Sleep Center of Excellence and Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Sleep Center of Excellence and Division of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, USA; Institute of Human Nutrition, Columbia University Irving Medical Center, New York, NY, USA.
Curr Opin Biotechnol. 2021 Aug;70:1-6. doi: 10.1016/j.copbio.2020.08.009. Epub 2020 Sep 29.
Energy metabolism and appetite regulating hormones follow circadian rhythms which, when disrupted, could lead to adverse metabolic consequences. Such circadian misalignment, a mismatch between endogenous circadian rhythms and behavior, is most severely experienced by shift workers, due to nighttime wake, daytime sleep, and eating at night. However, circadian misalignment is not restricted to shift workers; milder shifts in sleep and mealtimes, termed social and eating jetlag, are highly prevalent in the general population. Social and eating jetlag result in later mealtimes, which may promote positive energy balance and weight gain. Earlier meal timing, specific to individual endogenous circadian patterns, could serve to reduce cardiometabolic disease burden and aid in weight loss and interventions should be done to test this.
能量代谢和食欲调节激素遵循昼夜节律,当这种节律被打乱时,可能会导致不良的代谢后果。这种昼夜节律失调,即内源性昼夜节律与行为之间的不匹配,在轮班工人中最为严重,因为他们要在夜间醒来、白天睡觉,并在夜间进食。然而,昼夜节律失调不仅限于轮班工人;睡眠和用餐时间的轻微变化,称为社交和饮食时差,在普通人群中也非常普遍。社交和饮食时差会导致用餐时间推迟,这可能会促进能量正平衡和体重增加。根据个体内源性昼夜节律模式确定的更早的用餐时间,可能有助于减轻心血管代谢疾病负担,并有助于减肥,应该进行干预来对此进行测试。