The Relationship Between Breakfast Skipping, Chronotype, and Glycemic Control in Type 2 Diabetes

Details

• Personal Author:
  Crowley SJ ; Hood MM ; Knutson KL ; Morgan MK ; Reutrakul S ; Teodori M ; Crowley SJ ; Hood MM ; Knutson KL ; Morgan MK ; Reutrakul S ; Teodori M
• Description:
  Breakfast skipping is associated with obesity and an increased risk of type 2 diabetes. Later chronotypes, individuals who have a preference for later bed and wake times, often skip breakfast. The aim of the study was to explore the relationships among breakfast skipping, chronotype, and glycemic control in type 2 diabetes patients. We collected sleep timing and 24-h dietary recall from 194 non-shift-working type 2 diabetes patients who were being followed in outpatient clinics. Mid-sleep time on free days (MSF) was used as an indicator of chronotype. Hemoglobin A1C (HbA1C) values were obtained from medical records. Hierarchical linear regression analyses controlling for demographic, sleep, and dietary variables were computed to determine whether breakfast skipping was associated with HbA1C. Additional regression analyses were performed to test if this association was mediated by chronotype. There were 22 participants (11.3%) who self-reported missing breakfast. Breakfast skippers had significantly higher HbA1C levels, higher body mass indices (BMI), and later MSF than breakfast eaters. Breakfast skipping was significantly associated with higher HbA1C values (B=0.108, p=0.01), even after adjusting for age, sex, race, BMI, number of diabetes complications, insulin use, depressive symptoms, perceived sleep debt, and percentage of daily caloric intake at dinner. The relationship between breakfast skipping and HbA1C was partially mediated by chronotype. In summary, breakfast skipping is associated with a later chronotype. Later chronotype and breakfast skipping both contribute to poorer glycemic control, as indicated by higher HbA1C levels. Future studies are needed to confirm these findings and determine whether behavioral interventions targeting breakfast eating or sleep timing may improve glycemic control in patients with type 2 diabetes. [Description provided by NIOSH]
• Subjects:
  Blood Circadian Rhythm Energy Metabolism Hematologic Diseases Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders
• Keywords:
  Author Keywords: Breakfast Skipping Blood Sugar Disorders Chronotype Circadian Circadian Rhythms Diabetes Dietary Effects Glycemic Control Hormone Activity Metabolic Effects Sleep Deprivation Sleep Disorders Sociological Factors

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• ISSN:
  0742-0528
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  64-71
• Volume:
  31
• Issue:
  1
• NIOSHTIC Number:
  nn:20052742
• Citation:
  Chronobiol Int 2014 Jan; 31(1):64-71
• Contact Point Address:
  Sirimon Reutrakul, MD, Division of Endocrinology and Metabolism, Ramathibodi Hospital, Mahidol University, Rama VI Rd, Ratchathewi, Bangkok 10400, Thailand
• Email:
  sreutrak10800@gmail.com
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of Chicago
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  Chronobiology International
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:eacede6974bded81de00f5ecc4392bea5ab7b542ae1fffd5106f7280807cdf707456db2bfdc3e5ca08f95e6abc2696f71d5001eee02e1259e009fa325eb9b277
• Download URL:
  https://stacks.cdc.gov/view/cdc/212220/cdc_212220_DS1.pdf
• File Type:
  [PDF - 175.35 KB ]