TY - JOUR
T1 - Later circadian timing of food intake is associated with increased body fat
AU - McHill, Andrew W.
AU - Phillips, Andrew J.K.
AU - Czeisler, Charles A.
AU - Keating, Leigh
AU - Yee, Karen
AU - Barger, Laura K.
AU - Garaulet, Marta
AU - Scheer, Frank A.J.L.
AU - Klerman, Elizabeth B.
N1 - Funding Information:
The authors’ responsibilities were as follows—AWM, CAC, and EBK: designed and conducted the research, analyzed the data, wrote the manuscript, and had primary responsibility for the final content; MG and FAJLS: designed the research, analyzed the data, and wrote the manuscript; AJKP, LK, KY, and LKB: conducted the research, analyzed the data, and wrote the manuscript; and all authors: read and approved the final manuscript. CAC has received consulting fees from or served as a paid member of scientific advisory boards for Bose Corporation, Boston Celtics, Boston Red Sox, Columbia River Bar Pilots, Institute of Digital Media and Child Development, Klarman Family Foundation, Koninklijke Philips Electronics, N.V., Samsung Electronics, Sleep Multimedia Inc., Vanda Pharmaceuticals, and V-Watch/PPRS. CAC has also received education/research support from Cephalon Inc., Mary Ann & Stanley Snider via Combined Jewish Philanthropies, Optum, Philips Respironics Inc., ResMed Foundation, San Francisco Bar Pilots, Schneider Inc., and Sysco and has received lecture fees from Annual Congress of the German Sleep Society (DGSM), CurtCo Media Laboratories LLC, Global Council on Brain Health/AARP, Harvard School of Public Health, Integritas Communications Group, Maryland Sleep Society, National Sleep Foundation, University of Michigan, and Zurich Insurance Company Ltd. The Sleep and Health Education Program of the Harvard Medical School Division of Sleep Medicine (which CAC directs) has received educational grant funding from Cephalon Inc., Jazz Pharmaceuticals, Takeda Pharmaceuticals, Teva Pharmaceuticals Industries Ltd., Sanofi, Inc., Sepracor Inc., and Wake Up Narcolepsy. He is the incumbent of an endowed professorship provided to Harvard University by Cephalon Inc. and holds a number of process patents in the field of sleep/circadian rhythms (e.g., photic resetting of the human circadian pacemaker). Since 1985, CAC has also served as an expert on various legal and technical cases related to sleep and/or circadian rhythms, including those involving the following commercial entities: Bombardier Inc., Continental Airlines, FedEx, Greyhound, and United Parcel Service. CAC owns or owned an equity interest in Lifetrac Inc., Somnus Therapeutics Inc., and Vanda Pharmaceuticals, and received royalties from McGraw Hill, Houghton Mifflin Harcourt, and Philips Respironics Inc. for the Actiwatch-2 and Actiwatch-Spectrum devices. FAJLS has received lecture fees from Bayer HealthCare, Sentara Healthcare, and Philips. EBK has received travel reimbursement from the Sleep Technology Council, Wire In-Brain Conference, Free Health LLC, Employer Health Benefit Congress, and the Associated Professional Sleep Society, and has served as consultant in cases involving transportation safety and sleep deprivation. The remaining authors had no conflicts to disclose.
Funding Information:
Supported by the NIH (grants F32DK107146, T32HL007901, K24HL105664, R01HL114088, R01GM105018, R01HL128538, P01AG009975, R21HD086392, R00HL119618, R01DK099512, R01DK105072, R01HL118601, and 1UL1TR001102) and the National Space Biomedical Research Institute (grants HFP02802, HFP04201, and HDP0006).
Publisher Copyright:
© 2017 American Society for Nutrition.
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Background: Weight gain and obesity have reached alarming levels. Eating at a later clock hour is a newly described risk factor for adverse metabolic health; yet, how eating at a later circadian time influences body composition is unknown. Using clock hour to document eating times may be misleading owing to individual differences in circadian timing relative to clock hour. Objective: This study examined the relations between the timing of food consumption relative to clock hour and endogenous circadian time, content of food intake, and body composition. Design: We enrolled 110 participants, aged 18-22 y, in a 30-d crosssectional study to document sleep and circadian behaviors within their regular daily routines. We used a time-stamped-picture mobile phone application to record all food intake across 7 consecutive days during a participant's regular daily routines and assessed their body composition and timing of melatonin release during an in-laboratory assessment. Results: Nonlean individuals (high body fat) consumed most of their calories 1.1 h closer to melatonin onset, which heralds the beginning of the biological night, than did lean individuals (low body fat) (logrank P = 0.009). In contrast, there were no differences between lean and nonlean individuals in the clock hour of food consumption (P = 0.72). Multiple regression analysis showed that the timing of food intake relative to melatonin onset was significantly associated with the percentage of body fat and body mass index (both P < 0.05) while controlling for sex, whereas no relations were found between the clock hour of food intake, caloric amount, meal macronutrient composition, activity or exercise level, or sleep duration and either of these body composition measures (all P > 0.72). Conclusions: These results provide evidence that the consumption of food during the circadian evening and/or night, independent of more traditional risk factors such as amount or content of food intake and activity level, plays an important role in body composition. This trial was registered at clinicaltrials.gov as NCT02846077.
AB - Background: Weight gain and obesity have reached alarming levels. Eating at a later clock hour is a newly described risk factor for adverse metabolic health; yet, how eating at a later circadian time influences body composition is unknown. Using clock hour to document eating times may be misleading owing to individual differences in circadian timing relative to clock hour. Objective: This study examined the relations between the timing of food consumption relative to clock hour and endogenous circadian time, content of food intake, and body composition. Design: We enrolled 110 participants, aged 18-22 y, in a 30-d crosssectional study to document sleep and circadian behaviors within their regular daily routines. We used a time-stamped-picture mobile phone application to record all food intake across 7 consecutive days during a participant's regular daily routines and assessed their body composition and timing of melatonin release during an in-laboratory assessment. Results: Nonlean individuals (high body fat) consumed most of their calories 1.1 h closer to melatonin onset, which heralds the beginning of the biological night, than did lean individuals (low body fat) (logrank P = 0.009). In contrast, there were no differences between lean and nonlean individuals in the clock hour of food consumption (P = 0.72). Multiple regression analysis showed that the timing of food intake relative to melatonin onset was significantly associated with the percentage of body fat and body mass index (both P < 0.05) while controlling for sex, whereas no relations were found between the clock hour of food intake, caloric amount, meal macronutrient composition, activity or exercise level, or sleep duration and either of these body composition measures (all P > 0.72). Conclusions: These results provide evidence that the consumption of food during the circadian evening and/or night, independent of more traditional risk factors such as amount or content of food intake and activity level, plays an important role in body composition. This trial was registered at clinicaltrials.gov as NCT02846077.
KW - Body composition
KW - Caloric intake
KW - Melatonin
KW - Metabolism
KW - Sleep duration
UR - http://www.scopus.com/inward/record.url?scp=85033227382&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85033227382&partnerID=8YFLogxK
U2 - 10.3945/ajcn.117.161588
DO - 10.3945/ajcn.117.161588
M3 - Article
C2 - 28877894
AN - SCOPUS:85033227382
SN - 0002-9165
VL - 106
SP - 1213
EP - 1219
JO - American Journal of Clinical Nutrition
JF - American Journal of Clinical Nutrition
IS - 5
ER -