Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil

Chronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study...

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Main Authors: Juliana C. Reis-Canaan, Marcelo M. Canaan, Patrícia D. Costa, Tamires P. Rodrigues-Juliatte, Michel C. A. Pereira, Paula M. Castelo, Vanessa Pardi, Ramiro M. Murata, Luciano J. Pereira
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/7/2260
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author Juliana C. Reis-Canaan
Marcelo M. Canaan
Patrícia D. Costa
Tamires P. Rodrigues-Juliatte
Michel C. A. Pereira
Paula M. Castelo
Vanessa Pardi
Ramiro M. Murata
Luciano J. Pereira
author_facet Juliana C. Reis-Canaan
Marcelo M. Canaan
Patrícia D. Costa
Tamires P. Rodrigues-Juliatte
Michel C. A. Pereira
Paula M. Castelo
Vanessa Pardi
Ramiro M. Murata
Luciano J. Pereira
author_sort Juliana C. Reis-Canaan
collection DOAJ
description Chronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study was to evaluate the relationship between CT and clinical, sociobehavioral and nutritional aspects in adults assisted by a PHS in Brazil. This is a population-based cross-sectional study. The sample consisted of 380 individuals, selected through probabilistic sampling by clusters, in all health units in a city of approximately 100 thousand inhabitants. Data collection was performed during home visits, by means of general and nutritional interviews, anthropometric measurements and the Morningness–Eveningness Questionnaire (MEQ). Statistical analysis comprised chi-square test and principal component analysis (CPA) followed by Fisher’s discriminant analysis to determine aspects associated with each CT (morning, evening or intermediate). With the aim of explaining the variation in the CT scores, the consumption of micronutrients (corrected to the total energy intake) and other individual and sociodemographic variables were used as explanatory factors in the adjustment of a linear regression model. The morning group was characterized by older men, with less than eight years of schooling, with low body mass index (BMI) and with low intake of omega-6, omega-3, sodium, zinc, thiamine, pyridoxine and niacin. The evening group, on the other hand, was composed of younger individuals, with a high consumption of these same nutrients, with high BMI and a higher frequency of heart diseases (<i>p</i> < 0.05). It was concluded that most morning CT individuals were elderly thin males with lower consumption of omega-6 and -3, sodium, zinc, thiamine, pyridoxine and niacin, whereas evening individuals were younger, had higher BMI and had higher consumption of the studied micronutrients. The identification of circadian and behavioral risk groups can help to provide preventive and multidisciplinary health promotion measures.
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spelling doaj.art-cc455f4630494affa4edf36f9c457ab62023-11-22T02:22:22ZengMDPI AGNutrients2072-66432021-06-01137226010.3390/nu13072260Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in BrazilJuliana C. Reis-Canaan0Marcelo M. Canaan1Patrícia D. Costa2Tamires P. Rodrigues-Juliatte3Michel C. A. Pereira4Paula M. Castelo5Vanessa Pardi6Ramiro M. Murata7Luciano J. Pereira8Health Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, BrazilHealth Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, BrazilHealth Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, BrazilHealth Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, BrazilHealth Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, BrazilDepartment of Pharmaceutical Sciences, Universidade Federal de São Paulo (UNIFESP), Diadema 09913-030, SP, BrazilDepartment of Foundational Sciences, School of Dental Medicine, East Carolina University (ECU), Greenville, NC 27834, USADepartment of Foundational Sciences, School of Dental Medicine, East Carolina University (ECU), Greenville, NC 27834, USAHealth Sciences Faculty, Universidade Federal de Lavras (UFLA), Lavras 37200-900, MG, BrazilChronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study was to evaluate the relationship between CT and clinical, sociobehavioral and nutritional aspects in adults assisted by a PHS in Brazil. This is a population-based cross-sectional study. The sample consisted of 380 individuals, selected through probabilistic sampling by clusters, in all health units in a city of approximately 100 thousand inhabitants. Data collection was performed during home visits, by means of general and nutritional interviews, anthropometric measurements and the Morningness–Eveningness Questionnaire (MEQ). Statistical analysis comprised chi-square test and principal component analysis (CPA) followed by Fisher’s discriminant analysis to determine aspects associated with each CT (morning, evening or intermediate). With the aim of explaining the variation in the CT scores, the consumption of micronutrients (corrected to the total energy intake) and other individual and sociodemographic variables were used as explanatory factors in the adjustment of a linear regression model. The morning group was characterized by older men, with less than eight years of schooling, with low body mass index (BMI) and with low intake of omega-6, omega-3, sodium, zinc, thiamine, pyridoxine and niacin. The evening group, on the other hand, was composed of younger individuals, with a high consumption of these same nutrients, with high BMI and a higher frequency of heart diseases (<i>p</i> < 0.05). It was concluded that most morning CT individuals were elderly thin males with lower consumption of omega-6 and -3, sodium, zinc, thiamine, pyridoxine and niacin, whereas evening individuals were younger, had higher BMI and had higher consumption of the studied micronutrients. The identification of circadian and behavioral risk groups can help to provide preventive and multidisciplinary health promotion measures.https://www.mdpi.com/2072-6643/13/7/2260dietcircadian rhythmheart diseasemicronutrients
spellingShingle Juliana C. Reis-Canaan
Marcelo M. Canaan
Patrícia D. Costa
Tamires P. Rodrigues-Juliatte
Michel C. A. Pereira
Paula M. Castelo
Vanessa Pardi
Ramiro M. Murata
Luciano J. Pereira
Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
Nutrients
diet
circadian rhythm
heart disease
micronutrients
title Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
title_full Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
title_fullStr Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
title_full_unstemmed Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
title_short Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil
title_sort association between chronotype and nutritional clinical and sociobehavioral characteristics of adults assisted by a public health care system in brazil
topic diet
circadian rhythm
heart disease
micronutrients
url https://www.mdpi.com/2072-6643/13/7/2260
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