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Longer Daily Meal Gaps Tied to Faster Chronic Disease Buildup in Older Adults

Karolinska researchers found the strongest association in people aged 78 or older, but the study’s observational design means causation is unproven.

Overview

  • Researchers analyzed 2,981 adults aged 60 and older from the SNAC‑K study in Stockholm and tracked health over as long as 15 years using participants’ self‑reported typical eating times.
  • Participants whose longest daily interval between meals was about 14 to 24 hours accumulated chronic diseases faster than those with 6 to 11.5 hour intervals.
  • The link appeared for total disease counts and specifically for cardiovascular and neuropsychiatric conditions, while no association was seen for musculoskeletal diseases.
  • The authors stress key limits: the study is observational, relies on self‑reported meal timing, and cannot rule out reverse causation or leftover confounding, and the sample is a Swedish urban cohort so results may not generalize.
  • The practical takeaway is caution for older adults and clinicians considering fasting regimens, and the authors call for causal studies and mechanistic work before changing dietary guidance for older people.