Relationship between intra-individual variability in nutrition-related lifestyle behaviors and blood glucose outcomes under free-living conditions in adults without type 2 diabetes

Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved..

AIMS: This study determined the relationship between intra-individual variability in day-to-day nutrition-related lifestyle behaviors (meal timing, eating window, food intake, movement behaviors, sleep conditions, and body weight) and glycemic outcomes under free-living conditions in adults without type 2 diabetes.

METHODS: We analyzed 104 adults without type 2 diabetes. During the 7-day measurement period, dietary intake, movement behaviors, sleep conditions, and glucose outcomes were assessed. Daily food intake was assessed using a mobile-based health application. Movement behaviors and sleep conditions were assessed using a tri-axial accelerometer. Meal timing was assessed from the participant's daily life record. Blood glucose levels were measured continuously using a glucose monitor. Statistical analyses were conducted using a linear mixed-effects model, with mealtime, food intake, body weight, movement behaviors, and sleep conditions as fixed effects and participants as a random effect.

RESULTS: Dinner time and eating window were positively significantly correlated with mean (dinner time, p = 0.003; eating window, p = 0.001), standard deviation (SD; both at p < 0.001), and maximum (both at p < 0.001) blood glucose levels. Breakfast time was negatively associated with glucose outcomes (p < 0.01). Sedentary time was positively significantly associated with blood glucose SD (p = 0.040). Total sleep time was negatively significantly correlated with SD (p = 0.035) and maximum (p = 0.032) blood glucose levels. Total daily energy intake (p = 0.001), carbohydrate intake (p < 0.001), and body weight (p < 0.05) were positively associated with mean blood glucose levels.

CONCLUSION: Intra-individual variations in nutrition-related lifestyle behaviors, especially morning and evening body weight, and food intake, were associated with mean blood glucose levels, and a long sedentary time and total sleep time were associated with glucose variability. Earlier dinner times and shorter eating windows per day resulted in better glucose control.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:196

Enthalten in:

Diabetes research and clinical practice - 196(2023) vom: 31. Feb., Seite 110231

Sprache:

Englisch

Beteiligte Personen:

Yoshimura, Eiichi [VerfasserIn]
Hamada, Yuka [VerfasserIn]
Hatanaka, Mana [VerfasserIn]
Nanri, Hinako [VerfasserIn]
Nakagata, Takashi [VerfasserIn]
Matsumoto, Naoyuki [VerfasserIn]
Shimoda, Seiya [VerfasserIn]
Tanaka, Shigeho [VerfasserIn]
Miyachi, Motohiko [VerfasserIn]
Hatamoto, Yoichi [VerfasserIn]

Links:

Volltext

Themen:

Blood Glucose
Dietary intake
Glucose variability
Intra-individual variation
Journal Article
Mealtime
Mean blood glucose levels
Sedentary behavior

Anmerkungen:

Date Completed 27.02.2023

Date Revised 27.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.diabres.2022.110231

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350772266