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Öğün sıklığı ve öğün zamanının kardiyometabolik sağlık üzerine etkisi

Yıl 2024, Cilt: 11 Sayı: 4, 639 - 645, 31.12.2024

Öz

Metabolik sendrom dünya çapında çok sayıda insanı etkileyen, görülme sıklığı ve ölüm oranları artan bir hastalıktır. Artmış vücut ağırlığı, hastalık için önemli bir risk faktörüdür. Metabolik sendromlu hastalar, kardiyovasküler hastalık ve tip 2 diyabet gibi obezite ile ilişkili hastalıklara yakalanma açısından artmış risk altındadır. Hastalığın tedavisinin önemli bir parçası olan tıbbi beslenme tedavisi, bireyin tıbbi ve sosyal durumu göz önünde bulundurularak planlandığında sürdürülebilir bir tedavi formatına ulaşmaktadır. Kanıta dayalı tıbbi beslenme tedavisi, sosyoekonomik durum, fiziksel aktivite ve beslenme alışkanlıkları gibi kişisel özelliklere göre de şekillendirilmelidir. Beslenme alışkanlıkları sadece kişiden kişiye değişmekle kalmayıp geçmişten günümüze de değişmiştir. Hızlanan dünyada yaşam koşulları geleneksel yemek düzeninden uzaklaşmış, yemek saatleri ve sayıları değişmiştir. Bireylerin mevcut yaşam koşullarına uygun, sürdürülebilir ve kanıta dayalı tıbbi beslenme tedavileri sunabilmek için öğün atlama, öğün zamanlaması ve açlık gibi yeni beslenme alışkanlıklarının sağlık üzerindeki etkilerinin bilinmesi gerekli hale gelmiştir. Bu derlemede, öğün sıklığı, öğün zamanlaması (sabah yeme, akşam yeme, düzensiz öğünlerde yeme) ve öğün atlama gibi yeni beslenme alışkanlıklarının metabolik sendrom ve bileşenlerinin ortaya çıkışı ve patogenezi üzerine etkileri incelenmiştir.

Etik Beyan

Bu makale, yazar tarafından insan veya hayvan denekleri üzerinde gerçekleştirilen herhangi bir çalışmayı içermemektedir.

Destekleyen Kurum

The authors received no financial support from any organization for the research and authorship of this review.

Teşekkür

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Kaynakça

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  • Azizi, N., Shab-Bidar, S., Bazshahi, E., Lesani, A., Javanbakht, M. H., & Djafarian, K. (2022). Joint association of meal frequency and diet quality with metabolic syndrome in Iranian adults. BMC Nutrition, 8(1). https://doi.org/10.1186/S40795-022-00507-W.
  • Bernardes da Cunha, N., Teixeira, G. P., Madalena Rinaldi, A. E., Azeredo, C. M., & Crispim, C. A. (2023). Late meal intake is associated with abdominal obesity and metabolic disorders related to metabolic syndrome: A chrononutrition approach using data from NHANES 2015-2018. Clinical Nutrition (Edinburgh, Scotland), 42(9), 1798–1805. https://doi.org/10.1016/J.CLNU.2023.08.005.
  • Berson, D. M., Dunn, F. A., & Takao, M. (2002). Phototransduction by retinal ganglion cells that set the circadian clock. Science (New York, N.Y.), 295(5557), 1070–1073. https://doi.org/10.1126/SCIENCE.1067262.
  • Cahill, L. E., Chiuve, S. E., Mekary, R. A., Jensen, M. K., Flint, A. J., Hu, F. B., & Rimm, E. B. (2013). Prospective study of breakfast eating and incident coronary heart disease in a cohort of male US health professionals. C Circulation, 128(4), 337–343. https://doi.org/10.1161/CIRCULATIONAHA.113.001474/-/DC1.
  • Carlson, O., Martin, B., Stote, K. S., Golden, E., Maudsley, S., Najjar, S. S., Ferrucci, L., Ingram, D. K., Longo, D. L., Rumpler, W. V., Baer, D. J., Egan, J., & Mattson, M. P. (2007). Impact of reduced meal frequency without caloric restriction on glucose regulation in healthy, normal-weight middle-aged men and women. Metabolism: Clinical and Experimental, 56(12), 1729–1734. https://doi.org/10.1016/J.METABOL.2007.07.018.
  • Deshmukh-Taskar, P., Nicklas, T. A., Radcliffe, J. D., O’Neil, C. E., & Liu, Y. (2013). The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999-2006. Public Health Nutrition, 16(11), 2073–2082. https://doi.org/10.1017/S1368980012004296.
  • Dhurandhar, E. J., Dawson, J., Alcorn, A., Larsen, L. H., Thomas, E. A., Cardel, M., Bourland, A. C., Astrup, A., St-Onge, M. P., Hill, J. O., Apovian, C. M., Shikany, J. M., & Allison, D. B. (2014). The effectiveness of breakfast recommendations on weight loss: a randomized controlled trial. The American Journal of Clinical Nutrition, 100(2), 507–513. https://doi.org/10.3945/AJCN.114.089573.
  • Dibner, C., Schibler, U., & Albrecht, U. (2010). The mammalian circadian timing system: organization and coordination of central and peripheral clocks. Annual Review of Physiology, 72, 517–549. https://doi.org/10.1146/ANNUREV-PHYSIOL-021909-135821.
  • Flandrin, J.-L. (2003). Storia dell’ alimentazione. Laterza.
  • Flegal, K. M. (1999). Evaluating epidemiologic evidence of the effects of food and nutrient exposures. The American Journal of Clinical Nutrition, 69(6). https://doi.org/10.1093/AJCN/69.6.1339S.
  • Fong, M., Caterson, I. D., & Madigan, C. D. (2017). Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis. The British Journal of Nutrition, 118(8), 616–628. https://doi.org/10.1017/S0007114517002550.
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  • Kant, A. K., & Graubard, B. I. (2015a). 40-year trends in meal and snack eating behaviors of American adults. Journal of the Academy of Nutrition and Dietetics, 115(1), 50. https://doi.org/10.1016/J.JAND.2014.06.354.
  • Kant, A. K., & Graubard, B. I. (2015b). 40-year trends in meal and snack eating behaviors of American adults. Journal of the Academy of Nutrition and Dietetics, 115(1), 50–63. https://doi.org/10.1016/J.JAND.2014.06.354.
  • Kubota, Y., Iso, H., Sawada, N., & Tsugane, S. (2016). Association of Breakfast Intake with Incident Stroke and Coronary Heart Disease : the Japan Public Health Center-Based Study. Stroke, 47(2), 477–481. https://doi.org/10.1161/STROKEAHA.115.011350.
  • Ma, X., Chen, Q., Pu, Y., Guo, M., Jiang, Z., Huang, W., Long, Y., & Xu, Y. (2020). Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 14(1), 1–8. https://doi.org/10.1016/J.ORCP.2019.12.002.
  • Murakami, K., & Livingstone, M. B. E. (2015). Eating Frequency Is Positively Associated with Overweight and Central Obesity in U.S. Adults. The Journal of Nutrition, 145(12), 2715–2724. https://doi.org/10.3945/JN.115.219808.
  • Nas, A., Mirza, N., Hägele, F., Kahlhöfer, J., Keller, J., Rising, R., Kufer, T. A., & Bosy-Westphal, A. (2017). Impact of breakfast skipping compared with dinner skipping on regulation of energy balance and metabolic risk. The American Journal of Clinical Nutrition, 105(6), 1351–1361. https://doi.org/10.3945/AJCN.116.151332.
  • Nizami, H., Su, L., Jain, R., & Jain, R. (2022). Effects of chronically skipping meals on atrial fibrillation risk. Https://Doi.Org/10.2217/Fca-2021-0086, 18(6), 497–506. https://doi.org/10.2217/FCA-2021-0086. Park, H., Shin, D., & Lee, K. W. (2023). Association of main meal frequency and skipping with metabolic syndrome in Korean adults: a cross-sectional study. Nutrition Journal, 22(1). https://doi.org/10.1186/S12937-023-00852-X.
  • Pickel, L., & Sung, H. K. (2020). Feeding Rhythms and the Circadian Regulation of Metabolism. Frontiers in Nutrition, 7, 519741. https://doi.org/10.3389/FNUT.2020.00039/BIBTEX.
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  • Rodríguez-Monforte, M., Sánchez, E., Barrio, F., Costa, B., & Flores-Mateo, G. (2017). Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies. European Journal of Nutrition, 56(3), 925–947. https://doi.org/10.1007/S00394-016-1305-Y.
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The influence of meal frequency and meal timing on cardiometabolic health

Yıl 2024, Cilt: 11 Sayı: 4, 639 - 645, 31.12.2024

Öz

Metabolic syndrome is a disease with increasing incidence, affecting large numbers of people worldwide and increasing mortality rates. Increased body weight is a major risk factor for the disease. Patients with metabolic syndrome are at increased risk of obesity-related diseases such as cardiovascular disease and type 2 diabetes. Medical nutrition therapy, which is an important part of the treatment of the disease, reaches a sustainable treatment format if it is planned by considering the medical and social status of the individual. Evidence-based medical nutrition therapy should also be shaped according to personal characteristics such as socioeconomic status, physical activity and eating habits. Nutritional habits not only vary from person to person but have also changed from past to present. In the accelerating world, living conditions have moved away from the traditional meal pattern, and meal times and numbers have changed. In order to provide sustainable and evidence-based medical nutrition therapies suitable for individuals' current living conditions, it has become necessary to know the health effects of new eating habits such as skipping meals, meal timing and hunger. In this review, the effects of new eating habits such as meal frequency, meal timing (eating in mornings, eating at nights, eating at irregular meals) and skipping meals on the emergence and pathogenesis of metabolic syndrome and its components were examined.

Etik Beyan

This article does not include any work performed by the author on human or animal subjects.

Kaynakça

  • Akbar, Z., & Shi, Z. (2024). Unfavorable Mealtime, Meal Skipping, and Shiftwork Are Associated with Circadian Syndrome in Adults Participating in NHANES Unfavorable Mealtime, Meal Skipping, and Shiftwork Are Associated with Circadian Syndrome in Adults Participating in NHANES 2005-2016. https://doi.org/10.3390/nu16111581.
  • Azizi, N., Shab-Bidar, S., Bazshahi, E., Lesani, A., Javanbakht, M. H., & Djafarian, K. (2022). Joint association of meal frequency and diet quality with metabolic syndrome in Iranian adults. BMC Nutrition, 8(1). https://doi.org/10.1186/S40795-022-00507-W.
  • Bernardes da Cunha, N., Teixeira, G. P., Madalena Rinaldi, A. E., Azeredo, C. M., & Crispim, C. A. (2023). Late meal intake is associated with abdominal obesity and metabolic disorders related to metabolic syndrome: A chrononutrition approach using data from NHANES 2015-2018. Clinical Nutrition (Edinburgh, Scotland), 42(9), 1798–1805. https://doi.org/10.1016/J.CLNU.2023.08.005.
  • Berson, D. M., Dunn, F. A., & Takao, M. (2002). Phototransduction by retinal ganglion cells that set the circadian clock. Science (New York, N.Y.), 295(5557), 1070–1073. https://doi.org/10.1126/SCIENCE.1067262.
  • Cahill, L. E., Chiuve, S. E., Mekary, R. A., Jensen, M. K., Flint, A. J., Hu, F. B., & Rimm, E. B. (2013). Prospective study of breakfast eating and incident coronary heart disease in a cohort of male US health professionals. C Circulation, 128(4), 337–343. https://doi.org/10.1161/CIRCULATIONAHA.113.001474/-/DC1.
  • Carlson, O., Martin, B., Stote, K. S., Golden, E., Maudsley, S., Najjar, S. S., Ferrucci, L., Ingram, D. K., Longo, D. L., Rumpler, W. V., Baer, D. J., Egan, J., & Mattson, M. P. (2007). Impact of reduced meal frequency without caloric restriction on glucose regulation in healthy, normal-weight middle-aged men and women. Metabolism: Clinical and Experimental, 56(12), 1729–1734. https://doi.org/10.1016/J.METABOL.2007.07.018.
  • Deshmukh-Taskar, P., Nicklas, T. A., Radcliffe, J. D., O’Neil, C. E., & Liu, Y. (2013). The relationship of breakfast skipping and type of breakfast consumed with overweight/obesity, abdominal obesity, other cardiometabolic risk factors and the metabolic syndrome in young adults. The National Health and Nutrition Examination Survey (NHANES): 1999-2006. Public Health Nutrition, 16(11), 2073–2082. https://doi.org/10.1017/S1368980012004296.
  • Dhurandhar, E. J., Dawson, J., Alcorn, A., Larsen, L. H., Thomas, E. A., Cardel, M., Bourland, A. C., Astrup, A., St-Onge, M. P., Hill, J. O., Apovian, C. M., Shikany, J. M., & Allison, D. B. (2014). The effectiveness of breakfast recommendations on weight loss: a randomized controlled trial. The American Journal of Clinical Nutrition, 100(2), 507–513. https://doi.org/10.3945/AJCN.114.089573.
  • Dibner, C., Schibler, U., & Albrecht, U. (2010). The mammalian circadian timing system: organization and coordination of central and peripheral clocks. Annual Review of Physiology, 72, 517–549. https://doi.org/10.1146/ANNUREV-PHYSIOL-021909-135821.
  • Flandrin, J.-L. (2003). Storia dell’ alimentazione. Laterza.
  • Flegal, K. M. (1999). Evaluating epidemiologic evidence of the effects of food and nutrient exposures. The American Journal of Clinical Nutrition, 69(6). https://doi.org/10.1093/AJCN/69.6.1339S.
  • Fong, M., Caterson, I. D., & Madigan, C. D. (2017). Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis. The British Journal of Nutrition, 118(8), 616–628. https://doi.org/10.1017/S0007114517002550.
  • Ha, K., & Song, Y. (2019). Associations of Meal Timing and Frequency with Obesity and Metabolic Syndrome among Korean Adults. Nutrients 2019, Vol. 11, Page 2437, 11(10), 2437. https://doi.org/10.3390/NU11102437.
  • Howarth, N. C., Huang, T. T. K., Roberts, S. B., Lin, B. H., & McCrory, M. A. (2007). Eating patterns and dietary composition in relation to BMI in younger and older adults. International Journal of Obesity (2005), 31(4), 675–684. https://doi.org/10.1038/SJ.IJO.0803456.
  • Jakubowicz, D., Barnea, M., Wainstein, J., & Froy, O. (2013). High caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity (Silver Spring, Md.), 21(12), 2504–2512. https://doi.org/10.1002/OBY.20460.
  • Jung, C. H., Lee, J. S., Ahn, H. J., Choi, J. S., Noh, M. Y., Lee, J. J., Lee, E. Y., Lim, J. H., Lee, Y. R., Yoon, S. Y., Kim, C. H., Cho, D. H., Choi, Y. S., & Choi, K. M. (2017). Association of meal frequency with metabolic syndrome in Korean adults: From the Korea National Health and Nutrition Examination Survey (KNHANES). Diabetology and Metabolic Syndrome, 9(1), 1–9. https://doi.org/10.1186/S13098-017-0277-2/TABLES/3.
  • Kahleova, H., Lloren, J. I., Mashchak, A., Hill, M., & Fraser, G. E. (2017). Meal Frequency and Timing Are Associated with Changes in Body Mass Index in Adventist Health Study 2. The Journal of Nutrition, 147(9), 1722–1728. https://doi.org/10.3945/JN.116.244749.
  • Kant, A. K., & Graubard, B. I. (2015a). 40-year trends in meal and snack eating behaviors of American adults. Journal of the Academy of Nutrition and Dietetics, 115(1), 50. https://doi.org/10.1016/J.JAND.2014.06.354.
  • Kant, A. K., & Graubard, B. I. (2015b). 40-year trends in meal and snack eating behaviors of American adults. Journal of the Academy of Nutrition and Dietetics, 115(1), 50–63. https://doi.org/10.1016/J.JAND.2014.06.354.
  • Kubota, Y., Iso, H., Sawada, N., & Tsugane, S. (2016). Association of Breakfast Intake with Incident Stroke and Coronary Heart Disease : the Japan Public Health Center-Based Study. Stroke, 47(2), 477–481. https://doi.org/10.1161/STROKEAHA.115.011350.
  • Ma, X., Chen, Q., Pu, Y., Guo, M., Jiang, Z., Huang, W., Long, Y., & Xu, Y. (2020). Skipping breakfast is associated with overweight and obesity: A systematic review and meta-analysis. Obesity Research & Clinical Practice, 14(1), 1–8. https://doi.org/10.1016/J.ORCP.2019.12.002.
  • Murakami, K., & Livingstone, M. B. E. (2015). Eating Frequency Is Positively Associated with Overweight and Central Obesity in U.S. Adults. The Journal of Nutrition, 145(12), 2715–2724. https://doi.org/10.3945/JN.115.219808.
  • Nas, A., Mirza, N., Hägele, F., Kahlhöfer, J., Keller, J., Rising, R., Kufer, T. A., & Bosy-Westphal, A. (2017). Impact of breakfast skipping compared with dinner skipping on regulation of energy balance and metabolic risk. The American Journal of Clinical Nutrition, 105(6), 1351–1361. https://doi.org/10.3945/AJCN.116.151332.
  • Nizami, H., Su, L., Jain, R., & Jain, R. (2022). Effects of chronically skipping meals on atrial fibrillation risk. Https://Doi.Org/10.2217/Fca-2021-0086, 18(6), 497–506. https://doi.org/10.2217/FCA-2021-0086. Park, H., Shin, D., & Lee, K. W. (2023). Association of main meal frequency and skipping with metabolic syndrome in Korean adults: a cross-sectional study. Nutrition Journal, 22(1). https://doi.org/10.1186/S12937-023-00852-X.
  • Pickel, L., & Sung, H. K. (2020). Feeding Rhythms and the Circadian Regulation of Metabolism. Frontiers in Nutrition, 7, 519741. https://doi.org/10.3389/FNUT.2020.00039/BIBTEX.
  • Potter, G. D. M., Skene, D. J., Arendt, J., Cade, J. E., Grant, P. J., & Hardie, L. J. (2016). Circadian Rhythm and Sleep Disruption: Causes, Metabolic Consequences, and Countermeasures. Endocrine Reviews, 37(6), 584–608. https://doi.org/10.1210/ER.2016-1083.
  • Rodríguez-Monforte, M., Sánchez, E., Barrio, F., Costa, B., & Flores-Mateo, G. (2017). Metabolic syndrome and dietary patterns: a systematic review and meta-analysis of observational studies. European Journal of Nutrition, 56(3), 925–947. https://doi.org/10.1007/S00394-016-1305-Y.
  • Rong, S., Snetselaar, L. G., Xu, G., Sun, Y., Liu, B., Wallace, R. B., & Bao, W. (2019). Association of Skipping Breakfast With Cardiovascular and All-Cause Mortality. Journal of the American College of Cardiology, 73(16), 2025–2032. https://doi.org/10.1016/J.JACC.2019.01.065.
  • Sebastian, R. S., Katherine Hoy, M., Murayi, T., Goldman, J. D., & Moshfegh, A. J. (2024). Highlights Who consumes breakfast? Figure 1. Prevalence (%) of breakfast consumption among adults age 20+ years, by gender and age, WWEIA, NHANES 2017-March 2020. www.ars.usda.gov/nea/bhnrc/fsrg.
  • Sierra-Johnson, J., Undén, A. L., Linestrand, M., Rosell, M., Sjogren, P., Kolak, M., De Faire, U., Fisher, R. M., & Hellénius, M. L. (2008). Eating meals irregularly: a novel environmental risk factor for the metabolic syndrome. Obesity (Silver Spring, Md.), 16(6), 1302–1307. https://doi.org/10.1038/OBY.2008.203.
  • Smith, K. J., Blizzard, L., McNaughton, S. A., Gall, S. L., Dwyer, T., & Venn, A. J. (2012). Daily eating frequency and cardiometabolic risk factors in young Australian adults: cross-sectional analyses. The British Journal of Nutrition, 108(6), 1086–1094. https://doi.org/10.1017/S0007114511006398.
  • Snetselaar, L. G., De Jesus, J. M., Desilva, D. M., & Stoody, E. E. (2021). Dietary Guidelines for Americans, 2020–2025: Understanding the Scientific Process, Guidelines, and Key Recommendations. Nutrition Today, 56(6), 287. https://doi.org/10.1097/NT.0000000000000512.
  • St-Onge, M. P., Ard, J., Baskin, M. L., Chiuve, S. E., Johnson, H. M., Kris-Etherton, P., & Varady, K. (2017). Meal Timing and Frequency: Implications for Cardiovascular Disease Prevention: A Scientific Statement From the American Heart Association. Circulation, 135(9), e96–e121. https://doi.org/10.1161/CIR.0000000000000476.
  • Sun, Y., Rong, S., Liu, B., Du, Y., Wu, Y., Chen, L., Xiao, Q., Snetselaar, L., Wallace, R., & Bao, W. (2023). Meal Skipping and Shorter Meal Intervals Are Associated with Increased Risk of All-Cause and Cardiovascular Disease Mortality among US Adults. Journal of the Academy of Nutrition and Dietetics, 123(3), 417-426.e3. https://doi.org/10.1016/J.JAND.2022.08.119.
  • Tsutatani, H., Funamoto, M., Sugiyama, D., Kuwabara, K., Miyamatsu, N., Watanabe, K., & Okamura, T. (2017). Association between lifestyle factors assessed by standard question items of specific health checkup and the incidence of metabolic syndrome and hypertension in community dwellers: A five-year cohort study of National Health Insurance beneficiaries in Habikino City. [Nihon Koshu Eisei Zasshi] Japanese Journal of Public Health, 64(5), 258–269. https://doi.org/10.11236/jph.64.5_258.
  • TÜRKİYE BESLENME VE SAĞLIK ARAŞTIRMASI (TBSA). (n.d.). Retrieved December 23, 2023, from www.tirajbasim.com.
  • Wennberg, M., Gustafsson, P. E., Wennberg, P., & Hammarström, A. (2016). Irregular eating of meals in adolescence and the metabolic syndrome in adulthood: results from a 27-year prospective cohort. Public Health Nutrition, 19(4), 667–673. https://doi.org/10.1017/S1368980015001445.
  • Witbracht, M., Keim, N. L., Forester, S., Widaman, A., & Laugero, K. (2015). Female breakfast skippers display a disrupted cortisol rhythm and elevated blood pressure. Physiology & Behavior, 140, 215–221. https://doi.org/10.1016/J.PHYSBEH.2014.12.044.
  • Yamamoto, R., Tomi, R., Shinzawa, M., Yoshimura, R., Ozaki, S., Nakanishi, K., Ide, S., Nagatomo, I., Nishida, M., Yamauchi-Takihara, K., Kudo, T., & Moriyama, T. (2021). Associations of Skipping Breakfast, Lunch, and Dinner with Weight Gain and Overweight/Obesity in University Students: A Retrospective Cohort Study. Nutrients, 13(1), 1–14. https://doi.org/10.3390/NU13010271.
  • Yoshida, J., Eguchi, E., Nagaoka, K., Ito, T., & Ogino, K. (2018). Association of night eating habits with metabolic syndrome and its components: A longitudinal study. BMC Public Health, 18(1), 1–12. https://doi.org/10.1186/S12889-018-6262-3/TABLES/4
  • Yusuf, S., Rangarajan, S., Teo, K., Islam, S., Li, W., Liu, L., Bo, J., Lou, Q., Lu, F., Liu, T., Yu, L., Zhang, S., Mony, P., Swaminathan, S., Mohan, V., Gupta, R., Kumar, R., Vijayakumar, K., Lear, S., … Dagenais, G. (2014). Cardiovascular risk and events in 17 low-, middle-, and high-income countries. The New England Journal of Medicine, 371(9), 818–827. https://doi.org/10.1056/NEJMOA1311890.
  • Zimmet, P., Alberti, K. G. M. M., Stern, N., Bilu, C., El-Osta, A., Einat, H., & Kronfeld-Schor, N. (2019). The Circadian Syndrome: is the Metabolic Syndrome and much more! Journal of Internal Medicine, 286(2), 181–191. https://doi.org/10.1111/JOIM.12924.
Toplam 42 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Derleme
Yazarlar

Kübra Yıldız Güler 0000-0002-4485-6244

Mehmet Fisunoğlu 0000-0002-0021-7811

Yayımlanma Tarihi 31 Aralık 2024
Gönderilme Tarihi 17 Ekim 2024
Kabul Tarihi 17 Kasım 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 11 Sayı: 4

Kaynak Göster

APA Yıldız Güler, K., & Fisunoğlu, M. (2024). The influence of meal frequency and meal timing on cardiometabolic health. Sağlık Akademisyenleri Dergisi, 11(4), 639-645.
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