Minabe Kai, Shimura Akiyoshi, Sugiura Ko, Hino Hiroko, Akatsuka Yusaku, Seto Takeshi, Yanai Miho, Masuya Jiro, Tamada Yu, Inoue Takeshi
Department of Psychiatry, Tokyo Medical University, 6-7-1 Nishi-Shinjuku, Shinjuku-Ku, Tokyo 160-0023 Japan.
Department of Psychiatry and Behavioral Sciences, Stanford University, 3165 Porter Drive, Palo Alto, CA 94304 USA.
Sleep Biol Rhythms. 2024 Jun 24;22(4):513-521. doi: 10.1007/s41105-024-00539-8. eCollection 2024 Oct.
Objectives: Social jetlag (SJL), the discrepancy between an individual's inherent circadian rhythm and external social schedule, is associated with obesity. This study aimed to investigate whether SJL also influences body weight and body fat loss during dieting. Methods: This was an observational study from 2015 to 2018 with participants who had joined an exercise and nutrition program at a private personal training gym. Data from 11,829 individuals provided by the gym along with their sleep logs were analyzed. Differences in change in body mass index (BMI) and body fat percentage (%body fat) were compared by the degree of SJL. Regression was conducted for the change in BMI and %body fat on SJL, adjusted for gender, age, engagement duration in the program, initial BMI, initial %body fat, chronotype, and dietary intakes. Results: The subjects comprised 3,696 men and 8,133 women with a mean age of 40.4 years. Greater SJL was associated with a lower efficacy of BMI and %body fat reduction. The change in BMI (+ 0.56 / hour: SJL) and %body fat (+ 1.40 / hour: SJL) was associated with SJL after adjusting for each variable including dietary intake. Conclusion: SJL was associated with the effect of exercise and nutrition instruction on BMI and body fat reduction, even after adjustment for covariates related to dietary intake. Maintaining consistent sleep-wake rhythms may be crucial for enhancing the efficacy of weight loss programs.
The online version contains supplementary material available at 10.1007/s41105-024-00539-8.
目的:社会时差(SJL)是个体内在昼夜节律与外部社会日程之间的差异,与肥胖有关。本研究旨在调查社会时差是否也会影响节食期间的体重和体脂减少。方法:这是一项2015年至2018年的观察性研究,参与者是在一家私人健身馆参加运动和营养计划的人。分析了健身馆提供的11829名个体的数据及其睡眠记录。根据社会时差程度比较体重指数(BMI)和体脂百分比(%体脂)变化的差异。对BMI和%体脂的变化进行关于社会时差的回归分析,并对性别、年龄、参与计划的时长、初始BMI、初始%体脂、昼夜类型和饮食摄入量进行调整。结果:受试者包括3696名男性和8133名女性,平均年龄为40.4岁。更大的社会时差与BMI和%体脂降低的效果较差有关。在调整包括饮食摄入在内的每个变量后,BMI的变化(+0.56/小时:社会时差)和%体脂的变化(+1.40/小时:社会时差)与社会时差有关。结论:即使在调整了与饮食摄入相关的协变量后,社会时差仍与运动和营养指导对BMI和体脂减少的效果有关。维持一致的睡眠-觉醒节律对于提高减肥计划的效果可能至关重要。
在线版本包含可在10.1007/s41105-024-00539-8获取的补充材料。