News Release

Time of day may determine the amount of fat burned by cold exposure

Cold exposure in the morning appears best time to increase fat metabolism to improve cardiometabolic health, at least in men

Peer-Reviewed Publication

European Association for the Study of Obesity

Short-term exposure to cold temperatures activates brown fat that burns calories and has become an attractive target to promote cardiometabolic health. Now new research being presented at this year’s European Congress on Obesity (ECO) in Dublin, Ireland (17-20 May) suggests that this biological response differs depending on the time of day and in men and women.

The preliminary study by Dr Mariëtte Boon from Leiden University Medical Center in the Netherlands and colleagues, suggests that cold exposure in the morning may be more effective at boosting the metabolism and burning fat than in the evening in men, but maybe not in women.

Brown fat or brown adipose tissue (BAT) is a distinct type of fat that is activated in response to cold temperatures. Its primary role is to produce heat to help maintain body temperature and it achieves that by burning calories especially from fat.

“Our study indicates that the optimum time to undergo cold exposure is at a specific point in the body’s 24-hour cycle,” says Dr Boon. “It may also be that there is a sex difference in how the body responds to cold exposure with respect to boosting metabolism at a certain time point, and it appears that delivering cold exposure therapies in the morning may be more beneficial than the evening for men.”

In rodents, brown fat metabolic activity fluctuates throughout the day, and is highest just before waking up. This makes biological sense because heat production from food digestion and activity declines during night-time and waking up requires the body to increase its core body temperature. But whether there is a circadian rhythm in brown fat activity in humans, and whether it differs in men and women when they are exposed to cold, is unknown.

To find out more, researchers conducted a randomised crossover study in 24 lean adults—12 men (aged 18-31 years; BMI 18-26 kg/m²) and 12 women (aged 18-29 years; BMI 18-26 kg/m²).

Participants underwent a 2.5 hour personalised cooling protocol using water-filled mattresses in the morning (7:45 am) and evening (7:45 pm), in random order and with one day in between these study days.

The water temperature was lowered gradually until shivering occurred or until a temperature of 9°C was reached. Participants were then exposed to stable cold for another 90 minutes.

Researchers measured energy expenditure (using indirect calorimetry) four times during the experiment—at the start under thermoneutral conditions (at 32°C when the body does not need to produce extra heat to maintain its core temperature), during the cooling down phase, the stable cold phase, and at the end of cooling (after 90 minutes). Supraclavicular skin temperature was also measured regularly with infrared thermography.

The analysis found that in men, cold-induced energy expenditure and skin temperature (both a proxy for brown fat activity) were higher in the morning than in the evening.

However, cold-induced energy expenditure and skin temperature did not differ between the morning and the evening in females, while the females were more tolerant to cold in the morning than in the evening (meaning they started shivering at a lower temperature in the morning).

Moreover, in women, circulating free fatty acid concentrations, triglycerides, and cholesterol levels were higher after cold exposure in the morning than in the evening.

The authors note several limitations including the inability to draw strong causal conclusions about the direct effect of cold exposure on cardiometabolic health. They also note that despite measures taken to control diet and sleep, other unmeasured lifestyle or genetic factors could have influenced the results.

“Nevertheless, this is an important first step investigating the effects of circadian rhythm on the effects of cold exposure on (fat) metabolism. We are currently studying whether repeated bouts of cold exposure in the morning improves cardiometabolic health in individuals with obesity. At the very least, our findings indicate that administering interventions at specific times should be considered when targeting lipid metabolism,” says Dr Boon.

For interviews with article author Dr Mariëtte Boon, Leiden University Medical Center, Leiden, the Netherlands and Erasmus MC, Rotterdam, the Netherlands please email or call the press office on +31 1070 33 289

Alternative contact in the ECO Press Room: Tony Kirby T) + 44(0)7834 385827 E)

Notes to editors:

The authors declare no conflicts of interest.

This work was supported by the Dutch Heart Foundation (2017T016 to S.K.), by the Dutch Society for Diabetes Research (NVDO; Prof. dr. J. Terpstra Award to S.K.), the Dutch Diabetes Foundation (2015.81.1808 to M.R.B.) and the Netherlands Cardiovascular Research.

This press release is based on poster presentation PO1.099 at the European Congress on Obesity (ECO). All accepted abstracts have been extensively peer reviewed by the congress selection committee. The research was published in The Journal of Clinical Endocrinology & Metabolism in 2022. The full paper is provided here rather than the abstract.

Dr Boon will present this study at an embargoed press conference at 1200H Noon Dublin Time on Weds 17 May. An audio of the embargoed press conference plus a link to the slide presentation will be circulated after the press conference.



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