, reason, play, etc. This fuel or food breaks the fast or breaks the period of time with no food This fuel or food breaks the fast or breaks the period of time with no food

4. Morning without Breakfast Without breakfast we may have problems – low energy, dizziness, nausea, brain fog, etc. Without breakfast we may have problems – low energy, dizziness, nausea, brain fog, etc. On occasion – fainting or passing out may be seen in breakfast skippers On occasion – fainting or passing out may be seen in breakfast skippers But that’s not all… But that’s not all…

5. The Three “ ”s ttention -- harder to pay attention in class; inability to focus; may fall asleep ttention -- harder to pay attention in class; inability to focus; may fall asleep chievement – may do poorer on exams when compared to those who eat breakfast chievement – may do poorer on exams when compared to those who eat breakfast ttendance – absent from school more than those who have breakfast ttendance – absent from school more than those who have breakfast

6. One other problem… Breakfast skippers tend to gain more weight – Why? Without breaking the fast, hunger increases Without breaking the fast, hunger increases Most likely to eat anything including high calorie foods Most likely to eat anything including high calorie foods We eat more than we normally do We eat more than we normally do

7. When weight goes up… We increase our risk of Diabetes Diabetes Cancer Cancer Heart Disease Heart Disease High blood cholesterol High blood cholesterol High blood pressure High blood pressure Fatty liver Fatty liver High levels of fat in the blood (atherosclerosis) High levels of fat in the blood (atherosclerosis)

8. Soooo… what should we do? But not just any breakfast!

9. What does the brain need? Brains are picky and demanding Brains are picky and demanding Brains need a steady supply of fuel Brains need a steady supply of fuel Fuel source – complex carbohydrates, low sugar foods gives steady supply of fuel Fuel source – complex carbohydrates, low sugar foods gives steady supply of fuel Eat more of – whole-grain cereal, whole-grain bread, fruit, milk, yogurt, etc. Eat more of – whole-grain cereal, whole-grain bread, fruit, milk, yogurt, etc.

10. What do our brains need? The brain does not do well on high sugar foods The brain does not do well on high sugar foods This fuel burns quickly, then runs out leaving us tired, sleepy This fuel burns quickly, then runs out leaving us tired, sleepy Avoid high levels of – jelly, syrup, juice, candy, soda, high-sugared coffee beverages, high-sugared cereals, etc. Avoid high levels of – jelly, syrup, juice, candy, soda, high-sugared coffee beverages, high-sugared cereals, etc.

11. STUDY Ingwersen J, et al. A low glycaemic index breakfast cereal prefentially prevents children’s cognitive performance from declining throughout the morning. Appetite, 2007, Jan 13. 64 kids, ages 6 – 11 years old 64 kids, ages 6 – 11 years old Group 1 -- high-sugared cereal breakfast Group 1 -- high-sugared cereal breakfast Group 2 -- low-sugared, high fiber cereal breakfast Group 2 -- low-sugared, high fiber cereal breakfast Groups took 4 computerized tests – 1 test before breakfast and 3 tests after breakfast Groups took 4 computerized tests – 1 test before breakfast and 3 tests after breakfast Researchers measured attention & memory Researchers measured attention & memory Kids who ate the low-sugared, high fiber cereal breakfast did better than the kids who ate a high sugared cereal breakfast Kids who ate the low-sugared, high fiber cereal breakfast did better than the kids who ate a high sugared cereal breakfast

12. ANOTHER STUDY TUFT UNIVERSITY 1989 TUFT UNIVERSITY 1989 CHILDREN WHO ATE BREAKFAST: CHILDREN WHO ATE BREAKFAST: *PERFORMED BETTER ON STANDARDIZED TESTING STANDARDIZED TESTING *WERE ABSENT FROM SCHOOL LESS

13. OTHER RESEARCH MINNESOTA BREAKFAST STUDY MINNESOTA BREAKFAST STUDYSTUDENTS: *WERE BETTER PREPARED TO LEARN *HAD DECREASED BEHAVIORAL PROBLEMS PROBLEMS *HAD INCREASED HEALTH *HAD LESS VISITS TO THE SCHOOL NURSE MINNESOTA DEPT OF CHILDREN, FAMILIES & LEARNING

14. FINALLY HARVARD MEDICAL SCHOOL 1998 HARVARD MEDICAL SCHOOL 1998 *UNIVERSAL BREAKFAST AT 3 SCHOOLS *PARTICIPATION IN BREAKFAST INCREASED FROM 15% TO 27% FROM 15% TO 27% *FOR STUDENTS WHO ATE BREAKFAST: -MATH GRADES AVERAGED A WHOLE GRADE -MATH GRADES AVERAGED A WHOLE GRADE HIGHER HIGHER -TARDY LESS OFTEN -TARDY LESS OFTEN -PSYCHOLOGICAL SCORES IMPROVED -PSYCHOLOGICAL SCORES IMPROVED PEDIATRIC ADOLESCENT MEDICINE, VOL. 153, PAGE 899, 1998

15. Eat Brain Foods for Breakfast Whole grain cereals (oatmeal, bran) Whole grain cereals (oatmeal, bran) Whole grain breads Whole grain breads Read the label – if sugar is the first, second or third ingredient, most likely not the best cereal for breakfast Read the label – if sugar is the first, second or third ingredient, most likely not the best cereal for breakfast Cereals

16. Eat Brain Foods for Breakfast Nonfat or lowfat dairy products provide calcium, vitamin D and protein Nonfat or lowfat dairy products provide calcium, vitamin D and protein Milk, cheese and yogurt help support brain function Milk, cheese and yogurt help support brain function

17. Eat Brain Foods for Breakfast Legumes – soybeans, lentils, chick peas – excellent food sources for brain food Legumes – soybeans, lentils, chick peas – excellent food sources for brain food Study – of all foods bean/bread combo produced highest brain function Study – of all foods bean/bread combo produced highest brain function

18. Eat Brain Foods for Breakfast Choose fruit more often & juice less often Choose fruit more often & juice less often Fruits contain fiber – slows sugar supply to the brain Fruits contain fiber – slows sugar supply to the brain Apple, orange, cherries, peach, pear, kiwifruit, grapes, berries, etc. Apple, orange, cherries, peach, pear, kiwifruit, grapes, berries, etc.

19. So… Why don’t we eat breakfast?

20. NO TIME STOP! Eat your breakfast !

21. Ideas for Quick Breakfasts Buy Breakfast at school Buy Breakfast at school Prepare breakfast the night before & take it with you Prepare breakfast the night before & take it with you Slip an apple and/or a bag of peanuts (a legume) into your backpack and eat during break – a late breakfast is better than no breakfast Slip an apple and/or a bag of peanuts (a legume) into your backpack and eat during break – a late breakfast is better than no breakfast

22. On-the-go Breakfasts Fruit with nuts & yogurt Fruit with nuts & yogurt Cheese toast & fruit Cheese toast & fruit Breakfast burrito Breakfast burrito Trail mix with raisins & a glass of milk Trail mix with raisins & a glass of milk Hard boiled egg with toast and fruit Hard boiled egg with toast and fruit Peanut butter & banana sandwich Plain or vanilla yogurt, with fresh fruit & granola Peanut butter & banana sandwich Plain or vanilla yogurt, with fresh fruit & granola Egg, English muffin with or without cheese & fruit Egg, English muffin with or without cheese & fruit

23. THE BOTTOM LINE… Enjoy the little things (like breakfast) for one day you may look back and realize they were the big things. -- Robert Brault