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Association of the timing of evening eating with BMI Z-score and waist-to-height ratio among preschool-aged children in Finland
Folkhalsan Res Ctr, Topeliuksenkatu 20, Helsinki 00250, Finland..ORCID iD: 0009-0001-9282-364X
Folkhalsan Res Ctr, Topeliuksenkatu 20, Helsinki 00250, Finland..
Univ Helsinki, Dept Food & Nutr, Helsinki, Finland..
Univ Helsinki, Fac Med, Helsinki, Finland.;Finnish Inst Hlth & Welf, Dept Publ Hlth & Welf, Helsinki, Finland.;Orton Orthoped Hosp, Helsinki, Finland..ORCID iD: 0000-0002-1222-6678
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2024 (English)In: British Journal of Nutrition, ISSN 0007-1145, E-ISSN 1475-2662, Vol. 131, no 5, p. 911-920Article in journal (Refereed) Published
Abstract [en]

Later timing of eating has been associated with higher adiposity among adults and children in several studies, but not all. Moreover, studies in younger children are scarce. Hence, this study investigated the associations of the timing of evening eating with BMI Z-score and waist-to-height ratio (WHtR), and whether these associations were moderated by chronotype among 627 preschoolers (3-6-year-olds) from the cross-sectional DAGIS survey in Finland. Food intake was measured with 3-d food records, and sleep was measured with hip-worn actigraphy. Three variables were formed to describe the timing of evening eating: (1) clock time of the last eating occasion (EO); (2) time between the last EO and sleep onset; and (3) percentage of total daily energy intake (%TDEI) consumed 2 h before sleep onset or later. Chronotype was assessed as a sleep debt-corrected midpoint of sleep on the weekend (actigraphy data). The data were analysed with adjusted linear mixed effects models. After adjusting for several confounders, the last EO occurring closer to sleep onset (estimate = -0 center dot 006, 95 % CI (-0 center dot 010, -0 center dot 001)) and higher %TDEI consumed before sleep onset (estimate = 0 center dot 0004, 95 % CI (0 center dot 00003, 0 center dot 0007)) were associated with higher WHtR. No associations with BMI Z-score were found after adjustments. Clock time of the last EO was not significantly associated with the outcomes, and no interactions with chronotype emerged. The results highlight the importance of studying the timing of eating relative to sleep timing instead of only as clock time.

Place, publisher, year, edition, pages
Cambridge University Press, 2024. Vol. 131, no 5, p. 911-920
Keywords [en]
Late eating, Chrononutrition, Overweight, Obesity, Meal timing
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:uu:diva-531475DOI: 10.1017/S0007114523002350ISI: 001113537300001PubMedID: 37905570OAI: oai:DiVA.org:uu-531475DiVA, id: diva2:1874365
Available from: 2024-06-20 Created: 2024-06-20 Last updated: 2025-02-11Bibliographically approved

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Roos, Eva

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Rahkola, JennaMerikanto, IlonaVepsalainen, HennaRoos, EvaErkkola, Maijaliisa
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