{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:20:33Z","timestamp":1783023633716,"version":"3.54.6"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Breakfast consumption is a key lifestyle behavior that may influence both mental health and academic performance among university students. Evidence from Bangladesh remains limited. This study examined the associations between breakfast consumption patterns, mental health status, and academic performance among Bangladeshi university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted among 503 students from 15 public and private universities across Bangladesh between July and September 2025. Data were collected using a structured self\u2010administered questionnaire assessing demographic and lifestyle characteristics, breakfast consumption frequency, mental health status, and academic performance. Breakfast consumption was categorized as regular (\u2265\u20095 days\/week) or irregular (\u2264\u20094 days\/week). Mental health was assessed using the Perceived Stress Scale\u201010 (PSS\u201010), Generalized Anxiety Disorder\u20107 (GAD\u20107), and Patient Health Questionnaire\u20109 (PHQ\u20109). Chi\u2010square tests were used to examine associations, and ordinal logistic regression was applied to identify predictors of academic performance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Irregular breakfast consumption was prevalent among students. Breakfast consumption was significantly associated with perceived stress (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u2009272.73,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), anxiety (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u2009194.52,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), depression (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u2009188.84,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), academic performance (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u2009284.99,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and physical activity (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u200926.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.044). In adjusted ordinal logistic regression, regular breakfast consumption was strongly associated with higher academic performance (AOR\u2009=\u20093.80, 95% CI: 2.44\u20135.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Perceived stress (AOR\u2009=\u20091.05,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022) and anxiety (AOR\u2009=\u20091.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) showed modest associations with academic performance, whereas depression was not significant after adjustment. The model demonstrated moderate explanatory power (Nagelkerke\n                      <jats:italic>R<\/jats:italic>\n                      <jats:sup>2\u2009<\/jats:sup>\n                      =\u20090.314).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Regular breakfast consumption is independently associated with better academic performance and more favorable mental health outcomes among Bangladeshi university students. Promoting regular breakfast habits may support both academic success and student well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72270","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T04:46:51Z","timestamp":1775191611000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Breakfast Consumption and Its Association With Mental Health Assessed by PSS\u201010, GAD\u20107, and PHQ\u20109 and Academic Performance Among University Students in Bangladesh: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1451-8882","authenticated-orcid":false,"given":"Juwel","family":"Rana","sequence":"first","affiliation":[{"name":"Department of Nutrition and Food Engineering Daffodil International University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Mohammed Imran","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Food Engineering Gopalganj Science and Technology University Gopalganj Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zannatul","family":"Ferdoush","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Engineering Daffodil International University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Almoshabbir Haque","family":"Pranto","sequence":"additional","affiliation":[{"name":"Department of Public Health Daffodil International University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md. Easin","family":"Mia","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Engineering Daffodil International University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahidul Hassan","family":"Rishad","sequence":"additional","affiliation":[{"name":"Department of Psychology Dhaka College Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dewan Md. Touhiduzzaman","family":"Sajib","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Engineering Daffodil International University Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.20960\/nh.2278"},{"issue":"2","key":"e_1_2_16_3_1","first-page":"396","article-title":"Role of Breakfast and Its Quality in the Health of Children and Adolescents in Spain","volume":"38","author":"Moreno Aznar L. A.","year":"2021","journal-title":"Nutricion Hospitalaria"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-016-0451-1"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114517001714"},{"issue":"11","key":"e_1_2_16_6_1","first-page":"791","article-title":"[Relationship Between Breakfast Consumption and Health\u2010Related Habits Among University Students in Japan]","volume":"67","author":"Mato M.","year":"2020","journal-title":"[Nihon koshu eisei zasshi] Japanese Journal of Public Health"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.37962\/jbas.v11i1.308"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu17071271"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nbu.12668"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0222014"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.01.069"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.57125\/FS.2024.09.20.08"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13606"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-020-00242-y"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2022.e10890"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/00315125251329999"},{"issue":"1","key":"e_1_2_16_17_1","first-page":"1","article-title":"Breakfast Consumption Patterns and Nutritional Status Among Private University Going Students","volume":"3","author":"Shethe J. T.","year":"2025","journal-title":"Journal of Public Health and Community Medicine"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2013.00425"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.22317\/jcms.v9i4.1399"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2016.12.027"},{"key":"e_1_2_16_21_1","unstructured":"Bangladesh Bureau of Educational Information and Statistics (BANBEIS) Bangladesh Education Statistics 2023(BANBEIS 2024)."},{"key":"e_1_2_16_22_1","volume-title":"Sampling Techniques","author":"Cochran W. G.","year":"1977"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41043-025-01095-8"},{"key":"e_1_2_16_24_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_16_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_2_16_26_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_16_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-51104-1"},{"key":"e_1_2_16_28_1","volume-title":"Discovering Statistics Using IBM SPSS Statistics","author":"Field A.","year":"2013"},{"key":"e_1_2_16_29_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.66752\/1077-5315.7392","article-title":"Cronbach's Alpha: A Tool for Assessing the Reliability of Scales","volume":"37","author":"Santos R. A.","year":"1999","journal-title":"Journal of Extension"},{"key":"e_1_2_16_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.09.006"},{"key":"e_1_2_16_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14640"},{"key":"e_1_2_16_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114517001714"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72270","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hsr2.72270","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.72270","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T19:39:55Z","timestamp":1783021195000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.72270"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/hsr2.72270"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.72270","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-10-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72270"}}