Non-Diabetic Disorder of Endocrine Pancreas
Conditions
Keywords
Glucose tolerance test, MTNR1B, nutrigenomics, food timing
Brief summary
The purpose of this investigation is to assess the role of melatonin receptor 1B (MTNR1B) single nucleotide polymorphism (SNP)\*food timing interaction on glucose control in the deleterious effect in a vulnerable population with regular exposure to concurrent high melatonin and food intake as late night eaters (those having dinner within 2.5 h before their usual bed time). With the results from this study, we expect to advance our understanding of the role of endogenous melatonin on glucose metabolism in late night eaters and carriers of the MTNR1B risk allele, with potential implications on the guidelines to mitigate risk of type 2 diabetes in late night eaters and carriers of the MTNR1B risk allele.
Detailed description
Late-night dinner eating is associated with increased risk for type-2-diabetes. The underlying mechanism is unclear. One explanatory hypothesis is that the concurrence of elevated circulating melatonin and high glucose concentrations (characterizing late-eating) leads to impaired glucose-tolerance. However, to date, no study has tested the influence of physiological melatonin concentrations on glucose tolerance. The discovery of melatonin receptor MTNR1B as a diabetes risk gene provides evidence for a role of physiological levels of melatonin in glucose control. The aim of the current study is to test the hypothesis that the concurrence of meal timing with elevated endogenous melatonin concentrations results in impaired glucose control and that this effect is stronger in homozygous MTNR1B risk carriers than in non-carriers. To do so we will test glucose tolerance using identical mixed meals under two glucose oral tolerance test (OGTT) conditions: a) delayed OGTT or Late Eating (LE): starting1 hour before their usual bed time, b) advanced OGTT or Early Eating (EE): starting 4 hours before habitual bed time, in a randomized, cross-over study design. These findings could support a clinical application for the screening of this SNP and the possibility of implementing tailored and cost-effective behavioral interventions to prevent type 2 diabetes in vulnerable populations. These goals will be achieved through a specific approach: • Interventional (randomized, cross-over controlled trials) (Aim 1): To study the potential interaction between meal timing (dinner) and genetic variants MTNR1B for glucose tolerance (n=1000).
Interventions
Oral glucose tolerance test using identical mixed 75 gr of glucose under late condition (1 hour before habitual bedtime)
Oral glucose tolerance test using identical mixed 75 gr of glucose under early condition (4 hours before habitual bedtime)
Sponsors
Study design
Eligibility
Inclusion criteria
* Body Mass Index: \> 18.5 o \< 40 kg/m2 * Age: between 18 and 65 year of age * European ancestry * Day workers
Exclusion criteria
* Receiving treatment with thermogenic, lipogenic, or drugs * Diabetes mellitus, chronic renal failure, hepatic diseases, or cancer diagnosis * Bulimia diagnosis, prone to binge eating * Undergoing treatment with Type 2 diabetes mellitus (high blood sugar) medications such as Metformin or other non-Metformin oral anti-diabetic drugs such as sulfonylureas, meglitinides, or glitazones * Undergoing treatment with Corticosteroids/steroids, Growth hormone, Anticoagulant medicines, or blood thinners, Beta blockers for hypertension, Medications for sleep, Fluvoxamine, Opioids or Amphetamines, Tranquilizers, nonsteroidal anti-inflammatory drugs. * Pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area Under the Curve (AUC) Glucose | Along 120 minutes in visits 1 and 2 | Glucose levels are measured along 120 minutes corresponding to at early and late condition in each visit. The Area Under the Curve was calculated as the sum of the area of several trapezoids. This trapezoids was obtained at times 0-30 min, 30-60 min, 60-90 min, 90-120 min. The values are the difference between the late and the early condition. |
| Disposition Index (DI) | Along 120 minutes in visits 1 and 2 | Disposition Index (DI) is the product of insulin sensitivity times by the amount of insulin secreted in response to blood glucose levels. Disposition index is used as a measure of beta cell function and the ability of the body to dispose of a glucose load. This index was determined by this formula: DI= CIR × ISI, where CIR is the measure Corrected Insulin Response, and ISI is Insulin Sensitivity Index. The values are the difference between the late and the early condition. Higher DI indicates an increased beta cell function and increased ability of the body to dispose of a glucose load. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fasting Glucose | At minute 0 in visit 1 and 2. | Fasting glucose (or basal glucose) is a simple measurement of glucose concentrations at minute 0 to see how glucose levels rise immediately after an OGTT. The values are the difference between the late and the early condition. |
| Fasting Insulin | At minute 0 in visit 1 and 2 | Fasting insulin (or basal insulin) is a simple measurement of insulin concentrations at minute 0 to see how insulin levels rise immediately after an OGTT.The values are the difference between the late and the early condition. |
| Corrected Insulin Response (CIR) | At minute 30 during the visit 1 and 2. | The measure of Corrected Insulin Response (CIR) uses the insulin and glucose levels at minute 30, integrating these values in the formula: CIR= l30/(G30 × (G30 - 70)).The values are the difference between the late and the early conditions. CIR is an index that assesses the insulin secretion capacity of B cells. A low CIR implies hyposecretion in response to glucose levels. |
| Dim Light Melatonin Onset (DLMO) at Early Condition Only | Melatonin measured every half hour for 5 hours at Early condition in all participants | This measurement shows the decimal time of the onset of melatonin in dim light conditions. In the case of DLMO, we only performed this measure at the early condition in order to get the analysis of melatonin during 5 hours (4 hours before the habitual bedtime and 1 hour later), as it is described in literature (DOI: 10.1002/oby.23749). |
| Serum Melatonin | At baseline and 120 minutes in visit 1 and 2 | Measurement of serum melatonin is made at time 0 and at time 120 in both the early and late conditions of everyone. |
| Insulin Sensitivity Index (ISI) | Along 120min in visits 1 and 2 | Insulin Sensitivity Index is a measurement which integrates fasting glucose and insulin concentrations (0 min) and the mean of the glucose and insulin levels from 0 to 120 minutes (0, 30, 60, 90 and 120 min), from an OGTT, to measure insulin sensitivity. This formula allows its use in clinical settings as well as in large epidemiological studies. The values are the difference between the late and the early condition. Elevated ISI values typically indicate a favorable outcome. This index reflects the body's responsiveness to insulin, a hormone crucial for regulating blood sugar levels. Higher sensitivity to insulin suggests that cells efficiently utilize insulin's signals, promoting better blood sugar management. Lower ISI may lead to challenges in maintaining stable blood glucose levels and is often associated with conditions such as type 2 diabetes and metabolic syndrome. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Chronotype | During the week of washout | Assessed using the Morningness-Eveningness Questionnaire (MEQ). Its main purpose is to measure whether a person's circadian rhythm produces peak alertness in the morning, in the evening, or in between. It is a score that indicates the degree to which the individual favors the morning over the night. We only determined it during the washout period (neither early nor late conditions). Values: Min: 17 Max: 86 Explanation: 17-30: extreme eveningness 31-41: eveningness 42-58: neither 59-69: morningness 70-86: extreme morningness |
| Emotional Eating | During the week of washout | Assessed using the Emotional Eating Questionnaire (EEQ). This questionnaire classifies individuals based on the relationship between food intake and emotions. Score between 0 and 30. We only determined it during the washout period (neither early nor late conditions). Explanation: 0-5: nothing emotional 5-10: less emotional 10-20: emotional 20-30: Very emotional |
| Temperature Record (Mean Value 10hours Daytime) | For 1 week between visit 1 and 2 | Measured using a temperature sensor which records the temperature during 7 days. We only determined it during the washout period (neither early nor late conditions). |
| Insomnia | During the week of washout | Assessed using the Insomnia Severity Index (ISI). This questionnaire has 5 items and is used to assess the possible existence of sleep problems. According to the score obtained, a classification is made from no insomnia to severe clinical insomnia. We only determined it during the washout period (neither early nor late conditions). Score ranges between 0 and 28 Explanation: 0-7: no insomnia 8-14: subclinical insomnia 15-21: moderate insomnia 22-28: severe insomnia The higher the score, the more harmful |
| Depression | During the week of washout | Assessed using the Patient Health Questionnaire (PHQ-9). This instrument aims to help the diagnosis of depression through the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and to determine the severity of the disorder. It is made up of 9 items that refer to the last two weeks. The score ranges between 0 and 27. We only determined it during the washout period (neither early nor late conditions). 0-4: no depression 5-9: mild depression 10-14: moderate depression 15-19: moderate-severe depression 20-27: severe depression Explanation: 0-4: no depression 5-9: mild depression 10-14: moderate depression 15-19: moderate-severe depression 20-27: severe depression The higher the score, the more harmful |
| Sleep Quality | During the week of washout | Assessed using the Pittsburgh Sleep Quality Index (PSQI). This questionnaire is used to quantitatively assess the quality of sleep. 7 scores are obtained that inform us about various aspects of sleep quality. We only determined it during the washout period (neither early nor late conditions). Score between 0 and 21. Total score of the questionnaire is divided into 7 items. Those items have a score from 0 (no problem) to 3 (severe problem). 0-5: sleep quality optimum 6-21: sleep disorders |
| Activity Record (Mean Value 10hours Daytime) | For 1 week between visit 1 and 2 | During the seven days of the study, individuals wore a wristwatch in their non-dominant hand, that integrates two sensors: a temperature sensor, and an accelerometer sensor that records physical activity and body position data (G Acceleration Data Logger UA-004-64; Onset Computer, Bourne, MA, USA). Activity was expressed as the change in degrees per minute (Δ°/min). We calculated the average activity value during the 10 consecutive hours of maximum values. We only determined it during the washout period (neither early nor late conditions). |
| Light Exposure (Mean Value 10hours Daytime) | For 1 week between the visits 1 and 2 | Measured using a light sensor during 7 days. We only determined it during the washout period (neither early nor late conditions). |
| Sleep Duration | For 1 week between visit 1 and 2 | Sleep duration will be computed from self-reported. We only determined it during the washout period (neither early nor late conditions). |
| Total Energy Intake | For 1 week between visit 1 and 2 | Total energy intake in kcal/day will be computed with a 7-day dietary log. We only determined it during the washout period (neither early nor late conditions). |
| Dietary Composition | For 1 week between visit 1 and 2 | Macronutrient and micronutrient intake will be computed from 7-days of self-reported 24-hr dietary recalls. Percentage Kcal respect to the Total Energy Intake. We only determined it during the washout period (neither early nor late conditions). |
| Dietary Intake Timing | For 1 week between visit 1 and 2 | Food timing will be self-reported and averaged across 7-days of 24-hour dietary recalls. We only determined it during the washout period (neither early nor late conditions). |
| Physical Activity | During the week of washout | Assessed using the International Physical Activity Questionnaire (IPAQ). This international questionnaire measures physical activity through the amount of energy expended carrying out physical activity i.e., Metabolic Units (MET) minutes a week. The higher the MET, the more amount of physical activity the individual performs. This allows us to classify low, moderate, or vigorous activity. 7 or more days of any combination of walking, moderate-intensity or vigorous intensity activities achieving a minimum of at least 3000 MET minutes a week. We only determined it during the washout period (neither early nor late conditions). Formula for computation of Met-minutes: * Walking MET-minutes/week = 3.3 \* walking minutes \* walking days * Moderate MET-minutes/week = 4.0 \* moderate-intensity activity minutes \* moderate days * Vigorous MET-minutes/week = 8.0 \* vigorous-intensity activity minutes \* vigorous-intensity days |
Countries
Spain
Participant flow
Recruitment details
1457 patients were recruited from January 2017 to March 2020.
Pre-assignment details
845 of 1457 participants were included in this study. Of those not included, 200 declined to participate, 176 did not meet inclusion criteria, 192 lost to follow-up and 44 did not have the complete data. Nevertheless, because the genotype was not known until finishing recruitment, we cannot add the information in each arm of the started, etc.
Participants by arm
| Arm | Count |
|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC Oral glucose tolerance test (OGTT) in homozygous non-carriers (CC) for MTNR1B rs10830963 in Early condition. After a washout period of 1 week, OGTT was performed in Late condition in a randomized cross-over study design. | 221 |
| Early OGTT, Then Late OGTT in MTNR1B CG Oral glucose tolerance test (OGTT) in heterozygous (CG) risk allele carriers for MTNR1B rs10830963 in Early condition. After a washout period of 1 week, OGTT was performed in Late condition in a randomized cross-over study design. | 193 |
| Early OGTT, Then Late OGTT in MTNR1B GG Oral glucose tolerance test (OGTT) in homozygous (GG) risk allele carriers for MTNR1B rs10830963 in Early condition. After a washout period of 1 week, OGTT was performed in Late condition in a randomized cross-over study design. | 36 |
| Late OGTT, Then Early OGTT in MTNR1B CC Oral glucose tolerance test (OGTT) in homozygous non-carriers (CC) for MTNR1B rs10830963 in Late condition. After a washout period of 1 week, OGTT was performed in Early condition in a randomized cross-over study design. | 202 |
| Late OGTT, Then Early OGTT in MTNR1B CG Oral glucose tolerance test (OGTT) in heterozygous (CG) risk allele carriers for MTNR1B rs10830963 in Late condition. After a washout period of 1 week, OGTT was performed in Early condition in a randomized cross-over study design. | 149 |
| Late OGTT, Then Early OGTT in MTNR1B GG Oral glucose tolerance test (OGTT) in homozygous (GG) risk allele carriers for MTNR1B rs10830963 in Late condition. After a washout period of 1 week, OGTT was performed in Early condition in a randomized cross-over study design. | 44 |
| Total | 845 |
Baseline characteristics
| Characteristic | Early OGTT, Then Late OGTT in MTNR1B CC | Total | Late OGTT, Then Early OGTT in MTNR1B GG | Late OGTT, Then Early OGTT in MTNR1B CG | Late OGTT, Then Early OGTT in MTNR1B CC | Early OGTT, Then Late OGTT in MTNR1B GG | Early OGTT, Then Late OGTT in MTNR1B CG |
|---|---|---|---|---|---|---|---|
| Age, Continuous | 36 years STANDARD_DEVIATION 13 | 38 years STANDARD_DEVIATION 14 | 37 years STANDARD_DEVIATION 16 | 39 years STANDARD_DEVIATION 15 | 38 years STANDARD_DEVIATION 14 | 36 years STANDARD_DEVIATION 15 | 39 years STANDARD_DEVIATION 14 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 221 Participants | 845 Participants | 44 Participants | 149 Participants | 202 Participants | 36 Participants | 193 Participants |
| Sex: Female, Male Female | 152 Participants | 600 Participants | 32 Participants | 107 Participants | 143 Participants | 30 Participants | 136 Participants |
| Sex: Female, Male Male | 69 Participants | 245 Participants | 12 Participants | 42 Participants | 59 Participants | 6 Participants | 57 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk | EG011 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 221 | 0 / 193 | 0 / 36 | 0 / 202 | 0 / 149 | 0 / 44 | 0 / 221 | 0 / 193 | 0 / 36 | 0 / 202 | 0 / 149 | 0 / 44 |
| other Total, other adverse events | 0 / 221 | 0 / 193 | 0 / 36 | 0 / 202 | 0 / 149 | 0 / 44 | 0 / 221 | 0 / 193 | 0 / 36 | 0 / 202 | 0 / 149 | 0 / 44 |
| serious Total, serious adverse events | 0 / 221 | 0 / 193 | 0 / 36 | 0 / 202 | 0 / 149 | 0 / 44 | 0 / 221 | 0 / 193 | 0 / 36 | 0 / 202 | 0 / 149 | 0 / 44 |
Outcome results
Area Under the Curve (AUC) Glucose
Glucose levels are measured along 120 minutes corresponding to at early and late condition in each visit. The Area Under the Curve was calculated as the sum of the area of several trapezoids. This trapezoids was obtained at times 0-30 min, 30-60 min, 60-90 min, 90-120 min. The values are the difference between the late and the early condition.
Time frame: Along 120 minutes in visits 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Area Under the Curve (AUC) Glucose | AUC_Glucose_LE (Late Eating) | 291.58 mg*h/dL | Standard Deviation 49.73 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Area Under the Curve (AUC) Glucose | AUC_Glucose_EE (Early Eating) | 278.84 mg*h/dL | Standard Deviation 49.12 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Area Under the Curve (AUC) Glucose | AUC_Glucose_LE (Late Eating) | 300.51 mg*h/dL | Standard Deviation 54.6 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Area Under the Curve (AUC) Glucose | AUC_Glucose_EE (Early Eating) | 268.92 mg*h/dL | Standard Deviation 48.69 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Area Under the Curve (AUC) Glucose | AUC_Glucose_LE (Late Eating) | 300.61 mg*h/dL | Standard Deviation 61.35 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Area Under the Curve (AUC) Glucose | AUC_Glucose_EE (Early Eating) | 260.66 mg*h/dL | Standard Deviation 45.3 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Area Under the Curve (AUC) Glucose | AUC_Glucose_LE (Late Eating) | 300.70 mg*h/dL | Standard Deviation 56.88 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Area Under the Curve (AUC) Glucose | AUC_Glucose_EE (Early Eating) | 282.21 mg*h/dL | Standard Deviation 54.89 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Area Under the Curve (AUC) Glucose | AUC_Glucose_EE (Early Eating) | 274.91 mg*h/dL | Standard Deviation 55.55 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Area Under the Curve (AUC) Glucose | AUC_Glucose_LE (Late Eating) | 299.09 mg*h/dL | Standard Deviation 57.74 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Area Under the Curve (AUC) Glucose | AUC_Glucose_EE (Early Eating) | 282.19 mg*h/dL | Standard Deviation 56.56 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Area Under the Curve (AUC) Glucose | AUC_Glucose_LE (Late Eating) | 320.32 mg*h/dL | Standard Deviation 63.95 |
Disposition Index (DI)
Disposition Index (DI) is the product of insulin sensitivity times by the amount of insulin secreted in response to blood glucose levels. Disposition index is used as a measure of beta cell function and the ability of the body to dispose of a glucose load. This index was determined by this formula: DI= CIR × ISI, where CIR is the measure Corrected Insulin Response, and ISI is Insulin Sensitivity Index. The values are the difference between the late and the early condition. Higher DI indicates an increased beta cell function and increased ability of the body to dispose of a glucose load.
Time frame: Along 120 minutes in visits 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Disposition Index (DI) | DI_EE | 3.44 Index | Standard Deviation 3.03 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Disposition Index (DI) | DI_LE | 3.33 Index | Standard Deviation 3.66 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Disposition Index (DI) | DI_EE | 4.59 Index | Standard Deviation 6.42 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Disposition Index (DI) | DI_LE | 2.97 Index | Standard Deviation 2.55 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Disposition Index (DI) | DI_EE | 5.04 Index | Standard Deviation 6.14 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Disposition Index (DI) | DI_LE | 2.78 Index | Standard Deviation 1.67 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Disposition Index (DI) | DI_EE | 3.54 Index | Standard Deviation 3.04 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Disposition Index (DI) | DI_LE | 3.19 Index | Standard Deviation 3.34 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Disposition Index (DI) | DI_EE | 3.83 Index | Standard Deviation 3.84 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Disposition Index (DI) | DI_LE | 3.19 Index | Standard Deviation 2.5 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Disposition Index (DI) | DI_EE | 3.96 Index | Standard Deviation 3.61 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Disposition Index (DI) | DI_LE | 3.04 Index | Standard Deviation 4.46 |
Corrected Insulin Response (CIR)
The measure of Corrected Insulin Response (CIR) uses the insulin and glucose levels at minute 30, integrating these values in the formula: CIR= l30/(G30 × (G30 - 70)).The values are the difference between the late and the early conditions. CIR is an index that assesses the insulin secretion capacity of B cells. A low CIR implies hyposecretion in response to glucose levels.
Time frame: At minute 30 during the visit 1 and 2.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Corrected Insulin Response (CIR) | CIR_EE | 0.57 Index | Standard Deviation 0.6 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Corrected Insulin Response (CIR) | CIR_LE | 0.50 Index | Standard Deviation 0.46 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Corrected Insulin Response (CIR) | CIR_LE | 0.44 Index | Standard Deviation 0.38 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Corrected Insulin Response (CIR) | CIR_EE | 0.70 Index | Standard Deviation 1.1 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Corrected Insulin Response (CIR) | CIR_EE | 0.94 Index | Standard Deviation 1.41 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Corrected Insulin Response (CIR) | CIR_LE | 0.46 Index | Standard Deviation 0.23 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Corrected Insulin Response (CIR) | CIR_EE | 0.58 Index | Standard Deviation 0.52 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Corrected Insulin Response (CIR) | CIR_LE | 0.53 Index | Standard Deviation 0.6 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Corrected Insulin Response (CIR) | CIR_LE | 0.51 Index | Standard Deviation 0.45 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Corrected Insulin Response (CIR) | CIR_EE | 0.59 Index | Standard Deviation 0.45 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Corrected Insulin Response (CIR) | CIR_EE | 0.53 Index | Standard Deviation 0.38 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Corrected Insulin Response (CIR) | CIR_LE | 0.36 Index | Standard Deviation 0.28 |
Dim Light Melatonin Onset (DLMO) at Early Condition Only
This measurement shows the decimal time of the onset of melatonin in dim light conditions. In the case of DLMO, we only performed this measure at the early condition in order to get the analysis of melatonin during 5 hours (4 hours before the habitual bedtime and 1 hour later), as it is described in literature (DOI: 10.1002/oby.23749).
Time frame: Melatonin measured every half hour for 5 hours at Early condition in all participants
Population: We only performed this measure at the early condition in each arm
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Dim Light Melatonin Onset (DLMO) at Early Condition Only | 22.42 decimal hours | Standard Deviation 1.33 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dim Light Melatonin Onset (DLMO) at Early Condition Only | 22.03 decimal hours | Standard Deviation 1.06 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dim Light Melatonin Onset (DLMO) at Early Condition Only | 22.41 decimal hours | Standard Deviation 0.92 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dim Light Melatonin Onset (DLMO) at Early Condition Only | 22.50 decimal hours | Standard Deviation 1.38 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dim Light Melatonin Onset (DLMO) at Early Condition Only | 22.08 decimal hours | Standard Deviation 1.13 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dim Light Melatonin Onset (DLMO) at Early Condition Only | 22.39 decimal hours | Standard Deviation 1.4 |
Fasting Glucose
Fasting glucose (or basal glucose) is a simple measurement of glucose concentrations at minute 0 to see how glucose levels rise immediately after an OGTT. The values are the difference between the late and the early condition.
Time frame: At minute 0 in visit 1 and 2.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Fasting Glucose | Fasting glucose_LE | 84.09 mg/dL | Standard Deviation 7.15 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Fasting Glucose | Fasting glucose_EE | 85.25 mg/dL | Standard Deviation 7.73 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Fasting Glucose | Fasting glucose_LE | 84.92 mg/dL | Standard Deviation 7.07 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Fasting Glucose | Fasting glucose_EE | 84.36 mg/dL | Standard Deviation 7.25 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Fasting Glucose | Fasting glucose_LE | 85.70 mg/dL | Standard Deviation 6.9 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Fasting Glucose | Fasting glucose_EE | 84.05 mg/dL | Standard Deviation 5.75 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Fasting Glucose | Fasting glucose_LE | 84.70 mg/dL | Standard Deviation 7.74 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Fasting Glucose | Fasting glucose_EE | 84.37 mg/dL | Standard Deviation 6.84 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Fasting Glucose | Fasting glucose_EE | 84.69 mg/dL | Standard Deviation 7.71 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Fasting Glucose | Fasting glucose_LE | 85.53 mg/dL | Standard Deviation 6.8 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Fasting Glucose | Fasting glucose_LE | 83.87 mg/dL | Standard Deviation 7.51 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Fasting Glucose | Fasting glucose_EE | 83.01 mg/dL | Standard Deviation 4.9 |
Fasting Insulin
Fasting insulin (or basal insulin) is a simple measurement of insulin concentrations at minute 0 to see how insulin levels rise immediately after an OGTT.The values are the difference between the late and the early condition.
Time frame: At minute 0 in visit 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Fasting Insulin | Fasting insulin_EE | 6.70 µU/mL | Standard Deviation 4.51 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Fasting Insulin | Fasting insulin_LE | 6.13 µU/mL | Standard Deviation 4.48 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Fasting Insulin | Fasting insulin_EE | 6.30 µU/mL | Standard Deviation 4.28 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Fasting Insulin | Fasting insulin_LE | 5.70 µU/mL | Standard Deviation 3.65 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Fasting Insulin | Fasting insulin_EE | 6.88 µU/mL | Standard Deviation 3.73 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Fasting Insulin | Fasting insulin_LE | 5.71 µU/mL | Standard Deviation 2.73 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Fasting Insulin | Fasting insulin_EE | 6.67 µU/mL | Standard Deviation 4.73 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Fasting Insulin | Fasting insulin_LE | 6.50 µU/mL | Standard Deviation 4.56 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Fasting Insulin | Fasting insulin_EE | 6.16 µU/mL | Standard Deviation 3.58 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Fasting Insulin | Fasting insulin_LE | 6.09 µU/mL | Standard Deviation 3.83 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Fasting Insulin | Fasting insulin_EE | 5.63 µU/mL | Standard Deviation 3.69 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Fasting Insulin | Fasting insulin_LE | 5.52 µU/mL | Standard Deviation 3.32 |
Insulin Sensitivity Index (ISI)
Insulin Sensitivity Index is a measurement which integrates fasting glucose and insulin concentrations (0 min) and the mean of the glucose and insulin levels from 0 to 120 minutes (0, 30, 60, 90 and 120 min), from an OGTT, to measure insulin sensitivity. This formula allows its use in clinical settings as well as in large epidemiological studies. The values are the difference between the late and the early condition. Elevated ISI values typically indicate a favorable outcome. This index reflects the body's responsiveness to insulin, a hormone crucial for regulating blood sugar levels. Higher sensitivity to insulin suggests that cells efficiently utilize insulin's signals, promoting better blood sugar management. Lower ISI may lead to challenges in maintaining stable blood glucose levels and is often associated with conditions such as type 2 diabetes and metabolic syndrome.
Time frame: Along 120min in visits 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Insulin Sensitivity Index (ISI) | ISI_LE | 8.11 Index | Standard Deviation 6.98 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Insulin Sensitivity Index (ISI) | ISI_EE | 7.36 Index | Standard Deviation 5.4 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Insulin Sensitivity Index (ISI) | ISI_EE | 7.26 Index | Standard Deviation 4.38 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Insulin Sensitivity Index (ISI) | ISI_LE | 8.11 Index | Standard Deviation 6.34 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Insulin Sensitivity Index (ISI) | ISI_EE | 6.42 Index | Standard Deviation 3.43 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Insulin Sensitivity Index (ISI) | ISI_LE | 7.32 Index | Standard Deviation 4.2 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Insulin Sensitivity Index (ISI) | ISI_EE | 7.19 Index | Standard Deviation 5.02 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Insulin Sensitivity Index (ISI) | ISI_LE | 6.99 Index | Standard Deviation 4.91 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Insulin Sensitivity Index (ISI) | ISI_EE | 7.40 Index | Standard Deviation 5.13 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Insulin Sensitivity Index (ISI) | ISI_LE | 7.59 Index | Standard Deviation 5.22 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Insulin Sensitivity Index (ISI) | ISI_LE | 8.00 Index | Standard Deviation 6.66 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Insulin Sensitivity Index (ISI) | ISI_EE | 7.61 Index | Standard Deviation 3.91 |
Serum Melatonin
Measurement of serum melatonin is made at time 0 and at time 120 in both the early and late conditions of everyone.
Time frame: At baseline and 120 minutes in visit 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t0_LE | 52.69 pg/mL | Standard Deviation 40.34 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t120_LE | 79.36 pg/mL | Standard Deviation 52.24 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t120_EE | 25.81 pg/mL | Standard Deviation 17.69 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t0_EE | 20.86 pg/mL | Standard Deviation 12.32 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t120_EE | 26.85 pg/mL | Standard Deviation 22.1 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t0_EE | 19.50 pg/mL | Standard Deviation 9.82 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t120_LE | 83.92 pg/mL | Standard Deviation 60.28 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t0_LE | 53.16 pg/mL | Standard Deviation 43.69 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t120_LE | 93.83 pg/mL | Standard Deviation 63.71 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t0_EE | 20.25 pg/mL | Standard Deviation 10.7 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t120_EE | 25.72 pg/mL | Standard Deviation 19.65 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t0_LE | 54.24 pg/mL | Standard Deviation 35.21 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t120_LE | 81.07 pg/mL | Standard Deviation 55.86 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t0_EE | 19.20 pg/mL | Standard Deviation 10.39 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t0_LE | 49.32 pg/mL | Standard Deviation 34.39 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Serum Melatonin | Melatonin_t120_EE | 25.40 pg/mL | Standard Deviation 18.03 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t120_EE | 21.83 pg/mL | Standard Deviation 13.47 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t0_EE | 19.01 pg/mL | Standard Deviation 10.87 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t0_LE | 47.16 pg/mL | Standard Deviation 41.14 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Serum Melatonin | Melatonin_t120_LE | 74.06 pg/mL | Standard Deviation 55.72 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t120_LE | 83.80 pg/mL | Standard Deviation 44.87 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t120_EE | 29.61 pg/mL | Standard Deviation 26.63 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t0_LE | 55.33 pg/mL | Standard Deviation 32.39 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Serum Melatonin | Melatonin_t0_EE | 23.13 pg/mL | Standard Deviation 14.92 |
Activity Record (Mean Value 10hours Daytime)
During the seven days of the study, individuals wore a wristwatch in their non-dominant hand, that integrates two sensors: a temperature sensor, and an accelerometer sensor that records physical activity and body position data (G Acceleration Data Logger UA-004-64; Onset Computer, Bourne, MA, USA). Activity was expressed as the change in degrees per minute (Δ°/min). We calculated the average activity value during the 10 consecutive hours of maximum values. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between visit 1 and 2
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Activity Record (Mean Value 10hours Daytime) | 42.69 changes in degrees/min (Δ°/min) | Standard Deviation 8.51 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Activity Record (Mean Value 10hours Daytime) | 51.61 changes in degrees/min (Δ°/min) | Standard Deviation 85.33 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Activity Record (Mean Value 10hours Daytime) | 42.62 changes in degrees/min (Δ°/min) | Standard Deviation 6.46 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Activity Record (Mean Value 10hours Daytime) | 41.73 changes in degrees/min (Δ°/min) | Standard Deviation 9.12 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Activity Record (Mean Value 10hours Daytime) | 43.83 changes in degrees/min (Δ°/min) | Standard Deviation 8.06 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Activity Record (Mean Value 10hours Daytime) | 44.30 changes in degrees/min (Δ°/min) | Standard Deviation 8.31 |
Chronotype
Assessed using the Morningness-Eveningness Questionnaire (MEQ). Its main purpose is to measure whether a person's circadian rhythm produces peak alertness in the morning, in the evening, or in between. It is a score that indicates the degree to which the individual favors the morning over the night. We only determined it during the washout period (neither early nor late conditions). Values: Min: 17 Max: 86 Explanation: 17-30: extreme eveningness 31-41: eveningness 42-58: neither 59-69: morningness 70-86: extreme morningness
Time frame: During the week of washout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Chronotype | 51.15 score | Standard Deviation 9.42 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Chronotype | 51.75 score | Standard Deviation 8.9 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Chronotype | 49.83 score | Standard Deviation 10.7 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Chronotype | 51.35 score | Standard Deviation 10.15 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Chronotype | 51.65 score | Standard Deviation 10.32 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Chronotype | 51.11 score | Standard Deviation 8.97 |
Depression
Assessed using the Patient Health Questionnaire (PHQ-9). This instrument aims to help the diagnosis of depression through the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), and to determine the severity of the disorder. It is made up of 9 items that refer to the last two weeks. The score ranges between 0 and 27. We only determined it during the washout period (neither early nor late conditions). 0-4: no depression 5-9: mild depression 10-14: moderate depression 15-19: moderate-severe depression 20-27: severe depression Explanation: 0-4: no depression 5-9: mild depression 10-14: moderate depression 15-19: moderate-severe depression 20-27: severe depression The higher the score, the more harmful
Time frame: During the week of washout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Depression | 4.50 score | Standard Deviation 3.89 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Depression | 4.61 score | Standard Deviation 4.17 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Depression | 4.77 score | Standard Deviation 4.83 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Depression | 4.98 score | Standard Deviation 4.52 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Depression | 4.57 score | Standard Deviation 3.63 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Depression | 5.31 score | Standard Deviation 4.41 |
Dietary Composition
Macronutrient and micronutrient intake will be computed from 7-days of self-reported 24-hr dietary recalls. Percentage Kcal respect to the Total Energy Intake. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between visit 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Dietary Composition | Proteins | 17.52 percentage | Standard Deviation 3.41 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Dietary Composition | Fat | 34.85 percentage | Standard Deviation 7.01 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Dietary Composition | Carbohydrates | 47.17 percentage | Standard Deviation 7.66 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dietary Composition | Proteins | 18.26 percentage | Standard Deviation 3.94 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dietary Composition | Fat | 33.95 percentage | Standard Deviation 7.37 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dietary Composition | Carbohydrates | 47.75 percentage | Standard Deviation 7.42 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dietary Composition | Proteins | 18.02 percentage | Standard Deviation 3.92 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dietary Composition | Fat | 36.04 percentage | Standard Deviation 8.25 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dietary Composition | Carbohydrates | 46.85 percentage | Standard Deviation 7.38 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dietary Composition | Proteins | 18.18 percentage | Standard Deviation 3.95 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dietary Composition | Fat | 33.94 percentage | Standard Deviation 7.83 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dietary Composition | Carbohydrates | 47.82 percentage | Standard Deviation 8.33 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dietary Composition | Proteins | 18.24 percentage | Standard Deviation 3.48 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dietary Composition | Fat | 34.90 percentage | Standard Deviation 8.04 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dietary Composition | Carbohydrates | 46.64 percentage | Standard Deviation 8.49 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dietary Composition | Fat | 35.85 percentage | Standard Deviation 8.49 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dietary Composition | Carbohydrates | 46.68 percentage | Standard Deviation 7.58 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dietary Composition | Proteins | 17.57 percentage | Standard Deviation 3.65 |
Dietary Intake Timing
Food timing will be self-reported and averaged across 7-days of 24-hour dietary recalls. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between visit 1 and 2
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Dietary Intake Timing | Start lunch | 14.66 decimal hours | Standard Deviation 0.49 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Dietary Intake Timing | Start breakfast | 8.72 decimal hours | Standard Deviation 0.98 |
| Early OGTT, Then Late OGTT in MTNR1B CC | Dietary Intake Timing | Start dinner | 21.66 decimal hours | Standard Deviation 0.53 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dietary Intake Timing | Start lunch | 14.72 decimal hours | Standard Deviation 0.53 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dietary Intake Timing | Start breakfast | 8.68 decimal hours | Standard Deviation 0.87 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Dietary Intake Timing | Start dinner | 21.61 decimal hours | Standard Deviation 0.65 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dietary Intake Timing | Start lunch | 14.60 decimal hours | Standard Deviation 0.42 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dietary Intake Timing | Start breakfast | 8.80 decimal hours | Standard Deviation 0.92 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Dietary Intake Timing | Start dinner | 21.64 decimal hours | Standard Deviation 0.49 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dietary Intake Timing | Start lunch | 14.70 decimal hours | Standard Deviation 0.52 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dietary Intake Timing | Start breakfast | 8.74 decimal hours | Standard Deviation 0.92 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Dietary Intake Timing | Start dinner | 21.61 decimal hours | Standard Deviation 0.56 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dietary Intake Timing | Start lunch | 14.71 decimal hours | Standard Deviation 0.48 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dietary Intake Timing | Start breakfast | 8.68 decimal hours | Standard Deviation 0.83 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Dietary Intake Timing | Start dinner | 21.67 decimal hours | Standard Deviation 0.54 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dietary Intake Timing | Start breakfast | 8.66 decimal hours | Standard Deviation 0.96 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dietary Intake Timing | Start dinner | 21.54 decimal hours | Standard Deviation 0.56 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Dietary Intake Timing | Start lunch | 14.50 decimal hours | Standard Deviation 0.38 |
Emotional Eating
Assessed using the Emotional Eating Questionnaire (EEQ). This questionnaire classifies individuals based on the relationship between food intake and emotions. Score between 0 and 30. We only determined it during the washout period (neither early nor late conditions). Explanation: 0-5: nothing emotional 5-10: less emotional 10-20: emotional 20-30: Very emotional
Time frame: During the week of washout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Emotional Eating | 11.10 score | Standard Deviation 6.26 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Emotional Eating | 10.64 score | Standard Deviation 5.74 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Emotional Eating | 11.16 score | Standard Deviation 6.32 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Emotional Eating | 10.98 score | Standard Deviation 6.16 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Emotional Eating | 10.81 score | Standard Deviation 6.28 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Emotional Eating | 10.54 score | Standard Deviation 5.79 |
Insomnia
Assessed using the Insomnia Severity Index (ISI). This questionnaire has 5 items and is used to assess the possible existence of sleep problems. According to the score obtained, a classification is made from no insomnia to severe clinical insomnia. We only determined it during the washout period (neither early nor late conditions). Score ranges between 0 and 28 Explanation: 0-7: no insomnia 8-14: subclinical insomnia 15-21: moderate insomnia 22-28: severe insomnia The higher the score, the more harmful
Time frame: During the week of washout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Insomnia | 6.44 score | Standard Deviation 4.83 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Insomnia | 6.63 score | Standard Deviation 4.99 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Insomnia | 7.86 score | Standard Deviation 5.48 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Insomnia | 7.04 score | Standard Deviation 5.39 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Insomnia | 6.86 score | Standard Deviation 5.48 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Insomnia | 7.29 score | Standard Deviation 5.97 |
Light Exposure (Mean Value 10hours Daytime)
Measured using a light sensor during 7 days. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between the visits 1 and 2
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Light Exposure (Mean Value 10hours Daytime) | 0.82 Lux log | Standard Deviation 0.24 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Light Exposure (Mean Value 10hours Daytime) | 0.83 Lux log | Standard Deviation 0.24 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Light Exposure (Mean Value 10hours Daytime) | 0.77 Lux log | Standard Deviation 0.27 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Light Exposure (Mean Value 10hours Daytime) | 0.81 Lux log | Standard Deviation 0.25 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Light Exposure (Mean Value 10hours Daytime) | 0.81 Lux log | Standard Deviation 0.25 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Light Exposure (Mean Value 10hours Daytime) | 0.88 Lux log | Standard Deviation 0.32 |
Physical Activity
Assessed using the International Physical Activity Questionnaire (IPAQ). This international questionnaire measures physical activity through the amount of energy expended carrying out physical activity i.e., Metabolic Units (MET) minutes a week. The higher the MET, the more amount of physical activity the individual performs. This allows us to classify low, moderate, or vigorous activity. 7 or more days of any combination of walking, moderate-intensity or vigorous intensity activities achieving a minimum of at least 3000 MET minutes a week. We only determined it during the washout period (neither early nor late conditions). Formula for computation of Met-minutes: * Walking MET-minutes/week = 3.3 \* walking minutes \* walking days * Moderate MET-minutes/week = 4.0 \* moderate-intensity activity minutes \* moderate days * Vigorous MET-minutes/week = 8.0 \* vigorous-intensity activity minutes \* vigorous-intensity days
Time frame: During the week of washout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Physical Activity | 4066.98 Metabolic Units (MET)-minutes/week | Standard Deviation 5898.97 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Physical Activity | 4548.62 Metabolic Units (MET)-minutes/week | Standard Deviation 5060.76 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Physical Activity | 4560.41 Metabolic Units (MET)-minutes/week | Standard Deviation 5779.47 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Physical Activity | 4646.63 Metabolic Units (MET)-minutes/week | Standard Deviation 4877.34 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Physical Activity | 4429.64 Metabolic Units (MET)-minutes/week | Standard Deviation 5284.58 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Physical Activity | 4608.31 Metabolic Units (MET)-minutes/week | Standard Deviation 4765.35 |
Sleep Duration
Sleep duration will be computed from self-reported. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between visit 1 and 2
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Sleep Duration | 7.43 decimal hours | Standard Deviation 0.75 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Sleep Duration | 7.52 decimal hours | Standard Deviation 0.79 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Sleep Duration | 7.58 decimal hours | Standard Deviation 0.7 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Sleep Duration | 7.56 decimal hours | Standard Deviation 0.82 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Sleep Duration | 7.46 decimal hours | Standard Deviation 0.88 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Sleep Duration | 7.51 decimal hours | Standard Deviation 0.69 |
Sleep Quality
Assessed using the Pittsburgh Sleep Quality Index (PSQI). This questionnaire is used to quantitatively assess the quality of sleep. 7 scores are obtained that inform us about various aspects of sleep quality. We only determined it during the washout period (neither early nor late conditions). Score between 0 and 21. Total score of the questionnaire is divided into 7 items. Those items have a score from 0 (no problem) to 3 (severe problem). 0-5: sleep quality optimum 6-21: sleep disorders
Time frame: During the week of washout
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Sleep Quality | 6.05 score | Standard Deviation 3.05 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Sleep Quality | 6.15 score | Standard Deviation 3.15 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Sleep Quality | 6.75 score | Standard Deviation 3.25 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Sleep Quality | 7.00 score | Standard Deviation 3.74 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Sleep Quality | 6.84 score | Standard Deviation 3.36 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Sleep Quality | 6.49 score | Standard Deviation 3.29 |
Temperature Record (Mean Value 10hours Daytime)
Measured using a temperature sensor which records the temperature during 7 days. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between visit 1 and 2
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Temperature Record (Mean Value 10hours Daytime) | 32.94 centigrade degrees | Standard Deviation 0.98 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Temperature Record (Mean Value 10hours Daytime) | 32.95 centigrade degrees | Standard Deviation 1.09 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Temperature Record (Mean Value 10hours Daytime) | 33.24 centigrade degrees | Standard Deviation 0.94 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Temperature Record (Mean Value 10hours Daytime) | 33.05 centigrade degrees | Standard Deviation 0.98 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Temperature Record (Mean Value 10hours Daytime) | 32.91 centigrade degrees | Standard Deviation 0.93 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Temperature Record (Mean Value 10hours Daytime) | 33.02 centigrade degrees | Standard Deviation 0.95 |
Total Energy Intake
Total energy intake in kcal/day will be computed with a 7-day dietary log. We only determined it during the washout period (neither early nor late conditions).
Time frame: For 1 week between visit 1 and 2
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Early OGTT, Then Late OGTT in MTNR1B CC | Total Energy Intake | 1563.64 Kcal/day | Standard Deviation 529.39 |
| Early OGTT, Then Late OGTT in MTNR1B CG | Total Energy Intake | 1548.29 Kcal/day | Standard Deviation 552.64 |
| Early OGTT, Then Late OGTT in MTNR1B GG | Total Energy Intake | 1666.25 Kcal/day | Standard Deviation 633.62 |
| Late OGTT, Then Early OGTT in MTNR1B CC | Total Energy Intake | 1555.96 Kcal/day | Standard Deviation 625.39 |
| Late OGTT, Then Early OGTT in MTNR1B CG | Total Energy Intake | 1619.23 Kcal/day | Standard Deviation 695.37 |
| Late OGTT, Then Early OGTT in MTNR1B GG | Total Energy Intake | 1753.18 Kcal/day | Standard Deviation 719.78 |