Eating before bed: what a late dinner does to your sleep, heart rate and reflux
A small snack is usually fine; a heavy meal close to bedtime is linked with a slightly higher overnight heart rate and can trigger reflux. What 2026 studies show, how long to wait, what to eat if you're hungry, and how to check it in your own data.

Short answer
Eating before bed is not bad for most healthy people, but a large meal in the last few hours before sleep is linked with a slightly higher overnight heart rate and can trigger reflux. A small snack is usually fine. If you get heartburn at night, finish eating two to three hours before lying down. Otherwise, what and how much you eat matters more than the clock.
The newest evidence backs this up from two directions. A 2026 study in Nature Health that tracked 4,793 nights of food logs and home sleep recordings found that a heavier evening meal came with a slightly higher overnight heart rate, while days with more fiber came with a little more deep and REM sleep and a lower night heart rate (1). The effects were small, so no single dinner will transform your sleep. A separate 2026 randomized trial found that 40 grams of protein or carbohydrate 30 minutes before bed did not disrupt sleep, resting heart rate or heart rate variability (HRV) in young female athletes (2).
If you wake up feeling heavy, hot or restless after late dinners, you are not imagining it, and it is not a lack of willpower. Your body is still digesting while it is trying to wind down, and that work can show up in your overnight heart rate. Before you blame yourself, look at what your own nights look like: a few weeks of sleep and night heart rate data, next to notes on when you ate, can show whether late dinners line up with rougher nights for you.
Note: this article is for general education and is not medical advice. If you take insulin or other diabetes medicines, do not change your evening meals or snacks without talking to your care team. Call 911 for chest pain or discomfort, especially with shortness of breath, heavy sweating, or pain in the arm, jaw, neck or back: heart attack pain can feel like bad indigestion.
Is it bad to eat before bed?
For most people, no. "Don't eat before bed" is one of the most repeated pieces of health advice, but the research does not support a blanket ban. What it supports is more specific: large, rich meals close to bedtime are the problem, and mainly for people with reflux or blood sugar issues.
A 2015 review of nighttime eating drew exactly that line. Negative effects showed up mostly with large mixed meals, especially in people who eat most of their daily food at night. Small snacks of about 150 calories, or single nutrients such as a protein shake, did not appear to be harmful, and in some studies were linked with better muscle protein synthesis and no worsening of cardiometabolic markers (3).
So the honest answer to "is it bad to eat before bed" depends on three things:
How much. A bowl of yogurt and a full plate of pasta with dessert are different events for your body overnight.
What. Fat, alcohol and big portions slow stomach emptying and are common reflux triggers (4).
Who you are. Reflux, diabetes medicines, shift work and how early you usually go to sleep all change the answer.
Eating before bed also makes sense in some situations. If you are genuinely hungry, a small snack does not appear to be harmful (3); athletes who need extra protein may use a pre-sleep protein snack, which did not disrupt sleep in a 2026 trial but did not improve sleep or recovery either (2); and people on certain diabetes medicines may be advised by their care team to have an evening snack. "Never eat after dinner" is not a rule worth losing sleep over.
How long before bed should you stop eating?
Two to three hours is the best-supported gap, and it matters most if you have reflux. For everyone else, the evidence for a fixed cut-off is thin.
The 2022 American College of Gastroenterology guideline for gastroesophageal reflux disease (GERD) suggests avoiding meals within two to three hours of bedtime. It rates this a conditional recommendation based on low-quality evidence, the same rating it gives to raising the head of the bed for night symptoms (5, 6). The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) goes slightly further: if your symptoms come at night or when you lie down, eating at least three hours before bed may help (4).
The main evidence behind the three-hour figure is observational. In a case-control study of 147 people with GERD and 294 matched people without it, a dinner-to-bed time of less than three hours was linked to roughly seven times higher odds of GERD compared with four hours or more (7). That does not prove late dinners cause reflux, but it fits with what many people notice for themselves.
What about the best time to eat before bed if you don't have reflux? There is no proven number. A practical approach:
Aim to finish your main meal two to three hours before bed when you can.
If you are hungry later, have a small snack rather than going to bed hungry.
Keep alcohol and caffeine further away from bedtime than food (more on that below).
And eating after 8pm? There is nothing special about 8 p.m. What matters is the gap between your last big meal and the time you go to sleep. Dinner at 8:30 p.m. before a midnight bedtime leaves more room than dinner at 7 p.m. before a 7:30 p.m. nap on the sofa.
What the 2026 Nature Health study found about diet and sleep
The study that put this topic back in the news came from the Weizmann Institute of Science and was published in Nature Health on August 19, 2026 (1). Researchers used data from the Human Phenotype Project in Israel: participants logged their meals in real time while living normally and recorded their sleep at home with a multi-stage sleep recording device. That gave 4,793 nights, each paired with the day of eating before it.
Because the study was observational, the team used causal-inference statistics. In plain terms, they adjusted each night's result for the person's previous day of eating and their usual sleep, to separate the effect of a day's food from the fact that some people simply sleep better than others. Even so, this kind of analysis cannot fully rule out other explanations.
What they found:
More fiber per calorie — Deep sleep +0.59 percentage points, REM sleep +0.76 points, light sleep −1.35 points, average night heart rate −1.14 bpm
A higher score for plant compounds in the diet — REM sleep +0.62 points, light sleep −1.00 point, night heart rate −0.93 bpm
More plant variety and more whole plant foods — Lower night heart rate
A heavier evening meal (bigger share of the day's calories in the 6 hours before bed) — 7.7 minutes more total sleep, but night heart rate +0.73 bpm
Swings in protein, fat, carbohydrate and most vitamins — No robust link once the researchers corrected for multiple comparisons
Two things are worth noticing.
The effects are small. Half a percentage point more deep sleep is a few minutes over a night. A drop of about one beat per minute in night heart rate is real but modest. This is not evidence for a "miracle dinner". It is evidence that ordinary food choices leave a small, measurable trace, on average, in the night that follows. The study looked only at the next night, so it does not show whether these effects add up over time.
A heavy late meal pulls in two directions. People slept slightly longer after a bigger evening meal, but their heart worked a little harder overnight. Many people describe something similar: falling asleep fine after a big dinner and still waking up less rested. In this study, the difference showed up as a slightly higher night heart rate rather than as shorter sleep.
The study also has limits the authors and readers should keep in mind. It is observational, food diaries are self-reported, it measured next-night effects only, and four of the authors are employees of, or paid consultants to, the company Pheno.AI (1). It points in a sensible direction, but it does not prove that adding fiber will change your sleep.
Older lab work points the same way. In a Columbia University study of 26 adults who slept in a lab, higher fiber intake predicted more slow-wave (deep) sleep, a higher share of calories from saturated fat predicted less deep sleep, and more sugar was linked to more awakenings (8).
If you want to know how much deep sleep is normal and what affects it beyond food, see our guide to how much deep sleep you need.
Does protein before bed affect sleep?
A protein snack before bed does not appear to harm sleep in healthy young people, but it does not improve it either.
The newest trial, published on October 20, 2026 in the Journal of the International Society of Sports Nutrition, tested this directly (2). Researchers at Florida State University ran a randomized, double-blind, placebo-controlled crossover trial in NCAA Division I female athletes aged 18 to 25. Twenty-five were enrolled and 21 completed the study.
Each athlete tried four drinks, each for three nights in a row, about two hours after her last meal and about 30 minutes before bed:
40 g casein (a slow-digesting milk protein, 160 calories);
40 g alpha-lactalbumin (a whey protein rich in tryptophan, 160 calories);
40 g carbohydrate (160 calories);
a near-zero-calorie placebo (5 calories).
Sleep was measured with a WHOOP 4.0 band. Across all four conditions, athletes slept about 7.5 hours (7.47 to 7.62 hours), with sleep efficiency around 92%, resting heart rate around 54 bpm and HRV around 100 ms. None of the drinks changed objective sleep, self-rated sleep quality or self-rated recovery compared with placebo. In a small subgroup of six athletes wearing continuous glucose monitors, overnight glucose did not differ between drinks either (2).
How to read this fairly:
The finding is that the snack did not disrupt sleep, not that it improved it. Alpha-lactalbumin, often marketed for sleep because of its tryptophan content, did no better than placebo here.
The sample was small, young and very fit, the test lasted three nights per drink, and sleep was measured with a consumer wearable rather than a sleep lab. The results do not tell us what happens in people with insomnia, reflux, diabetes or in midlife.
The snacks were modest, about 160 calories. That is close to the "small snack" range in earlier research (3), not a late dinner.
Should you drink a protein shake before bed? If you train hard and want extra protein, a small shake before bed is unlikely to cost you sleep. If you don't need the protein, there is no sleep reason to add one.
Late night eating, blood sugar and your body clock
Even when sleep looks fine, late eating changes what happens in the body overnight. Your body handles food differently at night than in the morning, and two lab studies show what that looks like.
Late dinner and blood sugar. At Johns Hopkins, 20 healthy young volunteers ate the same dinner either at 6 p.m. or at 10 p.m., with bedtime fixed at 11 p.m. After the late dinner, peak blood glucose was about 18% higher and the body burned about 10% less fat overnight. The late dinner did not change sleep stages, but it did raise cortisol, and the metabolic effects were strongest in people who usually went to bed early (9, 10).
Late eating and hunger. At Brigham and Women's Hospital, 16 adults with overweight or obesity ate identical meals on an early schedule and on a schedule about four hours later, with sleep, light and activity controlled. When they ate later, they were hungrier, leptin (a hormone that signals fullness) was lower over 24 hours, they burned calories more slowly after waking, and gene activity in fat tissue shifted toward storing fat (11, 12).
Does eating late make you gain weight? These studies suggest late eating can nudge hunger and energy use in an unhelpful direction, but they were short lab studies in small groups. They do not show that a 9 p.m. dinner, on its own, makes you gain weight. Total food intake, sleep, activity and what you eat still matter more. If weight is your concern, moving more of your eating earlier in the day is a reasonable experiment, not a requirement.
These studies are also a reminder that sleep data does not capture everything. In the Johns Hopkins trial, sleep stages looked the same after the late dinner even though blood sugar did not (9). A good sleep score after a late meal does not mean the meal had no effect.
What to eat before bed for better sleep
There is no single best food for sleep. Most "sleepy food" claims come from small, short studies. Here is what the evidence actually supports, from strongest to weakest.
A fiber- and plant-rich day. The Weizmann study and the Columbia lab study both link more fiber with slightly deeper sleep, and plant variety with a lower night heart rate (1, 8). This is about your whole day of eating, not a bedtime snack. Beans, lentils, vegetables, fruit, whole grains, nuts and seeds all count.
A small snack if you're hungry. Around 150 calories, such as yogurt, a banana with a little peanut butter, a slice of whole-grain toast, or a small bowl of oatmeal. Small snacks do not appear to be harmful for healthy people (3), and the 2026 trial found 160-calorie protein or carbohydrate drinks did not disrupt sleep (2).
Carbohydrate earlier in the evening, not right at bedtime. In a small study of 12 healthy young men, a high-glycemic rice meal eaten four hours before bed shortened the time to fall asleep to about 9 minutes, compared with about 17.5 minutes after a low-glycemic rice meal. The same high-glycemic meal eaten one hour before bed worked less well, at about 14.6 minutes (13). It is one small study in men, so treat it as a hint, not a plan.
Kiwifruit. In one study, 24 adults with sleep problems ate two kiwifruits an hour before bed for four weeks. Time to fall asleep fell by about 35% and total sleep time rose by about 13% (14). There was no control group, so some of that improvement could come from expectation or from simply paying attention to sleep. Kiwi is a cheap, low-risk thing to try, but the evidence is weak.
Tart cherry juice. Tart cherries contain small amounts of melatonin. In a crossover trial of 20 healthy adults, a week of tart cherry juice concentrate raised melatonin levels and increased total sleep time and sleep efficiency compared with placebo (15). In a pilot study of 15 older adults with insomnia, it reduced time awake during the night compared with placebo, but did not change how fast people fell asleep or how long they slept, and the authors described the effects as modest (16). Note that juice adds sugar, and some products are sweetened.
What to go easy on in the last few hours: large portions, very fatty or fried food, spicy food, chocolate, mint, citrus and tomato if they give you heartburn (4), and sugary desserts if you notice more night wakings.
If you are looking at supplements rather than food, our article on natural sleep aids such as valerian and chamomile covers what the trials show.
Alcohol and caffeine: the evening habits that show up most clearly
In the research, evening drinks are linked with much larger overnight changes than food choices, so they are worth looking at first.
Alcohol. A nightcap may help you fall asleep, but it is linked with a busier nervous system during the night. In a real-world study of 4,098 Finnish employees who wore heart rate monitors, alcohol raised stress-related (sympathetic) activity and lowered recovery-related (parasympathetic) activity in the first three hours of sleep. An HRV-based recovery measure fell by about 9 percentage points after low intake, 24 points after moderate intake and 39 points after high intake, and the effect appeared even at low doses (17). Our article on alcohol and the next-day body explains what to look for in your own data.
Caffeine. In a home study, 400 mg of caffeine disrupted sleep when taken at bedtime, three hours before bed and even six hours before bed. The authors recommended avoiding substantial caffeine for at least six hours before sleep (18). Remember that chocolate desserts, some teas, cola and pre-workout drinks contain caffeine too. For why you can feel exhausted and still lie awake, see caffeine and the wired-and-tired loop.
If you have reflux, timing matters most
Lying down soon after a big meal makes it easier for stomach acid to flow back into the esophagus. If you get heartburn, a sour taste, coughing or hoarseness at night, timing is the part of this article that applies to you most.
What official sources suggest for night-time reflux (4, 5, 19):
Finish eating two to three hours before lying down, and at least three hours if night symptoms are frequent.
Raise your upper body with a foam wedge or extra pillows under your upper body so your head is about 6 to 8 inches higher than your feet.
Notice your triggers. Common ones include alcohol, coffee and other caffeine, chocolate, high-fat foods, mint, spicy foods, citrus and tomatoes. Not everyone reacts to all of them.
If you smoke, stopping helps, and if you are carrying extra weight, losing some is the lifestyle change with the strongest evidence in the ACG guideline.
These steps can ease symptoms, but they do not cure GERD. If you need antacids more than occasionally, see a doctor (see below).
If you have diabetes
If you live with diabetes and take insulin or certain diabetes pills, eating before bed is a medical decision, not a lifestyle tip. NIDDK warns that blood glucose can drop during sleep and stay low for hours, sometimes without waking you, and that skipping or delaying meals while taking glucose-lowering medicines raises the risk of lows (20). Signs of a night-time low include nightmares or crying out, sweating enough to dampen your sheets, and waking up tired, irritable or confused.
So do not cut out an evening snack your care team recommended because of general advice about late eating. Ask them how your dinner time, snack and medicines fit together.
How to check late dinners in your own data
Population studies tell you what tends to happen on average. Your own records can show what your nights look like after late dinners. A simple two-to-four-week self-observation:
Pick one variable. For example, the time of your last meal, the size of your dinner, or a sweet dessert. Change one thing at a time.
Collect a baseline for one to two weeks. Eat as usual and write down, each day, when you finished your last meal, roughly how big it was, and whether you had alcohol or caffeine after midday.
Watch three overnight signals from a watch or ring: your average or lowest heart rate during sleep, your overnight HRV if your device reports it, and how often you woke up. Add one subjective score each morning: how rested you feel from 0 to 10.
Make the change for one to two weeks. For example, finish dinner at least three hours before bed on weeknights, or swap dessert for a small snack.
Compare averages, not single nights. One night can be thrown off by stress, a workout, a cold, or your menstrual cycle. A difference of a couple of beats per minute in your typical night heart rate, repeated over many nights, is more meaningful than one great or terrible night. Keep in mind that the average effect of a heavier evening meal in the 2026 study was under 1 bpm, smaller than normal night-to-night variation, so you may see no clear difference.
Keep what works for you, and drop what doesn't. If late dinners make no visible difference to your nights and you feel fine, that is a valid result too.
This is self-observation, not a diagnostic test or a scientific measurement of what a meal does to you: other things change from week to week too. Wearables are good at showing trends in your own heart rate over time; they are less precise at sleep stages. Look for consistent patterns rather than exact numbers.
Living with late dinners: the questions people ask next
Is it bad to sleep right after eating?
Falling asleep shortly after a large meal is not dangerous for most people, but it is the setup most likely to cause night-time reflux, and it may leave your heart rate higher overnight (1). If you get sleepy after meals during the day too, our article on why you feel tired after eating explains what is normal and what is worth checking.
I work late or do shift work. When should I eat?
If your "night" starts at 2 a.m. or 8 a.m., apply the same principles to your own sleep time: make the bigger meal earlier in your waking period, and keep the last few hours before sleep to a light snack. The lab studies on late eating suggest your body handles food less well when it eats at its biological night (9, 11), so a smaller meal during a night shift may be easier on digestion than a full dinner.
I train in the evening. Should I eat afterwards?
Yes, if you're hungry. A small meal or protein snack after training is unlikely to disrupt sleep in healthy people, based on the 2026 trial in athletes (2). If you have a large meal, try to keep some gap before bed.
I wake up at 3 a.m. hungry. Should I eat?
Occasional night hunger can simply mean dinner was small or early, and a more filling dinner may help. Waking up and eating regularly, especially if you feel you cannot get back to sleep without eating, is worth mentioning to a doctor (see below).
My heart races at night after a big dinner. Is that normal?
Digesting a big meal is work for your body, and a heavier evening meal was linked to a higher night heart rate in the 2026 study (1). A noticeably pounding or irregular heartbeat is different. Our articles on heart palpitations after eating and heart racing at night explain the common causes and when to get checked.
Does a late dinner affect HRV?
Possibly, but the evidence for food is limited. Alcohol is clearly linked with lower overnight HRV-based recovery (17). For food, the 2026 Nature Health study measured heart rate rather than HRV (1), and the 2026 athlete trial found no HRV change after a small pre-sleep snack (2). The size of the meal is likely to matter more than the timing alone. Your own trend is the best guide; see HRV during sleep for how to read it.
Before you blame yourself
People searching "is it bad to eat before bed" are often already feeling guilty. Maybe dinner happens late because of work, children or a long commute. Maybe evenings are the only time you get to sit down and eat in peace.
Late dinners are not a moral failing, and one heavy meal does not ruin your sleep. What the research shows is smaller and more useful: on average, food leaves a modest trace on the night that follows. If you wake up unrefreshed, check your nights before deciding you just "can't sleep". A higher night heart rate after late dinners, alcohol or a stressful evening is information, not a verdict on you. Change one thing, and watch your trend for two weeks.
When to see a doctor
See a doctor if:
you have heartburn or regurgitation more than occasionally, or symptoms that don't improve with lifestyle changes or over-the-counter medicine;
you have trouble or pain swallowing, keep vomiting, lose your appetite or lose weight without trying;
you notice blood in vomit (or vomit that looks like coffee grounds) or black, tarry stools (21);
you live with diabetes and have signs of night-time lows, such as nightmares, night sweats or morning confusion (20);
you regularly wake up and feel you must eat to get back to sleep, or you eat a large share of your food at night and feel out of control about it;
your sleep is poor most nights for several weeks despite changes.
Seek urgent help. Call 911 for chest pain or discomfort, especially with shortness of breath, feeling weak, light-headed or faint, or pain in the jaw, neck, back, arms or shoulders (22). Heavy sweating, nausea or vomiting can come with it, and heart attack pain can feel like bad indigestion, so do not wait to see if it passes 23.
How to bring this up with your doctor
What to ask for, by name. If reflux is the issue: "Could this be GERD, and what should I try first?" If you have diabetes: "How should I time dinner and my evening snack with my medicines?" If sleep is the issue: "Could something other than my eating habits be affecting my sleep?"
What to bring. Two to four weeks of notes: meal times, rough size of your last meal, alcohol, caffeine, night symptoms (heartburn, coughing, waking up), and, if you have them, your sleep and night heart rate trends.
What to say, out loud. "When I eat within [N] hours of bed, I [wake up with heartburn / sleep badly / wake up at 3 a.m.]. I've tried [eating earlier / smaller dinners] for [N] weeks. What would you suggest next?"
If you're told to just eat earlier. Ask: "I've tried that. Is there anything else we should check, such as reflux, blood sugar or a sleep problem?"


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How Welltory helps — and what it cannot do
The limits first. Welltory is a general wellness product, not a medical device. It does not diagnose or treat reflux, diabetes or sleep disorders, it does not measure blood sugar, and it cannot tell you the "right" time for your dinner. If you have symptoms from the list above, a clinician is the right next step.
What it can do is help you see what your nights look like after a late or heavy dinner, so you can keep the log above next to your own data. That is observation, not a measurement of what a meal does to your body.
Your night heart rate, compared with your own baseline. Sleep Analysis shows how your heart rate changed through the night. Its Heart Rate Wave compares each night with a baseline built from your best recovery nights, after at least 30 nights of data (Sleep Analysis for Apple Watch and Oura). It looks at whether your heart rate ran higher than usual, at the shape of the night (ideally a dip in the middle and a gradual rise before waking) and at your heart rate before waking (The Sleep Wave). On iOS this works with Apple Watch or Oura; on Android, Welltory syncs sleep from Samsung Health, or from Fitbit or Garmin Connect through Health Connect (Sleep Analysis for Android). With Apple Watch, the Sleep Data chart also shows activity, noise, respiration rate, SpO2 and sleep stages for the night.
Tag the late dinner. In any sleep report you can add "Your take": say or type what happened before that night, such as "big dinner at 10 pm", "pizza and wine", "ate three hours before bed", and Welltory picks out the tags (Your take). On iOS with Apple Watch or Oura, when Welltory spots a stress or rest episode during the day and asks "What happened?", your answers become tags in My Patterns, which shows which tags tend to come with stress and which with recovery. My Patterns counts only tags added to these daytime episodes, and its insights need roughly seven uses of a tag in a month. Some sections need a paid plan.
Compare weeks, not nights. Look at your night heart rate across the baseline and test weeks of your experiment rather than reacting to a single night. A wearable is good at showing trends in your heart rate over time; its sleep stages are an estimate.
A record for your doctor. From the web app you can export your data as a CSV (Dashboard → choose a chart → Export) (export guide) and bring it to your appointment together with your meal notes. Patterns you see are associations to discuss, not proof of cause.
How we made it
We based this article on a 2026 Nature Health study of diet and sleep from the Weizmann Institute, a 2026 randomized trial of pre-sleep protein in athletes (Journal of the International Society of Sports Nutrition), the 2022 American College of Gastroenterology GERD guideline, NIDDK guidance on reflux and low blood glucose, lab trials of late dinner timing from Johns Hopkins and Brigham and Women's Hospital, a review of nighttime eating, and small trials of fiber, high-glycemic meals, kiwifruit and tart cherry juice. Alcohol and caffeine findings come from a real-world HRV study and a home sleep study. Urgent-help guidance follows the CDC and MedlinePlus. Search questions came from what people in the United States most often ask about eating before bed. For the product section, we checked every function against the Welltory Help Center on October 22, 2026.
Made with AI tools, then edited and fact-checked by the Welltory team. See our Editorial & AI policy.
Jane Smorodnikova, co-founder of Welltory, built the methodology behind how we read physiological data.
Written by Tatsiana Yashyna.


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This article is for educational purposes only and is not medical advice. If you have reflux, diabetes or another medical condition, talk to your doctor before changing when or what you eat; if you take insulin or other glucose-lowering medicines, do not change evening meals or snacks without your care team. Call 911 for chest pain or discomfort, especially with shortness of breath, light-headedness, heavy sweating, or pain in the jaw, neck, back or arms. Welltory is a general wellness product and does not diagnose, treat or prevent any condition. Comparisons in your own data are observations, not proof that a meal caused a change. Sources were retrieved on October 22, 2026.
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Written by Jane Smorodnikova
The founder and CEO of Welltory. A recognized tech leader with two Master's degrees and experience at MIT, she has scaled Welltory to over 17 million users.
Written by Tatsiana Yashyna
References
- Shkolnik M, Sapir G, Shilo S, Talmor-Barkan Y, Segal E, Rossman H, et al. Impact of daily diet on sleep quality. Nature Health 2026 (published August 19, 2026). https://doi.org/10.1038/s44360-026-00182-2
- Paterson KGP, Griest TD, Angeles E, Fenner SP, Eberhardt HK, McKay CR, Helms KLW, Calderon A, Vukovich MD, Ormsbee MJ. Pre-sleep milk-derived proteins do not impair sleep or recovery in elite female athletes. Journal of the International Society of Sports Nutrition 2026;23(1) (published online October 20, 2026). https://doi.org/10.1080/15502783.2026.2746899
- Kinsey AW, Ormsbee MJ. The health impact of nighttime eating: old and new perspectives. Nutrients 2015;7(4):2648–2662. https://doi.org/10.3390/nu7042648
- National Institute of Diabetes and Digestive and Kidney Diseases. Eating, diet, and nutrition for GER and GERD. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/eating-diet-nutrition
- Katz PO, Dunbar KB, Schnoll-Sussman FH, Greer KB, Yadlapati R, Spechler SJ. ACG clinical guideline for the diagnosis and management of gastroesophageal reflux disease. American Journal of Gastroenterology 2022;117(1):27–56. https://doi.org/10.14309/ajg.0000000000001538
- ACP Gastroenterology Monthly. ACG updates guideline on GERD diagnosis and management (December 2021). https://gastroenterology.acponline.org/archives/2021/12/17/1.htm
- Fujiwara Y, Machida A, Watanabe Y, et al. Association between dinner-to-bed time and gastro-esophageal reflux disease. American Journal of Gastroenterology 2005;100(12):2633–2636. https://doi.org/10.1111/j.1572-0241.2005.00354.x
- St-Onge MP, Roberts A, Shechter A, Choudhury AR. Fiber and saturated fat are associated with sleep arousals and slow wave sleep. Journal of Clinical Sleep Medicine 2016;12(1):19–24. https://doi.org/10.5664/jcsm.5384
- Gu C, Brereton N, Schweitzer A, et al. Metabolic effects of late dinner in healthy volunteers — a randomized crossover clinical trial. Journal of Clinical Endocrinology & Metabolism 2020;105(8):dgaa354. https://doi.org/10.1210/clinem/dgaa354
- Endocrine Society. People who eat a late dinner may gain weight (press release, June 11, 2020). https://www.endocrine.org/news-and-advocacy/news-room/2020/people-who-eat-a-late-dinner-may-gain-weight
- Vujović N, Piron MJ, Qian J, et al. Late isocaloric eating increases hunger, decreases energy expenditure, and modifies metabolic pathways in adults with overweight and obesity. Cell Metabolism 2022;34(10):1486–1498. https://doi.org/10.1016/j.cmet.2022.09.007
- Harvard Medical School. Late-night eating impact (October 2022). https://hms.harvard.edu/news/late-night-eating-impact
- Afaghi A, O'Connor H, Chow CM. High-glycemic-index carbohydrate meals shorten sleep onset. American Journal of Clinical Nutrition 2007;85(2):426–430. https://doi.org/10.1093/ajcn/85.2.426
- Lin HH, Tsai PS, Fang SC, Liu JF. Effect of kiwifruit consumption on sleep quality in adults with sleep problems. Asia Pacific Journal of Clinical Nutrition 2011;20(2):169–174. https://pubmed.ncbi.nlm.nih.gov/21669584/
- Howatson G, Bell PG, Tallent J, et al. Effect of tart cherry juice (Prunus cerasus) on melatonin levels and enhanced sleep quality. European Journal of Nutrition 2012;51(8):909–916. https://doi.org/10.1007/s00394-011-0263-7
- Pigeon WR, Carr M, Gorman C, Perlis ML. Effects of a tart cherry juice beverage on the sleep of older adults with insomnia: a pilot study. Journal of Medicinal Food 2010;13(3):579–583. https://doi.org/10.1089/jmf.2009.0096
- Pietilä J, Helander E, Korhonen I, Myllymäki T, Kujala UM, Lindholm H. Acute effect of alcohol intake on cardiovascular autonomic regulation during the first hours of sleep in a large real-world sample of Finnish employees: observational study. JMIR Mental Health 2018;5(1):e23. https://doi.org/10.2196/mental.9519
- Drake C, Roehrs T, Shambroom J, Roth T. Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of Clinical Sleep Medicine 2013;9(11):1195–1200. https://doi.org/10.5664/jcsm.3170
- National Institute of Diabetes and Digestive and Kidney Diseases. Treatment for GER and GERD. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/treatment
- National Institute of Diabetes and Digestive and Kidney Diseases. Low blood glucose (hypoglycemia). https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia
- National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms and causes of GER and GERD. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/symptoms-causes
- Centers for Disease Control and Prevention. Heart attack symptoms, risk, and recovery. https://www.cdc.gov/heart-disease/about/heart-attack.html
- MedlinePlus (U.S. National Library of Medicine). Heart attack. https://medlineplus.gov/ency/article/000195.htm

