You’ve probably heard the adage that “breakfast is the most important meal of the day.” A new study backs up that claim by linking skipping breakfast to a higher risk of heart-related death.

The study, published in the Journal of the American College of Cardiology on Monday, concludes that skipping breakfast was significantly associated with an increased risk of cardiovascular-related death, especially stroke-related death. The study found that those who never had breakfast had an 87% higher risk of cardiovascular mortality than people who had breakfast every day. (This was after accounting for a person’s age, sex, race, socioeconomic status, diet, lifestyle, body mass index and disease status.)

It’s important to note that the study did not conclude that skipping breakfast specifically causes any such outcome, but that there is an association between skipping breakfast and risk of early death.

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