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Eating during the biological night is associated with nausea
Kirsi-Marja Zitting1, Cheryl M Isherwood1, Robin K Yuan1
1Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital and Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts, USA.
Nausea is more common during the biological night and early morning. Meal timing may help manage nausea for shift workers experiencing these circadian-related symptoms.
Area of Science:
- Chronobiology
- Human Physiology
- Gastroenterology
Background:
- Circadian rhythms influence various physiological processes, including appetite and gastrointestinal function.
- Understanding the temporal patterns of subjective experiences like nausea is crucial for optimizing human health and performance.
- Previous research has explored circadian influences on bodily sensations, but specific timing of nausea requires further investigation.
Purpose of the Study:
- To determine if nausea reports exhibit a time-of-day effect.
- To investigate the relationship between circadian phase and the occurrence of nausea.
- To identify specific periods when nausea is more prevalent.
Main Methods:
- Nausea ratings were collected using visual analog scales in 34 participants during forced desynchrony studies with varied meal schedules.
- Subjective nausea reports were gathered from 81 participants in constant routine studies with hourly isocaloric snacks.
- Data were analyzed to identify patterns in nausea occurrence relative to circadian phase and time of day.
Main Results:
- Nausea intensity and frequency varied significantly with circadian phase in forced desynchrony studies, peaking during the biological night.
- In constant routine studies, 27% of participants reported nausea, typically starting several hours after their usual sleep midpoint.
- Nausea onset was notably absent during evening hours (4-9 PM) in the constant routine protocol.
Conclusions:
- Nausea is predominantly experienced during the biological night and early morning hours.
- Findings are particularly relevant for individuals working overnight or early morning shifts.
- Strategic meal timing may serve as a viable method to mitigate nausea during these vulnerable circadian phases.
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