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进食时间不规律与肥胖有关:一项前瞻性研究。

Inconsistent eating time is associated with obesity: A prospective study.

作者信息

Adnan Darbaz, Trinh Jonathan, Bishehsari Faraz

机构信息

Rush Center for Integrated Microbiome and Chronobiology Research, Rush University Medical Center, Chicago, IL 60612, USA.

Department of Internal Medicine, Division of Gastroenterology, Rush University Medical Center, Chicago, IL 60612, USA.

出版信息

EXCLI J. 2022 Jan 14;21:300-306. doi: 10.17179/excli2021-4324. eCollection 2022.

Abstract

Obesity is characterized by an accumulation of redundant body fat linked to metabolic dysregulation and low-grade systemic inflammation. Lifestyle choices are imperative determining factors of obesity. The contemporary lifestyle is associated with behaviors that disrupt circadian rhythms, impacting metabolic homeostasis. Our animal and human studies suggest that circadian phenotypes could be related to the risk of metabolic dysregulation and obesity. The purpose of this study is to examine the role of inconsistent eating habits on body weight in adults. Individuals who presented for colon cancer screening were enrolled. Subjects received structured questionnaires to capture 7-day eating and sleeping times in a week prospectively. Bodyweight and height were extracted from medical records, and Body Mass Index (BMI) was calculated. Inconsistent eating times were defined as an average difference of >2 hours between the largest meal on weekdays and weekends. Forty-nine of the 61 (80.3 %) individuals enrolled in the study completed the questionnaires. The mean age and standard deviation (SD) were 60.8 (7.9), and 27 (55.1 %) were male. Subjects with inconsistent eating times had a significantly higher BMI (33.8 ± 3.6 SD, n = 9) than subjects who did not (27.5 ± 6.5 SD, n = 40; p = 0.001). The highest BMI was observed in subjects who ate inconsistently and late (35.8 ± 4.6 SD). In this cross-sectional study, time of eating habits was associated with BMI. Controlled cohort studies are needed to determine the potential link between eating time and the risk of obesity in the long term.

摘要

肥胖的特征是多余的身体脂肪堆积,这与代谢失调和低度全身性炎症有关。生活方式的选择是肥胖的关键决定因素。现代生活方式与扰乱昼夜节律的行为相关,影响代谢稳态。我们的动物和人体研究表明,昼夜节律表型可能与代谢失调和肥胖风险有关。本研究的目的是探讨成人饮食习惯不规律对体重的影响。纳入前来进行结肠癌筛查的个体。受试者前瞻性地接受结构化问卷,以记录一周内7天的饮食和睡眠时间。从医疗记录中提取体重和身高,并计算体重指数(BMI)。饮食时间不一致定义为工作日和周末最大餐之间的平均差异>2小时。该研究纳入的61名个体中有49名(80.3%)完成了问卷。平均年龄和标准差(SD)为60.8(7.9),男性27名(55.1%)。饮食时间不一致的受试者的BMI(33.8±3.6 SD,n = 9)显著高于饮食时间一致的受试者(27.5±6.5 SD,n = 40;p = 0.001)。在饮食时间不一致且较晚的受试者中观察到最高的BMI(35.8±4.6 SD)。在这项横断面研究中,饮食习惯时间与BMI相关。需要进行对照队列研究,以确定饮食时间与长期肥胖风险之间的潜在联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c18/8971321/c072ba774465/EXCLI-21-300-t-001.jpg

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