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Published on: November 11, 2016
Circadian misalignment increases 24-hour acylated ghrelin in chronic shift workers: a randomized crossover trial
Jingyi Qian1,2, Christopher J Morris1,2, Rosanna Caputo1,3
1Medical Chronobiology Program, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Circadian misalignment in chronic shift workers increases hunger hormone levels and feelings of hunger. This disruption in the body
Area of Science:
- Chronobiology
- Metabolic Health
- Occupational Health
Background:
- Shift work is associated with circadian misalignment and increased obesity risk.
- Previous studies in non-shift workers suggest circadian misalignment disrupts energy balance.
- The impact of circadian misalignment in chronic shift workers remains under-investigated.
Purpose of the Study:
- To examine the effects of circadian misalignment on energy balance regulation in chronic shift workers.
- To investigate hormonal and subjective appetite responses to circadian misalignment.
Main Methods:
- A randomized crossover study involving seven healthy chronic night shift workers.
- Two 3-day laboratory protocols: night work (circadian misalignment) and day work (circadian alignment).
- Controlled dietary intake and measured hormonal levels, appetite, energy expenditure, and activity.
Main Results:
- Circadian misalignment significantly increased 24-hour acylated ghrelin levels by ~17% (p=0.009).
- Hunger at breakfast increased by ~14% during circadian misalignment (p=0.04).
- No significant changes in energy expenditure or respiratory exchange ratio were observed.
- Unexpectedly, 24-hour behavioral activity increased by ~38% (p<0.0001) despite increased sleepiness.
Conclusions:
- Circadian misalignment acutely increases acylated ghrelin and hunger in chronic shift workers, independent of diet.
- These findings suggest a potential mechanism linking circadian misalignment to obesity in shift workers.
- Further research is needed to determine the long-term contribution of these effects to obesity risk.
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