Chronodisruption and diet associated with increased cardiometabolic risk in coronary heart disease patients: the cordioprev study.

作者
Juan Luis Romero Cabrera,Marta Garaulet,José Jiménez Torres,Juan Francisco Alcalá Díaz,Gracia María Quintana Navarro,Laura Martin Piedra,J. Peña,Fernando Rodríguez Cantalejo,Oriol A. Rangel-Zuñiga,Elena M. Yubero-Serrano,Raúl M. Luque,Jose M. Ordovas,José López Miranda,Pablo Pérez Martínez,Antonio García Ríos
出处
期刊:Translational Research [Elsevier BV]
标识
DOI:10.1016/j.trsl.2021.11.001
摘要

Individuals with evening chronotypes are prone to suffer chronodisruption and display worse lifestyle habits than morning-types, exhibiting higher cardiovascular diseases (CVD). However, it is unknown whether CVD patients, who are evening chronotypes, have higher cardiometabolic risk than morning-types. This study explored whether individual chronotypes were associated with cardiometabolic risk in patients from the CORDIOPREV study (n = 857). We also investigated whether potential associations were moderated by long-term consumption of two healthy diets (Mediterranean and Low-fat diets). This population was classified into chronotypes using the Morningness-Eveningness Questionnaire. Seven-day daily rhythms in wrist temperature (T), rest-activity (A) and position (P) were recorded in a subset of patients (n = 168), and an integrative variable TAP was determined. Metabolic Syndrome (MetS) was determined at baseline, and metabolic and inflammation markers were measured at baseline and yearly during the 4 years of follow-up. Differences in several lifestyle factors were analyzed according to chronotype. At all times, evening-types had higher triglycerides, C-reactive protein and homocysteine and lower high density lipoprotein cholesterol than morning-types (P < 0.05). Evening-types had a higher prevalence of MetS (OR 1.58 IC 95% [1.10 - 2.28], P = 0.01). Moreover, they were more sedentary, displayed less and delayed physical activity and ate and slept later. In addition, evening-types had lower amplitude, greater fragmentation, lower robustness and less stable circadian pattern at TAP (P < 0.01), all related to a less healthy circadian pattern. In conclusion, evening-types with CVD had higher cardiometabolic risk and less robust circadian-related rhythms than morning-types, regardless of the nutritional intervention.
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