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肥胖相关慢性病患者社会时差与食物摄入和用餐时间的关系。

Association between social jetlag food consumption and meal times in patients with obesity-related chronic diseases.

机构信息

Faculty of Medicine of the Federal University of Uberlândia, Minas Gerais, Brazil.

Hospital e Maternidade Municipal de Uberlândia, Department of Obstetrics, Uberlândia, Brazil.

出版信息

PLoS One. 2019 Feb 12;14(2):e0212126. doi: 10.1371/journal.pone.0212126. eCollection 2019.

Abstract

Chronic disruption of the synchronous relationship between endogenous and exogenous circadian timing is associated with the development of obesity and metabolic disease. Social jetlag is a measure of circadian misalignment and has been identified as a risk factor for overweight and related diseases. However, the mechanisms involved in this relationship remain underexplored. The objective of this study was to investigate the association between social jetlag and food consumption at late meal timing in patients with obesity-related chronic diseases. This study included 792 individuals (73% female; age 55.9 ± 12.4 years) in which the prevalence of social jetlag (>1h) was 24.4% (n = 194). Participants with social jetlag reported late meal timing for breakfast, early afternoon snack and dinner. Individuals with social jetlag also reported a higher intake of total calories (kcal), protein, total fat, saturated fat, cholesterol, and servings of meat and eggs and sweets in relation to those without social jetlag. Regarding the consumption during each meal of the day, participants with social jetlag had consumed more calories, saturated fat and cholesterol during dinner; more protein, total fat, saturated fat, and cholesterol during lunch; and more total fat and saturated fat during morning snack. In addition, individuals with social jetlag had a higher risk of inadequate consumption of total fat, saturated fat and cholesterol intake when compared with those without social jetlag. We conclude that social jetlag is associated with a poor diet and later meal times, which should be avoided in individuals with obesity-related chronic diseases. More studies are needed to confirm these findings.

摘要

慢性打破内源性和外源性昼夜节律同步关系与肥胖和代谢疾病的发展有关。社会时差是昼夜节律失调的一种衡量标准,已被确定为超重和相关疾病的一个危险因素。然而,这种关系涉及的机制仍未得到充分探索。本研究旨在探讨肥胖相关慢性病患者中社会时差与晚餐时间进食之间的关系。该研究纳入了 792 名个体(73%为女性;年龄 55.9 ± 12.4 岁),其中社会时差(>1 小时)的患病率为 24.4%(n = 194)。有社会时差的参与者报告早餐、下午零食和晚餐的晚餐时间较晚。与没有社会时差的参与者相比,有社会时差的个体报告的总热量(千卡)、蛋白质、总脂肪、饱和脂肪、胆固醇以及肉类、蛋类和甜食的摄入量更高。关于每天每餐的摄入量,有社会时差的参与者在晚餐时摄入了更多的卡路里、饱和脂肪和胆固醇;在午餐时摄入了更多的蛋白质、总脂肪、饱和脂肪和胆固醇;在早餐时摄入了更多的总脂肪和饱和脂肪。此外,与没有社会时差的参与者相比,有社会时差的个体总脂肪、饱和脂肪和胆固醇摄入不足的风险更高。我们的结论是,社会时差与不良的饮食和晚餐时间较晚有关,肥胖相关慢性病患者应避免这种情况。需要更多的研究来证实这些发现。

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