Medical Chronobiology Program, Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Obesity (Silver Spring). 2013 Mar;21(3):421-3. doi: 10.1002/oby.20351.
Despite the extended overnight fast, paradoxically, people are typically not ravenous in the morning and breakfast is typically the smallest meal of the day. We assessed whether this paradox could be explained by an endogenous circadian influence on appetite with a morning trough, while controlling for sleep/wake and fasting/feeding effects.
Twelve healthy non-obese adults (six males; age, 20-42 years) were studied throughout a 13-day laboratory protocol that balanced all behaviors, including eucaloric meals and sleep periods, evenly across the endogenous circadian cycle. Participants rated their appetite and food preferences by visual analog scales.
There was a large endogenous circadian rhythm in hunger, with the trough in the biological morning (8 AM) and peak in the biological evening (8 PM; peak-to-trough amplitude = 17%; P = 0.004). Similarly-phased significant endogenous circadian rhythms were present in appetites for sweet, salty and starchy foods, fruits, meats/poultry, food overall, and for estimates of how much food participants could eat (amplitudes 14-25%; all P < 0.05).
In people who sleep at night, the intrinsic circadian evening peak in appetite may promote larger meals before the fasting period necessitated by sleep, whereas the circadian morning trough would theoretically facilitate the extended overnight fast. Furthermore, the circadian decline in hunger across the night would theoretically counteract the fasting-induced hunger increase that could otherwise disrupt sleep.
尽管延长了夜间禁食时间,但矛盾的是,人们通常在早上不会感到饥饿,早餐通常是一天中量最小的一餐。我们评估了这种矛盾是否可以通过内源性昼夜节律对食欲的影响来解释,即早上有一个低谷,同时控制睡眠/觉醒和禁食/进食的影响。
12 名健康的非肥胖成年人(6 名男性;年龄 20-42 岁)参与了一项为期 13 天的实验室研究,该研究平衡了所有行为,包括热量摄入的饮食和睡眠周期,均匀分布在内在的昼夜节律周期内。参与者通过视觉模拟量表评估他们的食欲和食物偏好。
饥饿存在较大的内源性昼夜节律,低谷出现在生物早晨(8 点),峰值出现在生物晚上(8 点;峰谷振幅=17%;P=0.004)。对于甜食、咸食和淀粉类食物、水果、肉类/家禽、整体食物以及参与者估计可以吃多少食物的食欲,也存在类似相位的显著内源性昼夜节律(振幅 14-25%;所有 P<0.05)。
对于夜间睡眠的人来说,内在的昼夜节律性晚上食欲高峰可能会促进在禁食期前摄入更多的食物,而昼夜节律性早晨低谷理论上会促进延长的夜间禁食。此外,夜间饥饿的昼夜节律下降理论上会抵消禁食引起的饥饿增加,否则这可能会扰乱睡眠。