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13 November 2024

How Disrupted Circadian Rhythms Affect Health

New research reveals liver-brain interaction influences eating patterns and weight gain

If you've ever felt more tired than usual during the winter months, you're not alone. With the shorter days and colder temperatures, a significant number of people report increased fatigue—especially those working irregular hours. A fresh look at the connection between our internal clocks and how they impact everything from work schedules to eating habits is shedding light on this issue, particularly for night shift workers. New research from the Perelman School of Medicine at the University of Pennsylvania has uncovered how our liver communicates with our brain to dictate our eating patterns and how disruptions can lead to serious health issues.

When we think about how our bodies work, we often forget about circadian rhythms—the 24-hour cycles governed by our biological clocks. They regulate various functions, like sleeping, waking, and eating. Disruptions to these rhythms—such as working night shifts or having inconsistent sleep schedules—can wreak havoc on our health. This connection between our liver and brain seems to play a significant role not only in how we eat but also when we eat, and irregular schedules can lead to unintended overeatings, like snacking at odd hours.

The study highlights the vagus nerve, which serves as the communication route between the liver and brain. Specifically, this nerve allows the liver to send signals about the body’s energy status to the brain right when we need them. According to Dr. Mitchell Lazar, the lead researcher of the study, this liver-brain connection ensures we eat when we’re awake and alert, synchronizing with our daily circadian rhythm.

But for those of us juggling irregular work hours—like night shifts—the liver's signals can get thrown off course. When the liver's internal clock falters, the brain misinterprets these signals, often resulting in overeaten meals during less active hours. "Both mice and humans normally eat at times when they are awake and alert, and this circuit provides feedback from the liver to the central clock in the brain," Lazar said.

Now, dealing with disrupted eating patterns is not just about fighting hunger pangs at midnight; it's intricately tied to potential weight gain and metabolic disorders such as diabetes. When researchers altered liver cells' genes—specifically targeting the REV-ERB genes—they noticed significant changes. These genes play a major role in regulating circadian rhythms, and when tampered with, feeding patterns shifted dramatically, increasing food intake during periods when mice were less active.

Fortunately, the researchers discovered hope for restoring balance. When they cut the nerve connection between the liver and the brain, they found they could help these mice return to their normal eating routines. This suggests possibilities for human intervention. “Targeting this liver-brain communication pathway could be a promising approach for weight management,” said Lauren N. Woodie, co-author of the study.

This isn’t just theoretical; addressing the vagus nerve's role opens the door to practical applications. Shift workers, for example, could benefit from therapies aimed at adjusting how their liver sends signals to the brain. Existing options might include behavioral therapies or dietary adjustments to help sync up body clocks and eating patterns.

On another front, Dr. Emeka Okorocha offers practical advice for those feeling the effects of winter tiredness and inconsistency, especially among shift workers. The first tip? Master your sleep routine. This means creating replicable sleep schedules coupled with using methods to block out light and sound disturbances—like wearing eye masks and using earplugs.

Then there's the importance of nutrition. Okorocha advocates for maintaining balanced diets to keep energy levels up, emphasizing the need for proteins, healthy fats, and complex carbohydrates. Forget stuffing yourself with quick carbs from vending machines. Instead, prep meals with nutrients, so when you're short on time, you've got healthful fuel ready to go.

Hydration also emerged as another key element. It might be the simplest thing, but dehydration sneaks up on many, especially when working demanding shifts. The good doctor suggests keeping water bottles nearby and sipping frequently, perhaps even flavoring the water with fruits or juices for a pleasant twist.

Finally, when the urge strikes to grab sugary energy boosts, rethinking one’s choices is advantageous. Okorocha warns against energy drinks which may provide short-lived spikes followed by crashes. He endorses alternatives like effervescent caffeine supplements, known for providing clearer energy without the crash.

So, whether you find yourself managing nights down to regular shifts or grappling with the seasonal fatigue winter brings, the message is clear: focus on routines to keep your circadian rhythm intact, nourish your body with the right foods, stay hydrated, and be mindful of potential energy-draining pitfalls. With this integrated approach, it's possible to combat the fatigue brought on by disrupted routines and calendar irregularities.

For workers operating on the margins of scheduled sleep and nutrition, this blend of research and practical advice holds promise. Understanding the body’s responses and timing can not only promote metabolic balance but might offer tools to navigate the challenges of shift work and heading off potential health risks associated with disrupted eating patterns.

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