Impact of Daytime vs. Delayed Eating Schedule on Weight and Metabolic Markers Among Obese Persons: An Examination of Circadian Mechanisms

白天与延迟饮食计划对肥胖者体重和代谢标志物的影响：昼夜节律机制的检查

• 批准号: 10210259
• 负责人: KELLY C ALLISON
• 金额: $ 75万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10210259
• 关键词: Adherence; Adipose tissue; Adult; Age; Bioinformatics; Biology; Blood; Blood Chemical Analysis; Body Composition; Body Weight; Body Weight decreased; Body mass index; C-reactive protein; Cell physiology; Cholesterol; Circadian Rhythms; Clinical; Crossover Design; Diabetes Mellitus; Diet; Diet Habits; Eating; Eating Behavior; Effectiveness; Endocrinology; Energy Intake; Energy Metabolism; Exercise; Fasting; Fatty acid glycerol esters; Food; Functional disorder; Gene Expression; Genes; Glucose; Guidelines; Health; Homeostasis; Hormonal; Hormones; Hydrocortisone; Insulin; Leg; Leptin; Life Style; Macronutrients Nutrition; Measures; Mediating; Medical; Melatonin; Metabolic; Metabolic Diseases; Metabolic Marker; Metabolic dysfunction; Metabolic syndrome; Monitor; Nonesterified Fatty Acids; Obesity; Patient Self-Report; Pattern; Persons; Phase; Phenotype; Population; Protocols documentation; Randomized; Recommendation; Regulation; Research Personnel; Rest; Risk; Role; Sampling; Schedule; Sleep; Sleep Wake Cycle; Sleep disturbances; Structure of beta Cell of islet; Time; Triglycerides; Weight; Weight maintenance regimen; Weights and Measures; Woman; actigraphy; adiponectin; adult obesity; base; circadian; experimental study; ghrelin; improved; insulin sensitivity; intravenous glucose tolerance test; men; metabolic profile; obese person; obesity prevention; obesity treatment; oxidation; peripheral blood; phase change; prevent; respiratory; response; subcutaneous

Project Summary/Abstract Timed eating is recognized for its significant contribution to body weight regulation. Disruption of sleep-wake cycles from a predominantly diurnal (daytime) lifestyle to a delayed lifestyle leads to disrupted circadian rhythms and metabolic dysfunction. In our R21 (DK100787), we studied healthy, normal weight adults in a randomized, cross-over design comparing the effects of eating an isocaloric diet for 8 wks on a daytime vs a delayed schedule, with a constant sleep-wake cycle. Our preliminary results indicate weight, respiratory quotient, trunk fat, insulin, total cholesterol, and adiponectin decreased on the daytime schedule, while triglycerides and glucose increased on the delayed schedule. Also, in the daytime condition, the circadian phase of ghrelin was advanced and that of leptin was delayed, but melatonin phase remained unchanged vs. the delayed condition. Our results provide the first experimental evidence that daytime eating compared with delayed eating promotes weight loss and a positive profile for fuel oxidation and hormonal markers, and positively alters circadian rhythm phase in normal weight adults. Notably, the metabolic effects and their underlying circadian mechanisms of such eating patterns have not been investigated rigorously in experimental studies among obese populations. We hypothesize that a daytime compared with a delayed eating schedule, with constant sleep-wake and activity levels, will decrease weight, improve metabolic profiles and positively impact circadian-mediated responses in obese persons, decreasing the risk for developing metabolic syndrome and diabetes. Forty healthy men and women, ages 21- 50, with a BMI of 30-50 kg/m2 will participate in a free-living randomized cross-over experiment comparing a daytime eating schedule (0800h-1900h) to a delayed eating schedule (1200h-2300h), with comparable energy and macronutrient content, and constant sleep-wake periods (2300h-0700h) and exercise (<30 min/d, <3 d/wk). Our metabolic kitchen will provide all food for 8 wks during each condition, separated by a 2-wk washout. Protocol adherence will be monitored closely with food logs, weighing of food, pictures for portion size assessment of any outside food eaten, actigraphy, and daily self-reports of sleep-wake and exercise. Assessments will occur 4 times, pre- and post- each 8-wk eating condition, during which we will measure: weight, body composition, respiratory quotient and resting energy expenditure; fasting levels of insulin, glucose, cholesterol, triglycerides, adiponectin, non-esterified fatty acids and C reactive protein; and levels of leptin, ghrelin, melatonin, glucose and cortisol, and gene expression from peripheral blood every 4h (7 times over 24h) to show circadian rhythm phase changes between the eating conditions. We will also examine mechanisms underlying these changes through frequently sampled intravenous glucose tolerance testing to determine insulin sensitivity, pancreatic beta cell function, glucose effectiveness, and free fatty acid dynamics, and through subcutaneous white adipose tissue gene expression. This multi-faceted project will benefit from the investigators' expertise in eating behaviors/weight management, circadian and sleep biology, endocrinology and metabolism, and bioinformatics.

项目概要/摘要 定时饮食因其对体重调节的重要贡献而受到认可。睡眠觉醒障碍 从以昼夜为主的生活方式到延迟的生活方式的循环会导致昼夜节律紊乱 和代谢功能障碍。在我们的 R21 (DK100787) 中，我们对健康、体重正常的成年人进行了随机、 交叉设计比较了白天吃等热量饮食 8 周与延迟饮食的效果， 具有恒定的睡眠-觉醒周期。我们的初步结果显示体重、呼吸商、躯干脂肪、胰岛素、 总胆固醇和脂联素在白天有所下降，而甘油三酯和葡萄糖则有所增加 在推迟的时间表上。此外，在白天条件下，生长素释放肽的昼夜节律阶段提前，并且 瘦素的延迟，但褪黑激素的阶段与延迟的情况相比保持不变。我们的结果提供 第一个实验证据表明，与延迟进食相比，白天进食可以促进体重减轻，并且 燃料氧化和激素标记物呈阳性，并积极改变正常的昼夜节律阶段 体重成人。值得注意的是，这种饮食模式的代谢影响及其潜在的昼夜节律机制 尚未在肥胖人群的实验研究中进行严格的调查。我们假设一个 与延迟饮食计划、持续的睡眠觉醒和活动水平相比，白天的时间会减少 体重，改善代谢状况并对肥胖者的昼夜节律介导的反应产生积极影响， 降低患代谢综合征和糖尿病的风险。四十名健康男性和女性，年龄 21- 50、BMI 为 30-50 kg/m2 将参加一项自由生活的随机交叉实验，比较 白天进食时间表（0800h-1900h）与延迟进食时间表（1200h-2300h），能量相当 和宏量营养素含量，以及恒定的睡眠-觉醒时间（2300小时-0700小时）和运动（<30分钟/天，<3天/周）。 我们的新陈代谢厨房将在每种情况下提供 8 周的所有食物，中间间隔 2 周的清洗。协议 将通过食物日志、食物称重、任何食物份量评估的图片来密切监测遵守情况 吃的外部食物、体动记录以及每日睡眠-觉醒和锻炼的自我报告。将进行评估 4 每 8 周前后的饮食情况，在此期间我们将测量：体重、身体成分、 呼吸商和静息能量消耗；胰岛素、葡萄糖、胆固醇、甘油三酯的空腹水平， 脂联素、非酯化脂肪酸和C反应蛋白；以及瘦素、生长素释放肽、褪黑激素、葡萄糖的水平 和皮质醇，以及每 4 小时（24 小时内 7 次）外周血的基因表达，以显示昼夜节律 饮食条件之间的相变。我们还将研究这些变化背后的机制 通过频繁采样的静脉内葡萄糖耐量测试来确定胰岛素敏感性、胰岛β 细胞功能、葡萄糖有效性和游离脂肪酸动力学，以及通过皮下白色脂肪 组织基因表达。这个多方面的项目将受益于研究人员在饮食方面的专业知识 行为/体重管理、昼夜节律和睡眠生物学、内分泌学和新陈代谢以及生物信息学。

项目成果

Genetic Ancestry for Sleep Research: Leveraging Health Inequalities to Identify Causal Genetic Variants.

• DOI: 10.1016/j.chest.2018.03.024
• 发表时间: 2018-06
• 期刊: Chest
• 影响因子: 9.6
• 作者: Prasad B;Saxena R;Goel N;Patel SR
• 通讯作者: Patel SR

Left Ventricular Ejection Time Measured by Echocardiography Differentiates Neurobehavioral Resilience and Vulnerability to Sleep Loss and Stress.

• DOI: 10.3389/fphys.2021.795321
• 发表时间: 2021
• 期刊: Frontiers in physiology
• 影响因子: 4
• 作者: Yamazaki EM;Rosendahl-Garcia KM;Casale CE;MacMullen LE;Ecker AJ;Kirkpatrick JN;Goel N
• 通讯作者: Goel N

Characterizing Glycemic Control and Sleep in Adults with Long-Standing Type 1 Diabetes and Hypoglycemia Unawareness Initiating Hybrid Closed Loop Insulin Delivery.

• DOI: 10.1155/2021/6611064
• 发表时间: 2021
• 期刊: Journal of diabetes research
• 影响因子: 4.3
• 作者: Malone SK;Peleckis AJ;Grunin L;Yu G;Jang S;Weimer J;Lee I;Rickels MR;Goel N
• 通讯作者: Goel N

Sex and race influence objective and self-report sleep and circadian measures in emerging adults independently of risk for bipolar spectrum disorder.

性别和种族影响新兴成年人的客观和自我报告的睡眠和昼夜节律测量，与双相谱系障碍的风险无关。

• DOI: 10.1038/s41598-020-70750-3
• 发表时间: 2020
• 期刊: Scientific reports
• 影响因子: 4.6
• 作者: Titone,MadisonK;McArthur,BraeAnne;Ng,TommyH;Burke,TaylorA;McLaughlin,LauraE;MacMullen,LauraE;Goel,Namni;Alloy,LaurenB
• 通讯作者: Alloy,LaurenB

Timing of eating in adults across the weight spectrum: Metabolic factors and potential circadian mechanisms.

• DOI: 10.1016/j.physbeh.2018.02.047
• 发表时间: 2018-08-01
• 期刊: Physiology & behavior
• 影响因子: 2.9
• 作者: Allison KC;Goel N
• 通讯作者: Goel N