Meal timing and its role in obesity and associated diseases

Front Endocrinol (Lausanne). 2024 Mar 22:15:1359772. doi: 10.3389/fendo.2024.1359772. eCollection 2024.

Abstract

Meal timing emerges as a crucial factor influencing metabolic health that can be explained by the tight interaction between the endogenous circadian clock and metabolic homeostasis. Mistimed food intake, such as delayed or nighttime consumption, leads to desynchronization of the internal circadian clock and is associated with an increased risk for obesity and associated metabolic disturbances such as type 2 diabetes and cardiovascular diseases. Conversely, meal timing aligned with cellular rhythms can optimize the performance of tissues and organs. In this review, we provide an overview of the metabolic effects of meal timing and discuss the underlying mechanisms. Additionally, we explore factors influencing meal timing, including internal determinants such as chronotype and genetics, as well as external influences like social factors, cultural aspects, and work schedules. This review could contribute to defining meal-timing-based recommendations for public health initiatives and developing guidelines for effective lifestyle modifications targeting the prevention and treatment of obesity and associated metabolic diseases. Furthermore, it sheds light on crucial factors that must be considered in the design of future food timing intervention trials.

Keywords: chrononutrition; circadian clock; meal timing; metabolic diseases; obesity; precision nutrition.

Publication types

  • Review

MeSH terms

  • Circadian Clocks*
  • Circadian Rhythm
  • Diabetes Mellitus, Type 2* / complications
  • Humans
  • Meals
  • Obesity / etiology

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The study is funded by the European Association for the Study of Diabetes (Morgagni Prize 2020, OP-R) and by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) – 491394008. Funders were not involved in preparation of study design and implementation of the study; data collection, management, data analyzation, and interpretation; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.