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Altered postprandial hormone and metabolic responses in a simulated shift work environment
Open accessAbstract
The circadian rhythms of most night shift workers do not adapt fully to the imposed behavioural schedule, and this factor is considered to be responsible for many of the reported health problems. One way in which such disturbances might be mediated is through inappropriate hormonal and metabolic responses to meals, on the night shift. Twelve healthy subjects (four males and eight females) were studied on three occasions at the same clock time (1330 h), but at different body clock times, after consuming test meals, first in their normal environment, secondly after a forced 9 h phase advance (body clock time approximately 2230 h) and then again 2 days later in the normal environment. They were given a low-fat pre-meal at 0800 h, then a test meal at 1330 h with blood sampling for the following 9 h. Parameters measured included plasma glucose, non-esterified fatty acids (NEFAs), triacylglycerol (TAG), insulin, C-peptide, proinsulin and glucose-dependent insulinotropic polypeptide, and urinary 6-sulphatoxymelatonin. In contrast with a previous study with a high-fat pre-meal, postprandial glucose and insulin responses were not affected by the phase shift. However, basal plasma NEFAs were lower immediately after the phase shift (P < 0.05). Incremental (difference from basal) TAG responses were significantly higher (P < 0.05) immediately after the phase shift compared with before. Two-day post-phase shift responses showed partial reversion to baseline values. This study suggests that it takes at least 2 days to adapt to eating meals on a simulated night shift, and that the nutritional content of the pre-meals consumed can have a marked effect on postprandial responses during a simulated phase shift. Such findings may provide a partial explanation for the increased occurrence of cardiovascular disease reported in shift workers.
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“A 9-h phase advance of the circadian timing system—a simulation of shift work—increased the glucose and insulin response to a test meal given at the same clock time when the test meal was preceded by a high-fat but not low-fat meal (Hampton et al., 1996; Ribeiro et al., 1998).”
From The impact of the circadian timing system on cardiovascular and metabolic function (2012) · cites this paper as Ribeiro et al., 1998
In the citing paper
“Moreover, a 9-h phase advance only had a detrimental effect on the average triglyceride response to a test meal when the pretest meal is a low- rather than high-fat meal (Hampton et al., 1996; Ribeiro et al., 1998).”
From The impact of the circadian timing system on cardiovascular and metabolic function (2012) · cites this paper as Ribeiro et al., 1998
In the citing paper
“The glucose and insulin, but not triglyceride, postprandial responses normalize 2 days after ceasing night work, indicating that some—but not all—of the adverse metabolic and hormonal effects of night work quickly subside after short-term exposure (Lund et al., 2001; Ribeiro et al., 1998).”
From The impact of the circadian timing system on cardiovascular and metabolic function (2012) · cites this paper as Ribeiro et al., 1998
In the citing paper
“The glucose and insulin, but not triglyceride, postprandial responses normalize 2 days after ceasing night work, indicating that some—but not all—of the adverse metabolic and hormonal effects of night work quickly subside after short-term exposure (Lund et al., 2001; Ribeiro et al., 1998).”
From The impact of the circadian timing system on cardiovascular and metabolic function (2012) · cites this paper as Ribeiro et al., 1998
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Adverse metabolic and cardiovascular consequences of circadian misalignment
Scheer, F. A. J. L., Hilton, M. F., Mantzoros, C. S., & Shea, S. A. (2009) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0808180106 · Cited by 2,351
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Metadata
- Authors
- Ribeiro, D., Hampton, S., Morgan, L., Deacon, S., & Arendt, J.
- Affiliations
- University of Surrey (GB)
- Venue
- Journal of Endocrinology
- Publisher
- Bioscientifica
- Published
- 1998-09-01
- Volume
- 158
- Issue
- 3
- Pages
- 305-310
- ISSN
- 0022-0795 (ISSN-L)
- 1479-6805
- OpenAlex
- W2072841332
- Cited by
- 155
- References
- 31
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 3 · 2020: 9 · 2019: 7 · 2018: 3 · 2017: 8 · 2016: 7 · 2015: 8 · 2014: 4 · 2013: 12 · 2012: 8
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- British Heart Foundation
- Medical Research Council
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Physiology (medical) › Dietary Effects on Health
- Keywords
- shift work, circadian rhythm, phase advance, night shift work, postprandial blood glucose, insulin response, free fatty acids, triglycerides, 6-sulfatoxymelatonin, proinsulin, glucose-dependent insulinotropic polypeptide, cardiovascular risk
- MeSH terms
- Adult, Blood Glucose, C-Peptide, Circadian Rhythm, Dietary Fats, Eating, Fatty Acids, Nonesterified, Female, Gastric Inhibitory Polypeptide, Humans, Insulin, Male, Melatonin, Proinsulin, Triglycerides, Work Schedule Tolerance, Postprandial Period
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