, Germaine Cornelissen2 and Franz Halberg2
(1)
Department of Chronomics & Gerontology, Tokyo Women’s Medical University Medical Center East, Arakawa-ku, Tokyo, Japan
(2)
Halberg Chronobiology Center, University of Minnesota, Minneapolis, MN, USA
Abstract
Chronomics maps cycles in us and around us. Environmental cycles include the lighting and feeding schedules as well as other non-photic phenomena that are part of space weather. Chronomics can solve the complexity of organisms’ interactions with the environment near and far broadly.
For any component in biological spectra, one looks for, and often finds, natural (as well as anthropogenic) physical environmental counterparts. If coherences are found, e.g., by cross-spectra reflecting external and internal interactions, they are best taken into account, as far as possible, on the basis of chronome maps. This was done for the case of a built-in free-running about-weekly (circaseptan), but not exactly 7-day component in spectra of human urinary 17-ketosteroid excretion (17-KS). Another, again not exactly 7-day, natural, slightly shorter than 7-day wobbly average 6.75-day counterpart, stands out clearly in spectra of the planetary geomagnetic disturbance index, Kp.
With this qualification, chronome mapping with outcomes could eventually serve an individualized optimization of lifestyle, for chronoprevention and chronotherapy as well as for inquiries into the evolution and future of life.
Keywords
ChronomicsMeal timingChronopreventionChronotherapyChronobioengineeringDisease-risk syndromes6.1 Introduction
Several international meetings have revealed an accumulating body of reference values for well-established about-daily and about-yearly rhythms of photic origin and evidence also for about-7-day, about-27-day, about-half-yearly, about-10.5- and 21-yearly, and even about-50-yearly rhythmicities in us as well as around us, as invisible nonphotic heliogeophysical signatures possibly built into individuals and/or populations, complementing the biological year and day. In time series, biological or others, which are dense and long enough, the characteristics of rhythms, chaos (deterministic and other), and trends can all three be quantified as elements of structures, called chronomes (Table 6.1). Chronobiologic methodology assesses uncertainties in comparisons of endpoints in all elements of chronomes, before and after: (1) changes in lifestyle, such as meal quality, quantity, timing, and salting, (2) preventive non-drug interventions for vascular disease risk lowering, or (3) drug treatments of high risk as well as of actual vascular disease, all on a practicable, individualized, as well as population basis. A collateral hierarchy characterizes molecular to psychosocial aspects of living things that are open to their socio-ecologic environs and thus are synchronizable and/or otherwise manipulable by society, meals, lighting, heating, and nonphotic, nonthermic environmental variations that become predictable to the extent that they appear to be cycles, yet adhere only to a statistical, rather than a deterministic causality. With this qualification, chronome mapping with outcomes could eventually serve an individualized optimization of lifestyle, for chronoprevention and chronotherapy as well as for inquiries into the evolution and future of life.
Table 6.1
Minnesotan contributions to chronomics, resolving transdisciplinary geo-bio-noospheric coperiodismsa
1 | A set of methods and programs resolving, with uncertainties, coexisting multiple, sometimes spectrally neighboring periods, with their nonoverlapping CIs (95 % confidence intervals), revealing and mapping nonstationarity in time and space (including the transient disappearance of an aeolian nonphotic component in certain spectral or geographic locations) |
2 | Congruences defined by overlapping CIs of period and/or phase, e.g., within the organism (division of labor in time), within the environment (e.g., Kp vs. Wolf numbers, geo- vs. heliomagnetism) or external-internal congruences (e.g., blood pressure and geomagnetism) at a given period |
3 | New internal-external congruent CIs of periods define coperiodisms, some found first in living matter and next in the abiotic environment, others vice versa, constituting a transdisciplinary spectrum with component periods of a near week, an about (~)-2-week, ~1-month, ~5-month (quinmensal), semiannual, circannual, near- and far-transannual, diennian, septennian, decadal, ~15–17-year, paradecadal, paradidecadal, paratridecadal (BEL, Bruckner-Egeson-Lockyer, near 30–40 years), ~50-year (semicentennian), transsemicentennian, semimillennian, and myriadennian components |
4 | Partial endogenicity, genetic coding supported by periods with nonoverlapping CIs in and around us (free-run) and by “after single stimulus” manifestation (“induction”) |
5 | Brain (pineal and suprachiasmatic nucleus, SCN) (mediating) or heart, circulation and cell (reflecting) nonphotic environmental effects (shown by SCN ablation or magnetic storm effects) |
6 | Nonphotic spectral components in populations of eukaryotes and prokaryotes (decadals in bacterial mutations) |
7 | Selective assortment (SA) of periods (or phases) among and within individuals, in organ systems, variables, cycle characteristics (MESOR vs. amplitude), and in their lock-ins (of phase, e.g., of 17-ketosteroids with Kp and urine volume not with Kp but possibly with Wolf numbers) |
8 | SA of periods in different variables of the same population or of phases at a fixed period in different populations |
9 | Nonphotics can tip the scale between little or none and many infections, sudden cardiac death, suicide, and terrorism |
10 | Odds ratios for the number of shared frequencies between human mental functions and either helio- or geomagnetism more than match the association of helio- and geomagnetism to each other |
6.2 Chaos, Trends, and/or Rhythms Constituting Structures in Time
The popular press, and often the journals Science [1–3] and Nature [4], look upon chronobiology as dealing with biological clocks and calendars, eventually to depict when to eat [2, 5; cf. [6–8], when to treat [2, 6, 8, 9], and when best to perform in school, at work, on hobbies, or in sports. Needlessly, the question of “when” is often raised (restricted) as to clock hours or calendar dates. This is an important intermediate step shown in Fig. 6.1a from the concept of a putative balance or homeostasis, on the left, to the middle of this figure, to Johnson’s “exceptionally substantial and durable self-winding and self-regulating physiological clock” [10; cf. 11]. Since there are clocks galore [1], we best take the often-indispensable next step from the middle to the right of Fig. 6.1a. Attractive simple models, middle, cannot account for more complex circumstances in an organism’s time structures that contain more built-in rhythms than the circadian and contain further chaos and trends in us, leading to possibly genetically anchored chronomes. Moreover, the rhythms of internal chronomes intermodulate with a host of cycles in the environment, while environments also contain interacting chaos and trends [12]. In this context, the complex right portion of Fig. 6.1a calls to mind Einstein’s adage that everything must be made as simple as possible, but not simpler. Concepts such as clocks, calendars, or oscillators have served as useful scaffolds, but inferential statistical methods applied to time series are needed for resolving the complex sources of variability, and their underlying chronomes [13, 14; cf. 15].1
Fig. 6.1
(a) We turn from a master clock serving regulation for constancy to an integrative internal-external collateral hierarchy for physiological coordination. Homeostasis postulates that physiological processes remain largely within certain ranges in health and seeks departure from such “normal values” to diagnose overt disease. Thereby, variability within the normal range, however, is often dealt with as if it were narrow, random, or trivial, the body striving for at least a relative “constancy.” The alternative, rather than complement, to this status quo, on the left of this figure, is learning about the rules of rhythmic and chaotic variations that take place within the “usual value” ranges that led to the postulation of a “biological clock” that would enable the body to keep track of time. By removal and replacement experiments, it was located first in the adrenal, shown to be responsible for some but not for other circadians that persisted after brain ablation. The fact that single cells and even bacteria are genetically coded for a spectrum of rhythmic variation indicates that the concept of “clock” needs extension. Beyond clocks and calendars, we recognize a biological week, a biological decade, and also other rules found in variability, such as deterministic chaos and the long-known trends, some of which may turn out to be cycles. When the giant alga Acetabularia, a prominent model of a “clock,” is placed into continuous light, its spectrum of electrical activity reveals the largest amplitude for a component of about 1 week rather than of 1 day. When over a decade of studies on this alga are pooled, an about-10-year cycle emerges in the data set as a whole. The alignment of spectral components and chaos and trends in and around us has also begun. Long-term longitudinal, but not yet entire, lifetime monitoring of critical variables complements current linked cross-sectional (hybrid) reference values required for preventive health and environmental care. Changes occurring within the usual value range as longer, and still longer cycles are resolvable as chronomes, with a (predictable multifrequency) rhythmic element, which allows us to measure the dynamics of everyday life, in order to obtain, e.g., warnings before the fait accompli of disease, so that prophylactic measures can be instituted in a timely way and to detect heretofore largely undetected or unquantified environmental effects. The abstract sketch of the sector structure of the interplanetary magnetic field (shown on the top right by three visible arrows, the fourth being covered by another circle showing solar flares) is an idealized presentation of the sector structure in the interplanetary magnetic field. The parameters of the solar wind are much more variable than originally visualized when first described, as sketched by irregular solar flares. Associations of helio- and geomagnetic variability, myocardial infarctions, and strokes are accumulating and are just the tip of the iceberg, with a profound effect of magnetism (recognized by Gilbert in 1600), apparent in the human ECG, notably in the auroral region. In external-internal interactions, a broad spectrum of rhythms (in both the environment and in living matter) organizes deterministic and other chaos and trends. Trends pursued long enough may become low-frequency cycles, e.g., for the detection of any risk elevation and for timely action (© Halberg Chronobiology Center). (b) In the absence of systematic chronome mapping, with seemingly ample documentation, a decrease over several years in metabolites related to the adrenal and the male gonad (in the excretion of 17-ketosteroids) may be described as a sign of aging, notably of the declining sex gland activity, and may be published as such in any professional journal (but see Fig. 6.1c ) [20, 21] (© Halberg Chronobiology Center). (c) A surprising increase in steroidal metabolites (gonadal activity?) of a man in his 50s constitutes a statistically but not biologically significant effect which may encourage speculation, perhaps by post hoc ergo propter hoc reasoning about how the increase in 17-ketosteroid excretion (rejuvenation?) came about. The authors were tempted to publish Figs. 6.1b and c separately in different professional journals to show that referees are unlikely to question trends and to validate the need for longitudinally and concomitantly mapping all three elements (chaos, rhythms, and trends) of chronomes instead of spotchecks of aging irrespective of rhythms [20, 21] (© Halberg Chronobiology Center). (d) By unmasking an about-9-year rhythm, this figure resolves any controversy that may have arisen from the separate viewing of Figs. 6.1b and c. To the extent that in the future such rhythmicities can be reproduced repeatedly on each of several different persons, the task still ahead of us, and to the extent that such cycles reveal a nonoverlap of the 95 % confidence intervals with those of cycles in solar activity or in geomagnetic disturbance indices, one may postulate that such changes, like the circadians or the about-7-day (circaseptan) rhythms, are built into us by an evolutionary integration of life into its environmental invisible nonphotic chronome in the velocity changes of the solar wind. Corpuscular effects, e.g., from the sun, complement the effect of visible light and readily recognized temperature and can be ascertained beyond similar spectral signatures and cross-spectral coherence by remove-and-replace approaches, including superposed epochs (© Halberg Chronobiology Center). (e) The same data set is shown, as the case may be, as a deviation (upward or downward, on the left of this figure) either from its mean, shown as a horizontal line (top) or as a deviation from the best-fitting 24-hour cosine (bottom). In the next column from the left to right, the deviations are shown by the length of lines, irrespective of sign; on the average they are smaller when related to the cosine curve, as compared to their mean, as best seen in the third pair toward the right, where the deviations are squared: the squares at the bottom, as deviations from the cosine curve, are obviously smaller than those at the top, as further summarized by the length of two columns on the extreme right. The thus-unqualified method of least squares underlies both the computation of a mean, as a step for computing deviations from the mean or from other standards. A wealth of information from time series in life and other science reveals the importance of a known pertinent mathematical model. In the illustrative example used herein, human breast surface temperature can be approximated by a cosine curve. The original use of least squares also depended on prior independent information on the movement of heavenly bodies in ellipses, derived from Kepler and available to Gauss. Gauss developed the least-squares method and used it to predict the location of a lost “planet,” Ceres (now classified as an asteroid or dwarf planet), where Olbers found it on December 31, 1801. In the case of the chronome of breast surface temperature analyzed in this figure, the method awaits broad application for the detection of very early changes in the female breast prior to the appearance of a cancer rather than merely to look at a hot spot (© Halberg Chronobiology Center). (f) Dots only on the top left apply to all four graphs showing four of the characteristics resolved by least-squares rhythmometry with the method of Gauss visualized in Fig. 6.1e. The great variability of single blood pressures notwithstanding, the relatively small hatched quadrangles or hexagons show the relatively small uncertainty of characteristics based in several days of around-the-clock measurements (© Halberg Chronobiology Center). (g) Original data: Time plots of two circulating substances, endothelin-1 (top) and cortisol (bottom), on the left are shown in a polar representation by the cosinor method on the right. A methodological point is the nonoverlap of the graph’s center (pole) on top by the darkened error ellipse of the 8-hour vector, describing by its length the extent of change or amplitude, and, by its angle, the time of high values, acrophase, endpoints visualized along rectangular coordinates for blood pressure in Fig. 6.1f. The nonoverlap of the pole by the error ellipse corresponding to the 8-hour cosine curve fit rejects the zero 8-hour amplitude assumption, in keeping with an 8-hour rhythm for endothelin-1. This figure also shows that in the same circulation of seven healthy medical students, on the average, cortisol (bottom) can reveal statistically highly significant 24-hour and 12-hour components, but no 8-hour component, since the corresponding darkened error ellipse (c) overlaps the pole, the opposite of what is seen on top, where the ellipses of the 24- and 12-hour components include the pole, results also seen from tables accompanying the graph. Endothelin sometimes in some people obeys a “24-hour clock,” but at most times in most people, it exhibits a primary 8 hour rhythm. The designation of a “clock” has no heuristic value in this case and many others and need not obscure the search for mechanisms (© Halberg Chronobiology Center). (h) Circadian acrophase mapping is much more extensive than shown in this chart that suffices to reveal the principle of synchronization with differences in phase. Major advances beyond this chart include (1). the preparation of such a chart for many more variables of the individual subject and (2). the extension from phases to include amplitude and waveform at all pertinent periods, thereby to detect modulations with ever lower frequencies, including those shown in Figs. 6.1i and j, indeed for some individual subjects (© Halberg Chronobiology Center). (i) The cycles in geomagnetic disturbance (first two rows) and the Schwabe (and Hale) cycles of solar activity have counterparts in the biosphere. For phase relations, see Fig. 6.1j (© Halberg Chronobiology Center). (j) Sequence of events following extrema of solar activity (gauged by relative phase relations). Delays from solar extrema are aligned, irrespective of the calendar date of study, for different subjects, locations, and/or variables to reveal an apparent bunching of biological extrema with respect to those of the solar cycle. Focus on maximum or minimum depends on the documented positive or negative association of the given variable with Wolf numbers (gauging solar activity). (S)BP, (systolic) blood pressure; HR, heart rate; HRV, heart rate variability gauged by standard deviation; MI, myocardial infarction; 17-KS, urinary 17-ketosteroid excretion; WN, Wolf’s relative sunspot number. Note the degree of generality of about-10-year changes shown on this chart and elsewhere for events in populations as in Minnesota myocardial infarctions or in probable genetic changes gauged by sectors in colonies of air bacteria (determined by Piero Faraone). This circadecennian chart can now be complemented by an about-10-year periodicity in the circadian phase and relative amplitude of oxygen evolution in Acetabularia acetabulum, found by Dewayne Hillman. Miroslav Mikulecky has also mapped a set of circadecennians in human pathology, from diabetes to leptospirosis, along with changes in human productivity gauged by a cycle in numbers of published titles. From growth gauged by human neonatal and other anthropometry to religious motivation, about-21-yearly changes abound. Only illustrative examples are shown here. The limitations of single or only a few cycles are overcome in terms of numbers insofar as large numbers of individuals must be similarly timed to provide the population rhythms depicted, based in some cases upon millions of individuals; they are overcome in terms of length by a 112-year series. Furthermore, subject RBS continues to self-measure over 10 physiological variables about five times/day on the average for most days for 35 years. His example needs emulation for lifetimes. Analyses of RBS’ data serve to emphasize the need for denser automatic series so that deterministic and other chaos can also be assessed. Information on circadecennians has already suggested that many more controversies such as those that could have arisen from Figs. 6.1b and c, had the latter been obtained by different investigators on different individuals, can be avoided. The systematic government-sponsored monitoring, at least on some test pilots, seems mandatory for a solid biological and transdisciplinary science (© Halberg Chronobiology Center). (k) About-21-year cycles in Minnesotan neonatal birth weights, shown in this graph, also characterize detrended data (not shown) from Denmark, during the same span, but happen to be in antiphase. Moreover, in 112 years of data from the late Boris Nikityuk, results of other neonatal anthropometry show about-20-year cycles, but birth weight is frequency-multiplied to an about-10-year cycle in Moscow but not in Alma-Ata. The near-antiphase between the time course of circavigintunennians in data from Minnesota and Denmark during the same span, documented at each site, with large numbers of individuals as well as a frequency multiplication at one of two other sites, remains a transdisciplinary challenge in a multifactorial situation (© Halberg Chronobiology Center)
If one measures densely enough, deterministic and other chaotic endpoints can be computed in sets of environmental and biological variables such as a correlation dimension [14, 16–18] or an approximate entropy or complexity, as one element of chaos in chronomes. A second element of these chronomes consists of trends, which can be approximated by polynomials, to quantify them during development and aging, and also with, e.g., disease-risk elevation, starting at birth [19]. If one samples long enough, trends can turn out to be roughly periodic components (Fig. 6.1b–d) [19, 21, 22]. Indeed, the third and major insofar as predictable element of chronomes is a spectrum of periodicities or near periodicities, in us or around us. It comprises changes with periods ranging from fractions of a second to decades, assessed before or after detrending by linear-nonlinear rhythmometry (Fig. 6.1e–g) including with circadians (Fig. 6.1h) about-10.5-year (Fig. 6.1i and j), about-21-year (Fig. 6.1k), and about-50-year cycles, the latter mainly mapped thus far in populations by neonatal anthropometry in 112 years of data and for strokes in Minnesota and the Czech Republic only for the past half-century [21].
Data inspection (eyeballing) of time plots and analyses of variance, albeit useful, often are not enough for dealing separately or in combination with all characteristics of the rhythmic component of time structure (Fig. 6.2a, b). Section IIA of Fig. 6.2a (in the two swarms of measurements on the right) shows to the naked eye why the eyeballing of original data can lead to claims that the circadian temperature rhythm is lost after ablation of the suprachiasmatic nuclei (SCN). Whether the time scale for plotting is squeezed (top of section IIA, Fig. 6.2a) or stretched (bottom of section IIA, Fig. 6.2a), the rhythm clearly seen in the two swarms of dots on the left seems lost on the right. After stacking, eyeballing suffices to “see” the rhythm, e.g., in section I (top) for the SCN-ablated animals separately or averaged in section II B. For quantification, time-microscopic inferential statistical methodology [23, 24], also shown in Fig. 6.2a, b, is essential.
Fig. 6.2
(a) By eyeballing alone of Section IIA on the right, the circadian rhythm in core temperature seems to be lost in the rat with a SCN lesion. Simple stacking reveals the persistence of a circadian rhythm in telemetered core temperature for individual animals (Section IB top), but with a smaller within-day change (IB) as compared to controls (IA). This finding is also seen after averaging in Section IIB bottom. Microscopy (C), apart from quantifying the rhythm by cosinor, reveals a great amplitude lowering by bilateral SCN ablation and a phase advancement seen as an earlier and shorter vector. Section IIC thus validates by the nonoverlap of the center or pole of the graph, by the error ellipse representing a 95 % confidence region, that the removal of the SCN is compatible with the persistence of a statistically highly significant circadian rhythm in core temperature quantified with its parameters and their uncertainties. The polar cosinor displays in Fig. 6.2b also quantify a phase advance of rhythm after histologically validated bilateral SCN ablation in several tissues, with the exception of the stomach, which may respond to food directly rather than via the SCN, again as seen by the shorter vector for the B (SCN-ablated) group, as compared to longer and later vectors for the sham-ablated S group. When the ablation, unintentionally, as discovered at post-mortem, was unilateral (U), the circadian amplitude is enhanced (Section I bottom), a finding suggesting a subtractive coupling between the two SCN. Section III is in keeping with the speculation of an effect by lunar factors upon the “free-running” period of about 24.8 hours found in controls or unilaterally ablated animals. If this should be in part a lunar effect, it is lost in animals subjected to bilateral suprachiasmatic lesions (© Halberg Chronobiology Center). (b) The SCN coordinates a collateral hierarchy that can be quantified in terms of amplitude and phase: the major effect of bilateral SCN ablation is thus far invariably, comparably to the behavior of core temperature in Fig. 6.2a, an advance in phase for the L animals in eight cases out of eight, with a reduction in amplitude, except for DNA labeling in the stomach (Section III). Section VI shows a microscopic phase and amplitude chart summarizing the findings in the other sections for a number of variables other than core temperature, studied as marker rhythm in Fig. 6.2a, confirming and extending the scope of the lesson learned in Fig. 6.2a: the SCN, rather than being a master clock leading to the abolition of all rhythms when ablated bilaterally, is compatible with their persistence, except for water drinking among the functions investigated. A subjective time-macroscopic interpretation-based impression that led to the master clock illusion (e.g., Fig. 6.2a, Section II right) is thus resolved by quantification (© Halberg Chronobiology Center)
Macroscopy (left) and microscopy (right) in each section are aligned in Sections I–V and VII–VIII of Fig. 6.2b. On the right, in Sections I–V, VII, and VIII, a time-microscopic display in polar coordinates shows the extent of change, amplitude, by the length of a vector, while the vector’s angle represents the acrophase, the time of overall high values. The ellipse around the tip of the vector represents the 95 % confidence region of the amplitude-acrophase pair; when it does not overlap the center of the plot (the pole), a rhythm is demonstrated, as it is in all cases except for water drinking (Section VIII) for which the ellipse covers the pole and hence the zero-amplitude assumption tested by the ellipse is not rejected and a rhythm is consequently not demonstrated.
Pole overlap, such as that for the case of water consumption (Section VIII), is not seen for ethanol drinking. For the latter variable and all others, a rhythm is demonstrated, and, except for DNA labeling in the stomach, the circadian amplitude is reduced by ablation of the SCN. In all cases, the phase is advanced, as succinctly summarized in the chronome map in Section VI (Fig. 6.2b). The usual concern about point estimates of period and phase is best complemented by uncertainty estimates, including those of amplitude and, when the density of the data permits, of waveform. Each of these parameters is to be given, whenever possible, with interval estimates. An indication of the uncertainties involved is particularly important when long-term treatment is the issue [6, 18, 23].
The estimation of characteristics from cosine fitting provides endpoints in several fields, from problems of eating and salting to treating disease, and is indispensable for otherwise silent disease-risk recognition and for risk lowering by precautionary intervention. A dividend of curve-fitting is an improved assessment of a time structure-adjusted mean or MESOR, of general interest in science since, as compared to the arithmetic mean, in series characterized by rhythms, the MESOR is usually more accurate in the case of unequidistant data and more precise in the case of equidistant ones (Fig. 6.3). Recent meetings on chronomics [25–28; cf. 29], considering data covering up to somewhat more than a century, have documented time structures characterized by rhythms that replace confounding secularity (Fig. 6.1b–d) [20, 21]. A wealth of detailed information obtained in chronobiology on a collateral hierarchy [30] in the circadian system, ready not only as a basis for further research but some of it also for immediate utilization in everyday life, is here illustrated in a historic context.
Fig. 6.3
For any data series (whether from physics, chemistry, biology, psychology, or sociology), characterized by a spectrum of rhythms, a MESOR (midline-estimating statistic of rhythm or rather of a chronome-adjusted mean) can be computed and has merits: as compared to the arithmetic mean of the same series, the MESOR is usually more accurate and more precise (© Halberg Chronobiology Center)
6.3 Started Millennia Ago and Persisting Today
The scholarship of the late Jürgen Aschoff [31] traced the root of thoughts on rhythms from a fragment of verse by Archilochus of Paros (c. 680–640 BC): γιγνωσχε δ′οιοϚ ρυϑμοϚ ανϑρωπον εχει (“Recognize which rhythm governs man”). In finding this fragment from Archilochus, Aschoff demonstrated in him a link between solar physics and human rhythmicity as far back as seven centuries before the Common Era (as validated by the date of an eclipse).2 Hippocrates, Aristotle, and Galen followed in Aschoff’s gallery of ancestors with others, up to his own day, crowned by his implied recognition by 1974 of, as he put it, the need for a “cosinor beast” (read objective quantification) [31]. Rhythm “analysis” carried out time-macroscopically, only with data inspection by the unaided eye, can mislead to decades of erroneous inferences of an absent rhythm, e.g., in Fig. 6.2a, Section IIA (right), whereas the stacking of the same data (Sections I (top) and II B) does reveal the rhythm, and an analysis of variance establishes its statistical significance, yet none of these steps replaces the complementary and necessary computer-aided quantification of universally applicable endpoints, such as amplitudes and phases [7, 13, 23, 24]. The cosinor approach provides objective, generally applicable endpoints whereby much controversy can be avoided (Figs. 6.1b–d and 6.2a, b).
6.4 Centuries Ago and Today
In a thesis published in Paris on April 23, 1814, Julien-Joseph Virey [32; cf. 6] wrote that an individual who during 24 hours eats only once in the evening could find himself with a nuance of temperament different from that of somebody who eats only in the morning. For him “… the morning meal will be the most salutary and the most rejuvenating.” Similarly, any given drug is not indicated equally at all hours (cited from [6]; original [32]). In keeping with Virey’s insights, in 1937, Arthur Jores labeled the neglect of timing as “the idiocy of ‘three times a day’” [33], Werner Menzel developed the first drug pump for timed treatment [34], and Stokkan et al. suggested the manipulation of both meal and drug timing [2], all at variance with what seems conventional today. At the turn of the twenty-first century, three meals for nutrition or at least a single daily dose of a long-acting drug, sometimes labeled “chronotherapeutics” [35], do not consider any merits of individually targeted timing by marker rhythms [36]. An affirmative answer to the importance of what we eat and with what we treat, the main topic of the sciences of nutrition and pharmacology, in no way detracts from the importance of timing, implicit in Archilochus’ fragment.
To Jean-Anthelme Brillat-Savarin’s (1755–1826) Physiologie du goût, we owe the familiar aphorism (number four in a list at the beginning of volume one), Dis-moi ce que tu manges, je te dirai ce que tu es (“Tell me what you eat and I will tell you who you are,” or in its popular paraphrase “You are what you eat”). But Brillat-Savarin’s [37] third aphorism bears attention as well: La destinée des nations dépend de la manière dont elles se nourissent (“The destiny of nations depends on how they are nourished”) [emphasis in the translations of both aphorisms ours]. In other words, “you are how you eat.” Could this include the possibility, at variance with an explanatory note by the American Dietetic Association [38], that “you are when you eat?”
6.5 Meal Timing Doesn’t Seem to Make a Difference
Some reports on the effects of meal timing notwithstanding [2, 5, 6], the professional status quo related to the chronobiology of nutrition is probably well reflected in a 2001 display card promotion for National Nutrition Month® by the American Dietetic Association (“Your link to nutrition and health”) [38]. In sharp contrast with the past [7] and more recent suggestion of timing meals and treatments [2] is the implication of the first two questions and answers to a quiz distributed in 2001 by the ADA [38] (italics in the original):
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