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Published on: August 8, 2019
Disturbances of sleep and circadian rhythms: novel risk factors for obesity
Josiane L Broussard1, Eve Van Cauter
1aSleep and Chronobiology Laboratory, Department of Integrative Physiology, University of Colorado Boulder, Boulder, ColoradobSleep, Metabolism and Health Center, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Purpose Of Review:
The purpose of this review is to summarize recent developments linking disturbances of sleep and circadian rhythms to an increased risk for obesity, and to review novel research on potential countermeasures.
Recent Findings:
Effective treatments for obesity are limited, with long-term adherence to lifestyle changes proving difficult to maintain. Identifying new preventive strategies based on modifiable risk factors is therefore imperative in the fight against obesity. Disturbances of sleep and circadian rhythms have an adverse impact on food choices, hunger and appetite, and have lifelong deleterious metabolic consequences when they occur during childhood and early adulthood. The upregulation of the endocannabinoid system and abnormalities in the temporal distribution of caloric intake were recently implicated in the link between sleep loss and obesity risk. In addition, alterations in circadian variation in the composition and functionality of the gut microbiome have been identified as potential contributors to metabolic dysfunction during jet lag and shift work. Insufficient sleep and circadian misalignment are thus new modifiable risk factors for obesity. Emerging evidence suggests that novel countermeasures, such as manipulations of the timing of food intake, may be effective strategies in the prevention of obesity.
Summary:
Four important findings are briefly reviewed: disturbances of sleep and circadian rhythms in children and young adults are risk factors for the development of lifelong obesity; circadian misalignment, as occurs in shift work, has an adverse impact on energy balance and increases the risk of weight gain; the endocannabinoid system, an important regulator of hedonic feeding, could be a potential link between sleep, circadian rhythms, and feeding behavior; and disturbances of the circadian variation in composition of the gut microbiome may be involved in the increased risk of obesity associated with insufficient sleep and circadian misalignment.
Insights
Sleep and circadian rhythm disturbances are emerging risk factors for obesity. New research highlights the endocannabinoid system and gut microbiome as key links, with timing of food intake as a potential countermeasure.
Area of Science:
- Metabolic Health
- Chronobiology
- Obesity Research
Background:
- Obesity is a complex metabolic disorder with limited effective long-term treatments.
- Identifying modifiable risk factors is crucial for obesity prevention.
- Sleep and circadian rhythm disturbances are increasingly recognized as significant contributors to metabolic dysfunction.
Purpose of the Study:
- To review recent scientific developments linking sleep and circadian rhythm disturbances to obesity risk.
- To explore novel research on potential countermeasures for obesity prevention.
- To summarize key findings on the role of the endocannabinoid system and gut microbiome in sleep-obesity links.
Main Methods:
- Literature review of recent studies on sleep, circadian rhythms, and obesity.
- Synthesis of findings on physiological mechanisms linking circadian misalignment to metabolic changes.
- Analysis of emerging research on interventions targeting sleep and circadian timing.
Main Results:
- Sleep and circadian rhythm disturbances in youth increase lifelong obesity risk.
- Circadian misalignment, e.g., from shift work, negatively impacts energy balance and promotes weight gain.
- The endocannabinoid system and gut microbiome alterations are implicated in the sleep-obesity relationship.
- Timing of caloric intake emerges as a potential strategy to prevent obesity.
Conclusions:
- Insufficient sleep and circadian misalignment are significant, modifiable risk factors for obesity.
- Understanding the interplay between sleep, circadian rhythms, feeding behavior, and the gut microbiome is vital.
- Novel strategies, including optimizing meal timing, show promise for obesity prevention.
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