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Table 2 Summary of Breakfast Findings and Concerns for Child Obesity

From: Immigrant families' perceptions on walking to school and school breakfast: a focus group study

Domain Themes and sub-themes
Current breakfast practices • Participants' children typically eat a range of breakfast foods, including both American and culturally traditional foods
• Most families did not eat breakfast together during weekdays
• Some participants' children ate breakfast at school on occasion
Benefits of eating breakfast Good for school performance
• Helps children wake up
• Helps children concentrate in school; good as "brain fuel"
Culturally-relevant
• Part of the culture to eat breakfast (Spanish, Vietnamese)
Barriers to eating breakfast in general Lack of time
• Families too busy in the morning and children wake up late
Children not hungry
• Ate dinner late
• Not active in the morning
Children unaware of the importance of breakfast
• Parents not teaching/reminding children
Barriers to eating school breakfast Food content
• Not enough hot dishes, especially culturally-appropriate hot foods
• Pork products served (not eaten by Somali families)
• Lack of variety
Food quality
• Food too processed and some food expired
• Need more fruits and vegetables
Lack of adequate time to eat
• Buses arrive late and children will not get breakfast at all
Concern not adequately supervised
• Children play instead of going to cafeteria
• No assurance children will be monitored to eat food served
Approaches to improve school breakfast program Food content/quality
• Offer more culturally-specific foods, especially hot main dishes
• Survey parents about what they want
• Offer taste tests to children
Supervision
• Reminders to children to eat breakfast from school staff/bus drivers
Adequate time to eat
• Ensure bus arrival time appropriate & children get breakfast if late
Concerns for childhood overweight Lifestyle in the U.S. worse for physical activity
• More sedentary activities–TV, video games
• Parents too busy to supervise children in physical activities
• Children living in U.S. less independent, and less fit (Vietnamese)
Concern expressed more about other children, not their own