巴西国家调查中成年人的昼夜晚餐时间和身体质量指数

Q2 Medicine

Obesity Medicine Pub Date : 2023-11-21 DOI:10.1016/j.obmed.2023.100526

Anny Kariny Pereira Pedrosa , Márcia de Oliveira Lima , Priscilla Márcia Bezerra de Oliveira , Renan Serenini , Risia Cristina Egito de Menezes , Giovana Longo-Silva

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引用次数: 0

摘要

目的研究从晚餐到睡眠中点之间的时间(TDM)是否与BMI和肥胖有关。方法参与者(n = 1303)是虚拟探索性、基于人群的调查的一部分。为了评估BMI与TDM相关的差异，我们进行了线性和分位数回归分析。采用Logistic回归模型评估肥胖与TDM相关的or (95%CI)。限制三次样条也被用来研究联想的形状。结果TDM与BMI呈剂量反应关系，每增加1小时TDM可降低0.22 kg/m2，且对BMI最高百分位数的影响更强、更高。通过增加TDM，肥胖的几率降低[OR (95%CI):0.87 (0.78,0.97);p = 0.01]。这些关联与年龄、性别、婚姻状况、每周体育活动持续时间和一天中最丰盛的一餐无关。由于我们发现在离睡眠中点较远的地方吃饭与BMI显著相关，我们的数据反映了评估昼夜节律进餐时间、能量摄入和膳食质量在营养建议和肥胖预防和治疗中的针对性。

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Circadian dinner timing and BMI among adults in a Brazilian national survey

Aims

To examine if the Time elapsed between Dinner and the Midpoint of sleep (TDM) is associated with BMI and obesity.

Methods

Participants (n = 1303) were part of a virtual exploratory, population-based survey. To evaluate differences in BMI associated with TDM we performed linear and quantile regression analyses. Logistic regression models were fitted to assess ORs (95%CI) of obesity associated with TDM. Restricted cubic splines were also used to study the shape of the association.

Results

We found a dose-response association between TDM and BMI, which decreased by 0.22 kg/m² for each additional hour of TDM, with stronger and higher effects in the highest percentile of BMI. By increasing TDM, the odds of obesity decreased [OR (95%CI):0.87 (0.78,0.97); P = 0.01]. These associations were independent of age, gender, marital status, weekly duration of physical activity, and the largest meal of the day.

Conclusions

Because we found that having dinner farther from the midpoint of sleep was significantly associated with BMI, our data reflect the pertinence of assessing the circadian meal timing, along with the energy intake and the quality of meals, in nutritional recommendations and obesity prevention and treatment.

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来源期刊

Obesity Medicine Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.50

自引率

0.00%

发文量

审稿时长

40 days

期刊介绍： The official journal of the Shanghai Diabetes Institute Obesity is a disease of increasing global prevalence with serious effects on both the individual and society. Obesity Medicine focusses on health and disease, relating to the very broad spectrum of research in and impacting on humans. It is an interdisciplinary journal that addresses mechanisms of disease, epidemiology and co-morbidities. Obesity Medicine encompasses medical, societal, socioeconomic as well as preventive aspects of obesity and is aimed at researchers, practitioners and educators alike.