Metabolic rhythm disruption is the functional derangement of the precise 24-hour cycles governing key metabolic processes, including glucose homeostasis, lipid processing, and energy expenditure. This disruption occurs when the timing of internal metabolic oscillators, such as those in the liver or adipose tissue, becomes desynchronized from the central circadian clock. Clinically, this state is associated with adverse health outcomes like weight gain, insulin resistance, dyslipidemia, and an increased risk of metabolic syndrome.
Origin
The concept is a direct result of the discovery that metabolic hormones and enzyme activity are not constant but follow a circadian pattern, leading to the field of chronometabolism. The term disruption gained prominence from studies on shift work and chronic jet lag, which demonstrated that misaligning feeding/fasting cycles with the body’s internal clock has immediate and profound negative metabolic consequences.
Mechanism
The mechanism involves the desynchronization of peripheral clock genes, such as those in the liver and pancreas, from the master clock in the suprachiasmatic nucleus (SCN). Irregular timing of food intake acts as a potent zeitgeber for these peripheral clocks, causing them to phase-shift independently of the SCN. This misalignment results in metabolic hormones, like insulin and leptin, being secreted at inappropriate times, impairing the body’s ability to efficiently manage nutrient load and energy storage.
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