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轮班工作:进食时间决定代谢健康吗?来自动物模型的证据。

Shift-work: is time of eating determining metabolic health? Evidence from animal models.

机构信息

Departamento de Anatomía,Facultad de Medicina,Universidad Nacional Autónoma de México,Ciudad de Mexico,México.

Instituto de Investigaciones Biomédicas,Universidad Nacional Autónoma de México,Ciudad de Mexico,México.

出版信息

Proc Nutr Soc. 2018 Aug;77(3):199-215. doi: 10.1017/S0029665117004128. Epub 2018 Jan 8.

Abstract

The circadian disruption in shift-workers is suggested to be a risk factor to develop overweight and metabolic dysfunction. The conflicting time signals given by shifted activity, shifted food intake and exposure to light at night occurring in the shift-worker are proposed to be the cause for the loss of internal synchrony and the consequent adverse effects on body weight and metabolism. Because food elicited signals have proven to be potent entraining signals for peripheral oscillations, here we review the findings from experimental models of shift-work and verify whether they provide evidence about the causal association between shifted feeding schedules, circadian disruption and altered metabolism. We found mainly four experimental models that mimic the conditions of shift-work: protocols of forced sleep deprivation, of forced activity during the normal rest phase, exposure to light at night and shifted food timing. A big variability in the intensity and duration of the protocols was observed, which led to a diversity of effects. A common result was the disruption of temporal patterns of activity; however, not all studies explored the temporal patterns of food intake. According to studies that evaluate time of food intake as an experimental model of shift-work and studies that evaluate shifted food consumption, time of food intake may be a determining factor for the loss of balance at the circadian and metabolic level.

摘要

轮班工作者的昼夜节律紊乱被认为是导致超重和代谢功能障碍的一个风险因素。轮班工作者中发生的活动时间改变、进食时间改变和夜间暴露在光线下等相互冲突的时间信号被认为是导致内部同步性丧失以及随后对体重和代谢产生不利影响的原因。因为食物引起的信号已被证明是外周振荡的有效授时信号,因此,我们在这里回顾了轮班工作的实验模型的研究结果,并验证了它们是否为改变的喂养时间安排、昼夜节律紊乱和改变的代谢之间的因果关系提供了证据。我们发现了主要四个模拟轮班工作条件的实验模型:强制剥夺睡眠的方案、正常休息期间强制活动的方案、夜间暴露在光线下的方案和改变食物时间的方案。这些方案的强度和持续时间存在很大的可变性,导致了多种效果。一个常见的结果是活动时间模式的紊乱;然而,并非所有的研究都探讨了食物摄入的时间模式。根据将食物摄入时间评估为轮班工作实验模型的研究和评估改变的食物消耗的研究,食物摄入时间可能是昼夜节律和代谢水平失去平衡的决定因素。

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