The Nutritional Content of Ready-to-Eat Breakfast Cereals in the Greek Market: A Cross-Sectional Analysis of Child- and Adult-Marketed Products
Source abstract
Abstract
Ready-to-eat cereals are a popular breakfast choice for children and adults, offering convenience and affordability. This study aimed to evaluate the nutritional content of ready-to-eat cereals available in the Greek market and compare data for the following categories: products targeted at adults (n = 208) vs. children (n = 74) and their subgroups: all bran vs. refined and gluten containing vs. gluten free. Protein, fat, saturated fat and fiber were all present in significantly greater quantities in the adult group when compared with the child group. The median content of sugar contained in children’s products (25.0/100 g) was significantly higher than the one present in adults’ ready-to-eat cereals (15.2/100 g). Sugar content of children and adult’s RTECs was assessed against the criteria set by the United States Department of Agriculture (USDA) and the Regional Office for Europe of the World Health Organization (WHO). Sugar in children’s products (7.5 g per serving) did not comply with the criterion of <6 g per 30 g of serving. On the other hand, the sugar content in adult-oriented cereals (6.0 g per serving) was below the criterion of <10 g per 45 g of serving. All bran products demonstrated a better nutritional profile overall compared with the refined ones, but children’s options in the market are very limited, with only two products identified. Sugar reduction, particularly for children’s ready-to-eat cereals, should be a priority for policymakers and the food industry.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Obesity, Physical Activity, Diet · Nutritional Studies and Diet · Consumer Attitudes and Food Labeling
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Nutrition and Dietetics Sciences, School of Health Sciences, Hellenic Mediterranean University, 72300 Sitia, Greece
References (44)
Show source-provided references
1. Breakfast frequency and quality may affect glycemia and appetite in adults and children10.3945/jn.109.114405 ↗
2. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents10.1016/j.jada.2005.02.007 ↗
3. Improving breakfast patterns of portuguese children—An evaluation of ready-to-eat cereals according to the European nutrient profile model10.1038/s41430-018-0235-6 ↗
4. Ready-to-Eat Breakfast Cereal Consumption Enhances Milk and Calcium Intake in the US Population10.1016/j.jada.2006.08.015 ↗
5. The contribution of fortified ready-to-eat cereal to vitamin and mineral intake in the U.S. population, NHANES2007–201010.3390/nu7063949 ↗
6. Measuring the Healthiness of Ready-to-Eat Child-Targeted Cereals: Evaluation of the FoodSwitch Platform in Sweden10.2196/17780 ↗
7. Santos, M., Matias, F., Rito, A.I., Castanheira, I., Torres, D., Loureiro, I., and Assunção, R. (2021). Breakfast Cereals Intended for Children: Opportunities for Reformulation and Potential Impact on Nutrient Intake. Foods, 10.10.3390/foods10081772 ↗
8. European Breakfast Cereal Association (2025, August 16). CEEREAL Portion Sizes. Available online: https://www.referenceintakes.eu/files/downloads/3_CEEREAL%20Portion%20Size%20Rationale.pdf.
9. Agence Française de Sécurité Sanitaire, Alimentation, Environment, Travail (ANSES) (2009). INCA2 (2006–2007), Report of the Individual and the National Study on Food Consumption No. 199.
10. (2025, August 16). Statista. Available online: https://www.statista.com/outlook/cmo/food/bread-cereal-products/breakfast-cereals/greece#volume.
11. The benefits of breakfast cereal consumption: A systematic review of the evidence base10.3945/an.114.006247 ↗
12. Consumption of ready-to-eat cereals in relation to health and diet indicators among school adolescents in Crete, Greece10.1159/000086880 ↗
13. The contribution of ready-to-eat cereals to daily nutrient intake and breakfast quality in a Mediterranean setting10.1080/07315724.2006.10719524 ↗
14. Ready-to-eat cereal consumption: Its relationship with BMI and nutrient intake of children aged 4 to 12 years10.1016/j.jada.2003.09.020 ↗
15. The relationship of breakfast and cereal consumption to nutrient intake and body mass index: The National Heart, Lung, and Blood Institute Growth and Health Study10.1016/j.jada.2005.06.003 ↗
16. Is consumption of breakfast associated with body mass index in US adults?10.1016/j.jada.2005.06.002 ↗
17. Adolphus, K., Lawton, C.L., and Dye, L. (2013). The effects of breakfast on behavior and academic performance in children and adolescents. Front. Hum. Neurosci., 7.10.3389/fnhum.2013.00425 ↗
18. Fayet-Moore, F., McConnell, A., Tuck, K., and Petocz, P. (2017). Breakfast and breakfast cereal choice and its impact on nutrient and sugar intakes and anthropometric measures among a nation ally representative sample of Australian children and adolescents. Nutrients, 9.10.3390/nu9101045 ↗
19. The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: The National Health and Nutrition Examination Survey 1999–200610.1016/j.jada.2010.03.023 ↗
20. Changes in whole-grain, bran and cereal fiber consumption in relation to 8-y weight gain among men10.1093/ajcn/80.5.1237 ↗
21. Relation between changes in intakes of dietary fibre and grain products and changes in weight and development of obesity among middle-aged women10.1093/ajcn/78.5.920 ↗
22. Nutritional quality, labelling and promotion of breakfast cereals on the New Zealand market10.1016/j.appet.2014.06.019 ↗
23. Tong, T., Rangan, A., and Gemming, L. (2018). Evaluating the nutritional content of children’s breakfast cereals in Australia. Children, 5.10.3390/children5070084 ↗
24. The nutritional content of children’s breakfast cereals: A cross-sectional analysis of New Zealand, Australia, the UK, Canada and the USA10.1017/S1368980019003537 ↗
25. PHE (2025, August 16). National Diet and Nutrition Survey. Results from Years 7 and 8 (Combined) of the Rolling Programme (2014/ 2015 to 2015/2016), Available online: https://assets.publishing.service.gov.uk/media/5acdf009ed915d32a65db8cc/NDNS_results_years_7_and_8.pdf.
26. Potvin Kent, M., Rudnicki, E., and Usher, C. (2017). Less healthy breakfast cereals are promoted more frequently in large supermarket chains in Canada. BMC Public Health, 17.10.1186/s12889-017-4886-3 ↗
27. El Khoury, D., Balfour-Ducharme, S., and Joye, I.J. (2018). A Review on the Gluten-Free Diet: Technological and Nutritional Challenges. Nutrients, 10.10.3390/nu10101410 ↗
28. KPMG (2025, August 16). The Future of Retail: A Deep Dive into Grocery Retail in Greece. Available online: https://assets.kpmg.com/content/dam/kpmg/gr/pdf/2023/04/gr-the-future%20of-retail-a%20deep-dive-into-grocery%20-retail-in%20-greece.pdf.
29. Examining the nutritional quality of breakfast cereals marketed to children10.1016/j.jada.2008.01.003 ↗
30. Understanding interobserver agreement: The kappa statistic
31. US Department of Agriculture (2025, August 16). Child and Adult Care Food Program: Choose Breakfast Cereals That Are Lower in Added Sugars in the CACFP, Available online: https://www.fns.usda.gov/tn/cacfp/breakfast-cereals-lower-sugar.
32. (2025, August 16). World Health Organization Regional Office for Europe: WHO Regional Office for Europe Nutrient Profile Model: Second Edition. Available online: www.who.int/europe/publications/i/item/WHO-EURO-2023-6894-46660-68492.
33. van der Bend, D.L.M., van Eijsden, M., van Roost, M.H.I., de Graaf, K., and Roodenburg, A.J.C. (2022). The Nutri-Score algorithm: Evaluation of its validation process. Front. Nutr., 9.10.3389/fnut.2022.974003 ↗
34. EFSA (2017). Dietary Reference Values for Nutrients Summary Report.
35. Child- and adult-orientated breakfast cereals: A cross-sectional analysis of nutrient profile10.1017/S0029665118002033 ↗
36. Robert, M., Martin, F., Xhonneux, A., Mosser, F., Favre, E., and Richonnet, C. (2024). Nutritional Quality of Breakfast Cereals on the French, Belgian and Luxembourg Markets: Which Cereals for Children?. Nutrients, 16.10.3390/nu16162701 ↗
37. WHO (2015). Guideline: Sugars Intake for Adults and Children.
38. Prada, M., Saraiva, M., Viegas, C., Cavalheiro, B.P., and Garrido, M.V. (2021). Examining the Relationship between Sugar Content, Packaging Features, and Food Claims of Breakfast Cereals. Nutrients, 13.10.3390/nu13061841 ↗
39. Perspective: Total, Added, or Free? What Kind of Sugars Should We Be Talking About?10.1093/advances/nmx020 ↗
40. Bernstein, J.T., Schermel, A., Mills, C.M., and L’Abbé, M.R. (2016). Total and Free Sugar Content of Canadian Prepackaged Foods and Beverages. Nutrients, 8.10.3390/nu8090582 ↗
41. Prada, M., Saraiva, M., Garrido, M.V., Rodrigues, D.L., and Lopes, D. (2020). Knowledge about Sugar Sources and Sugar Intake Guidelines in Portuguese Consumers. Nutrients, 12.10.3390/nu12123888 ↗
42. Gréa, C., Dittmann, A., Wolff, D., Haidar, H., Roser, S., Merz, B., and Genannt Bonsmann, S.S. (2025). Using the Nutri-Score to visualise food reformulation in Germany: The case of breakfast cereals. BMC Public Health, 25.10.1186/s12889-024-21102-7 ↗
43. Ministère des Solidarités et de la Santé (2019). Programme National Nutrition Santé 2019–2023.
44. European Commission (2012). Guidance Document for Competent Authorities for the Control of Compliance with EU Legislation on Regulation (EU) no 1169/2011 of the European Parliament and of the Council of 25 October 2011 on the Provision of Food Information to Consumers Eur.