Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey

Abstract Objective To investigate the association of timing, frequency, and food quality of night eating with all-cause, cancer, and diabetes mortality. Methods This study included 41,744 participants from the US National Health and Nutrition Examination Survey (2002–2018). Night eating information...

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Main Authors: Peng Wang, Qilong Tan, Yaxuan Zhao, Jingwen Zhao, Yuzhu Zhang, Dan Shi
Format: Article
Language:English
Published: Nature Publishing Group 2024-02-01
Series:Nutrition & Diabetes
Online Access:https://doi.org/10.1038/s41387-024-00266-6
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author Peng Wang
Qilong Tan
Yaxuan Zhao
Jingwen Zhao
Yuzhu Zhang
Dan Shi
author_facet Peng Wang
Qilong Tan
Yaxuan Zhao
Jingwen Zhao
Yuzhu Zhang
Dan Shi
author_sort Peng Wang
collection DOAJ
description Abstract Objective To investigate the association of timing, frequency, and food quality of night eating with all-cause, cancer, and diabetes mortality. Methods This study included 41,744 participants from the US National Health and Nutrition Examination Survey (2002–2018). Night eating information was collected by 24-h dietary recall and the exposures were timing, frequency, and food quality of night eating. Food quality was assessed by latent class analysis. The outcomes were all-cause, cancer, and diabetes mortality, which were identified by the National Death Index and the International Classification of Diseases 10th Revision. Adjusted hazard ratios [aHR] with 95% confidence intervals [CI] were computed by Cox regression. Results During a median follow-up of 8.7 years, 6066 deaths were documented, including 1381 from cancer and 206 from diabetes. Compared with no night eating (eating before 22:00), the later timing of night eating was associated with higher risk of all-cause and diabetes mortality (each P-trend <0.05) rather than cancer mortality, with the highest risk of eating being 00:00–1:00 (aHR 1.38, 95% CI 1.02–1.88) and being 23:00–00:00 (aHR 2.31, 95% CI 1.21–4.40), respectively. However, the increased risks were not observed for 22:00-23:00. Likewise, one time or over frequency of night eating was associated with higher all-cause and diabetes mortality (each P < 0.05). That risks were further observed in high-dietary-energy-density group of night eating (all-cause mortality: aHR 1.21 [95% CI 1.06–1.38]; diabetes mortality: aHR 1.97 [95% CI 1.13–3.45]), but not in low-dietary-energy-density group. Finally, correlation analysis found positive associations of night eating with glycohemoglobin, fasting glucose, and OGTT. Conclusions Night eating was associated with increased all-cause, cancer and diabetes mortality; however, reduction of excess mortality risk was observed when eating before 23:00 or low-dietary-energy-density foods.
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spelling doaj.art-15370f2a1ab84a54a8dd45474874fedc2024-03-05T20:46:23ZengNature Publishing GroupNutrition & Diabetes2044-40522024-02-0114111210.1038/s41387-024-00266-6Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination surveyPeng Wang0Qilong Tan1Yaxuan Zhao2Jingwen Zhao3Yuzhu Zhang4Dan Shi5Department of Nutrition and Food Hygiene, School of Public Health, Chongqing Medical UniversityDepartment of Epidemiology and Biostatistics, School of Public Health, Zhejiang University School of MedicineDepartment of Nutrition and Food Hygiene, School of Public Health, Chongqing Medical UniversityDepartment of Nutrition and Food Hygiene, School of Public Health, Chongqing Medical UniversityDepartment of Nutrition and Food Hygiene, School of Public Health, Chongqing Medical UniversityDepartment of Nutrition and Food Hygiene, School of Public Health, Chongqing Medical UniversityAbstract Objective To investigate the association of timing, frequency, and food quality of night eating with all-cause, cancer, and diabetes mortality. Methods This study included 41,744 participants from the US National Health and Nutrition Examination Survey (2002–2018). Night eating information was collected by 24-h dietary recall and the exposures were timing, frequency, and food quality of night eating. Food quality was assessed by latent class analysis. The outcomes were all-cause, cancer, and diabetes mortality, which were identified by the National Death Index and the International Classification of Diseases 10th Revision. Adjusted hazard ratios [aHR] with 95% confidence intervals [CI] were computed by Cox regression. Results During a median follow-up of 8.7 years, 6066 deaths were documented, including 1381 from cancer and 206 from diabetes. Compared with no night eating (eating before 22:00), the later timing of night eating was associated with higher risk of all-cause and diabetes mortality (each P-trend <0.05) rather than cancer mortality, with the highest risk of eating being 00:00–1:00 (aHR 1.38, 95% CI 1.02–1.88) and being 23:00–00:00 (aHR 2.31, 95% CI 1.21–4.40), respectively. However, the increased risks were not observed for 22:00-23:00. Likewise, one time or over frequency of night eating was associated with higher all-cause and diabetes mortality (each P < 0.05). That risks were further observed in high-dietary-energy-density group of night eating (all-cause mortality: aHR 1.21 [95% CI 1.06–1.38]; diabetes mortality: aHR 1.97 [95% CI 1.13–3.45]), but not in low-dietary-energy-density group. Finally, correlation analysis found positive associations of night eating with glycohemoglobin, fasting glucose, and OGTT. Conclusions Night eating was associated with increased all-cause, cancer and diabetes mortality; however, reduction of excess mortality risk was observed when eating before 23:00 or low-dietary-energy-density foods.https://doi.org/10.1038/s41387-024-00266-6
spellingShingle Peng Wang
Qilong Tan
Yaxuan Zhao
Jingwen Zhao
Yuzhu Zhang
Dan Shi
Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey
Nutrition & Diabetes
title Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey
title_full Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey
title_fullStr Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey
title_full_unstemmed Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey
title_short Night eating in timing, frequency, and food quality and risks of all-cause, cancer, and diabetes mortality: findings from national health and nutrition examination survey
title_sort night eating in timing frequency and food quality and risks of all cause cancer and diabetes mortality findings from national health and nutrition examination survey
url https://doi.org/10.1038/s41387-024-00266-6
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