<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-18T06:16:09Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:20.500.14342/5229" metadataPrefix="mets">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:20.500.14342/5229</identifier><datestamp>2025-05-18T19:24:43Z</datestamp><setSpec>com_2072_482405</setSpec><setSpec>com_2072_183628</setSpec><setSpec>col_2072_482409</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_20.500.14342-5229" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:20.500.14342/5229">
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               <mods:name>
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                  <mods:namePart>Lujan-Barroso, Leila</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Margara Escudero, Hernando J</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Crous-Bou, Marta</mods:namePart>
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                  <mods:namePart>Huerta, José María</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Chirlaque, Maria-Dolores</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Molina-Montes, Esther</mods:namePart>
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                  <mods:namePart>Sánchez, María-José</mods:namePart>
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                  <mods:namePart>Guevara, Marcela</mods:namePart>
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                  <mods:namePart>Moreno Iribas, Conchi</mods:namePart>
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                  <mods:namePart>Amiano, Pilar</mods:namePart>
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                  <mods:namePart>Mokoroa, Olatz</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Gonzalez-Solares, Sonia</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Agudo, Antonio</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Quirós, José Ramón</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Jakszyn, Paula</mods:namePart>
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                  <mods:dateIssued encoding="iso8601">2024-08</mods:dateIssued>
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               <mods:identifier type="uri">http://hdl.handle.net/20.500.14342/5229</mods:identifier>
               <mods:identifier type="doi">https://doi.org/10.3390/ nu16162598</mods:identifier>
               <mods:abstract>Background: Previous studies have shown that meal timing, poor sleep quality, and chronotype may play a relevant role in the development of type 2 diabetes mellitus (T2DM). However, its relationship with macronutrients by eating occasions has not been explored deeply. Objective: Our aim was to estimate the association between chrono-nutrition, sleep quality, chronotype, and the prevalence of T2DM. Methods: This cross-sectional study included a subset of 3465 middle-aged Caucasian adults (2068 women) from the European Prospective Investigation into Cancer and Nutrition (EPIC) Spain cohort study. In the 2017–18 follow-up, we assessed chronotype, sleep quality, diet, and sociodemographic data using validated questionnaires. Further, we used blood samples to determine serum levels of glucose. We defined a case of T2DM when serum glucose concentration was ≥126 mg/dL or when participants self-reported diabetes. Results: A higher prevalence of T2DM was associated with poor sleep quality (ORpoorvsgood = 2.90, 95% CI = 1.30, 6.28). Carbohydrate intake at breakfast was inversely associated with the prevalence of T2DM (OR = 0.75, 95% CI = 0.66, 0.85). Finally, lipid intake at breakfast was associated with a 13% higher prevalence of T2DM (OR = 1.13, 95% CI = 1.01, 1.26) for each 1 standard deviation (1-SD) increase. Conclusions: This study concludes that a higher content of carbohydrates at breakfast is correlated with a reduced prevalence of T2DM, while higher lipids intake at breakfast is associated with a higher prevalence of T2DM. Furthermore, poor sleep quality is a potential factor associated with an elevated prevalence of T2DM. Our results emphasize the need for prospective studies to validate and strengthen these observed associations.</mods:abstract>
               <mods:language>
                  <mods:languageTerm authority="rfc3066">eng</mods:languageTerm>
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               <mods:accessCondition type="useAndReproduction">© L'autor/a Attribution 4.0 International</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Crononutrició</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Diabetis tipus 2</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Diabetis no-insulinodependent</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Horari dels àpats</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Macronutrients</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>EPIC</mods:topic>
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               <mods:titleInfo>
                  <mods:title>Chrono-nutrition, chrono-type, and the prevalence of type 2 diabetes mellitus in a cross-sectional study from the EuroPean Prospective Investigation into Cancer and Nutrition (EPIC) study</mods:title>
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               <mods:genre>info:eu-repo/semantics/article</mods:genre>
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