Year of Publication

2019

Degree Name

Doctor of Philosophy (PhD)

Document Type

Doctoral Dissertation

College

Education

Department

Kinesiology and Health Promotion

First Advisor

Dr. Jody L. Clasey

Abstract

The circadian system controls 24-hour cycles of behavior and physiology, such as rest-activity and feeding rhythms. The human circadian system synchronizes with, or entrains to, the light/dark cycle (sunrise/sunset) to promote activity and food consumption during the day and rest at night. However, strict work schedules and nighttime light exposure impair proper entrainment of the circadian system, resulting in chronic circadian misalignment. Numerous studies have shown that chronic circadian misalignment results in poor health. Therefore, therapeutic interventions that could shift circadian rhythms and alleviate circadian misalignment could broadly impact public health. Although light is the most salient time cue for the circadian system, several laboratory studies have shown that exercise can also entrain the internal circadian rhythm. However, these studies were performed in controlled laboratory conditions with physically-active participants. The purpose of this study was to determine whether timed exercise can phase advance (shift earlier) the internal circadian rhythm in sedentary subjects in free-living conditions. Fifty-two young, sedentary adults (16 male, 24.3±0.76 yrs) participated in the study. As a marker of the phase of the internal circadian rhythm, we measured salivary melatonin levels (dim light melatonin onset: DLMO) before and after 5 days of timed exercise. Participants were randomized to perform either morning (10h after DLMO) or evening (20h after DLMO) supervised exercise training for 5 consecutive days. We found that morning exercisers had a significantly greater phase advance than evening exercisers. Importantly, the morning exercisers had a 0.6h phase advance, which could theoretically better align their internal circadian rhythms with the light-dark cycle and with early-morning social obligations. In addition, we also found that baseline DLMO, a proxy for chronotype, influenced the effect of timed exercise. We found that for later chronotypes, both morning and evening exercise advanced the internal circadian rhythm. In contrast, earlier chronotypes had phase advances when they exercised in the morning, but phase delays when they exercised in the evening. Thus, late chronotypes, who experience the most severe circadian misalignment, may benefit from exercise in the morning or evening, but evening exercise may exacerbate circadian misalignment in early chronotypes. Together these results suggest that personalized exercise timing prescriptions based on chronotype could alleviate circadian misalignment in young adults.

Digital Object Identifier (DOI)

https://doi.org/10.13023/etd.2019.406

Funding Information

This study is supported by National Institutes of Health award (UL1TR001998), a Barnstable Brown Diabetes and Obesity Center Pilot Award, the National Center for Advancing Translational Sciences (NIH TL1TR001997), the University of Kentucky Pediatric Exercise Physiology Laboratory Endowment; and the University of Kentucky Arvle & Ellen Turner Thacker Research Fund. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

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