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- Title
Metabolic Effects of Late Dinner in Healthy Volunteers-A Randomized Crossover Clinical Trial.
- Authors
Chenjuan Gu; Brereton, Nga; Schweitzer, Amy; Cotter, Matthew; Duan, Daisy; Børsheim, Elisabet; Wolfe, Robert R.; Pham, Luu V.; Polotsky, Vsevolod Y.; Jun, Jonathan C.; Gu, Chenjuan
- Abstract
<bold>Context: </bold>Consuming calories later in the day is associated with obesity and metabolic syndrome. We hypothesized that eating a late dinner alters substrate metabolism during sleep in a manner that promotes obesity.<bold>Objective: </bold>The objective of this work is to examine the impact of late dinner on nocturnal metabolism in healthy volunteers.<bold>Design and Setting: </bold>This is a randomized crossover trial of late dinner (LD, 22:00) vs routine dinner (RD, 18:00), with a fixed sleep period (23:00-07:00) in a laboratory setting.<bold>Participants: </bold>Participants comprised 20 healthy volunteers (10 male, 10 female), age 26.0 ± 0.6 years, body mass index 23.2 ± 0.7 kg/m2, accustomed to a bedtime between 22:00 and 01:00.<bold>Interventions: </bold>An isocaloric macronutrient diet was administered on both visits. Dinner (35% daily kcal, 50% carbohydrate, 35% fat) with an oral lipid tracer ([2H31] palmitate, 15 mg/kg) was given at 18:00 with RD and 22:00 with LD.<bold>Main Outcome Measures: </bold>Measurements included nocturnal and next-morning hourly plasma glucose, insulin, triglycerides, free fatty acids (FFAs), cortisol, dietary fatty acid oxidation, and overnight polysomnography.<bold>Results: </bold>LD caused a 4-hour shift in the postprandial period, overlapping with the sleep phase. Independent of this shift, the postprandial period following LD was characterized by higher glucose, a triglyceride peak delay, and lower FFA and dietary fatty acid oxidation. LD did not affect sleep architecture, but increased plasma cortisol. These metabolic changes were most pronounced in habitual earlier sleepers determined by actigraphy monitoring.<bold>Conclusion: </bold>LD induces nocturnal glucose intolerance, and reduces fatty acid oxidation and mobilization, particularly in earlier sleepers. These effects might promote obesity if they recur chronically.
- Subjects
MENSTRUAL cycle; DIETARY fiber; SLEEP hygiene; CLINICAL trials; NON-REM sleep; RAPID eye movement sleep; BODY composition; PREVENTION of obesity; BLOOD sugar analysis; GLUCOSE intolerance; FOOD habits; TRIGLYCERIDES; OBESITY; RESEARCH; HUMAN research subjects; TIME; RESEARCH methodology; BLOOD sugar; POLYSOMNOGRAPHY; EVALUATION research; MEDICAL cooperation; INSULIN; SLEEP; COMPARATIVE studies; RESEARCH funding; CROSSOVER trials; FATTY acids; OXIDATION-reduction reaction; HYDROCORTISONE
- Publication
Journal of Clinical Endocrinology & Metabolism, 2020, Vol 105, Issue 8, p1
- ISSN
0021-972X
- Publication type
journal article
- DOI
10.1210/clinem/dgaa354