Night Eating Among Latinos With Diabetes: Exploring Associations With Heart Rate Variability, Eating Patterns, and Sleep

Overview

Journal J Nutr Educ Behav

Publisher Elsevier

Date 2022 May 9

PMID 35534102

Authors

Angela Bermudez-Millan

Rafael Perez-Escamilla

Rachel Lampert

Richard Feinn

Grace Damio

Sofia Segura-Perez

Jyoti Chhabra

Karin Kanc

Julie Ann Wagner

Affiliations

Soon will be listed here.

Abstract

Objectives: We explored associations between night eating and health outcomes in Latinos with type 2 diabetes.

Methods: Participants (n = 85) completed surveys, were measured for anthropometrics, provided blood samples, and wore Holter monitors for 24 hours to assess heart rate variability.

Results: Participant mean age was 60.0 years, hemoglobin A1c was 8.7%, most preferred Spanish (92%), and had less than a high school education (76%). Compared with their counterparts who denied night eating, night eaters had lower heart rate variability in the low (Cohen's d = -0.55; P = 0.04) and very-low-frequency bands (d = -0.54, P = 0.05), and reported more emotional eating (d = 0.52, P = 0.04), and poorer sleep quality (Cohen's h = 0.64). They did not differ on beverage intake or depressive symptoms. In regression that included depressive symptoms, associations between night eating and outcomes became nonsignificant.

Conclusions And Implications: Night eaters demonstrated worse health outcomes. If results are replicated, nutrition education for this population might focus on night eating.

Citing Articles

Maternal pregnancy diet quality, night eating, and offspring metabolic health: the GUSTO study.

Chen L, Loy S, Thway Tint M, Michael N, Ong Y, Toh J Pediatr Res. 2024; .

PMID: 39300274 DOI: 10.1038/s41390-024-03574-w.

Circadian clock and temporal meal pattern.

Li X, Sun Z Med Rev (2021). 2023; 3(1):85-101.

PMID: 37724110 PMC: 10471112. DOI: 10.1515/mr-2022-0021.

References

. 5. Lifestyle Management: . Diabetes Care. 2018; 42(Suppl 1):S46-S60. DOI: 10.2337/dc19-S005. View

. Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Circulation. 1996; 93(5):1043-65. View

Benichou T, Pereira B, Mermillod M, Tauveron I, Pfabigan D, Maqdasy S . Heart rate variability in type 2 diabetes mellitus: A systematic review and meta-analysis. PLoS One. 2018; 13(4):e0195166. PMC: 5880391. DOI: 10.1371/journal.pone.0195166. View

Snoek F, Pouwer F, Welch G, Polonsky W . Diabetes-related emotional distress in Dutch and U.S. diabetic patients: cross-cultural validity of the problem areas in diabetes scale. Diabetes Care. 2000; 23(9):1305-9. DOI: 10.2337/diacare.23.9.1305. View

Tsuji H, Venditti Jr F, Manders E, Evans J, Larson M, Feldman C . Reduced heart rate variability and mortality risk in an elderly cohort. The Framingham Heart Study. Circulation. 1994; 90(2):878-83. DOI: 10.1161/01.cir.90.2.878. View

Bot M, Brouwer I, Roca M, Kohls E, Penninx B, Watkins E . Effect of Multinutrient Supplementation and Food-Related Behavioral Activation Therapy on Prevention of Major Depressive Disorder Among Overweight or Obese Adults With Subsyndromal Depressive Symptoms: The MooDFOOD Randomized Clinical Trial. JAMA. 2019; 321(9):858-868. PMC: 6439597. DOI: 10.1001/jama.2019.0556. View

Cahill J, Freeland-Graves J, Shah B, Lu H, Klohe-Lehman D . Development and validation of the eating stimulus index in low-income, minority women in early postpartum. J Am Diet Assoc. 2009; 109(9):1593-8. DOI: 10.1016/j.jada.2009.06.364. View

Morse S, Ciechanowski P, Katon W, Hirsch I . Isn't this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes. Diabetes Care. 2006; 29(8):1800-4. DOI: 10.2337/dc06-0315. View

Koch C, Wilhelm M, Salzmann S, Rief W, Euteneuer F . A meta-analysis of heart rate variability in major depression. Psychol Med. 2019; 49(12):1948-1957. DOI: 10.1017/S0033291719001351. View

10.

Allison K, Lundgren J, OReardon J, Martino N, Sarwer D, Wadden T . The Night Eating Questionnaire (NEQ): psychometric properties of a measure of severity of the Night Eating Syndrome. Eat Behav. 2008; 9(1):62-72. DOI: 10.1016/j.eatbeh.2007.03.007. View

11.

Mirghani H . The Effect of Breakfast Skipping and Late Night Eating on Body Mass Index and Glycemic Control Among Patients With Type 2 Diabetes Mellitus. Cureus. 2021; 13(6):e15853. PMC: 8299536. DOI: 10.7759/cureus.15853. View

12.

Kollannoor-Samuel G, Segura-Perez S, Shebl F, Hawley N, Damio G, Chhabra J . Nutrition Facts Panel use is associated with diet quality and dietary patterns among Latinos with type 2 diabetes. Public Health Nutr. 2017; 20(16):2909-2919. PMC: 7050628. DOI: 10.1017/S1368980017001860. View

13.

Cheng Y, Kanaya A, Araneta M, Saydah S, Kahn H, Gregg E . Prevalence of Diabetes by Race and Ethnicity in the United States, 2011-2016. JAMA. 2019; 322(24):2389-2398. PMC: 6990660. DOI: 10.1001/jama.2019.19365. View

14.

Wagner J, Bermudez-Millan A, Damio G, Segura-Perez S, Chhabra J, Vergara C . Community health workers assisting Latinos manage stress and diabetes (CALMS-D): rationale, intervention design, implementation, and process outcomes. Transl Behav Med. 2015; 5(4):415-24. PMC: 4656228. DOI: 10.1007/s13142-015-0332-1. View

15.

Tomfohr L, Schweizer C, Dimsdale J, Loredo J . Psychometric characteristics of the Pittsburgh Sleep Quality Index in English speaking non-Hispanic whites and English and Spanish speaking Hispanics of Mexican descent. J Clin Sleep Med. 2013; 9(1):61-6. PMC: 3525990. DOI: 10.5664/jcsm.2342. View

16.

Akselrod S, Gordon D, Ubel F, Shannon D, Berger A, Cohen R . Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science. 1981; 213(4504):220-2. DOI: 10.1126/science.6166045. View

17.

St-Onge M, Ard J, Baskin M, Chiuve S, Johnson H, Kris-Etherton P . Meal Timing and Frequency: Implications for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association. Circulation. 2017; 135(9):e96-e121. PMC: 8532518. DOI: 10.1161/CIR.0000000000000476. View

18.

Merz E, Malcarne V, Roesch S, Riley N, Sadler G . A multigroup confirmatory factor analysis of the Patient Health Questionnaire-9 among English- and Spanish-speaking Latinas. Cultur Divers Ethnic Minor Psychol. 2011; 17(3):309-316. PMC: 4210271. DOI: 10.1037/a0023883. View

19.

BIGGER Jr J, Fleiss J, Steinman R, Rolnitzky L, Kleiger R, Rottman J . Frequency domain measures of heart period variability and mortality after myocardial infarction. Circulation. 1992; 85(1):164-71. DOI: 10.1161/01.cir.85.1.164. View

20.

Konttinen H . Emotional eating and obesity in adults: the role of depression, sleep and genes. Proc Nutr Soc. 2020; 79(3):283-289. DOI: 10.1017/S0029665120000166. View