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进餐时间与褪黑素释放间的关系:与 BMI 和体脂含量的相关性。

Meal timing relative to DLMO: Associations with BMI and body fat.

机构信息

Department of Psychiatry and Behavioral Sciences, Sleep Disorders Service and Research Center, Rush University Medical Center, Chicago, Illinois, USA.

Department of Neurology, Center for Circadian and Sleep Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

出版信息

Sleep Health. 2021 Jun;7(3):339-344. doi: 10.1016/j.sleh.2021.01.001. Epub 2021 Feb 18.

Abstract

BACKGROUND

Timing of eating relative to the dim light melatonin onset (DLMO) may serve as a modifiable risk factor for adverse cardiometabolic outcomes. The primary aim of this study was to examine whether the timing of eating relative to DLMO is associated with body mass index (BMI), body fat, and diet in healthy adults without the confound of sleep deprivation.

METHODS

Healthy men and women (N = 97), ages 18-50, with a habitual sleep duration of ≥6.5 hours and ≤8.5 hours completed 7 days of actigraphy and daily sleep and food diaries. Participants underwent a dual-energy X-ray absorptiometry scan and blood draws to assess DLMO in the clinical research unit.

RESULTS

A shorter duration between DLMO and the average clock time of the last meal (last meal-DLMO) was related to a higher number of meals consumed, b = 0.25, SE = 0.06, P< .001, longer feeding duration, b = 0.84, SE = 0.06, P< .001, greater carbohydrate intake, b = 9.08, SE = 3.55, P= .01, and greater sugar intake, b = 4.73, SE = 1.83, P= .01. Last meal-DLMO was not associated with BMI in the full sample; however, among those with later DLMO (after 10:30 PM) last meal-DLMO was related to higher BMI, b = 0.92, SE = 0.36, P= .02.

CONCLUSION

These results suggest that timing of last meal relative to DLMO may serve as a marker of circadian misalignment and that eating the last meal closer to DLMO may negatively impact dietary habits.

摘要

背景

进食时间相对于褪黑素分泌起始时间(DLMO)可能是影响不良心血管代谢结果的可调节风险因素。本研究的主要目的是在没有睡眠剥夺混杂因素的情况下,检验相对于 DLMO 的进食时间与健康成年人的体重指数(BMI)、体脂和饮食之间是否存在关联。

方法

97 名年龄在 18-50 岁之间、习惯性睡眠时间为 6.5 小时至 8.5 小时的健康男性和女性完成了 7 天的活动记录仪和每日睡眠及饮食日记。参与者在临床研究中心接受了双能 X 射线吸收法扫描和血液检测,以评估 DLMO。

结果

DLMO 与最后一餐的平均时钟时间(最后一餐-DLMO)之间的持续时间较短与进食次数增加有关,b=0.25,SE=0.06,P<.001,进食时间延长,b=0.84,SE=0.06,P<.001,碳水化合物摄入量增加,b=9.08,SE=3.55,P=.01,糖摄入量增加,b=4.73,SE=1.83,P=.01。在全样本中,最后一餐-DLMO 与 BMI 无关;然而,在 DLMO 较晚(晚上 10:30 之后)的人群中,最后一餐-DLMO 与较高的 BMI 有关,b=0.92,SE=0.36,P=.02。

结论

这些结果表明,相对于 DLMO 的最后一餐时间可能是昼夜节律失调的标志物,并且靠近 DLMO 吃最后一餐可能会对饮食习惯产生负面影响。

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