Abstract 11503: Evening Caloric Intake is Associated With Cardiovascular Health in Women: Results From the American Heart Association Go Red for Women Strategically Focused Research Network

IntroductionAlignment of food intake with circadian rhythms may alter cardiometabolic risk, but evidence is limited. Existing observational studies are cross-sectional and rely on intakes from 1-2 non-consecutive days, prohibiting estimation of habitual meal timing patterns.HypothesisA greater propo...

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Published in:Circulation (New York, N.Y.) N.Y.), 2019-11, Vol.140 (Suppl_1 Suppl 1), p.A11503-A11503
Main Authors: Makarem, Nour, Sears, Dorothy D, St-Onge, Marie-Pierre, Castaneda, Sheila F, Gallo, Linda, Talavera, Gregory A, Liao, Ming, Byun, Stephanie, Mayat, Zara, Zuraikat, Faris M, Aggarwal, Brooke A
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container_end_page A11503
container_issue Suppl_1 Suppl 1
container_start_page A11503
container_title Circulation (New York, N.Y.)
container_volume 140
creator Makarem, Nour
Sears, Dorothy D
St-Onge, Marie-Pierre
Castaneda, Sheila F
Gallo, Linda
Talavera, Gregory A
Liao, Ming
Byun, Stephanie
Mayat, Zara
Zuraikat, Faris M
Aggarwal, Brooke A
description IntroductionAlignment of food intake with circadian rhythms may alter cardiometabolic risk, but evidence is limited. Existing observational studies are cross-sectional and rely on intakes from 1-2 non-consecutive days, prohibiting estimation of habitual meal timing patterns.HypothesisA greater proportion of daily caloric intake (%kcal) consumed in the evening will be associated with poorer cardiovascular health (CVH) in women.MethodsThe AHA Go Red for Women SFRN at Columbia is a 1-y prospective cohort study assessing sleep and cardiometabolic risk in a diverse sample of 506 women. A subset of 112 women (mean age 33 y, 44% Hispanic) completed a 1-wk food record using the web-based NIH Automated Self-Administered 24-h Dietary Assessment Tool at baseline and 1-y. The %kcal consumed after 6PM and 8PM were computed from time-stamped diet data. CVH was assessed using the AHA Life Simple 7 (LS7) score. Linear regression models adjusted for age and socioeconomic status were used to examine evening caloric intake in relation to CVH and cardiometabolic risk factors (BMI, blood pressure (BP), and glycemic markers) in the entire subset and by ethnicity.ResultsAt baseline, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.03, p=0.016) and higher diastolic BP (β=0.18, p=0.004). In cross-sectional analyses of 1-y data, every 1% increase in %kcal consumed after 6PM was associated with a lower AHA LS7 score (β=-0.12, p
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Existing observational studies are cross-sectional and rely on intakes from 1-2 non-consecutive days, prohibiting estimation of habitual meal timing patterns.HypothesisA greater proportion of daily caloric intake (%kcal) consumed in the evening will be associated with poorer cardiovascular health (CVH) in women.MethodsThe AHA Go Red for Women SFRN at Columbia is a 1-y prospective cohort study assessing sleep and cardiometabolic risk in a diverse sample of 506 women. A subset of 112 women (mean age 33 y, 44% Hispanic) completed a 1-wk food record using the web-based NIH Automated Self-Administered 24-h Dietary Assessment Tool at baseline and 1-y. The %kcal consumed after 6PM and 8PM were computed from time-stamped diet data. CVH was assessed using the AHA Life Simple 7 (LS7) score. Linear regression models adjusted for age and socioeconomic status were used to examine evening caloric intake in relation to CVH and cardiometabolic risk factors (BMI, blood pressure (BP), and glycemic markers) in the entire subset and by ethnicity.ResultsAt baseline, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.03, p=0.016) and higher diastolic BP (β=0.18, p=0.004). In cross-sectional analyses of 1-y data, every 1% increase in %kcal consumed after 6PM was associated with a lower AHA LS7 score (β=-0.12, p<0.001) and with higher BMI (β=0.17, p=0.029), systolic BP (β=0.59, p<0.001), diastolic BP (β=0.67; p<0.0001), and HbA1c (β=0.03, p=0.033). Similarly, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.13, p<0.001) and higher diastolic BP (β=0.33; p=0.014). At baseline and 1-y, associations of evening caloric intake with BP were stronger in Hispanic women (p<0.01). In mixed model repeated measures analyses, %kcal after 8PM were associated with higher diastolic BP (β=0.15, p<0.01).ConclusionsA greater %kcal consumed after 6PM and 8PM was associated with poorer overall CVH and higher BP, HbA1c, and BMI. Findings suggest that being mindful of the timing and %kcal of evening meals may be important for lowering cardiovascular risk and warrant confirmation in a larger sample.]]></description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><identifier>DOI: 10.1161/circ.140.suppl_1.11503</identifier><language>eng</language><publisher>by the American College of Cardiology Foundation and the American Heart Association, Inc</publisher><ispartof>Circulation (New York, N.Y.), 2019-11, Vol.140 (Suppl_1 Suppl 1), p.A11503-A11503</ispartof><rights>2019 by the American College of Cardiology Foundation and the American Heart Association, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids></links><search><creatorcontrib>Makarem, Nour</creatorcontrib><creatorcontrib>Sears, Dorothy D</creatorcontrib><creatorcontrib>St-Onge, Marie-Pierre</creatorcontrib><creatorcontrib>Castaneda, Sheila F</creatorcontrib><creatorcontrib>Gallo, Linda</creatorcontrib><creatorcontrib>Talavera, Gregory A</creatorcontrib><creatorcontrib>Liao, Ming</creatorcontrib><creatorcontrib>Byun, Stephanie</creatorcontrib><creatorcontrib>Mayat, Zara</creatorcontrib><creatorcontrib>Zuraikat, Faris M</creatorcontrib><creatorcontrib>Aggarwal, Brooke A</creatorcontrib><title>Abstract 11503: Evening Caloric Intake is Associated With Cardiovascular Health in Women: Results From the American Heart Association Go Red for Women Strategically Focused Research Network</title><title>Circulation (New York, N.Y.)</title><description><![CDATA[IntroductionAlignment of food intake with circadian rhythms may alter cardiometabolic risk, but evidence is limited. Existing observational studies are cross-sectional and rely on intakes from 1-2 non-consecutive days, prohibiting estimation of habitual meal timing patterns.HypothesisA greater proportion of daily caloric intake (%kcal) consumed in the evening will be associated with poorer cardiovascular health (CVH) in women.MethodsThe AHA Go Red for Women SFRN at Columbia is a 1-y prospective cohort study assessing sleep and cardiometabolic risk in a diverse sample of 506 women. A subset of 112 women (mean age 33 y, 44% Hispanic) completed a 1-wk food record using the web-based NIH Automated Self-Administered 24-h Dietary Assessment Tool at baseline and 1-y. The %kcal consumed after 6PM and 8PM were computed from time-stamped diet data. CVH was assessed using the AHA Life Simple 7 (LS7) score. Linear regression models adjusted for age and socioeconomic status were used to examine evening caloric intake in relation to CVH and cardiometabolic risk factors (BMI, blood pressure (BP), and glycemic markers) in the entire subset and by ethnicity.ResultsAt baseline, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.03, p=0.016) and higher diastolic BP (β=0.18, p=0.004). In cross-sectional analyses of 1-y data, every 1% increase in %kcal consumed after 6PM was associated with a lower AHA LS7 score (β=-0.12, p<0.001) and with higher BMI (β=0.17, p=0.029), systolic BP (β=0.59, p<0.001), diastolic BP (β=0.67; p<0.0001), and HbA1c (β=0.03, p=0.033). Similarly, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.13, p<0.001) and higher diastolic BP (β=0.33; p=0.014). At baseline and 1-y, associations of evening caloric intake with BP were stronger in Hispanic women (p<0.01). In mixed model repeated measures analyses, %kcal after 8PM were associated with higher diastolic BP (β=0.15, p<0.01).ConclusionsA greater %kcal consumed after 6PM and 8PM was associated with poorer overall CVH and higher BP, HbA1c, and BMI. Findings suggest that being mindful of the timing and %kcal of evening meals may be important for lowering cardiovascular risk and warrant confirmation in a larger sample.]]></description><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqdj91OAjEQhRujifjzCmZeYLHd7oJwRwiIN16oCZekloGtlJZ0uhAfzndjROMDeDGZzJnvnMwIcadkV6meurcu2a6qZJfa3c4vFKu11Geio-qyKqpaD85FR0o5KPq6LC_FFdEHjz3drzvia_ROORmb4eQawmSPwYU1jI2PyVl4CtlsEBzBiChaZzIuYe5yw0Raurg3ZFtvEszQeFZdgHncYhjCC1LrM8E0xS3kBmG0RU404RtN-S_PxQCPkfElrGL6ccMrH5Vxzbj3nzCNtiXecyRbbQPPmA8xbW7Excp4wtvffi2q6eRtPCsO0WdMtPHtAdOiOZ224KellqpflFINlOIqpHyotf6n7QghcHZx</recordid><startdate>20191119</startdate><enddate>20191119</enddate><creator>Makarem, Nour</creator><creator>Sears, Dorothy D</creator><creator>St-Onge, Marie-Pierre</creator><creator>Castaneda, Sheila F</creator><creator>Gallo, Linda</creator><creator>Talavera, Gregory A</creator><creator>Liao, Ming</creator><creator>Byun, Stephanie</creator><creator>Mayat, Zara</creator><creator>Zuraikat, Faris M</creator><creator>Aggarwal, Brooke A</creator><general>by the American College of Cardiology Foundation and the American Heart Association, Inc</general><scope/></search><sort><creationdate>20191119</creationdate><title>Abstract 11503: Evening Caloric Intake is Associated With Cardiovascular Health in Women: Results From the American Heart Association Go Red for Women Strategically Focused Research Network</title><author>Makarem, Nour ; Sears, Dorothy D ; St-Onge, Marie-Pierre ; Castaneda, Sheila F ; Gallo, Linda ; Talavera, Gregory A ; Liao, Ming ; Byun, Stephanie ; Mayat, Zara ; Zuraikat, Faris M ; Aggarwal, Brooke A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-wolterskluwer_health_00003017-201911191-008533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Makarem, Nour</creatorcontrib><creatorcontrib>Sears, Dorothy D</creatorcontrib><creatorcontrib>St-Onge, Marie-Pierre</creatorcontrib><creatorcontrib>Castaneda, Sheila F</creatorcontrib><creatorcontrib>Gallo, Linda</creatorcontrib><creatorcontrib>Talavera, Gregory A</creatorcontrib><creatorcontrib>Liao, Ming</creatorcontrib><creatorcontrib>Byun, Stephanie</creatorcontrib><creatorcontrib>Mayat, Zara</creatorcontrib><creatorcontrib>Zuraikat, Faris M</creatorcontrib><creatorcontrib>Aggarwal, Brooke A</creatorcontrib><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Makarem, Nour</au><au>Sears, Dorothy D</au><au>St-Onge, Marie-Pierre</au><au>Castaneda, Sheila F</au><au>Gallo, Linda</au><au>Talavera, Gregory A</au><au>Liao, Ming</au><au>Byun, Stephanie</au><au>Mayat, Zara</au><au>Zuraikat, Faris M</au><au>Aggarwal, Brooke A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abstract 11503: Evening Caloric Intake is Associated With Cardiovascular Health in Women: Results From the American Heart Association Go Red for Women Strategically Focused Research Network</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><date>2019-11-19</date><risdate>2019</risdate><volume>140</volume><issue>Suppl_1 Suppl 1</issue><spage>A11503</spage><epage>A11503</epage><pages>A11503-A11503</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract><![CDATA[IntroductionAlignment of food intake with circadian rhythms may alter cardiometabolic risk, but evidence is limited. Existing observational studies are cross-sectional and rely on intakes from 1-2 non-consecutive days, prohibiting estimation of habitual meal timing patterns.HypothesisA greater proportion of daily caloric intake (%kcal) consumed in the evening will be associated with poorer cardiovascular health (CVH) in women.MethodsThe AHA Go Red for Women SFRN at Columbia is a 1-y prospective cohort study assessing sleep and cardiometabolic risk in a diverse sample of 506 women. A subset of 112 women (mean age 33 y, 44% Hispanic) completed a 1-wk food record using the web-based NIH Automated Self-Administered 24-h Dietary Assessment Tool at baseline and 1-y. The %kcal consumed after 6PM and 8PM were computed from time-stamped diet data. CVH was assessed using the AHA Life Simple 7 (LS7) score. Linear regression models adjusted for age and socioeconomic status were used to examine evening caloric intake in relation to CVH and cardiometabolic risk factors (BMI, blood pressure (BP), and glycemic markers) in the entire subset and by ethnicity.ResultsAt baseline, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.03, p=0.016) and higher diastolic BP (β=0.18, p=0.004). In cross-sectional analyses of 1-y data, every 1% increase in %kcal consumed after 6PM was associated with a lower AHA LS7 score (β=-0.12, p<0.001) and with higher BMI (β=0.17, p=0.029), systolic BP (β=0.59, p<0.001), diastolic BP (β=0.67; p<0.0001), and HbA1c (β=0.03, p=0.033). Similarly, each 1% increase in %kcal consumed after 8PM was associated with a lower AHA LS7 score (β=-0.13, p<0.001) and higher diastolic BP (β=0.33; p=0.014). At baseline and 1-y, associations of evening caloric intake with BP were stronger in Hispanic women (p<0.01). In mixed model repeated measures analyses, %kcal after 8PM were associated with higher diastolic BP (β=0.15, p<0.01).ConclusionsA greater %kcal consumed after 6PM and 8PM was associated with poorer overall CVH and higher BP, HbA1c, and BMI. Findings suggest that being mindful of the timing and %kcal of evening meals may be important for lowering cardiovascular risk and warrant confirmation in a larger sample.]]></abstract><pub>by the American College of Cardiology Foundation and the American Heart Association, Inc</pub><doi>10.1161/circ.140.suppl_1.11503</doi></addata></record>
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title Abstract 11503: Evening Caloric Intake is Associated With Cardiovascular Health in Women: Results From the American Heart Association Go Red for Women Strategically Focused Research Network
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