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Validation of the French version of the Munich ChronoType questionnaire and associations between chronotype and physiological parameters. 慕尼黑时间类型问卷法文版的验证以及时间类型与生理参数之间的关联。
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-11 DOI: 10.1080/07420528.2024.2362309
Julien Coelho, Jean-Arthur Micoulaud-Franchi, Emmanuel D'incau, Patrice Bourgin, Claude Gronfier, Damien Leger, Paul Galvez, Pierre Philip, Jacques Taillard

Assessing chronotype is essential in clinical and research environments, but the Munich ChronoType Questionnaire (MCTQ), a widely utilised tool, is not available in French. Therefore, we carried out an observational monocentric study to validate the French MCTQ against the sleep diary for sleep schedules, the Morningness-Eveningness Questionnaire (MEQ) for chronotype, and polysomnography measures. We utilised the mid-sleep point on free days (MSF), adjusted for sleep debt (MSFsc), to gauge morningness/eveningness. The study included 80 participants (average age: 40.9 years, 50% female). The sleep schedules determined by the MCTQ and the sleep diary showed a high correlation. The MSFsc demonstrated a significant correlation with the MEQ, persisting even under sleep constraints such as an alarm on free days. The predictive accuracy was strong for a morning chronotype and moderate for an evening chronotype as assessed using the MEQ. In summary, the French MCTQ is a reliable tool for researchers and clinicians for assessing sleep schedules and chronotype in French-speaking populations. The MSFsc can effectively predict chronotype, even under sleep constraints. However, for the evening chronotype, self-assessment appears to be more accurate. The association with polysomnography measures enriches our understanding of the chronotype at the intersection of behaviour and physiology.

评估时型在临床和研究环境中至关重要,但《慕尼黑时型问卷》(MCTQ)这一广泛使用的工具却没有法语版本。因此,我们开展了一项单中心观察性研究,对照睡眠日记(用于了解睡眠时间)、晨醒-活力问卷(用于了解时型)和多导睡眠图测量,对法文版慕尼黑时型问卷进行验证。我们利用空闲日的中睡点(MSF),并根据睡眠负债(MSFsc)进行调整,来衡量晨醒/匀觉程度。研究包括 80 名参与者(平均年龄:40.9 岁,50% 为女性)。通过 MCTQ 和睡眠日记确定的睡眠时间表显示出很高的相关性。MSFsc与MEQ具有显著的相关性,即使在睡眠受限的情况下(如空闲日有闹钟)也是如此。根据 MEQ 的评估,晨间时型的预测准确性较高,晚间时型的预测准确性一般。总之,法语 MCTQ 是研究人员和临床医生评估法语人群睡眠时间安排和时间型的可靠工具。即使在睡眠受限的情况下,MSFsc 也能有效预测时型。不过,对于晚间时间型,自我评估似乎更为准确。与多导睡眠图测量的结合丰富了我们对行为学和生理学交汇处的时型的理解。
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引用次数: 0
The yin and yang of two opponent processes of sleep-wake regulation: Sex-associated differences in the spectral EEG markers of the drives for sleep and wake. 睡眠-觉醒调节两个对立过程的阴阳:睡眠和觉醒驱动力的脑电图频谱标记的性别差异。
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-15 DOI: 10.1080/07420528.2024.2378007
Vladimir B Dorokhov, Alexandra N Puchkova, Dmitry E Shumov, Eugenia O Gandina, Anton O Taranov, Natalya V Ligun, Dmitry S Sveshnikov, Elena B Yakunina, Olga V Mankaeva, Arcady A Putilov

Although objectively measured characteristics of sleep efficiency and quality were found to be better in women than men, women more frequently than men suffer from poor or insufficient or non-restorative sleep. We explored this apparent paradox by testing the sex-associated differences in electroencephalographic (EEG) indicators of two opponent processes of sleep-wake regulation, the drives for sleep and wake. We tried to provide empirical support for the hypothesis that a stronger women's sleep drive can explain better objective characteristics of sleep quality in women than men, while a stronger women's wake drive can be an explanation of a higher frequency of sleep-related complaints in women than men. To our knowledge, this was the first attempt to examine the associations of sex with scores on the 1st and 2nd principal components of the EEG spectrum that can serve as objective spectral EEG markers of the opponent drives for sleep and wake, respectively. The particular prediction was that, in women compared to men, not only the 1st principal component score but also the 2nd principal component score could be higher (i.e. both drives could be stronger). In a sample of 80 university students (40 females), the EEG signals were recorded during 160 afternoon napping attempts (50 min or longer). The difference between male and female students in sleep latencies did not reach a statistically significant level. In accordance with our prediction, both principal component scores were found to be higher in female than in male students irrespective of sleep stage. It is likely that the influence of the wake drive is entirely overlooked in the polysomnographic studies due to the predominant contribution of the indicators of the sleep drive to the conventional objective characteristics of sleep quality. Therefore, a stronger women's sleep drive can be an explanation of women's better sleep quality in the results of polysomnographic studies. On the other hand, if a stronger women's wake drive can influence the perception of their sleep quality, this can explain their more frequent sleep-related complaints.

尽管通过客观测量发现女性的睡眠效率和质量优于男性,但女性却比男性更经常出现睡眠质量差、睡眠不足或无法恢复睡眠的情况。我们通过测试睡眠和觉醒两个对立调节过程的脑电图(EEG)指标的性别差异,对这一明显的悖论进行了探讨。我们试图为以下假设提供经验支持:女性更强的睡眠驱动力可以更好地解释女性睡眠质量的客观特征,而女性更强的觉醒驱动力则可以解释女性比男性更频繁地出现与睡眠相关的抱怨。据我们所知,这是首次尝试研究性别与脑电图频谱第 1 和第 2 主成分得分的关系,这两个主成分可分别作为睡眠和觉醒对手驱动力的客观脑电图频谱标记。特别预测的是,与男性相比,女性不仅第一主成分得分更高,而且第二主成分得分也更高(即两种驱动力都更强)。在对 80 名大学生(40 名女生)的抽样调查中,记录了 160 次午睡尝试(50 分钟或更长时间)的脑电信号。男女生在睡眠潜伏期上的差异没有达到统计学意义上的显著水平。根据我们的预测,无论睡眠阶段如何,女生的两个主成分得分均高于男生。在多导睡眠图研究中,唤醒驱动力的影响很可能完全被忽视了,因为睡眠驱动力指标对睡眠质量的传统客观特征的贡献占主导地位。因此,在多导睡眠图研究结果中,女性睡眠驱动力更强可以解释女性睡眠质量更好的原因。另一方面,如果女性更强的觉醒驱动力会影响她们对睡眠质量的感知,这也可以解释为什么她们更频繁地提出与睡眠有关的投诉。
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引用次数: 0
Reestablishment of ad libitum feeding following partial food deprivation: Impact on locomotor activity, visceral fat, food intake, and circadian glycemic curve. 部分断食后恢复自由采食:对运动活动、内脏脂肪、食物摄入量和昼夜血糖曲线的影响。
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-07 DOI: 10.1080/07420528.2024.2361143
Eryka Maria Dos Santos Alves, Fernando Wesley Cavalcanti de Araújo, Pierre Castro Soares, Laura Alexia Ramos da Silva, Daniel Nunes de Araújo Gonçalves, Elizabeth do Nascimento

Food deprivation has been associated with the development of metabolic pathologies. Few studies have explored the repercussions of a partial food deprivation following the reestablishment of an ad libitum diet. This study investigates the impact of a partial food deprivation (an 8-hour food intake restriction coupled with a 4-hour feeding window during the active phase) and the subsequent return to ad libitum feeding on the glycemic curve, food intake, and locomotor behavior. Wistar rats aged 45 days were subjected to 6 weeks of a partial food deprivation followed by 6 weeks of ad libitum feeding. Body weight, visceral fat, food intake, circadian glycemia, oral glucose tolerance, and locomotor activity were evaluated. It was found that the partial food deprivation resulted in the reduction of both the body weight and food intake; however, it increased visceral fat by 60%. Circadian glycemic values were altered at all intervals during the light phase, and glucose sensitivity improved at 60 minutes in the oral glucose tolerance test (OGTT). In the food-deprived group, the locomotor activity rhythm was reduced, with an observed delay in the peak of activity, reduction in total activity, and a decrease in the rhythmicity percentage. After the reestablishment of the ad libitum feeding, there was recovery of body weight, no difference in visceral fat, normalization of the food intake pattern, circadian glycemia, and oral glucose tolerance. Additionally, the return to ad libitum feeding restored locomotor activity, although the duration required for its complete recovery warrants further investigation. In conclusion, partial food deprivation induces physio-metabolic changes in rats, most of which are reversed after reestablishing ad libitum feeding.

食物匮乏与新陈代谢疾病的发生有关。很少有研究探讨在恢复自由饮食后部分剥夺食物的影响。本研究探讨了部分食物剥夺(8 小时食物摄入限制加上活动期 4 小时喂食窗口)以及随后恢复自由饮食对血糖曲线、食物摄入量和运动行为的影响。对年龄为 45 天的 Wistar 大鼠进行为期 6 周的部分禁食,然后再进行为期 6 周的自由采食。对大鼠的体重、内脏脂肪、食物摄入量、昼夜节律血糖、口服葡萄糖耐量和运动活动进行了评估。结果发现,部分剥夺食物会导致体重和食物摄入量下降,但会使内脏脂肪增加 60%。在光照阶段,昼夜节律血糖值在所有时间间隔都发生了变化,在口服葡萄糖耐量试验(OGTT)中,60分钟时葡萄糖敏感性有所提高。在缺食组中,运动活动节律降低,观察到活动峰值延迟、总活动量减少以及节律性百分比降低。恢复自由采食后,体重有所恢复,内脏脂肪无差异,食物摄入模式、昼夜节律血糖和口服葡萄糖耐量恢复正常。此外,恢复自由采食还能恢复运动活性,但完全恢复所需的时间还需要进一步研究。总之,部分剥夺食物会诱发大鼠的生理代谢变化,其中大部分变化在恢复自由采食后会逆转。
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引用次数: 0
Effect of recommendations of breakfast and late-evening snack habits on body composition and blood pressure: A pilot randomized trial. 推荐早餐和宵夜习惯对身体成分和血压的影响:试点随机试验。
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-11 DOI: 10.1080/07420528.2024.2363492
Hsin-Jen Chen, Yun-Chi Tsai, Yi-Tien Hsu, Jung Chu

Breakfast skipping and late-evening snack are prevalent in young adults. This randomized controlled intervention aimed to evaluate the influence of meal habit recommendations on young adults' body composition and blood pressure. Nonpregnant adults (≥20 y old) who were eligible for bioelectrical impedance analysis examination (neither pacemaker installed nor medications that would affect body composition, like diuretics or corticosteroids) were enrolled after they provided informed consent (n = 125). Subjects were randomized into three groups, every group receiving one of the following recommendations: (a) daily breakfast consumption (within 2 h after waking up), (b) avoidance of late-evening snacks (after 21:00h or within 4 h before sleep, with the exception of water), and (c) both recommendations. Body composition and blood pressure were measured before randomization at baseline and at the follow-up 1 y later. Intent-to-treat analysis showed that the recommendation of daily breakfast may contribute to a lower increment of diastolic blood pressure by 3.23 mmHg (95% CI: 0.17-6.28). Receiving the breakfast recommendation was associated with more reduction of total body fat percent by 2.99% (95% CI: 0.23-5.74) and percent trunk fat by 3.63% (95% CI: 0.40-6.86) in inactive youths. Recommendation of avoiding late-evening snack did not significantly affect the outcome measures (ClinicalTrials.gov Identifier: NCT03828812).

不吃早餐和晚上吃宵夜在年轻人中很普遍。这项随机对照干预旨在评估膳食习惯建议对年轻人身体成分和血压的影响。在获得知情同意后,符合生物电阻抗分析检查条件(既未安装心脏起搏器,也未服用利尿剂或皮质类固醇等会影响身体成分的药物)的非怀孕成年人(≥20 岁)被纳入其中(n = 125)。受试者被随机分为三组,每组接受以下建议之一:(a) 每天吃早餐(起床后 2 小时内),(b) 避免吃夜宵(21:00 后或睡前 4 小时内,水除外),(c) 同时接受这两项建议。在随机分组前的基线和1年后的随访中,对身体成分和血压进行了测量。意向治疗分析表明,建议每天吃早餐可使舒张压增量降低 3.23 mmHg(95% CI:0.17-6.28)。对于不爱运动的青少年来说,接受早餐建议可使身体总脂肪百分比减少 2.99% (95% CI: 0.23-5.74),躯干脂肪百分比减少 3.63% (95% CI: 0.40-6.86)。建议避免吃夜宵对结果测量没有明显影响(ClinicalTrials.gov Identifier:NCT03828812)。
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引用次数: 0
Effects of the lunar cycle on ecosystem and heterotrophic respiration in a boreal Sphagnum-dominated peatland. 月球周期对北方以泥炭藓为主的泥炭地生态系统和异养生物呼吸作用的影响。
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-18 DOI: 10.1080/07420528.2024.2365825
Victor L Mironov, Elizaveta V Linkevich

The growth of Sphagnum is influenced by the lunar cycle, which suggests a corresponding carbon (C) accumulation rhythm in peatlands. However, this rhythm can only occur if C accumulation from Sphagnum growth is not offset by its total losses through respiration and other processes. To address the uncertainty, through correlation-regression analysis we examine the influence of the lunar cycle on recent measurements of ecosystem (ER) and heterotrophic (Rh) respiration conducted by Järveoja and colleagues on the oligotrophic peatland of Degerö Stormyr. We found that ER and Rh accelerated near the full moon and slowed down near the new moon. The response of the hourly ER to the lunar cycle is significant from 22:00 to 8:00 and is not significant beyond this range. This response was concentrated in the initial and finished phases of the season, but during the middle of the season it disappeared. This behavior could potentially be caused by the high sensitivity of the Sphagnum cover to moonlight, as well as the sensitivity to the lunar cycle of only the nocturnal component ER. During most of the day, the lunar cycle had a significant effect on hourly Rh, with the highest impact observed between 5:00 and 10:00 and at 20:00. The greatest impact occurs during those hours when ER declines, and possibly Sphagnum photosynthetic productivity peaks. The findings suggest a circalunar rhythm of C accumulation in peatlands due to the opposite trends between C accumulation during Sphagnum growth and C losses with respiration during the lunar cycle.

泥炭藓的生长受月相周期的影响,这表明泥炭地也有相应的碳(C)积累节奏。然而,只有当泥炭藓生长所产生的碳积累量不被其通过呼吸作用和其他过程所造成的总损失量抵消时,才会出现这种节律。为了解决这一不确定性,我们通过相关回归分析,研究了月球周期对 Järveoja 及其同事最近在 Degerö Stormyr 低营养泥炭地进行的生态系统(ER)和异养(Rh)呼吸测量的影响。我们发现,ER 和 Rh 在满月附近加快,在新月附近减慢。每小时ER对月相周期的响应在22:00至8:00期间显著,超出这一范围则不显著。这种响应主要集中在月季的初期和末期,但在月季中期则消失了。造成这种现象的原因可能是泥炭藓植被对月光的高度敏感性,以及只有夜间成分 ER 对月相周期的敏感性。在一天中的大部分时间里,月相周期对每小时的 Rh 有显著影响,其中 5:00 至 10:00 以及 20:00 的影响最大。影响最大的时段是 ER 下降的时段,也可能是泥炭藓光合生产力达到顶峰的时段。研究结果表明,泥炭地的碳积累存在环月节律,这是因为泥炭藓生长过程中的碳积累与月周期呼吸作用造成的碳损失之间存在相反的趋势。
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引用次数: 0
Around the clock: Circadian considerations for surgical prehabilitation. 昼夜不停:手术前康复的昼夜考量。
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-04 DOI: 10.1080/07420528.2024.2374862
Brandon Stretton, Joshua Kovoor, Aashray Gupta, Stephen Bacchi
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引用次数: 0
Daytime sleepiness in insomnia: Are we focusing on what truly matters? 失眠症患者白天嗜睡:我们是否专注于真正重要的事情?
IF 2.2 4区 医学 Q2 BIOLOGY Pub Date : 2024-07-01 Epub Date: 2024-07-15 DOI: 10.1080/07420528.2024.2378025
Daniel Ruivo Marques, Ana Allen Gomes, Maria Helena Pinto de Azevedo

Insomnia, the most prevalent sleep disorder, is commonly associated with other mental and somatic disorders, making it a significant health concern. It is characterized by nighttime symptoms and daytime dysfunction, with sleepiness being a potential criterion for the latter. Sleepiness is a normal physiological state that is typically experienced near usual bedtime, in normal circumstances. In insomnia, it seems somewhat logical the idea that there is significant daytime sleepiness. However, the topic has been the subject of various discussions in sleep medicine, with studies yielding contradictory and inconsistent results. In this article, we aim to critically examine daytime sleepiness in individuals with insomnia disorder and propose an alternative approach to addressing it, both in clinical practice and research settings. It is crucial to further investigate the role of daytime sleepiness in insomnia, particularly by focusing on sleepiness perception as a more relevant dimension to explore in majority of patients. It is plausible that certain insomnia phenotypes are objectively sleepy during the day, but more studies are necessary, particularly with well-defined clinical samples. The implications of assessing sleepiness perception in insomnia for clinical practice are discussed, and new avenues for research are suggested.

失眠是最常见的睡眠障碍,通常与其他精神和躯体疾病相关,因此是一个重要的健康问题。它的特点是夜间症状和白天功能障碍,嗜睡是后者的潜在标准。嗜睡是一种正常的生理状态,在正常情况下通常在临近就寝时出现。在失眠症患者中,白天有明显的嗜睡感似乎有点合乎逻辑。然而,睡眠医学界对这一话题进行了各种讨论,研究结果相互矛盾,不尽一致。在本文中,我们旨在批判性地研究失眠症患者的白天嗜睡问题,并提出在临床实践和研究环境中解决这一问题的替代方法。进一步研究白天嗜睡在失眠症中的作用至关重要,尤其是通过关注嗜睡感知这一与大多数患者更相关的维度来进行研究。某些失眠症表型患者在白天客观上嗜睡是有可能的,但还需要进行更多的研究,尤其是对定义明确的临床样本进行研究。本文讨论了评估失眠症患者嗜睡感知对临床实践的影响,并提出了新的研究方向。
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引用次数: 0
Gender and circadian preferences influence emotions and motivation in secondary mathematics classrooms 性别和昼夜节律偏好对中学数学课堂情绪和动机的影响
IF 2.8 4区 医学 Q2 BIOLOGY Pub Date : 2024-06-19 DOI: 10.1080/07420528.2024.2366504
Christoph Randler, Matthias Wilde, İbrahim Duman, Zeliha Demir Kaymak, Mehmet Barış Horzum
Many studies have reported poor school achievement in evening persons and general circadian fluctuations in cognition. The aim of this study was to analyze circadian fluctuations in a cross-section...
许多研究报告称,晚间学习成绩较差的人认知能力普遍存在昼夜节律波动。本研究的目的是分析昼夜节律波动对晚间学习成绩的影响。
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引用次数: 0
A retrospective study on whelping seasonality of the Cirneco dell'Etna dog in Sicily, Italy. 关于意大利西西里岛 Cirneco dell'Etna 犬产仔季节性的回顾性研究。
IF 2.8 4区 医学 Q2 BIOLOGY Pub Date : 2024-06-01 Epub Date: 2024-05-16 DOI: 10.1080/07420528.2024.2353849
Daniela Alberghina, Carmelo Cavallo, Mauro Gioè, Luigi Liotta

Previous to this study, there is no data relating to the reproductive physiology of the Cirneco dell'Etna breed. The birth date of 141 bitches and 104 sires registered at the National Agency of the Italian Kennel Club (ENCI) from all Sicilian breeders, and data related their fertile matings, which produced 266 whelps over a 14-year period, (2009-2022) were collected. Total whelping produced 1069 pups. The mean bitch age at first whelping was 39.13 ± 21.7 months and the mean litter size was 3.84 ± 2.08. The birth period of the bitches and sires was significantly influenced by the month of the year (p < 0.01), as was the distribution of the first (p < 0.05) and subsequent whelping periods (p < 0.01). Whelping distributions show a significant difference between the highest peak in April (which roughly corresponds to a period of heat in February) and in July (which roughly corresponds to a period of heat in May) and the lowest peak in March. No influence of month on litter size and sex ratio was found. Available data suggests that some ancient breeds such as the Cirneco dell'Etna may show seasonal patterns as a vestige of the stricter seasonality of its closest relative the wolf.

在这项研究之前,还没有与埃特纳赛尔内科犬(Cirneco dell'Etna)繁殖生理相关的数据。本研究收集了在意大利犬业俱乐部国家机构(ENCI)注册的 141 只母犬和 104 只公犬的出生日期,这些母犬和公犬在 14 年内(2009 年至 2022 年)共产下 266 只幼犬。产仔总数为 1069 只。母犬首次产仔的平均年龄为(39.13 ± 21.7)个月,平均窝产仔数为(3.84 ± 2.08)只。母犬和公犬的出生期受年份月份的显著影响(p p p
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引用次数: 0
Scoping review: Exploring the relationship between chrononutrition and glycemic responses in the adult population. 范围界定审查:探索慢性营养与成人血糖反应之间的关系。
IF 2.8 4区 医学 Q2 BIOLOGY Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.1080/07420528.2024.2360742
Guey Yong Chong, Satvinder Kaur, Abd Talib Ruzita, Kok Hoe Wilfred Mok, Hui Yin Tan, See Ling Loy, Ling-Wei Chen, Woan Yie Siah, Geok Pei Lim, Yin Yin Chee, Ee Mun June Lem, Hui Chin Koo

Chrononutrition, an emerging body of evidence on the relationship between biological rhythms and metabolism, has been established to be associated with glycemic responses. However, the available evidence is inconsistent, due to protocol variations. Therefore, this review aims to summarize the findings on chrononutrition characteristics and their association with glycemic responses among adults. Systematic searches were conducted across six databases (PubMed, EBSCO Host, ProQuest Central, MEDLINE & Ovid, Scopus and Web of Science) to identify all relevant studies published from January 2012. Two reviewers independently screened the abstracts and full-text articles based on the inclusion and exclusion criteria. Details about population characteristics, study methods and key findings were extracted following the PRISMA-ScR guideline. The quality of selected studies was evaluated using the mixed methods appraisal tool. The searchers identified 49 studies eligible for analysis. The results showed that meal timing, particularly night-time eating and snacking were associated with glycemic responses. Regarding meal regularity, skipping breakfast may affect glycemic responses, but no clear conclusion was drawn about its effect on insulin. The association between meal frequency and glycemic responses was inconclusive. Night fasting duration and restricted eating window are potentially associated with glycemic responses. The current review extensively investigates the association between chrononutrition factors and glycemic responses in adults. However, more prospective cohort and interventional studies are needed to better understand this causal-effect relationship.

慢性营养是关于生物节律与新陈代谢之间关系的新兴证据,已被证实与血糖反应有关。然而,由于方案不同,现有的证据并不一致。因此,本综述旨在总结有关慢性营养特征及其与成人血糖反应相关性的研究结果。我们在六个数据库(PubMed、EBSCO Host、ProQuest Central、MEDLINE & Ovid、Scopus 和 Web of Science)中进行了系统检索,以确定 2012 年 1 月以来发表的所有相关研究。两名审稿人根据纳入和排除标准对摘要和全文进行了独立筛选。按照 PRISMA-ScR 指南提取了有关人群特征、研究方法和主要研究结果的详细信息。采用混合方法评估工具对所选研究的质量进行了评估。搜索人员确定了 49 项符合分析条件的研究。结果显示,进餐时间,尤其是夜间进餐和吃零食与血糖反应有关。在进餐规律方面,不吃早餐可能会影响血糖反应,但对胰岛素的影响没有明确结论。进餐频率与血糖反应之间的关系尚无定论。夜间禁食时间和限制进食时间可能与血糖反应有关。目前的综述广泛研究了慢性营养因素与成人血糖反应之间的关系。然而,要更好地了解这种因果关系,还需要更多的前瞻性队列研究和干预研究。
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引用次数: 0
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Chronobiology International
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