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Mentzelou M, Papadopoulou SK, Psara E, Voulgaridou G, Pavlidou E, Androutsos O, Giaginis C. Chrononutrition in the Prevention and Management of Metabolic Disorders: A Literature Review. Nutrients 2024; 16:722. [PMID: 38474850 DOI: 10.3390/nu16050722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Revised: 02/26/2024] [Accepted: 02/28/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND The concept of time-restricted eating (TRE) or time-restricted feeding (TRF) promotes daily periods of feeding and fasting to determine whole-body physiology. Chronic misalignment of circadian rhythms or chrono-disruption is related to an increased risk of diverse metabolic disorders. The progression of non-communicable diseases seems to be affected by the timing of meals. As a result, intermittent fasting is a promising approach for their management. The aim of the present literature review is to examine and scrutinize the TRE protocols in the fields of prevention and management of metabolic disorders. METHODS This is a thorough literature review of the reported associations among circadian rhythm, metabolic disorders, diabetes mellitus, obesity, TRE, TRF, dietary habits, circadian disruption, cardiovascular diseases, atherosclerosis, and non-alcoholic fatty liver to find the already existing clinical studies from the last decade (2014-2024) in the most precise scientific online databases, using relevant specific keywords. Several inclusion and exclusion criteria were applied to scrutinize only longitudinal, cross-sectional, descriptive, and prospective clinical human studies. RESULTS The currently available clinical findings remain scarce and suggest that chrononutrition behaviors such as TRE or TRF may promote several metabolic benefits, mainly in body weight control and fat loss. Improvements in glucose levels and lipid profiles are currently quite controversial since some clinical studies show little or no effect. As far as liver diseases are concerned, the efficacy of intermittent fasting seems to be stronger in the management of non-alcoholic fatty liver disease due to body weight decline and fat loss. CONCLUSIONS Even if there has been a gradual increase in clinical studies in the last few years, providing promising perspectives, currently, there is no conclusive evidence for the role of chrononutrition in metabolic disorders. Future studies should be well-designed with longer duration and larger sample sizes. Moreover, it is important to examine the best timing of the eating window and its feasibility.
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Affiliation(s)
- Maria Mentzelou
- Department of Food Science and Nutrition, School of Environment, University of the Aegean, 81400 Lemnos, Greece
| | - Sousana K Papadopoulou
- Department of Nutritional Sciences and Dietetics, School of Health Sciences, International Hellenic University, 57400 Thessaloniki, Greece
| | - Evmorfia Psara
- Department of Food Science and Nutrition, School of Environment, University of the Aegean, 81400 Lemnos, Greece
| | - Gavriela Voulgaridou
- Department of Nutritional Sciences and Dietetics, School of Health Sciences, International Hellenic University, 57400 Thessaloniki, Greece
| | - Eleni Pavlidou
- Department of Food Science and Nutrition, School of Environment, University of the Aegean, 81400 Lemnos, Greece
| | - Odysseas Androutsos
- Laboratory of Clinical Nutrition and Dietetics, Department of Nutrition and Dietetics, School of Physical Education, Sport Science and Dietetics, University of Thessaly, 42132 Trikala, Greece
| | - Constantinos Giaginis
- Department of Food Science and Nutrition, School of Environment, University of the Aegean, 81400 Lemnos, Greece
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Verde L, Di Lorenzo T, Savastano S, Colao A, Barrea L, Muscogiuri G. Chrononutrition in type 2 diabetes mellitus and obesity: A narrative review. Diabetes Metab Res Rev 2024; 40:e3778. [PMID: 38363031 DOI: 10.1002/dmrr.3778] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 01/23/2024] [Accepted: 01/26/2024] [Indexed: 02/17/2024]
Abstract
Chrononutrition is a nutritional regimen that follows our biological clock, marked by the changes in metabolism that occur during the day. This regimen includes the distribution of energy, the regularity and frequency of meals, and the importance of these factors for metabolic health. A growing body of animal and human evidence indicates that the timing of food intake throughout the day can have a significant and beneficial impact on the metabolic health and well-being of individuals. In particular, both the timing and frequency of meals have been associated with obesity, type 2 diabetes mellitus (T2DM), cardiovascular disease, and other chronic conditions. Today's busy lifestyle makes many people skip breakfast and eat late at night. Eating late at night has been shown to cause a circadian misalignment, with the latter having a negative impact on weight control and glucose metabolism. Additionally, some studies have found a relatively strong association between skipping breakfast and insulin resistance, and T2DM. Against the backdrop of escalating obesity and T2DM rates, coupled with the recognized influence of food timing on disease evolution and control, this review aimed to synthesize insights from epidemiological and intervention studies of the interplay of timing of food intake and macronutrient consumption, reporting their impact on obesity and T2DM.
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Affiliation(s)
- Ludovica Verde
- Centro Italiano per la cura e il Benessere del paziente con Obesità (C.I.B.O), Department of Clinical Medicine and Surgery, Endocrinology Unit, University Medical School of Naples, Naples, Italy
- Department of Public Health, Federico II University, Naples, Italy
| | - Tonia Di Lorenzo
- Centro Italiano per la cura e il Benessere del paziente con Obesità (C.I.B.O), Department of Clinical Medicine and Surgery, Endocrinology Unit, University Medical School of Naples, Naples, Italy
| | - Silvia Savastano
- Centro Italiano per la cura e il Benessere del paziente con Obesità (C.I.B.O), Department of Clinical Medicine and Surgery, Endocrinology Unit, University Medical School of Naples, Naples, Italy
- Dipartimento di Medicina Clinica e Chirurgia, Unità di Endocrinologia, Diabetologia ed Andrologia, Università Federico II, Naples, Italy
| | - Annamaria Colao
- Centro Italiano per la cura e il Benessere del paziente con Obesità (C.I.B.O), Department of Clinical Medicine and Surgery, Endocrinology Unit, University Medical School of Naples, Naples, Italy
- Dipartimento di Medicina Clinica e Chirurgia, Unità di Endocrinologia, Diabetologia ed Andrologia, Università Federico II, Naples, Italy
- Cattedra Unesco "Educazione Alla Salute E Allo Sviluppo Sostenibile", University Federico II, Naples, Italy
| | - Luigi Barrea
- Centro Italiano per la cura e il Benessere del paziente con Obesità (C.I.B.O), Department of Clinical Medicine and Surgery, Endocrinology Unit, University Medical School of Naples, Naples, Italy
- Dipartimento di Scienze Umanistiche, Università Telematica Pegaso, Naples, Italy
| | - Giovanna Muscogiuri
- Centro Italiano per la cura e il Benessere del paziente con Obesità (C.I.B.O), Department of Clinical Medicine and Surgery, Endocrinology Unit, University Medical School of Naples, Naples, Italy
- Dipartimento di Medicina Clinica e Chirurgia, Unità di Endocrinologia, Diabetologia ed Andrologia, Università Federico II, Naples, Italy
- Cattedra Unesco "Educazione Alla Salute E Allo Sviluppo Sostenibile", University Federico II, Naples, Italy
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Arenas-Salazar AP, Schoor M, Parra-Pacheco B, García-Trejo JF, Torres-Pacheco I, Feregrino-Pérez AA. Intercropping Systems to Modify Bioactive Compounds and Nutrient Profiles in Plants: Do We Have Enough Information to Take This as a Strategy to Improve Food Quality? A Review. PLANTS (BASEL, SWITZERLAND) 2024; 13:194. [PMID: 38256749 PMCID: PMC10818617 DOI: 10.3390/plants13020194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 12/17/2023] [Accepted: 01/05/2024] [Indexed: 01/24/2024]
Abstract
Various environmental, food security and population health problems have been correlated with the use of intensive agriculture production systems around the world. This type of system leads to the loss of biodiversity and natural habitats, high usage rates of agrochemicals and natural resources, and affects soil composition, human health, and nutritional plant quality in rural areas. Agroecological intercropping systems that respect agrobiodiversity, on the other hand, can significantly benefit ecosystems, human health, and food security by modifying the nutritional profile and content of some health-promoting bioactive compounds in the species cultivated in this system. However, research on intercropping strategies focuses more on the benefits they can offer to ecosystems, and less on plant nutrient composition, and the existing information is scattered. The topic merits further study, given the critical impact that it could have on human nutrition. The aim of this review is therefore to collect viable details on the status of research into the profile of nutrients and bioactive compounds in intercropping systems in different regions of the world with unique mixed crops using plant species, along with the criteria for combining them, as well as the nutrients and bioactive compounds analyzed, to exemplify the possible contributions of intercropping systems to food availability and quality.
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Bettini S, Schiff S, Carraro E, Callegari C, Gusella B, Pontesilli GM, D’Angelo M, Baldan V, Zattarin A, Romanelli G, Angeli P, Girardi P, Spinella P, Vettor R, Busetto L. Chrono-Nutritional Patterns, Medical Comorbidities, and Psychological Status in Patients with Severe Obesity. Nutrients 2023; 15:5003. [PMID: 38068861 PMCID: PMC10707777 DOI: 10.3390/nu15235003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 11/23/2023] [Accepted: 11/25/2023] [Indexed: 12/18/2023] Open
Abstract
Chrono-nutrition studies dietary habits and their role in the onset of metabolic diseases. The aim of this study is to describe chrono-nutritional patterns based on the analysis of the eating habits of patients with severe obesity during the 24-h cycle and investigate a possible relationship between these profiles, the comorbidities, and the psychological status. From the overall evaluation of the chrono-nutritional profiles of 173 patients with severe obesity, four predominant eating patterns were obtained with a refined statistical model. A regression analysis was performed to determine the relationship between chrono-nutritional patterns, medical comorbidities, and psychological status. Profile 1 was the most frequent (46.2%) and characterised by the regular presence of the three main meals. The distribution of the chrono-nutritional profiles did not vary with BMI. Chrono-nutritional profiles affected predominantly psychological variables, with lower performances among chrono-nutritional profiles 3 (to eat during all the 24-h, with nibbling and snacking also during the night) and 4 (like the fourth but without night-eating). This finding could be useful in the assessment and treatment of patients with obesity, allowing the identification of patients with a higher probability of suffering from a psychopathological condition simply by knowing the patients' dietary profiles.
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Affiliation(s)
- Silvia Bettini
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 3, Padova University Hospital, 35128 Padova, Italy
| | - Sami Schiff
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 5, Padova University Hospital, 35128 Padova, Italy
| | - Enrico Carraro
- Department of Statistical Sciences, University of Padova, 35121 Padova, Italy;
| | - Chiara Callegari
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 5, Padova University Hospital, 35128 Padova, Italy
| | - Beatrice Gusella
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 3, Padova University Hospital, 35128 Padova, Italy
| | - Giulia Maria Pontesilli
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Department of General Medicine, Santa Maria della Misericordia Hospital, 45100 Rovigo, Italy
| | - Matteo D’Angelo
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Dietetics and Clinical Nutrition Unit, Padova University Hospital, 35128 Padova, Italy
| | - Valeria Baldan
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Dietetics and Clinical Nutrition Unit, Padova University Hospital, 35128 Padova, Italy
| | - Alessandra Zattarin
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Dietetics and Clinical Nutrition Unit, Padova University Hospital, 35128 Padova, Italy
| | - Giulia Romanelli
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Dietetics and Clinical Nutrition Unit, Padova University Hospital, 35128 Padova, Italy
| | - Paolo Angeli
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 5, Padova University Hospital, 35128 Padova, Italy
| | - Paolo Girardi
- Department of Environmental Sciences, Informatics and Statistics, Ca’ Foscari University of Venice, 30172 Venezia, Italy;
| | - Paolo Spinella
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Dietetics and Clinical Nutrition Unit, Padova University Hospital, 35128 Padova, Italy
| | - Roberto Vettor
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 3, Padova University Hospital, 35128 Padova, Italy
| | - Luca Busetto
- Department of Medicine, University of Padova, 35128 Padova, Italy; (S.S.); (C.C.); (B.G.); (G.M.P.); (M.D.); (V.B.); (A.Z.); (G.R.); (P.A.); (P.S.); (R.V.); (L.B.)
- Internal Medicine Unit 3, Padova University Hospital, 35128 Padova, Italy
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Ketogenic Diet Applied in Weight Reduction of Overweight and Obese Individuals with Progress Prediction by Use of the Modified Wishnofsky Equation. Nutrients 2023; 15:nu15040927. [PMID: 36839285 PMCID: PMC9968058 DOI: 10.3390/nu15040927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/06/2023] [Accepted: 02/08/2023] [Indexed: 02/15/2023] Open
Abstract
Ketogenic diet is often used as diet therapy for certain diseases, among other things, its positive effect related to weight loss is highlighted. Precisely because of the suggestion that KD can help with weight loss, visceral obesity, and appetite control, 100 respondents joined the weight loss program (of which 31% were men and 69% were women). The aforementioned respondents were interviewed in order to determine their eating habits, the amount of food consumed, and the time when they consume meals. Basic anthropometric data (body height, body mass, chest, waist, hips, biceps, and thigh circumferences) were also collected, in order to be able to monitor their progress during the different phases of the ketogenic diet. Important information is the expected body mass during the time frame of a certain keto diet phase. This information is important for the nutritionist, medical doctor, as well as for the participant in the reduced diet program; therefore, the model was developed that modified the original equation according to Wishnofsky. The results show that women lost an average of 22.7 kg (average number of days in the program 79.5), and for men the average weight loss was slightly higher, 29.7 kg (with an average of 76.8 days in the program). The prediction of expected body mass by the modified Wishnofsky's equation was extremely well aligned with the experimental values, as shown by the Bland-Altman graph (bias for women 0.021 kg and -0.697 kg for men) and the coefficient of determination of 0.9903. The modification of the Wishnofsky equation further shed light on the importance of controlled energy reduction during the dietetic options of the ketogenic diet.
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Juliana N, Teng NIMF, Hairudin KF, Wan Abdul Fatah WA, Das S. Chrononutrition behavior during the COVID-19 pandemic and its relationship with body weight among college students. Front Nutr 2023; 10:1079069. [PMID: 36819675 PMCID: PMC9936822 DOI: 10.3389/fnut.2023.1079069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 01/13/2023] [Indexed: 02/05/2023] Open
Abstract
Introduction Students in colleges are exposed to unhealthy lifestyles and poor dietary choices. They are at risk of being overweight, skipping meals, and developing eating disorders. However, there is a paucity of information on their chrononutrition behavior, which is very important, especially concerning the timing of food consumption across the day. Therefore, the present study aimed to investigate chrononutrition behavior and its potential association with body weight status among college students in Malaysia. Methods This cross-sectional study was conducted on 409 college students aged above 18 in Malaysia. The chrononutrition behavior was assessed using the validated Chrononutrition Profile Questionnaire (CP-Q). The questionnaire was distributed using an online platform. Participants self-reported their body weight and height, and the Body Mass Index (BMI) was computed. Data were analyzed using the SPSS software. Results A total of 409 participants were recruited, with a mean age of 21.5 ± 2.2 years. The prevalence of underweight, normal, and overweight was 24.7, 49.4, and 25.9%, respectively. The chrononutrition behavior revealed that participants ate breakfast about four times/week (mean 4.27 ± 2.43 days), and only 135 (33.0%) consumed breakfast daily. The largest meal consumed was during lunch (75.8%), and the mean of snacking after the last meal was 3.23 ± 2.01 days. The prevalence of night eating was low, and most participants (70.9) did not wake up at night to eat. The frequency, however, was significantly higher in the underweight group compared to the normal weight group (p < 0.05). We observed a significant association between BMI and eating window, evening latency, evening eating, and night eating. It was found that the underweight had a poor eating window (p < 0.01), poor evening latency (p < 0.01), poor evening eating (p < 0.01), and poor night eating (p < 0.05) compared to those with normal and overweight BMI groups. In contrast to predictions, poor chrononutrition behavior was more likely to predict being underweight compared to normal (p < 0.05). Conclusion Underweight young adults are more likely to have poor chrononutrition behavior. The results of the present study suggest that future nutrition education should also focus on the chrononutrition behavior of college students.
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Affiliation(s)
- Norsham Juliana
- Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Nilai, Malaysia
| | - Nur Islami Mohd Fahmi Teng
- Faculty of Health Sciences, Universiti Teknologi MARA, Shah Alam, Malaysia,*Correspondence: Nur Islami Mohd Fahmi Teng,
| | | | | | - Srijit Das
- Department of Human and Clinical Anatomy, Faculty of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
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