Associations among chronotype and eating habits in adolescents are affected by study shift: A cross-sectional study
Raphael Corrêa Martins
Federal Center for Technological Education Celso Suckow da Fonseca, Rio de Janeiro, Brazil
Postgraduate Program in Food, Nutrition and Health (PPG-ANS), State University of Rio de Janeiro, Rio de Janeiro, Brazil
Contribution: Conceptualization, Methodology, Formal analysis, Investigation, Writing - original draft, Writing - review & editing
Search for more papers by this authorFlávia dos Santos Barbosa Brito
Department of Social Nutrition – Institute of Nutrition, State University of Rio de Janeiro, Rio de Janeiro, Brazil
Contribution: Methodology, Formal analysis, Writing - review & editing, Supervision
Search for more papers by this authorCorresponding Author
Cintia Chaves Curioni
Department of Social Nutrition – Institute of Nutrition, State University of Rio de Janeiro, Rio de Janeiro, Brazil
Correspondence
Cintia Chaves Curioni, São Francisco Xavier, 524–12° andar, Bloco E, sala 12008, Maracanã, Rio de Janeiro, RJ, 20550-170, Rio de Janeiro, Brazil.
Email: [email protected]
Contribution: Conceptualization, Methodology, Writing - review & editing, Supervision, Project administration, Funding acquisition
Search for more papers by this authorRaphael Corrêa Martins
Federal Center for Technological Education Celso Suckow da Fonseca, Rio de Janeiro, Brazil
Postgraduate Program in Food, Nutrition and Health (PPG-ANS), State University of Rio de Janeiro, Rio de Janeiro, Brazil
Contribution: Conceptualization, Methodology, Formal analysis, Investigation, Writing - original draft, Writing - review & editing
Search for more papers by this authorFlávia dos Santos Barbosa Brito
Department of Social Nutrition – Institute of Nutrition, State University of Rio de Janeiro, Rio de Janeiro, Brazil
Contribution: Methodology, Formal analysis, Writing - review & editing, Supervision
Search for more papers by this authorCorresponding Author
Cintia Chaves Curioni
Department of Social Nutrition – Institute of Nutrition, State University of Rio de Janeiro, Rio de Janeiro, Brazil
Correspondence
Cintia Chaves Curioni, São Francisco Xavier, 524–12° andar, Bloco E, sala 12008, Maracanã, Rio de Janeiro, RJ, 20550-170, Rio de Janeiro, Brazil.
Email: [email protected]
Contribution: Conceptualization, Methodology, Writing - review & editing, Supervision, Project administration, Funding acquisition
Search for more papers by this authorSummary
We investigated the influence of chronotype on eating habits among adolescents attending schools with morning (07:00 hours–12:00 hours) or afternoon (13:00 hours–18:00 hours) shifts, hypothesizing that incompatibility of study schedules may be related to dietary choices. In this cross-sectional study, 734 adolescents (aged 14–19 years) completed an online questionnaire covering eating habits, chronotype, sleep duration, social jet lag, socioeconomic data, physical activity and anthropometric measures. Odds ratios with 95% confidence intervals were estimated using adjusted logistic regression, stratified by study shift. In the morning shift, a morning chronotype was associated with higher odds of breakfast (odds ratio: 3.47; 95% confidence interval: 1.13–10.71) compared with an evening chronotype. Both morning and intermediate chronotypes were associated with higher odds of morning snack (odds ratio: 3.52; 95% confidence interval: 1.13–10.93; and odds ratio: 2.87; 95% confidence interval: 1.18–6.99) and lower odds of fast foods (odds ratio: 0.09; 95% confidence interval: 0.02–0.49; and odds ratio: 0.19; 95% confidence interval: 0.58–0.62). In the afternoon shift, a morning chronotype was associated with higher odds of breakfast (odds ratio: 5.22; 95% confidence interval: 1.85–14.72), beans (odds ratio: 3.57; 95% confidence interval: 1.19–10.74), vegetables (odds ratio: 3.52; 95% confidence interval: 1.28–9.69) and fruits (odds ratio: 4.50; 95% confidence interval: 1.55–13.07) compared with an evening chronotype. Intermediate chronotype was associated with higher odds of breakfast (odds ratio: 3.71; 95% confidence interval: 2.03–6.77), morning snacks (odds ratio: 2.45; 95% confidence interval: 1.09–5.50), vegetables (odds ratio: 1.92; 95% confidence interval: 1.03–3.58) and fruits (odds ratio: 2.50; 95% confidence interval: 1.27–4.89), and lower odds of high-energy intake post-dinner (odds ratio: 0.43; 95% confidence interval: 0.22–0.85). Adolescents with an evening chronotype had lower odds of having breakfast. Both chronotype and study shifts influenced specific food consumption habits.
CONFLICT OF INTEREST STATEMENT
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available on request from the corresponding author. The data for this study are not currently publicly available, as they are part of a larger dataset that will be used for another purpose.
Supporting Information
Filename | Description |
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jsr14434-sup-0001-TableS1.docxWord 2007 document , 17.8 KB | TABLE S1. Comparison of social jet lag, sleep duration, BMI/age, between chronotypes in the same study shift. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
REFERENCES
- Almoosawi, S., Vingeliene, S., Gachon, F., Voortman, T., Palla, L., Johnston, J. D., van Dam, R. M., Darimont, C., & Karagounis, L. G. (2019). Chronotype: Implications for epidemiologic studies on chrono-nutrition and cardiometabolic health. Advances in Nutrition, 10, 30–42. https://doi.org/10.1093/advances/nmy070
- Ancoli-Israel, S., Martin, J. L., Blackwell, T., Buenaver, L., Liu, L., Meltzer, L. J., Sadeh, A., Spira, A. P., & Taylor, D. J. (2015). The SBSM guide to actigraphy monitoring: Clinical and research applications. Behavioral Sleep Medicine, 13, S4–S38. https://doi.org/10.1080/15402002.2015.1046356
- Antypa, N., Verkuil, B., Molendijk, M., Schoevers, R., Penninx, B. W. J. H., & Van Der Does, W. (2017). Associations between chronotypes and psychological vulnerability factors of depression. Chronobiology International, 34, 1125–1135. https://doi.org/10.1080/07420528.2017.1345932
- Arora, T., & Taheri, S. (2015). Associations among late chronotype, body mass index and dietary behaviors in young adolescents. International Journal of Obesity, 39, 39–44. https://doi.org/10.1038/ijo.2014.157
- Asarnow, L. D., Greer, S. M., Walker, M. P., & Harvey, A. G. (2017). The impact of sleep improvement on food choices in adolescents with late bedtimes. The Journal of Adolescent Health, 60, 570–576. https://doi.org/10.1016/j.jadohealth.2016.11.018
- Branje, S. (2022). Adolescent identity development in context. Current Opinion in Psychology, 45, 101286. https://doi.org/10.1016/j.copsyc.2021.11.006
- Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54, 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
- Caliandro, R., Streng, A. A., van Kerkhof, L. W. M., van der Horst, G. T. J., & Chaves, I. (2021). Social jetlag and related risks for human health: A timely review. Nutrients, 13, 1–15. https://doi.org/10.3390/nu13124543
- Carvalho-Mendes, R. P., Dunster, G. P., de la Iglesia, H. O., & Menna-Barreto, L. (2020). Afternoon school start times are associated with a lack of both social jetlag and sleep deprivation in adolescents. Journal of Biological Rhythms, 35, 377–390. https://doi.org/10.1177/0748730420927603
- Challet, E. (2019). The circadian regulation of food intake. Nature Reviews. Endocrinology, 15, 393–405. https://doi.org/10.1038/s41574-019-0210-x
- Cheung, I. N., Zee, P. C., Shalman, D., Malkani, R. G., Kang, J., & Reid, K. J. (2016). Morning and evening blue-enriched light exposure alters metabolic function in normal weight adults. PLoS One, 11, e0155601. https://doi.org/10.1371/journal.pone.0155601
- da Silva, F. G. C., Pinto, T. F., de Souza, E. A., de Bruin, V. M. S., & de Bruin, P. F. C. (2020). Adaptation of the night eating questionnaire for Brazilian adolescents. Sleep Science, 13, 103–106. https://doi.org/10.5935/1984-0063.20200002
- Daly, A. N., O'Sullivan, E. J., & Kearney, J. M. (2022). Considerations for health and food choice in adolescents. The Proceedings of the Nutrition Society, 81, 75–86. https://doi.org/10.1017/S0029665121003827
- de Araújo, G. L., Lima de Araújo, G., Araújo, T. J. O., da Silveira, M. A. C., Botelho Florêncio, T. M., & Vilela, H. M. (2021). Cronotipo, Qualidade do sono e Rendimento escolar em adolescentes-uma revisão da literatura. Research, Society and Development, 10, e594101120176. https://doi.org/10.33448/rsd-v10i11.20176
10.33448/rsd-v10i11.20176 Google Scholar
- de Arruda, N. A., Steluti, J., Ferreira, F. E. L. L., Farias Junior, J. C., & Marchioni, D. M. L. (2021). Dietary patterns among adolescents and associated factors: Longitudinal study on sedentary behavior, physical activity, diet and adolescent health. Ciência & Saúde Coletiva, 26, 3839–3851. https://doi.org/10.1590/1413-81232021269.2.24922019
- Díaz-Morales, J. F., & Parra-Robledo, Z. (2021). Day-of-week mood patterns in adolescents considering chronotype, sleep length and sex. Personality and Individual Differences, 179, 110951. https://doi.org/10.1016/j.paid.2021.110951
- Diederichs, T., Perrar, I., Roßbach, S., Alexy, U., & Buyken, A. E. (2018). In adolescence a higher ‘eveningness in energy intake' is associated with higher total daily energy intake. Appetite, 128, 159–166. https://doi.org/10.1016/j.appet.2018.05.142
- Guedes, D. P., Lopes, C. C., & Guedes, J. E. R. P. (2005). Reprodutibilidade e validade do Questionário Internacional de Atividade Física em adolescentes. Revista Brasileira de Medicina do Esporte, 11, 151–158. https://doi.org/10.1590/S1517-86922005000200011
10.1590/S1517-86922005000200011 Google Scholar
- Hernandez-Leal, E., Duque-Mendez, N. D., & Cechinel, C. (2021). Unveiling educational patterns at a regional level in Colombia: Data from elementary and public high school institutions. Heliyon, 7, e08017. https://doi.org/10.1016/j.heliyon.2021.e08017
- Hill, D. C., Moss, R. H., Sykes-Muskett, B., Conner, M., & O'Connor, D. B. (2018). Stress and eating behaviors in children and adolescents: Systematic review and meta-analysis. Appetite, 123, 14–22. https://doi.org/10.1016/j.appet.2017.11.109
- IBGE. (2016). Pesquisa nacional de saúde do escolar. IBGE.
- IBGE. (2021). Pesquisa nacional de saúde do escolar. IBGE.
- Ishihara, A., Courville, A. B., & Chen, K. Y. (2023). The complex effects of light on metabolism in humans. Nutrients, 15, 1391. https://doi.org/10.3390/nu15061391
- Kivelä, L., Riese, H., Fakkel, T. G., Verkuil, B., Penninx, B. W. J. H., Lamers, F., van der Does, W., & Antypa, N. (2022). Chronotype, daily affect and social contact: An ecological momentary assessment study. Psychiatry Research, 309, 114386. https://doi.org/10.1016/j.psychres.2021.114386
- Koop, S., & Oster, H. (2022). Eat, sleep, repeat – Endocrine regulation of behavioural circadian rhythms. The FEBS Journal, 289, 6543–6558. https://doi.org/10.1111/febs.16109
- Lebacq, T., Holmberg, E., Pedroni, C., Dujeu, M., & Castetbon, K. (2022). Weekday sleep duration and morning tiredness are independent covariates of breakfast skipping in adolescents. European Journal of Clinical Nutrition, 76, 1403–1408. https://doi.org/10.1038/s41430-022-01117-2
- Li, S. X., Chan, N. Y., Man Yu, M. W., Lam, S. P., Zhang, J., Yan Chan, J. W., Li, A. M., & Wing, Y. K. (2018). Eveningness chronotype, insomnia symptoms, and emotional and behavioural problems in adolescents. Sleep Medicine, 47, 93–99. https://doi.org/10.1016/j.sleep.2018.03.025
- Lohman, T. J., Roache, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual. Medicine and Science in Sports and Exercise, 24, 184. https://doi.org/10.1249/00005768-199208000-00020
10.1249/00005768-199208000-00020 Google Scholar
- Malone, S. K., Zemel, B., Compher, C., Souders, M., Chittams, J., Thompson, A. L., & Lipman, T. H. (2016). Characteristics associated with sleep duration, chronotype, and social jet lag in adolescents. The Journal of School Nursing, 32, 120–131. https://doi.org/10.1177/1059840515603454
- Mathew, G. M., Hale, L., & Chang, A.-M. (2020). Social jetlag, eating behaviours and BMI among adolescents in the USA. The British Journal of Nutrition, 124, 979–987. https://doi.org/10.1017/S0007114520001804
- Mathew, G. M., Reichenberger, D. A., Master, L., Buxton, O. M., Hale, L., & Chang, A. M. (2022). Worse sleep health predicts less frequent breakfast consumption among adolescents in a micro-longitudinal analysis. International Journal of Behavioral Nutrition and Physical Activity, 19, 70. https://doi.org/10.1186/s12966-022-01265-5
- Mazri, F. H., Manaf, Z. A., Shahar, S., & Ludin, A. F. M. (2020). The association between chronotype and dietary pattern among adults: A scoping review. International Journal of Environmental Research and Public Health, 17, 68. https://doi.org/10.3390/ijerph17010068
- Montaruli, A., Castelli, L., Mulè, A., Scurati, R., Esposito, F., Galasso, L., & Roveda, E. (2021). Biological rhythm and chronotype: New perspectives in health. Biomolecules, 11, 1–20. https://doi.org/10.3390/biom11040487
- Mortaş, H., Ayhan, B., Navruz Varlı, S., Köse, S., Ağagündüz, D., & Bilici, S. (2023). Rise and shine for eating right: The link between healthy nutrition and chronotype among young adults. Frontiers in Nutrition, 10, 1285015. https://doi.org/10.3389/fnut.2023.1285015
- Newby, H., Marsh, A. D., Moller, A. B., Adebayo, E., Azzopardi, P. S., Carvajal, L., Fagan, L., Friedman, H. S., Ba, M. G., Hagell, A., Morgan, A., Saewyc, E., & Guthold, R. (2021). A scoping review of adolescent health indicators. The Journal of Adolescent Health, 69, 365–374. https://doi.org/10.1016/j.jadohealth.2021.04.026
- Ochoa-Avilés, A., Verstraeten, R., Huybregts, L., Andrade, S., Van Camp, J., Donoso, S., Ramírez, P. L., Lachat, C., Maes, L., & Kolsteren, P. (2017). A school-based intervention improved dietary intake outcomes and reduced waist circumference in adolescents: A cluster randomized controlled trial. Nutrition Journal, 16, 79. https://doi.org/10.1186/s12937-017-0299-5
- Perez, P. M. P., Castro, I. R. R., & Franco, A. (2022). Trajetória de mudanças das práticas alimentares de estudantes de uma universidade pública brasileira. Ciência & Saúde Coletiva, 27, 2789–2803. https://doi.org/10.1590/1413-81232022277.17312021
- Randler, C., Faßl, C., & Kalb, N. (2017). From lark to owl: Developmental changes in morningness-eveningness from new-borns to early adulthood. Scientific Reports, 7, 45874. https://doi.org/10.1038/srep45874
- Rodríguez Ferrante, G., Goldin, A. P., Sigman, M., & Leone, M. J. (2022). Chronotype at the beginning of secondary school and school timing are both associated with chronotype development during adolescence. Scientific Reports, 12, 8207. https://doi.org/10.1038/s41598-022-11928-9
- Rodríguez-Cortés, F. J., Morales-Cané, I., Rodríguez-Muñoz, P. M., Cappadona, R., De Giorgi, A., Manfredini, R., Rodríguez-Borrego, M. A., Fabbian, F., & López-Soto, P. J. (2022). Individual circadian preference, eating disorders and obesity in children and adolescents: A dangerous liaison? A systematic review and a meta-analysis. Children (Basel), 9, 167. https://doi.org/10.3390/children9020167
- Roenneberg, T., Wirz-Justice, A., & Merrow, M. (2003). Life between clocks: Daily temporal patterns of human chronotypes. Journal of Biological Rhythms, 18, 80–90. https://doi.org/10.1177/0748730402239679
- Roßbach, S., Diederichs, T., Nöthlings, U., Buyken, A. E., & Alexy, U. (2018). Relevance of chronotype for eating patterns in adolescents. Chronobiology International, 35, 13–347. https://doi.org/10.1080/07420528.2017.1406493
- Streiner, D. L., Norman, G. R., & Cairney, J. (2015). Health measurement scales-a pratical guide to their development and use ( 5th ed.). Oxford University Press. https://doi.org/10.1093/med/9780199685219.001.0001
- Tasali, E., Chapotot, F., Wroblewski, K., & Schoeller, D. (2014). The effects of extended bedtimes on sleep duration and food desire in overweight young adults: A home-based intervention. Appetite, 80, 220–224. https://doi.org/10.1016/j.appet.2014.05.021
- Wang, L., Martínez Steele, E., Du, M., Pomeranz, J. L., O'Connor, L. E., Herrick, K. A., Luo, H., Zhang, X., Mozaffarian, D., & Zhang, F. F. (2021). Trends in consumption of ultraprocessed foods among US youths aged 2-19 years, 1999-2018. JAMA, 326, 519–530. https://doi.org/10.1001/jama.2021.10238
- Wheaton, A. G., Jones, S. E., Cooper, A. C., & Croft, J. B. (2018). Short sleep duration among middle school and high school students—United States, 2015. MMWR. Morbidity and Mortality Weekly Report, 67, 85–90. https://doi.org/10.15585/mmwr.mm6703a1
- Wijnant, K., Klosowska, J., Braet, C., Verbeken, S., De Henauw, S., Vanhaecke, L., & Michels, N. (2021). Stress responsiveness and emotional eating depend on youngsters' chronic stress level and overweight. Nutrients, 13, 3654. https://doi.org/10.3390/nu13103654
- Wittmann, M., Dinich, J., Merrow, M., & Roenneberg, T. (2006). Social jetlag: Misalignment of biological and social time. Chronobiology International, 23, 497–509. https://doi.org/10.1080/07420520500545979