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Submitted: 22 May 2025
Revision: 23 Aug 2025
Accepted: 11 Oct 2025
ePublished: 17 Dec 2025
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J Cardiovasc Thorac Res. 2026;18(1): 26-31.
doi: 10.34172/jcvtr.026.33600
PMID: 42369670
PMCID: PMC13309333
  Abstract View: 647
  PDF Download: 470
  Full Text View: 123

Original Article

Beyond calories: the effect of meal patterns on obesity risk in the IRanian National Obesity Registry

Mina Nosrati 1,2 ORCID logo, Niosha Samadi 2, Ali Mottaghi Moghadam Shahri 1, Mahsa Tousi 2, Farnaz Farrokhzadeh 3, Fateme Kourepaz 3, Najmeh Seifi 2, Khalil Kimiafar 4* ORCID logo, Majid Ghayour Mobarhan 1,2* ORCID logo

1 International UNESCO Center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Nutrition Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran
4 Department of Medical Records and Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
*Corresponding Authors: Khalil Kimiafar, Email: [email protected]; Majid Ghayour Mobarhan, Email: [email protected]

Abstract

Introduction: The prevalence of obesity is increasing. Eating habits are modifiable factors that may be effective in reducing obesity. We aimed to investigate the relationship between meal frequency and daily breakfast and the presence of obesity.

Methods: A total of 4137 overweight and obese individuals registered on IRanian National Obesity Registry (IRNOR) in 2022 were recruited into this cross-sectional study. Individual data was recorded using a self-reported questionnaire. Multivariate logistic and linear regressions were used to evaluate the association between meal frequency, daily breakfast and obesity.

Results: There was a lower significant odd of obesity (odd ratio (OR)=0.80, 95% confidence interval (CI): 0.69-0.93; P=0.004) in people who reported having more than three meals a day. There was a lower odd of obesity (OR=0.79, 95%CI: 0.69-0.91; P=0.001) in individuals who had daily breakfast and higher odds of obesity (OR=1.21, 95%CI: 1.03-1.42; P<0.01) for individuals who reported dinner as their main meal of the day. There was a significant association between eating frequency and daily breakfast with central obesity in men and in women; there was a significant inverse relationship between eating breakfast and central obesity.

Conclusion: Meal frequency and eating breakfast daily as a modifiable eating habits can lead to improvement obesity.


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