Behavioral circadian phenotypes are associated with the risk of elevated body mass index

© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG..

BACKGROUND: Metabolic dysfunction and obesity rates are on the rise. Although the central modes of circadian disruption has been studied in relation to the risk of obesity, the role of eating time has remained unclear. Here, we aimed to assess circadian behavioral phenotypes and their association with the risk of elevated body mass index (BMI).

METHODS: This was a prospective cross-sectional study of individuals presenting for colorectal cancer screening colonoscopy. Participants completed demographic questionnaires, The Munich ChronoType Questionnaire (MCTQ), and Food Timing Screener (FTS). The primary outcome of the study was the association between circadian phenotypes and elevated BMI.

RESULTS: A total of 488 individuals completed the survey, with a mean (SD) age of 57.5 (10.8) years. The mean body mass index (BMI) was 28.8 (6.1) kg/m2, with 72.3% of individuals met criteria for elevated BMI. Four circadian behavioral phenotypes were generated: early chronotype with regular food timing (ER) (34.7%), early chronotype with irregular food timing (EI) (11.7%), intermediate/late chronotype with regular food timing (LR) (33.9%), and intermediate/late chronotype with irregular food timing (LI) (19.7%). In a multivariable regression analysis, LI phenotype had 2.9 times higher odds of elevated BMI as compared to ER phenotype (OR 2.9, 95% CI 1.3-6.7, P = 0.01).

CONCLUSION: The combination of late chronotype and irregular food timing, representative of a behavioral circadian rhythm disruption, is associated with higher rates of elevated BMI. The majority of individuals with this abnormal circadian phenotype were younger than 60 years old. This observation is especially relevant because of the ongoing rise in the obesity rates among young adults.

LEVEL III: Evidence obtained from well-designed cohort or case-control analytic studies.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Eating and weight disorders : EWD - 27(2022), 4 vom: 06. Mai, Seite 1395-1403

Sprache:

Englisch

Beteiligte Personen:

Alsayid, Muhammad [VerfasserIn]
Khan, Mohammed Omer [VerfasserIn]
Adnan, Darbaz [VerfasserIn]
Rasmussen, Heather E [VerfasserIn]
Keshavarzian, Ali [VerfasserIn]
Bishehsari, Faraz [VerfasserIn]

Links:

Volltext

Themen:

Body mass index
Chronotype
Circadian phenotype
Food timing
Journal Article
Metabolic dysfunction
Obesity
Overweight

Anmerkungen:

Date Completed 10.05.2022

Date Revised 05.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s40519-021-01276-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM328996076