<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JDM</journal-id><journal-title-group><journal-title>Journal of Diabetes Mellitus</journal-title></journal-title-group><issn pub-type="epub">2160-5831</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jdm.2012.21002</article-id><article-id pub-id-type="publisher-id">JDM-17289</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  Science of eating time: A novel chronophysiological approach to optimize glucose-insulin dynamics and health
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>kbar</surname><given-names>Nikkhah</given-names></name><xref ref-type="aff" rid="aff1"><sub>1</sub></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Department of Animal Sciences, University of Zanjan, Zanjan, Iran</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>nikkhah@znu.ac.ir</email></corresp></author-notes><pub-date pub-type="epub"><day>22</day><month>02</month><year>2012</year></pub-date><volume>02</volume><issue>01</issue><fpage>8</fpage><lpage>11</lpage><history><date date-type="received"><day>18</day>	<month>September</month>	<year>2011</year></date><date date-type="rev-recd"><day>25</day>	<month>October</month>	<year>2011</year>	</date><date date-type="accepted"><day>12</day>	<month>November</month>	<year>2011</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Timing of eating is a life strategy that requires special considerations in healthy nutritional programs. Human body tolerates less glucose as evening begins, mainly because glucose is demanded most during more active times or daytime. A recommendation is being developed to avoid large night meals to help reduce risks of visceral adiposity, type-2 diabetes mellitus, hypertension, and cardiovascular issues. Optimal understanding of physiology in any given species requires optimal understanding of comparative animal-human physiology. Optimal animal physiology is understood with optimal perception of ruminant physiology with its unique complex systems biology. Thus, ruminants as irreplaceable human food producers are metabolically and economically suitable models to study cell, organ and whole body physiology. Evening vs. morning feeding of lactating cows increases eating rate, postprandial levels of rumen and peripheral metabolism, and milk and meat production. External cues and internal physiology may thus be synchronized to optimize production and health. Effective education will enable the public to be adequately cognizant of time of eating as a feasible strategy for the success of nutritional programs in optimizing health status.
 
</p></abstract><kwd-group><kwd>Eating Time; Glucose; Insulin; Health; Metabolism; Chronophysiology</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. INTRODUCTION</title><p>Conventionally, food types, composition, and quantity have been emphasized in affecting metabolism and health [<xref ref-type="bibr" rid="scirp.17289-ref1">1</xref>]. Timing of eating has not received deserving thoughts in modern nutritional programs. By definition, tissue nutrient supply may be synchronized with endogenous physiological rhythms to optimize metabolism and health. Food intake patterns affect such physiological rhythms [2,3]. Suprachiasmatic nucleus (SCN) in the hypothalamus controls such rhythms [<xref ref-type="bibr" rid="scirp.17289-ref4">4</xref>]. Endogenous rhythms are mainly controlled by the SCN via photoperiod (<xref ref-type="fig" rid="fig1">Figure 1</xref>) [<xref ref-type="bibr" rid="scirp.17289-ref5">5</xref>]. Glucose, cortisol and insulin metabolism are regulated endogenously (Figures 1, 2). Exogenous rhythms are controlled mostly by external cues, such as feeding timing. Optimal understanding of physiology in any given species requires optimal understanding of comparative animal-human physiology. Optimal animal physiology is understood with optimal perception of ruminant physiology with its unique complex splanchnic and peripheral systems biology. Thus, ruminants as irreplaceable human food producers are metabolically and economically suitable theoretical and in several aspects applied models to study cell, organ and whole body physiology. Altering time of feeding alters postprandial rhythms of feed intake, rumen ecology, and</p><p>peripheral metabolism in once-daily-fed dairy cows [2, 6-9]. Therefore, optimum nutrient metabolism and the risk of metabolic complexities (e.g., diabetes, obesity, liver diseases) would depend on when during the 24-h period nutrients are assimilated by splanchnic and peripheral tissues. The main objective is to emphasize time of eating as a feasible determinant of human health by integrating recent discoveries using human and animal models. A longer-term objective is to contribute to improving life quality of the highly-scheduled new century’s man.</p></sec><sec id="s2"><title>2. EVOLUTIONARY PHYSIOLOGY AND EATING TIME</title><p>Evening instead of morning feeding can improve beef [10-12] and milk [2,9] production. Ruminants have evolved to ruminate mostly overnight when little grazing occurs and when the rumen has a greater volume than day-time [<xref ref-type="bibr" rid="scirp.17289-ref13">13</xref>] (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Pasture is more nutritious in evening due to day-time photosynthesis in plant leaves [<xref ref-type="bibr" rid="scirp.17289-ref14">14</xref>]. Evening feeding, as such, increased postprandial eating rate, and improved peripheral nutrient supply in lactating cows [2,9]. Cows fed once daily at 2100 h exhibited a pre-feeding decline in blood glucose that progressed until 2-h post-feeding before reaching baseline at 4-h post-feeding [2,13]. Postprandial insulin surges were accordingly higher after evening vs. morning feeding [<xref ref-type="bibr" rid="scirp.17289-ref15">15</xref>]. Dairy cows eat when fresh feed is offered. Feed quantity ingested after feeding depends on time of day [16,17]. Anticipation of feed presentation time may elongate eating and increase intake in cows [<xref ref-type="bibr" rid="scirp.17289-ref18">18</xref>]. Increased eating rate after evening feeding suggests that cows may anticipate evening feeding more accurately than morning feeding [9,13]. The higher postprandial insulin and lower glucose in evening-fed cows may delay the glucagon-driven satiety and, thereby, contribute to increased eating rate. Evolutionarily, rumination occurs mostly overnight (<xref ref-type="fig" rid="fig3">Figure 3</xref>). The greater nocturnal vs.</p><p>diurnal rumen volume and fermentation capacity in grazing [<xref ref-type="bibr" rid="scirp.17289-ref19">19</xref>] and intensively-housed [<xref ref-type="bibr" rid="scirp.17289-ref13">13</xref>] lactating cows are thus consistent. Altogether, ruminant model studies support the important mediatory impacts of feeding/eating timing on circadian rhythms of eating and nutrient metabolism.</p></sec><sec id="s3"><title>3. HUMAN CIRCADIAN PHYSIOLOGY AND EATING TIME</title><p>Blood glucose and insulin have endogenous rhythms [5,20]. This means that insulin sensitivity and glucose tolerance have 24-h rhythmicity, apart from how and which food is consumed [5,21]. Human glucose tolerance declines as day progresses and night begins [<xref ref-type="bibr" rid="scirp.17289-ref22">22</xref>]. Thus, humans cannot metabolize glucose effectively in evening, since glucose is demanded most during active day-time (<xref ref-type="fig" rid="fig2">Figure 2</xref>). Increased day-time glucose tolerance is due to increased pancreatic β-cells insulin secretion, increased glucose transporters, and increased insulin receptors availability and sensitivity. Impaired insulin sensitivity is a result of reduced access and sensitivity of insulin receptors, which reduces peripheral glucose uptake [5,20]. In addition, human glucose tolerance depends on time of the 24-h period regardless of sleep, and on sleep regardless of time of the 24-h period [<xref ref-type="bibr" rid="scirp.17289-ref21">21</xref>]. Therefore, both the circadian SCN clock and photoperiod regulate blood glucose rhythmicity [21,22] (Figures 1, 2). The SCN and eating time separately regulate glucose metabolism and intake patterns [<xref ref-type="bibr" rid="scirp.17289-ref23">23</xref>]. These evolutionary facts are being integrated into a recommendation to avoid large evening meals to reduce risks of visceral adiposity, type-2 diabetes mellitus, and cardiovascular disorders. Shift-workers are prone to increased overnight food intake that is not effectively assimilated and tolerated by the cells. Also, the SCNand eating time-driven rhythms of nutrients and hormones are perturbed. Thus, shift-workers need to be under special diurnal and nocturnal nutritional programs to enable coping with the altered environmental chronophysiological properties and to minimize metabolic complications.</p></sec><sec id="s4"><title>4. ENDOCRINOLOGY OF GLUCOSE RHYTHMS</title><p>Glucose concentrations rise at the end of “resting period”, which is “dark period” in human [<xref ref-type="bibr" rid="scirp.17289-ref23">23</xref>]. The glucose rise just before the onset of the activity period is known as “dawn-phenomenon” [<xref ref-type="bibr" rid="scirp.17289-ref22">22</xref>]. The blood glucose peak coincides with circadian rises in corticosterone levels. The glucocorticoid peak contributes to the elevated glucose output and insulin requirement [<xref ref-type="bibr" rid="scirp.17289-ref23">23</xref>]. Moreover, the nocturnal surges in growth hormone (GH) are of importance [<xref ref-type="bibr" rid="scirp.17289-ref24">24</xref>]. Increased GH-driven hepatic glucose production is thus a main cause of the early morning glucose rise [<xref ref-type="bibr" rid="scirp.17289-ref25">25</xref>]. Moreover, melatonin is involved in glucose rhythms regulation. Melatonin secretion is induced by darkness and increases postprandial insulin requirements [<xref ref-type="bibr" rid="scirp.17289-ref20">20</xref>]. Reduced nocturnal glucose tolerance may be, at least partly, mediated by increased melatonin secretion [<xref ref-type="bibr" rid="scirp.17289-ref21">21</xref>]. Reduced glucose tolerance reflects reductions in glucose demands [21,22], which is meaningful as glucose is demanded least during inactive night-time. Accordingly, reduced glucose tolerance could be an evolutionary preparation for the resting body to cope with the darkness [<xref ref-type="bibr" rid="scirp.17289-ref26">26</xref>]. Avoiding large night meals would allow melatonin to better optimize nocturnal metabolism.</p></sec><sec id="s5"><title>5. CONCLUSION</title><p>Timing of eating has received highly inadequate considerations in public education. Glucose tolerance decreases as evening begins, suggesting avoiding large evening meals to reduce risks of visceral adiposity, diabetes mellitus, hypertension, and related cardiovascular abnormalities. Shift-workers with perturbed SCNand eating time-driven rhythms of nutrients and hormones require special diurnal and nocturnal nutritional regimes. In ruminant models, evening vs. morning feeding increases postprandial eating rate, and rumen and peripheral metabolites availability, thus improving milk and meat production. Integrating these discoveries lead to an implication to synchronize external cues with internal animal-human physiology to maximize nutrient efficiency and optimize health. Persistent education and data dissemination will lead the incorporation of eating time into successful nutritional programs.</p></sec><sec id="s6"><title>6. ACKNOWLEDGEMENTS</title><p>The Ministry of Science, Research and Technology, and University of Zanjan (Iran) are gratefully acknowledged for supporting the author’s programs of optimizing global science education.</p><p><img src="2-4300040.files/image003.gif" /> <img src="2-4300040.files/image004.gif" /></p></sec><sec id="s7"><title>REFERENCES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.17289-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Dietary Reference Intakes (DRI) (2007) Recommended Intakes for Individuals, Food and Nutrition Board, Institute of Medicine, National Academies. 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