夜间进食的时间、频率和食物质量与全因、癌症和糖尿病死亡风险:全国健康与营养状况调查的结果。

IF 4.6 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Peng Wang, Qilong Tan, Yaxuan Zhao, Jingwen Zhao, Yuzhu Zhang, Dan Shi
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引用次数: 0

摘要

目的:研究夜间进食的时间、频率和食物质量与全因、癌症和糖尿病死亡率的关系:研究夜间进食的时间、频率和食物质量与全因、癌症和糖尿病死亡率的关系:本研究纳入了美国国家健康与营养调查(2002-2018 年)的 41,744 名参与者。夜餐信息通过 24 小时饮食回忆收集,暴露因子为夜餐的时间、频率和食物质量。食物质量通过潜类分析进行评估。研究结果为全因死亡率、癌症死亡率和糖尿病死亡率,由国家死亡指数和国际疾病分类第十次修订版确定。通过考克斯回归计算出调整后的危险比[aHR]及95%置信区间[CI]:中位随访时间为 8.7 年,共记录了 6066 例死亡病例,其中 1381 例死于癌症,206 例死于糖尿病。与不在夜间进食(22:00 之前进食)相比,夜间进食时间越晚,全因死亡和糖尿病死亡风险越高(各 P 趋势结论):夜间进食与全因死亡率、癌症死亡率和糖尿病死亡率升高有关;但是,如果在 23:00 之前进食或进食低膳食能量密度食物,则可降低超额死亡风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey.

Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey.

Objective: To investigate the association of timing, frequency, and food quality of night eating with all-cause, cancer, and diabetes mortality.

Methods: This study included 41,744 participants from the US National Health and Nutrition Examination Survey (2002-2018). Night eating information was collected by 24-h dietary recall and the exposures were timing, frequency, and food quality of night eating. Food quality was assessed by latent class analysis. The outcomes were all-cause, cancer, and diabetes mortality, which were identified by the National Death Index and the International Classification of Diseases 10th Revision. Adjusted hazard ratios [aHR] with 95% confidence intervals [CI] were computed by Cox regression.

Results: During a median follow-up of 8.7 years, 6066 deaths were documented, including 1381 from cancer and 206 from diabetes. Compared with no night eating (eating before 22:00), the later timing of night eating was associated with higher risk of all-cause and diabetes mortality (each P-trend <0.05) rather than cancer mortality, with the highest risk of eating being 00:00-1:00 (aHR 1.38, 95% CI 1.02-1.88) and being 23:00-00:00 (aHR 2.31, 95% CI 1.21-4.40), respectively. However, the increased risks were not observed for 22:00-23:00. Likewise, one time or over frequency of night eating was associated with higher all-cause and diabetes mortality (each P < 0.05). That risks were further observed in high-dietary-energy-density group of night eating (all-cause mortality: aHR 1.21 [95% CI 1.06-1.38]; diabetes mortality: aHR 1.97 [95% CI 1.13-3.45]), but not in low-dietary-energy-density group. Finally, correlation analysis found positive associations of night eating with glycohemoglobin, fasting glucose, and OGTT.

Conclusions: Night eating was associated with increased all-cause, cancer and diabetes mortality; however, reduction of excess mortality risk was observed when eating before 23:00 or low-dietary-energy-density foods.

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来源期刊
Nutrition & Diabetes
Nutrition & Diabetes ENDOCRINOLOGY & METABOLISM-NUTRITION & DIETETICS
CiteScore
9.20
自引率
0.00%
发文量
50
审稿时长
>12 weeks
期刊介绍: Nutrition & Diabetes is a peer-reviewed, online, open access journal bringing to the fore outstanding research in the areas of nutrition and chronic disease, including diabetes, from the molecular to the population level.
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