Suyoto, Perdana ST and de Rijk, Mariëlle G and de Vries, Jeanne HM and Feskens, Edith JM (2024) The Effect of Meal Glycemic Index and Meal Frequency on Glycemic Control and Variability in Female Nurses Working Night Shifts: A Two-Arm Randomized Cross-Over Trial. Journal of Nutrition, 154 (1). 69 -78. ISSN 00223166
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Abstract
Background: Night shift workers are exposed to circadian disruption, which contributes to impaired glucose tolerance. Although fasting during the night shift improves glucose homeostasis, adhering to this dietary strategy may be challenging. Objectives: This study evaluated the effect of fasting compared with the consumption of meals with different combinations of glycemic index (GI, low or high) and frequency (1 or 3 times) during the night shift on continuous glucose monitoring metrics. Methods: A 2-arm randomized cross-over trial was conducted on female nurses working night shifts. In each of those arms, the participants were either provided with no meal (fasted), low GI, or high-GI meal during the night shift with a meal frequency according to which arm they were randomly allocated to, either 1-MEAL or 3-MEAL. Outcome variables were glycemic control and variability (GC and GV) metrics during the night shift (21:30–7:00), in the morning after the night shift (07:00–13:00), and in the 24 h period (18:00–18:00). Results: Compared to no meal, the consumption of 1 high-GI meal increased all GV metrics not only during the night shifts but also in the morning, for instance, as observed in the coefficient of variation (β = 0.03 mmol/L; 95 CI: 0.01, 0.05), and GV percentage (β = 4.13; 95 CI: 2.07, 6.18). The consumption of 1 or 3 low GI meals did not raise GC or GV metrics except for continuous overall net glycemic action during the night shifts after consuming 3 low GI meals. When controlling for GI, night shift meal frequency did not affect any metrics in any timeframe. Conclusions: High meal GI but not higher meal frequency during the night shift increased GC and GV in female night shift workers. Results for 1 low-GI meal during the night shift were not different from a glucose profile after no meal. This trial was registered at trialsearch.who.int as NL8715. © 2023 The Authors
Item Type: | Article |
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Additional Information: | Cited by: 4; All Open Access, Hybrid Gold Open Access |
Uncontrolled Keywords: | Blood Glucose; Blood Glucose Self-Monitoring; Cross-Over Studies; Female; Glucose; Glycemic Control; Glycemic Index; Humans; Insulin; Meals; Postprandial Period; fructose; glucose; lactose; yoghurt; glucose; insulin; adult; Article; caloric intake; clinical article; clinical evaluation; comparative study; controlled study; crossover procedure; dietary compliance; fasting; female; female worker; food intake; glucose homeostasis; glucose tolerance; glycemic control; glycemic index; glycemic variability; high glycemic index diet; human; intervention study; low glycemic index diet; meal; meal frequency; metabolic parameters; night shift; night shift worker; nurse; nutritional parameters; outcome variable; randomized controlled trial; work environment; blood glucose monitoring; glucose blood level; glycemic control; meal; postprandial state |
Subjects: | R Medicine > RP Public Health and Nutrition |
Divisions: | Faculty of Medicine, Public Health and Nursing > Public Health and Nutrition |
Depositing User: | Mukhotib Mukhotib |
Date Deposited: | 12 Mar 2025 03:07 |
Last Modified: | 12 Mar 2025 03:07 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/15704 |