Association of night eating habits with metabolic syndrome and its components: a longitudinal study
- PMID: 30537972
- PMCID: PMC6288903
- DOI: 10.1186/s12889-018-6262-3
Association of night eating habits with metabolic syndrome and its components: a longitudinal study
Abstract
Background: Night time eating is a risk factor for metabolic syndrome and obesity. The aim of this study was to investigate whether dinner immediately before bed, snacks after dinner, or combinations of both were associated with metabolic syndrome and its components in a large Japanese cohort.
Methods: We enrolled 8153 adults aged 40-54 years who participated in specific medical checkups in an Okayama facility from 2009 to 2010 and from 2013 to 2014. Age-adjusted and multivariable-adjusted odds ratios of metabolic syndrome and its components in participants with both night eating habits for an average of 3.9 years were evaluated. The relative excess risk due to interaction (RERI) was utilized to determine the supra-additive interaction of both eating habits on metabolic syndrome and its components.
Results: The multivariable-adjusted odds ratio for obesity for those with both eating habits compared to those with neither habit was 2.11 (95% confidence interval [CI], 1.42-3.15) for men and 3.02 (95%CI, 1.72-5.29) for women. Both habits had a supra-additive interaction effect on obesity development in women (RERI, 1.67; RERI%, 85.0; p = 0.058), although this result was not significant. In women, there was an association between eating habits at night and metabolic syndrome, but in men it was unrelated. Both night eating habits were associated with dyslipidemia in men and women.
Conclusions: These findings suggest the need for intervention and awareness among individuals with night eating habits to mitigate further complications.
Keywords: Abdominal obesity; Dyslipidemia; Metabolic syndrome; Night eating; Obesity.
Conflict of interest statement
Ethics approval and consent to participate
This study protocol was approved by the ethics committee of the Okayama University (approval number: 1032) and conducted in accordance with the Declaration of Helsinki. Considering the longitudinal nature of the study and large number of participants, verbal or written consent was not obtained from all participants. The study was advertised on posters in medical examination centers for a certain period of time. Patients were asked to participate either through the website or in person. Their participation in the survey was taken as consent to participate. This protocol was approved by the ethics committee. The data were analyzed anonymously.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
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References
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- Ministry of Health, Labor and Welfare (2016) National Health and Nutrition Survey Japan, 2015. http://www.mhlw.go.jp/bunya/kenkou/eiyou/dl/h27-houkoku.pdf. Accessed 15 Jan 2018.
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