Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES)
OBJECTIVES Chrono-nutrition emphasizes meal timing in preventing obesity and metabolic disorders. This study explores the impact of temporal dietary patterns (TDPs) on obesity and metabolic syndrome (MetS) in Korean adults aged 20 years to 65 years. METHODS We utilized dynamic time warping method an...
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| Format: | Article |
| Language: | English |
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Korean Society of Epidemiology
2023-09-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/epih-45-e2023087.pdf |
| _version_ | 1797305302800924672 |
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| author | Sarang Jeong Hajoung Lee Sukyoung Jung Jee Young Kim Sohyun Park |
| author_facet | Sarang Jeong Hajoung Lee Sukyoung Jung Jee Young Kim Sohyun Park |
| author_sort | Sarang Jeong |
| collection | DOAJ |
| description | OBJECTIVES Chrono-nutrition emphasizes meal timing in preventing obesity and metabolic disorders. This study explores the impact of temporal dietary patterns (TDPs) on obesity and metabolic syndrome (MetS) in Korean adults aged 20 years to 65 years. METHODS We utilized dynamic time warping method and Kernel k-means clustering to investigate diet quality and the odds ratios (ORs) of obesity and MetS with different TDPs using data from the 7th Korea National Health and Nutrition Examination Survey. RESULTS Participants were divided into three groups based on relative energy intake over 24 hours. After adjusting for age and gender, Cluster 3 (with the highest proportion of energy intake in the evening) had the lowest Healthy Eating Index scores compared to other clusters. Following adjustment for key covariates, Cluster 3 showed the highest values for body mass index, waist circumference, blood pressure, total cholesterol, and triglycerides. Compared to Cluster 1 (with a lower proportion of energy intake in the evening), Cluster 2 and Cluster 3 had ORs for obesity of 1.12 (95% confidence interval [CI], 0.97 to 1.30) and 1.19 (95% CI, 1.03 to 1.37), respectively. For MetS, the ORs were 1.26 (95% CI, 1.08 to 1.48) and 1.37 (95% CI, 1.17 to 1.61) when comparing Cluster 2 and Cluster 3 to Cluster 1. CONCLUSIONS This study reveals that individuals with higher energy intake in the evening have increased odds of obesity and MetS, even after adjusting for major covariates, including age and total energy intake. |
| first_indexed | 2024-03-08T00:23:57Z |
| format | Article |
| id | doaj.art-8649bb1e839146e6a43514a3a943c917 |
| institution | Directory Open Access Journal |
| issn | 2092-7193 |
| language | English |
| last_indexed | 2024-03-08T00:23:57Z |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj.art-8649bb1e839146e6a43514a3a943c9172024-02-16T01:04:25ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932023-09-014510.4178/epih.e20230871450Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES)Sarang Jeong0Hajoung Lee1Sukyoung Jung2Jee Young Kim3Sohyun Park4 The Korean Institute of Nutrition, Hallym University, Chuncheon, Korea EyeLight Data Science Laboratory, Seoul National University College of Medicine, Seoul, Korea Chungnam National University Hospital Biomedical Research Institute, Daejeon, Korea National Food Safety Information Service, Seoul, Korea The Korean Institute of Nutrition, Hallym University, Chuncheon, KoreaOBJECTIVES Chrono-nutrition emphasizes meal timing in preventing obesity and metabolic disorders. This study explores the impact of temporal dietary patterns (TDPs) on obesity and metabolic syndrome (MetS) in Korean adults aged 20 years to 65 years. METHODS We utilized dynamic time warping method and Kernel k-means clustering to investigate diet quality and the odds ratios (ORs) of obesity and MetS with different TDPs using data from the 7th Korea National Health and Nutrition Examination Survey. RESULTS Participants were divided into three groups based on relative energy intake over 24 hours. After adjusting for age and gender, Cluster 3 (with the highest proportion of energy intake in the evening) had the lowest Healthy Eating Index scores compared to other clusters. Following adjustment for key covariates, Cluster 3 showed the highest values for body mass index, waist circumference, blood pressure, total cholesterol, and triglycerides. Compared to Cluster 1 (with a lower proportion of energy intake in the evening), Cluster 2 and Cluster 3 had ORs for obesity of 1.12 (95% confidence interval [CI], 0.97 to 1.30) and 1.19 (95% CI, 1.03 to 1.37), respectively. For MetS, the ORs were 1.26 (95% CI, 1.08 to 1.48) and 1.37 (95% CI, 1.17 to 1.61) when comparing Cluster 2 and Cluster 3 to Cluster 1. CONCLUSIONS This study reveals that individuals with higher energy intake in the evening have increased odds of obesity and MetS, even after adjusting for major covariates, including age and total energy intake.http://www.e-epih.org/upload/epih-45-e2023087.pdfmeal timescircadian rhythmeating behaviormetabolic syndromeobesity |
| spellingShingle | Sarang Jeong Hajoung Lee Sukyoung Jung Jee Young Kim Sohyun Park Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES) Epidemiology and Health meal times circadian rhythm eating behavior metabolic syndrome obesity |
| title | Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES) |
| title_full | Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES) |
| title_fullStr | Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES) |
| title_full_unstemmed | Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES) |
| title_short | Higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome: findings from the 2016-2018 Korea National Health and Nutrition Examination Survey (7th KNHANES) |
| title_sort | higher energy consumption in the evening is associated with increased odds of obesity and metabolic syndrome findings from the 2016 2018 korea national health and nutrition examination survey 7th knhanes |
| topic | meal times circadian rhythm eating behavior metabolic syndrome obesity |
| url | http://www.e-epih.org/upload/epih-45-e2023087.pdf |
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