Chronobiological evaluation and an intervention study on timing of food intake in the treatment of obesity.
Gamsızkan Z; Department of Family Medicine, Düzce University Medical Faculty, Duzce, Turkey.
Önmez A; Department of Internal Medicine, Düzce University Medical Faculty, Duzce, Turkey.
Sahip Karakaş T; Department of Family Medicine, Düzce University Medical Faculty, Duzce, Turkey.
International journal of clinical practice [Int J Clin Pract] 2021 Jun 12, pp. e14502. Date of Electronic Publication: 2021 Jun 12.
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Publication: 2003- : Oxford, U.K. : Wiley
Original Publication: Esher [England] ; Bronxville, N.Y. : Medicom International, c1997-
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Date Created: 20210612 Latest Revision: 20210629
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Background: The chronotype of patients who cannot reach their ideal weight despite diet and exercise may play a role in this resistance. In this study, the relationship between BMI and chronobiological preferences was examined and a weight loss programme was applied to refractory obese patients with evening type (ET).
Method: The study included 50 obese (BMI ≥ 30 kg/m 2 ), 50 overweight (BMI = 25-29 kg/m 2 ) and 50 normal weight (BMI < 25 kg/m 2 ). The patients were asked to fill out a questionnaire including questions about sociodemographic characteristics, breakfast and night eating habits, as well as the morningness-eveningness quastionnaire (MEQ). In the second stage of the study, awareness interviews were held with ET obese patients in terms of eating time and habits.
Results: A statistically significant difference was observed between the BMI averages and the MEQ scores of ET, intermediate type (IT) and morning type (MT) groups (P = .0001). There was a statistically significant difference between the ET, IT and MT groups in terms of the distribution of late-night eating habits (P = .0001). The habit of skipping breakfast and taking more calories at dinner was found to be high in the ET patients (respectively; P = .021, P < .001). According to the results of the 3-month follow-up and intervention, the ET patients lost an average of 9.07±4.30 kg and a significant decrease was observed in the BMI scores (P < .001).
Conclusions: The study results support the idea that an individualised weight loss programme according to the patient's chronotype preferences may increase the success rate of obesity treatment. A weight loss programme that includes the timing of food intake and regulation of eating habits in evening-type obese patients can be used in the treatment of obesity.
(© 2021 John Wiley & Sons Ltd.)