Cited by 248Circadian rhythm and melatoninDietary Effects on HealthSleep and related disorders

The DOI matches its Crossref record; 138 of the 139 references it cites were found in a registry or an index; 5 of the 167 sources its claims cite were checked for support.

Chronotype: Implications for Epidemiologic Studies on Chrono-Nutrition and Cardiometabolic Health

Open access

Abstract

Chrono-nutrition is an emerging research field in nutritional epidemiology that encompasses 3 dimensions of eating behavior: timing, frequency, and regularity. To date, few studies have investigated how an individual's circadian typology, i.e., one's chronotype, affects the association between chrono-nutrition and cardiometabolic health. This review sets the directions for future research by providing a narrative overview of recent epidemiologic research on chronotype, its determinants, and its association with dietary intake and cardiometabolic health. Limited research was found on the association between chronotype and dietary intake in infants, children, and older adults. Moreover, most of the evidence in adolescents and adults was restricted to cross-sectional surveys with few longitudinal cohorts simultaneously collecting data on chronotype and dietary intake. There was a gap in the research concerning the association between chronotype and the 3 dimensions of chrono-nutrition. Whether chronotype modifies the association between diet and cardiometabolic health outcomes remains to be elucidated. In conclusion, further research is required to understand the interplay between chronotype, chrono-nutrition, and cardiometabolic health outcomes.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This narrative review summarizes epidemiologic evidence on chronotype measurement, determinants, and associations with dietary intake, eating behavior, and cardiometabolic health. It concludes that evening chronotype is generally linked to less healthy dietary patterns and higher cardiometabolic risk, but causality and the role of chrono-nutrition remain unresolved.

Key findings

  • Evening chronotype was associated with lower fruit and vegetable intake and higher intake of energy drinks, alcoholic, sugary, and caffeinated beverages, and higher energy from fat. In UK Biobank, adults with a morning chronotype consumed a mean of 0.25 more servings of fruit and 0.13 more servings of vegetables/d than evening chronotypes.
  • In FINRISK 2007, evening types had 1.3-fold greater odds of arterial hypertension and 2.5-fold greater odds of type 2 diabetes than morning types. In the Korean Genome and Epidemiology Study, evening chronotype was associated with higher prevalence of diabetes and metabolic syndrome after adjustment, with diabetes in men and metabolic syndrome in women.
  • Chronotype shifts across the life course: >90% of 2-y-old children had a morning chronotype, declining to 58% by age 6 y. In 6631 Italian adolescents aged 14–18 y, eveningness was associated with later bedtime and wake-up time, shorter time in bed during the week, longer time in bed at the weekend, irregular sleep-wake schedule, and more frequent napping during school days.
  • Among 194 non–shift-working type 2 diabetes patients, 22 (11.3%) reported skipping breakfast; breakfast skippers had higher HbA1c, higher BMI, and later midpoint of sleep, and the relation between breakfast skipping and HbA1c was reported to be mediated by chronotype.

Methods

  • Narrative review/overview of recent epidemiologic research on chronotype, its measurement, nonmodifiable and modifiable determinants, and its association with dietary intake, eating behavior, and cardiometabolic health.
  • Evidence base: observational studies summarized in Tables 1 and 2, mostly cross-sectional surveys in adolescents and adults, with few longitudinal cohorts simultaneously collecting chronotype and dietary intake; populations included infants/children, adolescents, adults, older adults, and clinical groups such as type 2 diabetes.
  • Main analysis: narrative synthesis; no systematic search, meta-analysis, or formal risk-of-bias assessment is reported.

Limitations

  • The paper states that most evidence is cross-sectional, so cause and effect or temporality cannot be determined; studies were also limited by unrepresentative samples, small sample sizes, selection bias, and other observational-study biases.
  • The paper states that evidence is limited in infants, older adults, and those at risk of cardiovascular disease or type 2 diabetes; dietary assessment methods varied, with most using FFQs or 24-h recalls that either do not capture timing of consumption or do not permit assessment of day-to-day variability.
  • The paper states that no study assessed the context within which foods are consumed at different time points, and no study examined whether chronotype affects the association between diet and cardiometabolic health across life stages. It also states that the applicability of different chronotype assessment methods remains to be established, with inconsistent correlations between MCTQ or MEQ and DLMO. Evident from the text: as a narrative review, no systematic search or quality appraisal is described.

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Integrity signals

Registry

Crossref · 10.1093/advances/nmy070

Cites

138 of 138 references verified0 citation errors · 0 not checkable

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Figures

FIGURE 1 Summary of the determinants of chronotype and research framework for examining the association between chronotype, chrono-nutrition, and cardiometabolic health outcomes.
FIGURE 1 Summary of the determinants of chronotype and research framework for examining the association between chronotype, chrono-nutrition, and cardiometabolic health outcomes.CC BY-NC · PubMed Central

Verification

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107 Not checked yet · 10 No basis given · 7 Own interpretation · 6 Own method · 2 Supported so far · 2 Partly supported · accuracy not yet measured

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  • It may state two separate claims as one. 55
  • Probably not a substantial claim. 15
64 of 64
  • The paper relies on this without support.

    Chronotype is a determinant of the bimodality of sleep-awake and fasting-feeding cycles.

    “Because chronotype is a determinant of the bimodality of sleep-awake and fasting-feeding cycles, researchers hypothesized that chronotype may correlate with cerebrovascular and cardiovascular disease risk (12, 13).”
1 of 1

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Metadata

Authors
Almoosawi, S., Vingeliene, S., Gachon, F., Voortman, T., Palla, L., Johnston, J. D., Van Dam, R. M., Darimont, C., & Karagounis, L. G.
Affiliations
  • Northumbria University (GB)
  • Örebro University (SE)
  • Erasmus MC (NL)
  • London School of Hygiene & Tropical Medicine (GB)
  • University of Surrey (GB)
  • Nestlé (Switzerland) (CH)
Corresponding author
Karagounis, Leonidas G
Venue
Advances in Nutrition
Publisher
Elsevier BV
Published
2019-01
Volume
10
Issue
1
Pages
30-42
ISSN
  • 2156-5376 (ISSN-L)
  • 2161-8313
OpenAlex
W2898419548
Cited by
247
References
139
Citations by year
2026: 33 · 2025: 42 · 2024: 40 · 2023: 42 · 2022: 31 · 2021: 31 · 2020: 17 · 2019: 10
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Advances in Nutrition (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
  • Northumbria Research Link (Northumbria University) (acceptedVersion)
  • LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
  • Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by-nc)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Infoscience (Ecole Polytechnique Fédérale de Lausanne) (submittedVersion, cc-by-nc-nd)
  • RePub (Erasmus University Rotterdam) (submittedVersion)
Funders
Biotechnology and Biological Sciences Research Council (1267831, BB/I008470/1, 1309667)
Topics
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
  • Health Sciences › Medicine › Physiology (medical) › Dietary Effects on Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
chronotype, chrononutrition, circadian rhythm, dietary habits, meal timing, meal frequency, meal regularity, dietary intake, cardiometabolic health, infants and children, older adults, adolescents
MeSH terms
Adolescent, Adult, Aged, Cardiovascular Diseases, Child, Child, Preschool, Circadian Rhythm, Diet, Feeding Behavior, Female, Humans, Infant, Male, Metabolic Diseases, Middle Aged, Epidemiologic Studies, Young Adult

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