Evidence map›Paper›PMID 42012540›Full record

ArticleEuropean journal of nutrition2026

Associations between chrono-nutrition and glucose metabolism across levels of glucose impairment: The Maastricht Study.

Marvin Y Chong, Annemarie Koster, Bastiaan E de Galan, Carla J H van der Kallen, Marleen M J van Greevenbroek, Martijn J L Bours, Matty P Weijenberg, Simone J P M Eussen

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Article in European journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Marvin Y ChongDepartment of Epidemiology, CARIM Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands. marvin.chong@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-4179-6290
Annemarie KosterDepartment of Social Medicine, CAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
Bastiaan E de GalanDepartment of Internal Medicine, Maastricht University Medical Center+ (MUMC+), Maastricht, The Netherlands.
Carla J H van der KallenDepartment of Internal Medicine, Maastricht University Medical Center+ (MUMC+), Maastricht, The Netherlands.
Marleen M J van GreevenbroekDepartment of Internal Medicine, Maastricht University Medical Center+ (MUMC+), Maastricht, The Netherlands.
Martijn J L BoursDepartment of Epidemiology, GROW Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Matty P WeijenbergDepartment of Epidemiology, GROW Research Institute for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
Simone J P M EussenDepartment of Epidemiology, CARIM Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChrono-nutrition, defined as the timing, frequency, and regularity of food intake, may influence glucose metabolism and the risk of type 2 diabetes mellitus (T2DM) through its interaction with circadian rhythms. We examined cross-sectional associations of meal frequency, irregularity, and length of the eating window with glucose metabolism in individuals with normal glucose metabolism, prediabetes, and T2DM.

methodsData were derived from 3,467 participants of a population-based cohort enriched with T2DM. Glucose metabolism status (normal, prediabetes, T2DM) was determined by oral glucose tolerance test and use of glucose-lowering medication. Fasting plasma glucose, 2 h post-load glucose, and HbA1c were measured in venous plasma. Chrono-nutrition was assessed by questionnaire. Multinomial logistic regression estimated odds ratios for prediabetes and T2DM versus normal glucose metabolism. Linear regression models assessed associations with glycemic markers, stratified by glucose metabolism status. Analyses were adjusted for sociodemographic, lifestyle, and clinical factors, including diet quality and caloric intake.

resultsA longer eating window was associated with higher odds of prediabetes (OR per hour: 1.07, 95% CI 1.01–1.13). In normal glucose metabolism (N = 2264), breakfast skipping showed higher fasting glucose (β: 0.09 mmol/L, 0.04–0.14), while in participants with prediabetes (N = 604) breakfast skipping was associated with lower 2 h post-load glucose (β: −0.50 mmol/L, −0.96, −0.05). In prediabetes, higher meal irregularity was associated with higher fasting glucose (β: 0.07, 0.03–0.12) and HbA1c (Q4 vs. Q1: β: 1.46 mmol/mol, 0.15–2.77). In T2DM (N = 599), higher meal irregularity was associated with elevated HbA1c levels (Q4 vs. Q1: β: 3.28, 0.19–6.37).

conclusionThese findings highlight the potential role of chrono-nutrition in glucose regulation, warranting further research for confirmation.

Indexed as

Blood GlucoseCircadian RhythmDiabetes Mellitus, Type 2Feeding BehaviorNutritional StatusPrediabetic StateAdultAgedBreakfastCohort StudiesCross-Sectional StudiesEnergy IntakeFastingFemaleGlucose Tolerance TestGlycated HemoglobinBlood GlucoseGlycated HemoglobinChrono-nutritionFasting plasma glucoseHbA1cNormal glucose metabolismPrediabetesType 2 diabetes

Identifiers

PMID42012540
PMCPMC13099856

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.