We recently reported on a study that concluded the main threat to the health of night owls was the blowback they get from “day larks.” However, there’s apparently a big difference between preferring to simply stay up late and pulling an all-nighter, especially on an irregular basis. A University of Colorado (CU Boulder) and Women’s Hospital (BWH) in Boston study of 270,000 people published last February in Diabetes Care found that people who occasionally stay up all night are far more likely to contract Type 2 diabetes—the schedule is also implicated in a higher incidence of cardiovascular disease and cancer. Now, a new study from UC Boulder may have discovered at least part of the reason why: even a single all-nighter messes with your blood chemistry.

anatomy of an all-nighter

Anatomy of an all-nighter. (Jorge Cham)

15 million Americans work night shifts either permanently or periodically. The CU Boulder/BWH researchers examined data from the UK Biobank pertaining to males from 38 to 71 and discovered that people who irregularly handled night shifts or who were on rotating schedules were 44% more likely to have Type 2 diabetes, with the odds going up with the number of nights worked. (Surprisingly, permanent night workers showed no such increase in the chances of getting diabetes—it seems that their bodies had over time adapted to their workday/night.)

This makes sense in light of the new CU boulder findings. Its authors enlisted six healthy males in their 20s who spent six days and nights in a setting where their meals, activity, sleep and, light were controlled. For the first two days, the experiment mimicked a normal schedule. The men were then moved to a reverse schedule of sleeping eight hours a day and being active eight hours a night.

experiment sleep cycles

When the subjects slept and when blood was taken. (Depner, et al)

Throughout the study, the researchers analyzed the levels and time-of-day-behaviors of 1,129 blood proteins. Study lead author Christopher Depner tells CU Boulder Today, “By the second day of the misalignment we were already starting to see proteins that normally peak during the day peaking at night and vice versa.” They ultimately identified 129 proteins whose rhythms were being disrupted by the scheduling.

circadian alignments

Circadian alignments vs misalignments. (Depner, et al)

One of these was glucagon, which manages the release of sugar from the liver into the bloodstream. Glucagon usually hits its highest levels during the day, but for the subjects awake at night, that flipped—not only did the peaks occur at night, but even more concerning was that those peaks indicated abnormally high levels of the protein. This could be what’s leading to the increase in diabetes.

The experiment also revealed that the night shifters burned 10% fewer calories during activity, perhaps due to the higher levels of fibroblast growth factor 19 observed—this protein is believed to influence the way in which energy is expended. With weight gain associated with Type 2 diabetes, this could also be a contributing factor.

all-night-tired

(RapidEye/Getty Images)

Another interesting finding was that 30 blood proteins are creatures—if we can use that word—of habit, with most of them reaching their highest levels between 2 pm and 9 pm. This suggests that more accurate blood testing for these proteins could be achieved by considering their natural timing when drawing blood. An even more significant takeaway is, “If we know the proteins that the clock regulates, we can adjust the timing of treatments to be in line with those proteins,” says Depner.

As for the people most identified as being at risk in these studies, when handed unavoidable irregular night work the best defense, says Celine Vetter of CU Boulder, is to eat right, exercise, and make sure to get plenty of sleep when you can. There’s also at least one recent study that suggests you can make up lost ground by sleeping in on weekends. 

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