Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™

Abstract Background Chronotype and chrononutrition, both are emerging research interests in nutritional epidemiology. However, its association with glycemic control in the Asia population is less clear. A better understanding of how activity/eating time can influence glucose levels in Asian prediabe...

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Main Authors: Guey Yong Chong, Satvinder Kaur, Ruzita Abd Talib, See Ling Loy, Hui Yin Tan, Sarjit Singh Harjit Singh, Rosmiza Binti Abdullah, Hanisah Binti Mahmud, Woan Yie Siah, Hui Chin Koo
Format: Article
Language:English
Published: BMC 2022-08-01
Series:BMC Primary Care
Subjects:
Online Access:https://doi.org/10.1186/s12875-022-01815-7
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author Guey Yong Chong
Satvinder Kaur
Ruzita Abd Talib
See Ling Loy
Hui Yin Tan
Sarjit Singh Harjit Singh
Rosmiza Binti Abdullah
Hanisah Binti Mahmud
Woan Yie Siah
Hui Chin Koo
author_facet Guey Yong Chong
Satvinder Kaur
Ruzita Abd Talib
See Ling Loy
Hui Yin Tan
Sarjit Singh Harjit Singh
Rosmiza Binti Abdullah
Hanisah Binti Mahmud
Woan Yie Siah
Hui Chin Koo
author_sort Guey Yong Chong
collection DOAJ
description Abstract Background Chronotype and chrononutrition, both are emerging research interests in nutritional epidemiology. However, its association with glycemic control in the Asia population is less clear. A better understanding of how activity/eating time can influence glucose levels in Asian prediabetic individuals may improve strategies for blood glucose control in Asian countries. The present paper describes the research protocol which aims to determine the associations of chronotype and chrononutrition with glucose tolerance among Malaysian prediabetic individuals. Methods This is a prospective longitudinal study named Chrono-DM™, that targets to recruit 166 newly diagnosed prediabetic individuals from the community clinics in Malacca, Malaysia. Respondents will be followed-up for 6 months: (1) baseline (1st oral glucose tolerance test (OGTT)); (2) second visit (at 3rd month); and (3) third visit (2nd OGTT at 6th month). Data collection includes sociodemographic and anthropometry measurements (weight, height, body fat, visceral fat, waist and hip circumference). Dietary intake and meal timing are collected using the 3-day dietary record while data on sleep pattern, light exposure, chronotype and chrononutrition will be collected using validated questionnaires. Physical activity will be recorded using a validated IPAQ questionnaire and pedometer during periods of using continuous glucose monitoring (CGM) sensor. CGM, fasting blood sugar (FBS), OGTT and HbA1c are performed to assess glycemic outcomes. Discussion The Chrono-DM™ study represents a novel approach to determining the association of chronotype and chrononutrition with glycemic control. We anticipate that this study will not only review the association of chronotype with glycemia measure but also provide greater insight into optimal meal time for glycemic control among prediabetic individuals in the Asian population. Trial registration NCT05163964 (Clinicaltrial.gov). Trial registration date:  20 December 2021.
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spelling doaj.art-769f056dbece4a59a77f9bd8ca0c57e62022-12-22T01:32:21ZengBMCBMC Primary Care2731-45532022-08-0123111210.1186/s12875-022-01815-7Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™Guey Yong Chong0Satvinder Kaur1Ruzita Abd Talib2See Ling Loy3Hui Yin Tan4Sarjit Singh Harjit Singh5Rosmiza Binti Abdullah6Hanisah Binti Mahmud7Woan Yie Siah8Hui Chin Koo9Faculty of Applied Sciences, Tunku Abdul Rahman University CollegeFaculty of Applied Sciences, UCSI UniversityNutritional Sciences Program, Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, The National University of MalaysiaDepartment of Reproductive Medicine, KK Women’s and Children’s HospitalFaculty of Applied Sciences, Tunku Abdul Rahman University CollegeHospital SerdangKlinik Kesihatan Batu Berendam, Pejabat Kesihatan Daerah Melaka TengahKlinik Kesihatan Batu Berendam, Pejabat Kesihatan Daerah Melaka TengahKlinik Kesihatan Batu Berendam, Pejabat Kesihatan Daerah Melaka TengahFaculty of Applied Sciences, Tunku Abdul Rahman University CollegeAbstract Background Chronotype and chrononutrition, both are emerging research interests in nutritional epidemiology. However, its association with glycemic control in the Asia population is less clear. A better understanding of how activity/eating time can influence glucose levels in Asian prediabetic individuals may improve strategies for blood glucose control in Asian countries. The present paper describes the research protocol which aims to determine the associations of chronotype and chrononutrition with glucose tolerance among Malaysian prediabetic individuals. Methods This is a prospective longitudinal study named Chrono-DM™, that targets to recruit 166 newly diagnosed prediabetic individuals from the community clinics in Malacca, Malaysia. Respondents will be followed-up for 6 months: (1) baseline (1st oral glucose tolerance test (OGTT)); (2) second visit (at 3rd month); and (3) third visit (2nd OGTT at 6th month). Data collection includes sociodemographic and anthropometry measurements (weight, height, body fat, visceral fat, waist and hip circumference). Dietary intake and meal timing are collected using the 3-day dietary record while data on sleep pattern, light exposure, chronotype and chrononutrition will be collected using validated questionnaires. Physical activity will be recorded using a validated IPAQ questionnaire and pedometer during periods of using continuous glucose monitoring (CGM) sensor. CGM, fasting blood sugar (FBS), OGTT and HbA1c are performed to assess glycemic outcomes. Discussion The Chrono-DM™ study represents a novel approach to determining the association of chronotype and chrononutrition with glycemic control. We anticipate that this study will not only review the association of chronotype with glycemia measure but also provide greater insight into optimal meal time for glycemic control among prediabetic individuals in the Asian population. Trial registration NCT05163964 (Clinicaltrial.gov). Trial registration date:  20 December 2021.https://doi.org/10.1186/s12875-022-01815-7ChrononutritionChronotypeGlycemic outcomesGlucose toleranceMeal timingPrediabetes
spellingShingle Guey Yong Chong
Satvinder Kaur
Ruzita Abd Talib
See Ling Loy
Hui Yin Tan
Sarjit Singh Harjit Singh
Rosmiza Binti Abdullah
Hanisah Binti Mahmud
Woan Yie Siah
Hui Chin Koo
Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™
BMC Primary Care
Chrononutrition
Chronotype
Glycemic outcomes
Glucose tolerance
Meal timing
Prediabetes
title Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™
title_full Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™
title_fullStr Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™
title_full_unstemmed Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™
title_short Chronotype, chrononutrition and glucose tolerance among prediabetic individuals: research protocol for a prospective longitudinal study Chrono-DM™
title_sort chronotype chrononutrition and glucose tolerance among prediabetic individuals research protocol for a prospective longitudinal study chrono dm™
topic Chrononutrition
Chronotype
Glycemic outcomes
Glucose tolerance
Meal timing
Prediabetes
url https://doi.org/10.1186/s12875-022-01815-7
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