Effect of Meal Composition and Timing Modification on Glucose Metabolism, Body Temperature and Sleep

NCT ID: NCT05413928

Last Updated: 2024-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-01

Study Completion Date

2025-12-31

Brief Summary

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The purpose of our study is to understand the impact of different meal timing alterations on blood sugars, metabolism, microbiome and sleep physiology in people with prediabetes and diabetes; and to study the temperature/heart rate response to different meals in different people.

Detailed Description

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Pilot data points to an effect of the time between waking up and first meal is important in blood glucose management through the rest of the day. The investigators are interested in understanding the effect of caloric distribution through the day, specifically consuming more later in the day versus earlier in the day. The investigators want to test the hypothesis that consolidating the meals during a shorter span in the day (time restricted eating) can ameliorate blood sugars and sleep parameters in the studied population. The researchers would also like to compare dynamic range of meal-induced sympathetic responses (e.g. temperature and heart rate changes) between different metabolic health conditions (e.g. insulin sensitive vs insulin resistant vs diabetes) while controlling for dietary intake. Previous research studies suggest that people with different metabolic health conditions would have different meal-induced sympathetic responses. Based on this, the primary goal of the study is to characterize metabolic health based on non-invasive wearable sensor data that measure these responses.

Conditions

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PreDiabetes Type 2 Diabetes Healthy

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Intervention

Participants will undergo a baseline phase for 20 days, where they will follow their regular dietary intake, physical activity, and sleep. They will be wearing a CGM and an activity monitor and for a couple of nights, they will use a sleep monitor. That will be followed by 4 interventional phases where they will be asked to limit their daily eating to 10 hours or less (Time Restricted Eating, TRE), with the eating window and the caloric distribution will be shifted during each of the next 3 phases, each phase lasting 20 days. The last phase will last 8 days and participants will be asked to consume provided meals with a determined amount of protein, carbohydrates, and fat. Their body temperature will be measured using a continuous temperature device and a heart rate monitor to capture dynamic rage of the sympathetic response during and after the meal consumption (thermotyping).

Group Type EXPERIMENTAL

Time Restrictive Eating- late

Intervention Type BEHAVIORAL

Eating window will be 10 hours or less, starting 3 hours after waking up. Same monitoring as Baseline phase.

Time Restrictive Eating- early

Intervention Type BEHAVIORAL

Eating window will be 10 hours or less, starting 30 min after waking up. Same monitoring as Baseline phase.

Time Restrictive Eating- early with early caloric intake

Intervention Type BEHAVIORAL

Same as TRE-early, but concentrating caloric intake early in the eating window Same monitoring as Baseline phase.

Macronutrient-controlled meals

Intervention Type OTHER

Meals with a determined amount of protein, carbohydrates, and fat.

Interventions

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Time Restrictive Eating- late

Eating window will be 10 hours or less, starting 3 hours after waking up. Same monitoring as Baseline phase.

Intervention Type BEHAVIORAL

Time Restrictive Eating- early

Eating window will be 10 hours or less, starting 30 min after waking up. Same monitoring as Baseline phase.

Intervention Type BEHAVIORAL

Time Restrictive Eating- early with early caloric intake

Same as TRE-early, but concentrating caloric intake early in the eating window Same monitoring as Baseline phase.

Intervention Type BEHAVIORAL

Macronutrient-controlled meals

Meals with a determined amount of protein, carbohydrates, and fat.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Be 18 years of age or older;
* Not be pregnant, if female;
* Be generally healthy (with no apparent symptoms at the time of enrollment)
* Patients with prediabetes or diet- controlled or type 2 diabetes or controlled with metformin, will also be allowed to participate.
* Be willing to provide written informed consent for all study procedures.

Exclusion Criteria

* major organ disease
* pregnant/lactating
* diabetes medications except for metformin
* malabsorptive disorders like celiac sprue
* heavy alcohol use
* use of weight loss medications or specific diets
* weight change \>2 Kg in the last month
* history of bariatric surgery
* Any medical condition that physicians believe would interfere with study participation or evaluation of results
* Mental incapacity and/or cognitive impairment on the part of the patient that would preclude adequate understanding of, or cooperation with, the study protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Heyjun Park

Protocol Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael Snyder, PhD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Heyjun Park, PhD

Role: STUDY_DIRECTOR

Stanford University

Locations

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Stanford University

Stanford, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Alessandra Celli, MS

Role: CONTACT

(650) 725-8491

Dalia Perelman, MS

Role: CONTACT

650-723-4668

Facility Contacts

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Caroline Bejikian

Role: primary

Dalia Perelman, MS, RD, CDE

Role: backup

Other Identifiers

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61843

Identifier Type: -

Identifier Source: org_study_id