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不同体重范围成年人的进食时间:代谢因素及潜在的昼夜节律机制

Timing of eating in adults across the weight spectrum: Metabolic factors and potential circadian mechanisms.

作者信息

Allison Kelly C, Goel Namni

机构信息

Center for Weight and Eating Disorders, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.

Division of Sleep and Chronobiology, Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.

出版信息

Physiol Behav. 2018 Aug 1;192:158-166. doi: 10.1016/j.physbeh.2018.02.047. Epub 2018 Feb 24.

Abstract

Timing of eating is recognized as a significant contributor to body weight regulation. Disruption of sleep-wake cycles from a predominantly diurnal (daytime) to a delayed (evening) lifestyle leads to altered circadian rhythms and metabolic dysfunction. This article reviews current evidence for timed and delayed eating in individuals of normal weight and those with overweight or obesity: although some findings indicate a benefit of eating earlier in the daytime on weight and/or metabolic outcomes, results have not been uniformly consistent, and more rigorous and longer-duration studies are needed. We also review potential circadian mechanisms underlying the metabolic- and weight-related changes resulting from timed and delayed eating. Further identification of such mechanisms using deep phenotyping is required to determine targets for medical interventions for obesity and for prevention of metabolic syndrome and diabetes, and to inform clinical guidelines regarding eating schedules for management of weight and metabolic disease.

摘要

进食时间被认为是体重调节的一个重要因素。睡眠-清醒周期从主要的昼间(白天)模式转变为延迟(夜间)模式会导致昼夜节律改变和代谢功能障碍。本文综述了关于正常体重个体以及超重或肥胖个体定时进食和延迟进食的现有证据:尽管一些研究结果表明白天较早进食对体重和/或代谢结果有益,但结果并不一致,还需要更严格、持续时间更长的研究。我们还综述了定时进食和延迟进食导致的与代谢和体重相关变化背后潜在的昼夜节律机制。需要通过深度表型分析进一步确定这些机制,以确定肥胖、代谢综合征和糖尿病医学干预的靶点,并为体重和代谢疾病管理的饮食时间表临床指南提供依据。

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