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Acta Psychiatr Scand. 2016 Jun;133(6):453-8. doi: 10.1111/acps.12578. Epub 2016 Apr 15.

The association between meal timing and frequency with cardiometabolic profile in patients with bipolar disorder.

Author information

1
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Abstract

OBJECTIVE:

The goal of this study was to explore the association of timing of and frequency of meals with markers of cardiometabolic risk in patients with bipolar disorder in out-patient maintenance treatment.

METHODS:

We used Pittsburgh Sleep Diary and actigraphy measures for individuals with bipolar I disorder. Linear and logistic regression analyses were used to determine whether dinnertime, instability of dinnertime, and/or interval between meals were associated with metabolic syndrome and its components.

RESULTS:

Later dinnertime was associated with greater waist circumference (β = 0.25, P = 0.02) after adjusting for age, sex, dinner-to-bed interval, and sleep duration. Longer breakfast-to-lunch intervals were also associated with greater waist circumferences (β =-.35, P = .002) after adjusting for age, sex, and sleep duration. Neither instability of dinnertime nor number of meals per day was associated with the metabolic syndrome or its components.

CONCLUSION:

Weight gain is often perceived as inevitable side-effect of medications. While patients often need to be on medication to function, a more careful lifestyle assessment with attention to social rhythms and timing of activities may be critical not only for mood stability, but also to reduce cardiovascular risk.

KEYWORDS:

bipolar disorder; meal timing; metabolic syndrome; waist circumference

PMID:
27084394
DOI:
10.1111/acps.12578
[Indexed for MEDLINE]

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