Morning Group Research Articles

Association of the time of day of peak physical activity with cardiovascular mortality: Findings from the UK Biobank study

ABSTRACT Cardiovascular physiology and pathophysiology display pronounced circadian rhythms. The study is designed to examine whether the time of day of physical activity is associated with cardiovascular mortality. We analyzed 94,489 UK Biobank adults with objectively measured physical activity, including 53,328 morning-type participants and 30,962 evening-type participants based on self-reported chronotypes. The time of day of peak physical activity was categorized using a machine learning algorithm: early morning (n = 18,477), late morning (n = 25,700), midday (reference) (n = 27,803), and night (n = 22,509). Hazard ratios of cardiovascular mortality were examined using the Cox proportional hazards model. During a median follow-up of 6.9 years (interquartile range, 6.3–7.4 years), we identified 629 cardiovascular deaths. The hazard of cardiovascular mortality was elevated in the early morning group (hazard ratio = 1.56, 95% Confidence Interval [1.23–1.98]) and night group (1.49, [1.18–1.88]) but not in the late morning group (1.21, [0.98–1.47]) compared to the referent midday group. In the chronotype-stratified analysis, the increased cardiovascular mortality in the morning group was only observed in the evening-type participants, while the increased cardiovascular mortality in the night group was only observed in the morning-type participants. In conclusion, optimizing the timing of peak physical activity according to cardiovascular circadian rhythms and individual chronotypes could be a potential therapeutic target that brings additional health benefits.

Does the timing of appendectomy affect outcomes and postoperative complications?

There is controversy about the necessity of nighttime appendectomy. The aim of this study was to determine whether timing of appendectomy performance plays a role on postoperative complications. A retrospective single-center comparative study was performed in children who underwent surgery for acute appendicitis between 2017 and 2021. Patients were divided into groups based on the time slot in which surgery was performed: morning (8:00h-15:00h), afternoon (15:00h-22:00h) and night (22:00h-08:00h). Demographics, intraoperative data, length of hospital stay, and postoperative complications were analyzed and compared. A total of 1643 patients were included: 337 were operated in the morning, 751 in the afternoon and 555 at night. We found no demographic differences. When comparing the intraoperative data, no differences were observed in the percentage of complicated appendicitis. Night group patients presented a higher percentage of open appendectomies (64.5%) when compared to afternoon (49.6%) and morning (46.2%) groups (p < 0.001). Surgery time was also significantly shorter in the night group (45.2min ± 18.9min) (p < 0.001). There were no differences in length of hospital stay, postoperative complications rate or readmission rate. These results show that in our institution time slot in which the appendectomy is performed has no consequences in postoperative outcomes and complications.

Sleep-Based Memory Consolidation Stabilizes Perceptual Learning of Noise-Vocoded Speech.

Sleep-based memory consolidation has been shown to facilitate perceptual learning of atypical speech input including nonnative speech sounds, accented speech, and synthetic speech. The current research examined the role of sleep-based memory consolidation on perceptual learning for noise-vocoded speech, including maintenance of learning over a 1-week time interval. Because comprehending noise-vocoded speech requires extensive restructuring of the mapping between the acoustic signal and prelexical representations, sleep consolidation may be critical for this type of adaptation. Thus, the purpose of this study was to investigate the role of sleep-based memory consolidation on adaptation to noise-vocoded speech in listeners without hearing loss as a foundational step toward identifying parameters that can be useful to consider for auditory training with clinical populations. Two groups of normal-hearing listeners completed a transcription training task with feedback for noise-vocoded sentences in either the morning or the evening. Learning was assessed through transcription accuracy before training, immediately after training, 12 hr after training, and 1 week after training for both trained and novel sentences. Both the morning and evening groups showed improved comprehension of noise-vocoded sentences immediately following training. Twelve hours later, the evening group showed stable gains (following a period of sleep), whereas the morning group demonstrated a decline in gains (following a period of wakefulness). One week after training, the morning and evening groups showed equivalent performance for both trained and novel sentences. Sleep-consolidated learning helps stabilize training gains for degraded speech input, which may hold clinical utility for optimizing rehabilitation recommendations.

Do Different Times of The Day Affect Dart Throwing Performance?

ackground: Dart sport has become a sport that has recently become widespread among sports branches and its popularity is increasing rapidly day by day. With this popularization, research on darts is increasing. It is stated that athletes can do the training they do at any time of the day with a much better performance at a different time, as in many changing conditions. In addition, at a different time of day, fatigue may be reached later or recovery may occur more quickly. For these reasons, knowing the effect of training at different times of the day is important for both the coach and the athlete. Objectives: The aim of this study was to investigate the effect of different times of the day on throwing performance in darts, an indoor skill in which focus, attention, concentration are at the forefront and environmental factors are less effective than outdoor skill. Methods: In this study, 16 dart athletes (8 boys, 8 girls) with a sport age of 2 - 3 years and an age of 12 - 14 years, who did not have any health problems in Mardin province, participated voluntarily: 2 m and 2.37 m from two different distances at 8.00 and 17.00, 1 day apart. Before the dart throws, the Daily Rhythm Determination Scale for Children was administered to the participants. The center of the dartboard was placed at eye level for each subject. After the throws, the Perceived Difficulty Scale was applied. In the analysis examining the relationship between perceived degree of difficulty, morningness-eveningness and throwing, the subjects’ evening throwing scores and evening perceived degree of difficulty scores were examined; a negative and significant relationship was observed in the eveningist group (r = -1, P = 0.01). No significant relationship was observed in the morning group. Results: In the study, a statistically significant difference was found between the subjects’ morning and evening throws at 2 m and 2.37 cm. In both morning and evening groups, it was determined that the throwing performance increased in the evening measurements. Conclusions: As a result, this study concluded that there is an effect of time of day in dart sport and that dart throws made in the evening give better results than dart throws made in the morning. Based on these results, it is recommended that a program should be made by the coaches considering the school programs and daily routines to reduce the effect of time of day. It is thought that this study will be important for chronobiological researches to reveal the factors affecting performance as well as the effect of time of day in darts sport.

Effect of Surgical Starting Time and Season on Prognosis in Octogenarians with Colorectal Cancer: A Retrospective Study

Aim: To investigate the effect of surgical starting time and season on the prognosis of octogenarians with colorectal cancer. Patients & methods: A total of 291 patients aged 80years or above who received elective colectomy for colorectal cancer between January 2007 and December 2018 in the National Cancer Center in China were included. Results: No significant time- or season-dependent difference in overall survival for all clinical stages was found in the study. Comparing perioperative outcomes, the morning group had a longer operative time than the afternoon group (p=0.03), but no significant difference was found based on the season of colectomy. Conclusion: These findings provide insights into clinical outcomes for colorectal cancer patients aged more than 80years.

Nutritional Preferences of Preschool Children for Breakfast

Background: It is stated that children who are acquainted with healthy foods early on are more likely to make healthy food choices in their lives and that parents play important roles in the devel-opment of nutritional preferences. Aim: The main purpose of the present study was to identify children's breakfast habits and what they know about this topic, and see if they transfer all this into life. Method and Material: In this study, the case study design is used because the aim is to describe and interpret from a holistic perspective children's preferences for breakfast. The study was conducted with a total of 30 children from the morning group. For one week, the children were offered a breakfast buffet containing food from each food group and what the children ate was observed. The structured individual interviews planned with 30 children were carried out with only 28 children on the grounds that two children were of Syrian origin and could not speak Turkish at an adequate level. Results: It was observed that the majority of the children (93.3%) stated that they like to have breakfast. The proportion of children who stated that they did not like to have breakfast was 3.4% while the proportion of children who were undecided was 3.3%. According to the findings obtained from the observations, the children finished all the food they put on their plates. In other words, every child tends to take as much food as he/she can eat. Conclusions: As a study conclusion, those children that stated they choose their preferred food and beverages at breakfast according to what they like know the correct foods, which they called "healthy," but do not choose them. It is thought that the reason the children gave the desired answer stems as much from the role of the researcher as it does from the wish to give an adult the "correct" answer.

Comparative analysis of drowsiness and performance in conditionally automated driving and manual driving considering the effect of circadian rhythm

Drowsiness in manual driving (MD) is influenced by circadian rhythms. Conditionally automated driving (CAD) affects drivers’ drowsiness. We conducted a simulator study with 30 participants (every ten subjects in morning group, afternoon group, and evening group) to investigate the effect of circadian rhythm on the changes in drivers’ drowsiness and performance in different driving modes. Each subject was required to complete CAD experiment first and MD experiment later, and experienced 8 risk scenarios in each experiment. The self-reported Karolinska Sleepiness Scale (KSS) was recorded by an investigator every time when the subject drove past the scenario as the drowsiness measurement. The speed, acceleration, time-related metrics, and vehicle lane position were collected as the performance measurements. KSS data were statistically analyzed, and the Spearman’s Rho test was used to confirm the correlation among performance measurements, KSS, and scenarios. The result of the KSS statistical analysis showed that the effect of circadian rhythm on fatigue in MD groups is consistent with the previous studies, but the existence of CAD changes the effect of the circadian rhythm. Compared with the MD, CAD slowed down the drowsiness growth rate in the morning group and promoted the drowsiness growth rate in the evening group. The brake input rate, mean longitude acceleration, max Standard Deviation of Lane Position (SDLP), and the time to pass (TTP) were significantly related to the driver´s drowsiness in both driving modes.

Morning Exercise is More Effective in Ameliorating Oxidative Stress in Patients with Type 2 Diabetes Mellitus

Introduction: Exercise has been believed to be an important step in treating and preventing Type 2 Diabetes Mellitus complications. The circadian rhythm influences systems in the body, including antioxidants in the human body. By synchronizing exercise with exercise time, it will maximize the benefits of exercise for health.&#x0D; Aim: Examining the effect of morning and afternoon exercise on increasing antioxidants and improving oxidative stress in patients with T2DM.&#x0D; Methods: Twenty-two T2DM patients were randomly assigned to morning and afternoon exercise groups. The exercise treatment in this study was in the form of diabetes Persadia gymnastic, for 10 weeks. All participants were taken venous blood before exercise and after the tenth week. The data examined consisted of GPx-1 (Glutathione Peroxidase-1) and MDA (malodialdehyde). The pre and post data were statistically processed using a comparative test.&#x0D; Results: After 10 weeks of exercise, GPx-1 levels increased significantly in both groups (p&lt;0.05). The increase in this enzyme was considerably greater (p&lt;0.05) in the morning group than in the afternoon group (130.37 ± 2.4 h/ml VS 72.38 ± 3.93 h/ml). MDA levels decreased significantly in morning and afternoon groups (p&lt;0.05). The decrease in MDA was significantly greater (p&lt;0.05) in the morning than in the afternoon exercise group (8.22 ± 0.36 nmol/ml VS 5.2 ± 0.86 nmol/ml).&#x0D; Conclusions: Exercise in the morning was more effective in improving oxidative stress by increasing glutathione peroxidase-1 enzyme and reducing malondialdehyde in patients with Type 2 Diabetes Mellitus.&#x0D; Keywords: Exercise; Glutathione Peroxidase; Malondialdehyde, T2DM.

Circadian as a prognostic factor for radiation responses in patients with cervical cancer: A nested case‑control study.

The radiation response of cervical cancer is thought to be enhanced by the levels of melatonin due to its roles in the circadian cycle and cancer growth. In the present study, the roles of circadian rhythms and melatonin levels as prognostic factors for predicting the radiation response in patients with cervical cancer were examined. In this nested case‑control study, patients with good and poor responses to radiotherapy were assessed in terms of the time‑of‑day radiation treatment was administered and further influencing factors. The radiation time was determined, as the subjects were either irradiated in the morning (06.00‑10.00am) or afternoon (04.00‑06.00pm). Data on tumour size and other biological parameters were collected and analysed by binary logistic regression. Among the 56patients examined, most subjects had good radiation responses. Most patients were <50years old with an initial body weight of >50kg, no pain prior to radiation, low erythrocyte sedimentation rates, normal intravenous urography results, moderate or good differentiation on pathology and histo‑pathologically non‑keratinised cells. According to the multivariate analysis, the irradiation time as a surrogate of the circadian cycle (morning vs. afternoon), the initial haemoglobin(Hb) level and the clinical tumour size were significant predictors of the radiation response. The circadian cycle, tumour size and Hb levels may affect the radiation response in patients with cervical cancer. In addition, the morning group had better 5‑year overall survival, but it was not significant, possibly due to the small cohort size. Further research is required to identify more relevant prognostic factors using different radiotherapy techniques [National Clinical Trial (NCT) no.NCT05511740, registration date, 08/20/2022].

진동자극 기반 도립기를 이용한 요추의 가동성 및 유연성에 미치는 영향

The purpose of the study was to evaluate the lumbar mobility and flexibility by the vertical vibration stimulation. The subjects were 21 young adults were divided into vibration group (n = 7) that applied 30 Hz vibration stimulation to the lumbar, foam roller group (n = 7) that relaxes the lumbar muscles with a foam roller, and good morning exercise group (n = 7) that stimulates the lumbar spine with the good morning exercise. The muscle strength, EMG and the sit & reach test were measured, to evaluate the lumbar mobility and flexibility before and after exercise intervention in each group. Results showed increasing in the vibrating group in muscle strength and EMG, and the good morning group and the vibrating group in the Sit & Reach test. This can be developed as a new alternative to exercise therapy for spine rehabilitation.

Evaluation of Bedtime vs. Morning Levothyroxine Intake to Control Hypothyroidism in Older Patients: A Pragmatic Crossover Randomized Clinical Trial.

IntroductionDrug scheduling in older adults can be a challenge, especially considering polypharmacy, physical dependency, and possible drug interactions. Properly testing alternative treatment regimens could therefore help to overcome treatment barriers. Hypothyroidism is a prevalent condition in older adults, however, studies evaluating L-thyroxine treatment effectiveness in this specific age group are still lacking. Most studies testing an evening administration of levothyroxine were mainly composed of younger adults. Therefore, this trial is aimed to assess if evening levothyroxine (LT4) administration can effectively control hypothyroidism in older patients.Materials and MethodsA randomized crossover clinical trial was conducted between June 2018 and March 2020 at the Hospital de Clínicas de Porto Alegre, a teaching hospital in Brazil, to compare the efficacy of morning and evening administration of LT4 for hypothyroidism control in older patients. The study protocol is published elsewhere. A total of 201 participants, ≥60 years old, with primary hypothyroidism treated with LT4 for at least 6 months and on stable doses for at least 3 months were included. Participants were randomly assigned to a starting group of morning LT4 intake (60 min before breakfast) or bedtime LT4 intake (60 min after the last meal). After ≥12 weeks of follow-up, a crossover between strategies was performed. The primary outcome was the change in serum thyrotropin (Thyroid-Stimulating Hormone; TSH) levels after 12 weeks of each LT4 administration regimen.ResultsA total of 201 participants with mean age of 72.4 ± 7.2 years were included, out of which 84.1% were women; baseline characteristics and frequency of controlled hypothyroidism were similar between groups. Mean baseline TSH was 3.43 ± 0.25 mUI/L. In total, 118 participants attended three meetings, allowing 135 comparisons by crossover analytic strategy. Mean TSH levels after follow-up were 2.95 ± 2.86 in the morning group and 3.64 ± 2.86 in the bedtime group, p = 0.107.DiscussionThyroid-Stimulating Hormone levels and frequency of controlled hypothyroidism were similar during the follow-up period regardless of the treatment regimen (morning or bedtime).

Color Preferences for Morning and Evening Chronotypes

The presented paper deals with the symbolism of colors, i.e., color associations. The aim of the paper is to verify the correlation of colors and their symbolism. The combination of color and its meaning was based on the existence of a physiological variable, namely the psychophysiological state. The diurnal preference of individuals was used for this purpose, which divided the subjects according to the chronotype into morning and evening groups. From this starting point, the color preferences of the examined people were monitored in the final phase by means of a color evaluation test. The theoretical part of the paper provides a theoretical framework and starting points for research. The research part describes in detail the research process, especially the methods used. The research itself was attended by 720 people aged 20–40 years. As research methods were used: the Composite scale of morningness, Bourdon's performance test, the Subjective scale of activation, and the Color evaluation test. The respondents had the task of associating colors with their current psychophysiological state. The established hypotheses were mostly confirmed. From a broader point of view, we have come to the conclusion that people attribute certain properties to individual colors, so there is psychic content belonging to individual colors. The colors expressing activity included yellow, orange, and red, and respondents from the group of evening chronotypes also included blue. Calm colors include blue, green, and gray. The most indifferent color was purple. The obtained results were statistically significant. There were also relatively strong correlations in the evaluation of colors due to the psychological focus of the research. Other stimuli for research were also found in the research. Doi: 10.28991/ESJ-2022-06-04-010 Full Text: PDF

Effect of sampling time on urinary electrolytes following oral furosemide administration in dogs with myxomatous mitral valve disease

Introduction/ObjectivesUrine chemistry has received growing attention to estimate the diuretic response in dogs with cardiac disease.The aim of the study was to evaluate the impact of time elapsed between the oral furosemide administration and sample collection on urine chemistry in dogs with myxomatous mitral valve disease (MMVD) receiving diuretic therapy in American College of Veterinary Internal Medicine (ACVIM) stage C. Materials and methodsSeventy-three dogs with MMVD ACVIM stage C and 106 healthy dogs were prospectively included. Dogs with MMVD were divided, based on the time of sampling, in morning group (MMVD-MG) of one to 6 h and an evening group (MMVD-EG) over 6 h from oral furosemide administration. Analogously, healthy dogs sampled between 9 a.m. and 1 p.m. and between 2 and 7 p.m. were divided in a morning group (H-MG) and an evening group (H-EG), respectively. Urine chemistry, including fractional excretion of electrolytes, was evaluated and compared among groups. ResultsHigher excretion of sodium and chloride and higher urine sodium to urine potassium ratio (uNa+:uK+) were detected in MMVD-MG than MMVD-EG (P = 0.021, P = 0.038, and P = 0.016, respectively). Natriuresis, chloriuresis, and uNa+:uK+ were higher in MMVD-MG than H-MG, while no differences were found in the comparison between H-MG and H-EG and between MMVD-EG and H-EG. ConclusionsUrinary electrolyte excretion is significantly increased within 6 h from furosemide administration in MMVD ACVIM stage C dogs. Time of sampling from furosemide administration significantly affects urine chemistry in MMVD dogs and should be considered in clinical practice and the research field.

Readmission After Pancreas Transplantation: Timing of Surgery Matters.

Pancreas transplantation is associated with good long-term outcomes, but readmissions are frequent. In this study, our objective was to understand the effects of operation start time on postoperative outcomes. We conducted a retrospective review of all patients who underwent deceased donor pancreas transplant in a single center from January 2017 to December 2018. We compared postoperative outcomes of patients in relation to operation start time, which included morning (6 AM to 3 PM), afternoon (3 PM to 7 PM), and evening (7 PM to 6 AM). Eighty-three patients were included in the study. The median age was 45 years old, 54.2% were males, and 79.5% had diabetes mellitus type 1. With regard to surgery start time, 50 patients (60.2%) had a start time in the morning, 25 patients (30.1%) in the afternoon, and 8 (9.6%) in the evening. Patients in the morning group had a significantly lower readmission rate compared with the afternoon and evening groups, respectively (50% vs 84% vs 87.5%; P = .04).There were no significant differences in reoperation rate (26% vs 32% vs 12.5%; P = .57), percutaneous drain placement (20% vs 12% vs 12.5%; P = .75), or graft failure (8% vs 4% vs 12.5%; P = .55) among the 3 groups. Morning operative start times were associated with lower readmission after pancreas transplant.

Supplementation of Protein at Breakfast Rather Than at Dinner and Lunch Is Effective on Skeletal Muscle Mass in Older Adults.

Background: The effects of different intake patterns of meal protein on muscle mass have not been clarified. We cross-sectionally and longitudinally examined the effect of different timing of protein intake on sarcopenia-related factors in older adults.Methods: This cross-sectional study 1 included 219 (male, n = 69, female, n = 150) elderly subjects aged ≥65 years. Subjects who consumed more protein at breakfast than at dinner were grouped into the morning group (MG, n = 76; male, n = 26; female, n = 50), and those who consumed more protein at dinner than at breakfast were grouped into the evening group (EG, n = 143; male, n = 43; female, n = 100). In cross-sectional study 2-1 (female, n = 125), the subjects were classified into four groups according to the number of meals with sufficient protein intake. In cross-sectional studies 2-2 (female, n = 125) and 2-3 (female, n = 27), the subjects were classified into eight groups and three groups according to whether they had consumed sufficient protein at three meals; sarcopenia-related factors were compared. The intervention study was a placebo-controlled, double-blind, randomized controlled trial that included 40 elderly women with low daily breakfast protein intake. The subjects were divided into four groups: morning protein and placebo intake groups and evening protein and placebo intake groups. Each group consumed the test food (containing 10 g milk protein) or placebo in the morning or evening for 12 weeks. Blood indices and physical function were assessed before and after the intervention.Results: Comparing all subjects, MG showed significantly higher handgrip strength than did EG (P < 0.05). The higher ratio of morning protein intake relative to the total protein intake, the better the muscle mass (r = 0.452, P < 0.05) and handgrip strength (r = 0.383, P < 0.05). The intervention study showed an increase in muscle mass with the intake of milk protein in the morning rather than in the evening (P < 0.05).Conclusions: Protein intake at breakfast might have relatively stronger effects on skeletal muscle mass than at lunch and dinner.

Does time of day matter for colonoscopy quality? A review of over 13,000 screening colonoscopies in a colorectal surgery unit

BackgroundThere exists conflicting data in the literature with regard to adequate adenoma detection rate (ADR) as well as other quality metrics during colonoscopy based on the time of day that the procedure is performed. The aim of this study was to investigate the effect of time of day on quality metrics in patients undergoing screening colonoscopy. MethodsScreening colonoscopies performed between January 2010 and September 2018 by twenty-eight colorectal surgeons were queried from a prospectively maintained database. Quality parameters examined included adenoma detection rate (ADR), gender-specific ADR, withdrawal time, total examination time, cecal intubation rate, bowel preparation quality, and intra-procedural complications. Colonoscopies were compared between morning (07:30–11:59 AM) and afternoon (12:00–17:00 PM) groups. ResultsThere were 13,809 endoscopic screening examinations performed in asymptomatic patients older than 45 years. Patients had a mean age of 59.8 years, and 48.5% were female. A total of 8868 (64%) of the scopes were performed in the morning and 4941 (36%) were performed in the afternoon. Median endoscopist volume was 189 [54, 701] and included only surgeons who performed both afternoon and morning colonoscopies. There was no difference in both ADR and bowel preparation quality between the two groups. Both groups exceeded all national quality benchmarks, with the morning group having significantly shorter examination times. ConclusionsIn our practice, colonoscopies meet and exceed all national quality benchmarks, independent of the time of day they are performed.

Optimal Timing of Simethicone Supplement for Bowel Preparation: A Prospective Randomized Controlled Trial.

Background and Aims Simethicone (SIM), as an antifoaming agent, has been shown to improve bowel preparation during colonoscopy. However, the optimal timing of SIM addition remained undetermined. We aimed to investigate the optimal timing of SIM addition to polyethylene glycol (PEG) to improve bowel preparation. Methods Eligible patients were randomly assigned to two groups: the SIM evening group (SIM addition to PEG in the evening of the day prior to colonoscopy) and the SIM morning group (SIM addition to PEG in the morning of colonoscopy). The primary outcome was Bubble Scale (BS). The secondary outcomes were Boston Bowel Preparation Scale (BBPS) and adenoma detection rate (ADR). Results A total of 419 patients were enrolled in this study. The baseline characteristics of the patients were similar in both groups. No significant differences were observed in terms of BS (8.76 ± 0.90 vs. 8.65 ± 1.16, P = 0.81), ADR (34.1% vs. 30.8%, P = 0.47), Boston Bowel Preparation Scale (BBPS) (8.59 ± 0.94 vs. 8.45 ± 1.00, P = 0.15), and withdrawal time (8.22 ± 2.04 vs. 8.01 ± 2.51, P = 0.094) between the two groups. Moreover, safety and compliance were similar in both groups. However, the SIM evening group was associated with shorter cecal intubation time (3.80 ± 1.81 vs. 4.42 ± 2.03, P < 0.001), higher BS (2.95 ± 0.26 vs. 2.88 ± 0.38, P = 0.04) in the right colon, and diminutive ADR (62.5% vs. 38.6%, P = 0.022) in the right colon, when compared to the SIM evening group. Conclusions The SIM addition to PEG in the evening of the day prior to colonoscopy can shorten cecal intubation time and improve BS scores and diminutive ADR of the right colon compared with the SIM addition to PEG in the morning of colonoscopy in bowel preparation.

A Study to Assess the Effectiveness of Vitis vinifera soaks on Hemoglobin Level among Anemic Students in a Selected Colleges at Vellore

An experimental study was conducted to assess the effectiveness of vitis vinifera soak on hemoglobin level among anemic students in selected colleges at Vellore. Quantitative evaluative approach was used for this study and the researcher adopted a true experimental research design. The sample was conducted among 60 anemic students in selected colleges at Vellore, in which 30 were in experimental group and 30 were in control group. The sample was selected by using Probability simple random sampling technique with lottery method. The researcher adopted Kristen M. Swanson theory as a conceptual framework. There are six different hypothesis were tested in this study. The Structured interview schedule was used to collect the demographic and clinical variable. Sahli’s hemoglobinometer was used to assess the hemoglobin level. Experimental group received intervention of vitis vinifera soak for 21 days in the morning and control group advised to follow daily routine and no intervention is given. In both groups, on 22nd day the researcher was conducted post test by using same tool. The data were analyzed using both descriptive and inferential statistics. The study revealed that the mean post test score in control group was 9.29 where as in experimental group the mean post test score was 9.82, the mean difference was 0.53. The obtained ‘t’ value was 2.24 which was statistically significant (P&lt;0.01). These findings revealed that the students in experimental group had increased hemoglobin level after administering vitis vinifera soak compared to the control group.

Association between Chronotype and Nutritional, Clinical and Sociobehavioral Characteristics of Adults Assisted by a Public Health Care System in Brazil.

Chronotype (CT) has been associated with predisposition to chronic noncommunicable diseases (CNCDs), such as diabetes mellitus and obesity. However, the effects of CT on individuals assisted by public health systems (PHSs) in middle-up economies are still poorly explored. The objective of this study was to evaluate the relationship between CT and clinical, sociobehavioral and nutritional aspects in adults assisted by a PHS in Brazil. This is a population-based cross-sectional study. The sample consisted of 380 individuals, selected through probabilistic sampling by clusters, in all health units in a city of approximately 100 thousand inhabitants. Data collection was performed during home visits, by means of general and nutritional interviews, anthropometric measurements and the Morningness–Eveningness Questionnaire (MEQ). Statistical analysis comprised chi-square test and principal component analysis (CPA) followed by Fisher’s discriminant analysis to determine aspects associated with each CT (morning, evening or intermediate). With the aim of explaining the variation in the CT scores, the consumption of micronutrients (corrected to the total energy intake) and other individual and sociodemographic variables were used as explanatory factors in the adjustment of a linear regression model. The morning group was characterized by older men, with less than eight years of schooling, with low body mass index (BMI) and with low intake of omega-6, omega-3, sodium, zinc, thiamine, pyridoxine and niacin. The evening group, on the other hand, was composed of younger individuals, with a high consumption of these same nutrients, with high BMI and a higher frequency of heart diseases (p < 0.05). It was concluded that most morning CT individuals were elderly thin males with lower consumption of omega-6 and -3, sodium, zinc, thiamine, pyridoxine and niacin, whereas evening individuals were younger, had higher BMI and had higher consumption of the studied micronutrients. The identification of circadian and behavioral risk groups can help to provide preventive and multidisciplinary health promotion measures.

Effect of morning versus evening exercise training on sleep, physical activity, fitness, fatigue and quality of life in overweight and obese adults

ABSTRACT This study compares the effectiveness of a 12-week moderate exercise training program (METP), performed in the morning versus the evening, on sleep, physical activity, physical fitness, sleepiness, fatigue and health-related quality of life (HRQoL) in overweight and obese patients. Sedentary and inactive overweight/obese adults (n = 36) were included in METP and randomized into two groups: morning group (GM) and evening group (GE). Twenty-eight participants successfully completed METP (3 × 90 min exercise session per week for 12 weeks, completion rates >80%). Sleep, physical activity, and bedtime temperature were measured using accelerometry and infrared tympanic temperature during 3 separate weeks of the study (Week1, Week6, and Week12). Participants also took part in baseline and endpoint assessments including physical fitness as well as subjective physical activity, chronotype, sleep quality, sleepiness, fatigue and HRQoL. METP did not impact objective sleep quality differently between the two groups (morning vs evening). Bedtime and mid-sleep were advanced when METP was done in the morning whereas they were delayed when METP was practiced in the early evening (p = .003). Beside this finding, no valuable differences between the two groups were noted in all the remaining measures. METP resulted in improvements of body composition, cardiorespiratory and muscular endurance, as well as a favorable impact on subjective sleep quality, diurnal sleepiness, fatigue and HRQoL in both groups (all p < .05). Evening METP could be an effective alternative for overweight/obese adults when morning METP is not possible.