Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

Skip breakfast at your own risk

David L. Katz, MD
Conditions and Diseases
August 3, 2013
Share
Tweet
Share

breakfast-11

That breakfast is important is denoted by the name itself. At some point, we either break our fast, or just keep fasting — and eventually, starve. So for those of us disinclined to starve, fast breaking has to happen at some point. By convention, that’s breakfast.

Much else about breakfast, what we eat and when for instance, also tends to be a matter of convention. Then there are the many connotations of breakfast. Some are legitimate, some are urban legend, some are misguided dogma, and some are whatever that stuff is that masquerades as gospel, but isn’t. Let’s try to chew through all of that.

The rationale for such a repast right now is that breakfast has been unusually prominent in the medical literature and popular press alike of late. Engendered by a fast breaking sequence of studies, we’ve had a veritable all-you-can-eat-buffet of breakfast-related news, with the predictable case of cognitive indigestion resulting.

In May, for example, a paper was published in the journal Physiology and Behavior suggesting, of all the heresy, that skipping breakfast might actually help with weight loss. A group of Cornell students was assigned to eat breakfast, or skip it, and then simply eat as inclined over the remainder of the day. Those who skipped breakfast never fully made up for the omitted calories, and thus took in fewer calories by day’s end. Were this effect to last, it would imply a potential benefit of breakfast skipping in weight loss efforts.

But, of course, there is the time-honored convention that skipping breakfast is the last thing the weight-conscious want to do, and we’ve had recent research to reaffirm that claim as well. A paper based on the CARDIA study in young adults, published in Diabetes Care in June, found that habitual consumption of breakfast appeared to be protective against obesity, high blood pressure, metabolic syndrome, Type 2 diabetes, and bayonets. Well, not bayonets, actually — I made that one up to make sure you were paying attention; but all of the others are true.

Yet another study published this summer, in the American Journal of Clinical Nutrition, focused on overweight Latina and African-American girls, ages 8 to 17. Those who ate breakfast routinely, as compared to those who ate breakfast inconsistently, were more physically active and had a lower body fat percentage.

Probably the chewiest of all the recent reports was the publication in Circulation of a study showing an association between breakfast skipping and increased risk of coronary heart disease, resulting in predictably high profile media attention. This paper reported that men who skipped breakfast were significantly more likely to develop heart disease than those who did not, largely resulting from the expected risk factors along the way: obesity, high blood pressure, high cholesterol, and diabetes. A similar adverse association was found for eating late at night, which was seemingly linked to breakfast skipping.

And then, of course, before any of these recent provocations, we had the time-honored lore of breakfast. We all learned, most likely from our mothers, that breakfast-skipping was a threat to our hopes and dreams. Exactly how, why, or when breakfast became part of parenting lore, I doubt anyone can say for sure; I know I can’t. But the aura of importance about breakfast was certainly burnished over the years by studies showing better academic performance among kids who ate breakfast.

But that research was always far more limited than the urban legend has suggested (or our mothers admitted) and was limited in particular to hungry kids. The best, recent analysis of the topic, a systematic review published in Nutrition Research Reviews in 2009, basically concluded that we can’t conclude much. There was, unsurprisingly, an apparent benefit of breakfast consumption among kids who were prone to under-nutrition. But otherwise, clear evidence of effects is mostly lacking or muddled. We have little information about adolescents, little information about the benefits of breakfast in well-nourished kids, and little information about how variation in the composition of breakfast figures into the mix.

This, then, reasonably represents the current offerings of food for thought; there is more, but we don’t need it. When I chew on all of this in context, here’s what I’m willing to swallow:

1. Breakfast is a marker of attention to diet quality, and health, in general. How, in fact, could it be otherwise? Whether or not it was ever entirely true that breakfast is intrinsically important, we have all certainly heard that. Who pays attention to important information about health? Health-conscious people, of course. Who ignores such information? Less health-conscious people. So, perhaps all the breakfast brouhaha boils down to: People who are generally more health-conscious tend to be healthier. Not exactly an epiphany.

2. Breakfast eating may defend against the “see food” diet. Breakfast, as opposed to just eating whatever comes within reach throughout the day, tends to be a conscious choice. In fact, breakfast skipping is an issue in the first place because it tends to be the meal that requires the most conscious effort. Dinner comes when work is done; lunch often occupies a break in the workday. But breakfast comes at the expense of a little more sleep, or stands between us and a dash out the door. To the extent that conscious eating (breakfast) displaces less conscious eating (whatever that stuff is on your co-worker’s desk), the benefits may relate not just to what it puts into the diet — but also what it helps bump out.

3. Breakfast foods may be especially good foods. Clearly, this isn’t always the case. After all, America runs on Dunkin’ — so breakfast may at times be donuts. Certainly, at times it is Danish, or muffins, or toaster pastries. But some of the old standbys — eggs, oatmeal, whole grain cereals — are notably good foods. Eggs are a concentrated dose of satiating protein, along with many other nutrients. Oatmeal carries a reputation as “stick to your ribs” food for the lasting feeling of fullness it imparts, while also providing a generous dose of soluble fiber. Whole grain cereals similarly add fiber, an important and much under-consumed nutrient in the typical American diet. Those who miss out on fiber sources at breakfast may never make up that deficit over the rest of the day.

ADVERTISEMENT

4. Skipping breakfast may come in shades of gray. For example, I am not hungry first thing in the morning — and I like to work out then. I tend to have a late breakfast, sometimes as late as noon. I suppose that might qualify me in some registries as a “breakfast skipper,” but I don’t see it that way. My standard breakfast — a mix of berries and other fruits, no-fat plain Greek yogurt, whole grain cereals — is definitely breakfast, even if I have it at lunchtime. I do, consequently skip lunch — since I have breakfast instead. This late breakfast, no lunch, snack on wholesome foods when hungry, have a lovely and nutritious dinner with my wife works beautifully for me. So I refute the dogma that inevitably creeps into discussions of breakfast. Skipping breakfast can mean many different things. It can mean the ill-fated attempt to control calories by going for long periods without eating, and then over-compensating late in the day. Or, it can mean eating wholesome foods whenever you first get hungry, and being conscious about food choices throughout the rest of the day as well.

5. It’s not just whether, but also why, and what. Research about breakfast tends to divide the world into those who skip, and those who don’t. But deferring and skipping are not the same. Skipping despite hunger, and deferring for want of it, are not the same. And clearly all breakfasts are not created equal.

My advice is to break your fast with wholesome foods — but do it when so inclined. You are not obligated to eat the minute your feet hit the floor to call it breakfast. I’ve tried that experiment on myself, and it wound up making me hungry at odd times throughout the day. Don’t lean too hard on breakfast, because it can’t support you on its own. Be conscious about the quantity and quality of everything you eat. Food, after all, is the fuel that runs your body; it’s the construction material for the growing body of your child. Choices still matter after 11 a.m. Get used to good ones, all day long, and derive the profound benefits of loving food that loves you back.

Don’t skip breakfast, but do skip the dogma, and renounce the false gospel. It is, after all, your fast to break — as you see fit.

David L. Katz is the founding director, Yale-Griffin Prevention Research Center.

Prev

How can doctors and patients regain trust in each other?

August 3, 2013 Kevin 126
…
Next

What Detroit's bankruptcy means for patients

August 3, 2013 Kevin 7
…

Tagged as: Primary Care

< Previous Post
How can doctors and patients regain trust in each other?
Next Post >
What Detroit's bankruptcy means for patients

 

ADVERTISEMENT

More by David L. Katz, MD

  • There are only 3 ways to allocate health care resources

    David L. Katz, MD
  • Dr. Oz: I have met the enemy. It is us.

    David L. Katz, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The dietary guidelines are for which Americans, exactly?

    David L. Katz, MD

Related Posts

  • Beyond weight loss: the expanding benefits of GLP-1 receptor agonists

    Zehra Haider, MD
  • How weight loss drugs are creating a medical dilemma

    Yasmine Kamgarhaghighi
  • Unveiling the game-changing diabetic drugs: Revolutionizing weight loss and diabetes management

    Dinesh Arab, MD
  • The economics of medical weight loss

    Howard Smith, MD
  • Are rapid weight loss drugs hiding the real obesity problem?

    Martha Rosenberg
  • Can weight loss medication interfere with ADHD meds?

    Jennifer Jonsson

More in Conditions and Diseases

  • Shift work and circadian rhythms shape the 24/7 workplace

    Deepak Gupta, MD
  • Telehealth and postpartum psychosis defy simple blame

    Rabia Cheema, MD
  • Underage online gambling needs more than a checkbox

    Kayvan Haddadan, MD
  • Why must fourth trimester care begin after delivery?

    Allison P. Boyle, DPA, PA-C
  • Nutrition during cancer treatment is more than calories

    Dr. Manjari Chandra
  • Why witnessing death outside the hospital felt different

    Denise Moulton, RN
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • 4 fibromyalgia myths the current evidence doesn’t support

      Kayvan Haddadan, MD | Conditions and Diseases
    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI governance in health care has to reach the exam room

      Amanda Heidemann, MD | Health Technology
    • The Pennsylvania measles outbreak and the cost of forgetting

      Christine King, CRNA | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Why exhaustion can make you see things that aren’t there [PODCAST]

      The Podcast by KevinMD | Podcast
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Skip breakfast at your own risk
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...