3:04am

Wed January 30, 2013
The Salt

To Maximize Weight Loss, Eat Early in The Day, Not Late

Originally published on Wed January 30, 2013 10:44 am

You've heard the dieting advice to eat breakfast like a king, lunch like a prince and dinner like a pauper? Well, there's mounting evidence that there's some truth to it.

A new study published in the International Journal of Obesity builds on previous studies that suggest it's best not to eat too many calories late in the day.

The Spanish study finds that dieters who ate their main meal before 3 p.m. lost significantly more weight than those who ate later in the day. This held true even though the early eaters were eating roughly the same number of calories during the five-month weight-loss study as their night-owl counterparts.

The study included 420 overweight and obese volunteers who lived in the Mediterranean seaside town of Murcia, Spain. Their average age was 42. Half were men, half women. Their midday meal constituted about 40 percent of their diet of roughly 1,400 calories a day, on average. Right — that's not a lot of calories. The average nondieting American eats about 2,700 calories a day, according to the U.S. Department of Agriculture.

On average, the early eaters in the Spanish study lost 22 pounds, compared with the late eaters who lost 17 pounds.

Both the early eaters and late eaters had similar levels of physical activity and got similar amounts of sleep, so researchers ruled out these factors as possible explanations for the differences in weight loss.

"The study suggests that it's not just what we eat but when we eat is important," says study author Frank Scheer, who directs the Medical Chronobiology Program at Brigham and Women's Hospital in Boston.

So what's at play here? Well, Scheer says recent animal studies have shown that the timing of eating can have a powerful influence on weight regulation and metabolism. This new study, he says, is among the first to suggest it's also key in people.

"Only in recent years are we trying to study this and tease apart what the underlying mechanisms might be," says Scheer.

In the study, the people who ate late and didn't lose as much weight also tended to skip breakfast or eat just a little in the morning.

Scheer says that because eating seems to send a signal to our body clocks, it's possible that when people delay eating a big meal until late in the day, things get out of whack: The master clock in the brain gets out of sync with the mini clocks in the cells of the body that regulate metabolism.

"When the timing of meals do not match with the sleep-wake cycle well, there's a disconnect between the different clocks that we have in basically all the cells of our body," explains Scheer.

And with this disconnect, the complex systems that regulate weight don't work as well, he says.

Not everyone is convinced by the findings of this study. Madelyn Fernstrom of the University of Pittsburgh Medical Center says she's skeptical that the timing of meals can influence weight loss so significantly. The study shows an association between the timing of meals and weight loss, says Fernstrom, but "it's not [proving] cause and effect."

Weight loss is complicated. But Fernstrom says as we learn more about the many factors that may influence weight regulation, it's important for dieters not to lose sight of the big picture.

"The greater importance is what you are eating," Fernstrom says. If you want to lose weight, "you need to eat fewer calories and exercise more."

That, of course, is something you likely already know.

Copyright 2013 NPR. To see more, visit http://www.npr.org/.

Transcript

RENEE MONTAGNE, HOST:

We are also following news of interest to people who are trying to eat right and stay healthy. Turns out, it's not just what you eat; it's when you eat it.

STEVE INSKEEP, HOST:

There's an old saying: It's best to eat breakfast like a king, lunch like a prince, and dinner like a pauper - eat early. NPR's Allison Aubrey reports on a new study that adds some evidence to that idea.

ALLISON AUBREY, BYLINE: The study's lead author is Marta Garaulet of the University of Murcia in Spain. And she recently made one change in the way she goes about eating. She has not scaled back on what she's eating. Instead, she's begun eating her main meal of the day a little earlier.

MARTA GARAULET: So, I have not been doing diet, but I realize that I am better now since I eat a little bit earlier.

AUBREY: And this fits with what her study showed. Garaulet says in Spain, it's quite common to skip breakfast and eat a big lunch, sometime in the early to mid-afternoon. Dinner is often very light. As a researcher, she was interested in knowing how the timing of these meals influenced weight loss. To evaluate this, she tracked about 400 overweight people living in her town, which is located on the coast of the Mediterranean Sea. All of them had volunteered to be part of a five-month weight loss trial, which required them to limit their calories. And at the end of the study, Garaulet found that the people who had eaten their main meal of the day early - before 3 p.m. - lost about five pounds more than those who ate later in the day, even though they were all eating about the same number of calories. Garaulet says it convinced her that the timing of a meal could make a big difference.

GARAULET: Of course, you know, when I got the result, it was the day that I change my schedule.

AUBREY: You started eating earlier.

GARAULET: Yes.

AUBREY: Researchers in the U.S., including Frank Scheer of Harvard Medical School, collaborated on the study. Scheer says they wanted to rule out other factors that might have explained the differences in weight loss between the early and late eaters. So they looked at things such as physical activity, hunger hormones, as well as sleep.

FRANK SCHEER: And none of these factors were significantly different between the two groups.

AUBREY: So what's at play here? Well, Scheer, who studies chronobiology, or how time influences biology, says recent animal studies have shown that the timing of eating can have a powerful influence on metabolism and weight regulation. This new study, he says, is among the first to suggest that this may also be true in people.

SCHEER: Only in recent years are we starting to try to tease apart what the underlying mechanisms might be.

AUBREY: In the study, the people who ate late and didn't lose as much weight also tended to skip breakfast, or eat just a little in the morning. And Scheer says that since eating seems to send a signal to our body clocks, it could be that when people delay eating until late in the day, things get out of whack. The master clock in the brain is no longer in sync with the mini-clocks in the cells of the body that regulate metabolism.

SCHEER: When the timing of meals doesn't match with the sleep-wake cycle well, there is a disconnect between the different clocks that we have in basically all the cells in our body.

AUBREY: And with this disconnect, the complex systems that regulate weight don't work as well. Now, not everyone is convinced by the findings of the study. Madelyn Fernstrom of the University of Pittsburgh Medical Center says she's skeptical that the timing of meals alone can influence weight so significantly.

MADELYN FERNSTROM: Clearly, there is something biological about this whole cascade. But I think there's a lot of other unanswered questions.

AUBREY: For instance, could it be that the amount of food at breakfast rather than the timing of lunch or dinner makes a difference? It's not clear. She says the more we learn about the many factors that may influence weight, it's important for dieters not to lose sight of the big picture.

FERNSTROM: The greater importance is what you are eating. You need to eat fewer calories and move more.

AUBREY: Which is, of course, something that you likely already know. Allison Aubrey, NPR News.

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INSKEEP: Your companion for a hearty breakfast. It's MORNING EDITION, from NPR News. Transcript provided by NPR, Copyright NPR.

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