Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, 221 Longwood Ave, Boston, MA 02115, USA.
Division of Sleep Medicine, Department of Medicine, Harvard Medical School, 221 Longwood Ave, Boston, MA 02115, USA.
Nutrients. 2019 Mar 11;11(3):587. doi: 10.3390/nu11030587.
The timing of caloric intake is a risk factor for excess weight and disease. Growing evidence suggests, however, that the impact of caloric consumption on metabolic health depends on its circadian phase, not clock hour. The objective of the current study was to identify how individuals consume calories and macronutrients relative to circadian phase in real-world settings. Young adults ( = 106; aged 19 ± 1 years; 45 females) photographically recorded the timing and content of all calories for seven consecutive days using a smartphone application during a 30-day study. Circadian phase was determined from in-laboratory assessment of dim-light melatonin onset (DLMO). Meals were assigned a circadian phase relative to each participant's DLMO (0°, 23:17 h) and binned into 60° bins. Lean ( = 68; 15 females) and non-lean ( = 38, 30 females) body composition was determined via bioelectrical impedance. The DLMO time range was ~10 h, allowing separation of clock time and circadian phase. Eating occurred at all circadian phases, with significant circadian rhythmicity ( < 0.0001) and highest caloric intake at ~300° (1900 h). The non-lean group ate 8% more of their daily calories at an evening circadian phase (300°) than the lean group ( = 0.007). Consumption of carbohydrates and proteins followed circadian patterns ( < 0.0001) and non-lean participants ate 13% more carbohydrates at 240° (~1500 h) than the lean group ( = 0.004). There were no significant differences when caloric intake was referenced to local clock time or sleep onset time ( > 0.05). Interventions targeting the circadian timing of calories and macronutrients for weight management should be tested.
热量摄入的时间是超重和疾病的一个风险因素。然而,越来越多的证据表明,热量摄入对代谢健康的影响取决于其昼夜节律相位,而不是时钟小时。本研究的目的是确定在现实环境中个体如何相对于昼夜节律相位摄入热量和宏量营养素。年轻成年人(= 106;年龄 19 ± 1 岁;45 名女性)在 30 天的研究中使用智能手机应用程序连续 7 天拍摄所有卡路里的摄入时间和内容的照片。通过实验室评估暗光褪黑素起始时间(DLMO)确定昼夜节律相位。根据每个参与者的 DLMO(0°,23:17 h)将膳食分配到昼夜节律相位,并分为 60°的时间段。通过生物电阻抗法确定瘦(= 68;15 名女性)和非瘦(= 38,30 名女性)的身体成分。DLMO 时间范围约为 10 小时,允许分离时钟时间和昼夜节律相位。饮食发生在所有昼夜节律相位,具有明显的昼夜节律性(<0.0001),最高热量摄入发生在300°(1900 h)。非瘦组在夜间昼夜节律相位(300°)摄入的每日卡路里比瘦组多 8%(= 0.007)。碳水化合物和蛋白质的消耗遵循昼夜节律模式(<0.0001),非瘦组在 240°(1500 h)摄入的碳水化合物比瘦组多 13%(= 0.004)。当参考当地时钟时间或睡眠起始时间(>0.05)时,没有发现差异。应该测试针对卡路里和宏量营养素的昼夜节律时间的体重管理干预措施。