Skipping Breakfast Introduction 1 2 2
Skipping Breakfast Introduction 1 2 2
By
Dayrit, John Ryu V.
Estenzo, Jecylhane Ashlee
Ladrillo, Jhudiel A.
Liwanag, Aaron Carl C.
Manuel, Jerom C.
Panlican, Adrian Leonard G.
Perey, Roana Sofia C.
Pineda, Trisya Kate C.
Salazar, Ryza Mineth C.
Soriano, Mike Jiehanz T.
May 2023
DOMINICAN COLLEGE OF TARLAC
CHAPTER 1
THE PROBLEM AND ITS BACKGROUND
Introduction
Diet quality is simply defined as to the food consumption of an individual; what are the
everyday food patterns. Diet quality is correlated to the health of a person because of its
impact whether it is a poor quality or rich quality diet. Evidently, the health of an individual is
determined by the different type of food being ingested every day. In line with this, having
meals 3 times a day is an essential part of having a good diet quality. Also being cautious of
what to eat for a human body is in need of; Carbohydrates, Proteins, Fats, Vitamins,
Minerals, Dietary fibre, and Water. Though these are only 7 nutrients, there are 40 different
For further explanation, (CHP, 2017) continues stating that the major source of energy
needed are carbohydrates, they also help us fueling our brain, maintain the wellness of
kidneys, heart muscles and central nervous systems; which are found in fruits, root
In addition, indices or indicators are use to evaluate an individual’s overall diet and to
according to the extent to which their eating behavior is "healthy". These indices are called
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Diet Quality Indices or Indicators (DQIs). Predefined indexes were created primarily for
They assess dietary patterns based on current nutrition knowledge. DQIs come in a wide
variety of forms. The vast majority of DQIs often include measures of diet variety within and
consume in moderation and an overall balance of macronutrients. There are three main
(HRQOL). In which the focal point of HRQOL is the physical and psychological health of an
examining the impacts of health on the everyday life of a person; whether it is positively or
negatively. It is an umbrella term that covers the physical, psychological and the overall
The researchers chose the junior high school learners as their respondents in this study
because several studies that have been conducted from the past years have the same topic
and variables of this study but with a different population, meaning the researchers chose
the junior high school learners so that the study will be quite unique in terms of the
respondents.
Nevertheless, the researchers’ main motivation of why they did conduct this study is
that there are just a few studies about the topic, especially in the Philippines. Also, to
expand the researchers’ knowledge about the topic and mainly to add new knowledge on the
1.1 Sex
1.2 Age
1.3 Section
Hypothesis
There is no significant relationship between the diet quality index and health-related
The extent of this research will merely fall under the diet quality of junior high school
students and its relationship of their life quality. In addition, this study will only focus mainly
on the diet quality index for Filipinos or Asians, and also their quality of life based on their
diet quality index. Which means that the researchers are seeking answer if there is a
Any respondent who does not fall under junior high school level will not be covered in
the said study. Additionally, this study is delimiting the general term ‘quality of life,’ and it
means that health-related quality of life findings is the only focus. Furthermore, this study is
delimiting the diseases of the students. Any unnecessary data will not be included in this
study for the purpose of making the study linear to its goal and topic.
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The study covers the relationship of diet quality of life and health-related quality of life of the
junior high school learners at Dominican College of Tarlac, Inc, and the findings of this study
Learners. The benefits of the study will give learners a knowledge from the study about the
effects of dietary habits on their quality of life and their health-related quality of life;
awareness is provided.
Parents. This will provide knowledge to the parents about how food patterns can affect or
DepEd. The Department of Education will benefit from this study especially because the
study’s respondents are the Junior High School learners which are under the K-12 program.
Also, the new information that will be provided to DepEd is based on the results and findings
Future researchers. this study will be immensely valuable to researchers who is in the
Definition Of Terms
Impact. The act of forcing one object into contact with another, as well as "a noticeable
effect or influence."
academic performance among junior high school learners at Dominican College of Tarlac,
Inc.
Breakfast. Breakfast boosts your metabolism, which aids in calorie burning throughout the
rest of the day. Additionally, it gives you the energy you need to accomplish your goals and
enhances your concentration at work or school. These are just a few justifications for why
also indicates if a student excels or struggles when studying or learning in school based from
which a student, teacher, or institution has attained their short or long-term educational
goals and is measured either by continuous assessment or cumulative grade point average
(CGPA)
Children. A young person who is typically older than a baby but younger than a teen is
referred to as a child. They are between the ages of 1 and 12 years old.
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Adolescents. All human beings undergo adolescence stage and this stage of their life is
where the part that they are maturing physically and mentally. Also, this is where human
development occurs and lays time for the foundation of good health. A young person who
has begun puberty but has not yet become an adult. During adolescence, a child
experiences physical, hormonal, and developmental changes that mark the transition into
adulthood. Adolescence generally occurs between the ages of 13 and 17 years old.
Appetite. The eagerness of a person if he or she wants to eat food, or the amount of level
of interest when a person eats food. It is basically a desire for food. The Latin word
appetitus, meaning "desire for," is the root for appetite. If you have worked up an appetite,
you have a desire for food. If you've lost your appetite, you're not hungry at all (maybe
Fatigue. It is when an individual is exhausted and drained physically. Due to too much work
or not enough sleep, but particularly, is when a person does not eat meals in a day-to-day
basis. Fatigue is a feeling of constant tiredness or weakness and can be physical, mental or
a combination of both. It can affect anyone, and most adults will experience fatigue at some
Nutrients. These are substances that supplies nourishment that the human body needs,
whenever eating habits is involved; unhealthy eating habits may deject the well-being of a
person.
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Chapter 2
Related Literature
The overall quality of diet and even the quality of the underlying elements are classified
or summarized as Diet Quality (DQ). A good dietary or a better dietary habit is the higher
intake of fruits, vegetables, fish, whole grains, and other food that are entirely beneficial to
the health of a human body. Meanwhile, the unhealthy DQ is classified as a poor behavior
or simply, an eating habit. Eating fast food and skipping breakfast or any meal are
examples of unhealthy dietary behavior. This type of eating habits may lead to consuming a
higher rate of saturated fats, sugar, machine processed food products and inadequate
The positive relationship between diet quality and health-related quality is; rich
nutrition from balanced dietary habits in which improves HRQoL that prevents dietary
deficiency disease and ameliorating a secondary malnutrition that links with other diseases
as well. Apart from that, food and nutritious diet are substantial components of “the good
life.” Psychologically, good food is sensory and mental pleasure in its own pleasure. Having
meals with other people increases an individual’s social life; if social aspects of eating is
present in an individual, food intake may escalate (Cassens, et. al., 1996)
It has been known that poor diet quality or disordered food patterns in which engages
in unhealthy eating behavior can eventually lead to several chronic diseases in children and
adolescents; mostly are obesity, diabetes and cardiovascular diseases (Osei-Assibey, et. al.,
2012). In addition, physical, mental and social impairment are the sequelae of malnutrition.
If habitual poor dietary intake continues for a long time, even for weeks or months, it will
result to undernutrition. Severe undernutrition reduces the body’s muscle mass and physical
strength, increased functional impairment and overall decreased HRQoL (Muhlethaler, et. al.,
1995)
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Studies have also stated that there were numbers of concerns regarding the mental
unhealthy dietary behaviors. It was divided into 2 categories; internalizing categories such
as depression and anxiety and externalizing disorders such as inability to focus or attention
deficit and hyperactivity disorder. DQ, dietary and mental health was examined if they were
associated; it was found these were related to the poor mental health in the adolescent
and adolescents in which results to low academic performance as well (McMartin, et. al.,
2012).
There are several associates on the environment contributing to the poor mental health
of adolescents; however, diet quality is an underlying associate. It has been confirmed that
there is an inverse association between dietary habits and depression. Furthermore, it was
stated that low diet quality is an independent link to higher risk of having depression and
anxiety. Despite the fact that depression and stress lead to unhealthy eating, recent studies
have stated that it can be reversed (Le Port, et. al., 2012).
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On the other hand, HRQOL constructs a multifaceted evaluation in which encloses even
individual. This is a subjective assessment in which its focal point is the entire well-being of
individuals in regards of their health. In assessing the HRQoL of children and adolescents is
also a way of implementing effective approach on enhancing their health status (Wu, et. al.,
2017).
Poor habitual unnutritional food intake has a potential of resulting to low HRQoL in
children and adolescents. Besides the foundations of the development of the body, it is
suspected that nutrition is an influence to adolescent’s mental and social health. As everyone
knows while growing up, nutrition is essential to help the development of the brain; hence,
in psychological responses and social behaviors as well (Liu, et. al., 2016)
Apart from the known concept of health as only the body’s absence of disease; World
Health Organization defined health as also the presence of physical, mental and social well-
being. Since then, the evaluation of HRQoL has been a subjective perception of an
individual’s overall well-being and health; in relation to their social and cultural environment.
In which these are said as to being a paramount categories on identifying health status and
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health risks. Subjective evaluation had been a great aid in identifying HRQoL for it bought
new insights in terms of impairments in well-being and overall functioning (Marques, et. al.,
2017).
On the contrary, ensuring and determining the well-being of children and adolescents is
behaviors and future achievements. Though evaluating the rate of well-being during
childhood can be a struggle, which is why going beyond the physiological aspect is a
prerequisite for concise findings. In most studies that evaluate the quality of life, in which it
is being elucidated as “Individual’s perception of position in life in the context of culture and
value systems in which they live and concerning goals, expectations, standards, and
Synthesis
Breakfast skippers are more prone to having low grades due to the effects of being
malnourished or simply, having imbalanced meal; the risk of different types of diseases,
mental state, and a greater-BMI-results due to imbalanced meals. Because of the stress
hormone that is in its highest rate in the morning, an individual may be distressed as they
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attend their classes; if they did not consume any food in which the cortisol will remain at its
increasing state. Moreover, in terms of physical activity; learners who does not consume any
meal in mornings will most likely be inactive in any subject that includes physical movement.
For breakfast provides the energy which a human body needs, especially with a long day
ahead. Moreover, there are numerous impacts that is caused by lack of energy; loss of
motivation, apathetic behavior, and being unable to process information. In which, every
effect that are mentioned will have an impact on learners’ academic performance.
Related Studies
A. Foreign
In the study conducted by Parsons (2021), there were 655 participants in a university
wherein they had an average of 24.7 body mass index which implies that these individuals
were in the range of a healthy body mass index. In regards with their diet quality, this study
measured it with the average fruit and vegetable intake of the individuals. It was stated that
majority of these individuals were consuming less than what the USDA’s recommendation of
daily servings. An average of 2.2 ±1.3 servings per day of fruits and vegetables were
consumed. In line with this, the majority of the participants’ general health was good, very
good, or excellent (n=508, 77.4%) while the other was poor or fair (n= 147, 22.5%). It was
also reported that the days per month of their physical health being deficient was relatively
low (3.5 ± 5.8 days) while their mental health in days per month not being good was 10.1 ±
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9.3. In this correlational study, they found out that if a student consumes a serving of 2.2
fruits and vegetables and above, these individuals were considered to be feeling healthy and
energetic. Similarly, consuming less than 2.2 servings of fruits and vegetables mean that
these individuals would have a worsened mental health and less energy.
The study conducted by Silva et. al. (2020) examined the relationship between diet
quality, groups of food intake, and the health-related quality of life among 669 adolescents
at a mean age of 13.7. They found out that puberty, as a biological factor, can also affect
the health-related quality of life among adolescents. Furthermore, maturity and physical
activity directly influences the diet quality. It was perceived that girls had the worst general
HRQoL and was due to the onsets of puberty that affected them. Unlike boys which scored
higher in terms of health-related quality of life and the distribution of macronutrients and
daily energy expenditure as they were more physically active and less sedentary behaviors
than the girls in the study. It was also found that in some HRQoL dimensions, consuming
unhealthy food was negatively correlated unlike when consuming healthy food correlated
positively.
In the study of Ferrer-Cascales et. al. (2019), they assessed the HRQoL in
mediterranean diet when correlated with the dimensions of HRQoL, results in a predicted
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40% subjective happiness. The study also states that the higher the adherence to
mediterranean diet, the higher the predicted outcome for the subjective happiness which
implies that the adherence to the consumption of fruits and vegetables can positively affect
HRQoL in some dimensions. To be specific, the consumption of the vitamins and minerals
found in fruits has been found to play a role in improving an individual’s mood. In line with
this, it was found out that Psychological Well-Being, Mood and Emotions, Financial
Resources and Social Acceptance improves with the adherence to mediterranean diet.
In the study conducted by Bolton et. al. (2016), they compared the HRQoL and diet
quality of Australian students from rural areas to urban areas. It is also important to note
that in this study, there was a low adherence to the Australian diet wherein the participants
consumed fewer vegetables. Rural or urban areas of this study showed that the participants
vegetables which in contrast that if an individual consumes a greater amount may result into
lowering the chances of developing mental disorders. Also, unhealthy dietary patterns
resulted into poor HRQoL. It was evident that in rural participants, a decrease in HRQoL
results into increasing unhealthy diet patterns unlike in urban areas where there was an
increase in HRQoL and an increase of healthy diet patterns. It was found that in both rural
and urban areas, males consumed more energy dense meals and less nutrient food yet it
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still resulted in a good HRQoL. Similar to the study of Silva, Fragoso and Teles (2020), males
According to several studies, it was stated in the cross-sectional study of Wu et. al.
(2019) that the health-related quality of life results from a high-quality diet and good dietary
behaviors for a positive impact in both children and adolescents. A few studies have also
investigated regarding the different specific disease conditions on the effect of diet quality
and healthy diet behavior on HRQoL. Furthermore, it was stated that these individuals have
significantly improved their HRQoL in regards with their physical, mental and psychological
health when correlated with a high-quality diet and healthy dietary behavior. Some studies
also mentioned that consumption of fruits and vegetables in a diet of an individual improves
the HRQoL significantly. Similarly, in some studies, it was stated that a high-quality diet and
a healthy diet behavior results in an increase in the health related quality of life of both
children and adolescents. It is also important to note that physical functioning, emotional
functioning, physical and psychosocial qualities of life are the domains of HRQoL in which it
B. Local
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C. In the study conducted by Angeles-Agdeppa et. al. (2019), they investigated the
inadequate nutrient intake of adolescents and children in accordance with their wealth. The
unwealthy children and adolescents were found to have had a high carbohydrate and low
protein consumption which implies that most Filipinos who are poor have little access to
food rich in micronutrients and macronutrients which is most likely due to the poor economic
conditions or the expensiveness of food. Having poor economic conditions among individuals
who are not wealthy enough to purchase their essential needs may have a poor quality of
life. It was found that poor adolescents living in rural areas had less energy intake and
nutrients which were essential for growth and development, specifically, calcium, iron,
vitamin a and c, and folate. It was also found that there was also an inadequate intake of
calcium among all the groups they surveyed (75-97%) which may have been due to the
expensiveness of milk and other dairy products. Iron deficiency was also found to have
increased along the age groups, having low iron may result an individual to become
susceptible to diseases.
The study conducted by Calumba et. al. (2023) investigated the nutrients from
vegetables and its association with BMI. Greater amount of consumption among vegetables
were found to reduce the risks of developing diet related diseases as well as a maintaining a
good weight due to the amounts of micronutrients obtained from these. Between rural and
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urban areas, adolescents from rural households were found to have insufficient vegetable
intake unlike in urban households wherein they consumed fewer or less amounts of
vegetables than before. Vegetable consumption was found to be associated with the
regarding the nutrients obtained from these. Furthermore, it was found to be evident among
junior and senior high school adolescents as vegetable intake was influenced by their
In the study conducted by Capuno et. al. (2022), there were a total of 4,126
participants wherein it was found that the mean HRQoL regarding health perception of
males were 67.5 (SD = 15.9) while females had a 66.7 (15.8). In this study, the researchers
identified the individuals who were at high or low risks and their perceptions as well as their
functioning in different scales of life by their BMI, WC, and WHR. According to the study,
there were no participants found who were at risk for diseases despite the measures of
adiposity that had a lower HRQoL among the participants at high risk in BMI. WC and WHR
were associated with having a lower HRQoL. According to the study, it was found that lower
role functioning and lower physical functioning among males who were at high risk of WC
and WHR. Similarly, Females also displayed a lower role functioning regarding the
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participants with high risk of WHR and WC. Furthermore, in males, they had lower health
perceptions, better social functioning and mental health despite at high risk of WHR and WC.
The study conducted by Farhangi et. al. (2018) In comparison of BMI and nutrient
intakes in different categories of mental health problems. Even after controlling for the
confounding effects of age and BMI, the relationship between mental health problems and
eating patterns revealed that female adolescents with high scores for "snacking and
convenience," "planning ahead," and "meal skipping" eating patterns were more likely to
have indicators of emotional disorders than those with lower scores. Adolescents with high
scores of low fat, planning ahead, and meal skipping eating patterns were associated with
study found a significant relationship between eating habits and mental health problems
among female adolescents, regardless of their age and body mass index. The study showed
that adolescents with higher adherence to "snacking and convenience," "planning ahead,"
and "meal skipping" eating patterns had a higher chance of indicating signs of emotional
disorders. Moreover, those who had a high adherence to the "low fat" eating pattern were
According to Barcena et. al. (2021) this study examined how 15 adolescents
experienced changes in their dietary patterns as a result of dietary acculturation while also
examining the various factors that contributed to these changes. The mean dietary pattern
score was 69.40±9.23 on a scale of 0-100, classified as needing improvement. Out of all the
participants, only one had a dietary pattern that was considered to be of 'good' status,
according to the index analysis conducted, which accounted for only 6.67% of the total
participants, while the rest of the adolescents were found to have a dietary pattern that
needed improvement, accounting for 93.33% of the total participants. The process of
influenced by psychosocial and economic factors, can control diet quality. With a better
understanding of how these factors contribute to dietary acculturation, they can identify
ways to improve diet quality among adolescents and communities. For example,
psychosocial and economic factors that contribute to unhealthy dietary changes can help
Synthesis
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Conceptual Framework
INPUT
PROFILE OF THE RESPONDENTS
c. Is there significant
Relationship between DQI &
HRQOL?
PROCESS
Descriptive-Correlational Study
Face-to-face Survey Questionnaires
Statistical Treatment
Figure 1. Paradigm of the Study
Data Analysis
Figure 1 illustrates the simplified and
OUTPUT
overall flow of the study. The
DIET AND QUALITY OF LIFE
conceptual framework provides the OF JUNIOR HIGH SCHOOL LEANERS
AT DOMINICAN COLLEGE OF TARLAC, INC
IMPLICATIONS inputs
which will show the profile of the respondents; the sex, grade, and section. Moreover, it also
includes the causes and effects such as; do learners skip breakfast before going to school,
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why do learners skip their breakfast, the possible effects of skipping breakfast in regards to
their academic performance, and the main causes for junior high school learners to skip their
breakfast.
Learners skipping breakfast before going to school is the habit of learners that they have
Learners skipping breakfast is the general skipping of breakfast even in normal days that
The possible effects of skipping breakfast in regards to their academic performance are the
The main causes for junior high school learners to skip their breakfast the routines and
Process the the overall flow of the study or simply, the methodology. In which it includes;
In conclusion, the implications of skipping breakfast will show its significance and relevance
to the respondents which are the junior high school learners. Consequently, an implication
will be organized and will be based on the outcome from the study.
Chapter 3
RESEARCH METHODOLOGY
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Research Design
A descriptive-correlation research design will be used in this study for the reason that
the researchers aim to assess the relationship between diet quality of life and health-related
quality of life of junior high school learners at Dominican College of Tarlac. Also, to answer
the what and how questions in the study and to describe the correlation of the said
variables. Moreover, this study will only assess information and describe data about the
dietary habits of junior high school learners at Dominican College of Tarlac, Inc. By that, a
descriptive-correlation research design will be applied in this study in order for the study to
have a constant flow and a linear goal in assessing the variables of the research.
The researchers target population for this study are the junior high school learners who
are enrolled in the Dominican College of Tarlac, Inc. The researchers will also use a simple
random sampling method for this study which randomly selects a subset of respondents
from the total population. This study will take place at Dominican College of Tarlac, Inc,
which is located in McArthur Highway, Poblacion (Sto. Rosario) 2315 Capas, Tarlac. In light
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of this, the researchers determined that this locale was appropriate for this study. The total
number of respondents in this study who are enrolled in the Dominican College of Tarlac is
six hundred sixty (660) individuals. The researchers have computed the sample size using
slovin’s formula based on 660 individuals. Therefore, the final number of respondents that
will participate in the study is two hundred forty-nine (249) individuals. Also, the
Research Instrument
This study will be making use of a 2 adopted survey questionnaire that consists of a
31-item survey questionnaire and a 52-item survey questionnaire which are the Philippines
DQQ and KIDSCREEN – 52 that utilizes a Dichotomous scale and 5- point Likert scale survey,
and it is used to ask questions about the DQI and HRQOL of children and adolescents. The
questionnaires will be answered by the respondents through a face-to-face setting. All the
respondents will be answering the same questions. To increase the validity of the answers,
the researchers aim to get a definite answer from respondents of the study through the
The goal of researchers to attain a successful data gathering; taken with a procedure.
Firstly, they will conduct an informed consent for the survey that will done and will be used
in the academic year 2023-2024 for data gathering once approved by; the principal and
facilitators of junior high school at Dominican College of Tarlac, Inc, and the research
facilitator of the researchers. Once everything has been approved and settled; informed
consent will be presented to the respondents, and the researchers will distribute the
respondents; the results of the study which contains the findings and sensitive information
Ethical Consideration
To protect the rights of all individuals, especially the privacy of the respondents'
personal information, the researchers will take all necessary measures to guarantee the
security and reliability of this study. No personally identifiable information will be gathered
because keeping the respondents' anonymity and confidentiality is one of the study's specific
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goals. Additionally, the researchers will respect the respondents' rights by giving them the
choice of participating in the study or not. The researchers will be responsible for any
improper conduct and all issues that affect the respondents, and they will be held
accountable for those issues as well. The researchers will also uphold the honesty and
integrity of all the data that will be gathered and reported. Furthermore, the researchers will
assure the respondents by following the Republic Act No. 10173, which is also known as
Data Privacy Act, wherein the law seeks to protect all forms of private and personal
information from all individuals (Data Privacy, n.d.). This will help assure the respondents in
Statistical Treatment
In conducting this study, the researchers will utilize different formulas to evaluate and
interpret data that will be gathered from the respondents of the study. In addition, this study
will use 3 formulas for the statistical treatment of data and a 5-point Likert scale. These
formulas are slovin’s formula, measurement of central tendency, and Pearson correlation
coefficient. Moreover, each of these formulas will have a distinct role in computing,
analyzing, and summarizing data of this study, mainly on the respondents that are part of
the research.
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The Likert scale is a close-ended questionnaire which is used to measure the opinion
and attitudes of the respondents’ depending if they agree or disagree with the topic of the
given question. The Likert scale may also measure different variations of agreement such as
frequency, quality, importance, and likelihood, etc. (McLeod, 2019). Also, the researchers will
In line with this, slovin’s formula was used to calculate a sample from the total
population of the junior high school students. Slovin’s formula which is n = N/(1=Ne2),
where n is the sample size, N is the total population, e is the margin of error. In order to
calculate this, the researcher needs to convert the margin of error into decimal form, and
then multiply it by itself. After that, multiply it by the total population and add 1. Lastly,
divide the total population from the computed value. (Prudencexd, n.d)
The researchers will use t-Test to analyze the data. Pearson correlation coefficient will
be used to measure the linear relationship between variables. The strength and direction of
the relationship between two variables is expressed as a number between –1 and 1. Also,
this formula will be used to test if the 2 variables have a significant relationship or none.
FORMULA:
Where:
b = sample correlation coefficient
n = number of respondents
x = the first variable
y = the second variable
t = r√(n-2) / (1-r2)
Where:
r: correlation coefficient;
n: sample size
Furthermore, the mean of the data that will be obtained from the survey questionnaire
that will be distributed to the respondents will be computed using central tendency
measurement. The sum of all values will be divided by the number of values in the
subsequent data that will be provided to calculate the measurement of central tendency.
(Bhandari, 2022).
x̄= Σx/n
Where:
x̄ = mean of x value
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Nevertheless, these formulas are simply assumed by the researchers to be used in the
next chapter of this study; essentially, these formulas will be used to interpret the data that
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