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糖尿病拉丁裔人群的夜间进食:探讨与心率变异性、进食模式和睡眠的关系。

Night Eating Among Latinos With Diabetes: Exploring Associations With Heart Rate Variability, Eating Patterns, and Sleep.

机构信息

Department of Public Health Sciences, School of Medicine, UConn Health, Farmington, CT.

Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT.

出版信息

J Nutr Educ Behav. 2022 May;54(5):449-454. doi: 10.1016/j.jneb.2022.02.006.

DOI:10.1016/j.jneb.2022.02.006
PMID:35534102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9097230/
Abstract

OBJECTIVES

We explored associations between night eating and health outcomes in Latinos with type 2 diabetes.

METHODS

Participants (n = 85) completed surveys, were measured for anthropometrics, provided blood samples, and wore Holter monitors for 24 hours to assess heart rate variability.

RESULTS

Participant mean age was 60.0 years, hemoglobin A1c was 8.7%, most preferred Spanish (92%), and had less than a high school education (76%). Compared with their counterparts who denied night eating, night eaters had lower heart rate variability in the low (Cohen's d = -0.55; P = 0.04) and very-low-frequency bands (d = -0.54, P = 0.05), and reported more emotional eating (d = 0.52, P = 0.04), and poorer sleep quality (Cohen's h = 0.64). They did not differ on beverage intake or depressive symptoms. In regression that included depressive symptoms, associations between night eating and outcomes became nonsignificant.

CONCLUSIONS AND IMPLICATIONS

Night eaters demonstrated worse health outcomes. If results are replicated, nutrition education for this population might focus on night eating.

摘要

目的

我们探讨了 2 型糖尿病拉丁裔人群夜间进食与健康结果之间的关联。

方法

参与者(n=85)完成了问卷调查,进行了人体测量学测量,提供了血液样本,并佩戴了 24 小时动态心电图监测仪以评估心率变异性。

结果

参与者的平均年龄为 60.0 岁,糖化血红蛋白为 8.7%,大多数人更喜欢西班牙语(92%),且受教育程度低于高中(76%)。与否认夜间进食的参与者相比,夜间进食者在低频(Cohen's d=-0.55;P=0.04)和极低频带(d=-0.54,P=0.05)的心率变异性更低,且报告更多的情绪化进食(d=0.52,P=0.04)和更差的睡眠质量(Cohen's h=0.64)。他们在饮料摄入量或抑郁症状方面没有差异。在包括抑郁症状的回归分析中,夜间进食与结果之间的关联变得不显著。

结论和意义

夜间进食者表现出更差的健康结果。如果结果得到复制,针对该人群的营养教育可能会集中在夜间进食上。

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