This Trial Examines How Last Meal Composition and Timing Affect Sleep Quality and Circadian Gene Expression Among Medical Residents. Recruitment Not Yet Started; Study Begins Dec 2025 and Ends Dec 2026.

NCT ID: NCT07339592

Last Updated: 2026-01-14

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2026-05-31

Brief Summary

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This randomized controlled trial aims to evaluate the effects of last meal composition and timing on sleep quality and circadian gene expression among medical residents in Jordanian hospitals. Sleep disturbances are common in this population due to long working hours, high stress, and irregular eating schedules. Chrono-nutrition, the science of aligning food intake with circadian rhythms, may provide a practical approach to improving sleep and overall well-being.

Participants will be randomly assigned to one of three groups:

1. High-carbohydrate last meal (≈80% of dinner calories from carbohydrates),
2. High-protein last meal (≈40-50% of dinner calories from protein),
3. Control group consuming a balanced standard meal. Each participant will consume the assigned meal 3-4 hours before bedtime for two weeks. Sleep quality will be measured using the Pittsburgh Sleep Quality Index (PSQI) and smartwatch-derived parameters, while salivary samples collected pre- and post-intervention will be analyzed for CLOCK and BMAL1 gene expression. The study will also include dietary, anthropometric, and physical activity assessments.

This study has been approved by the Institutional Review Board of the University of Jordan (IRB No. 491/2025). Recruitment has not yet started. Enrollment is expected to begin in December 2025, with primary data collection completed by June 2026 and final study completion by December 2026.

Detailed Description

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Conditions

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Sleep Quality Meal Timing Circadian Rhythm Medical Residents Nutrition Intake

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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High-Carbohydrate Last Meal

Dinner ≈30% of daily kcal; \~80% of dinner kcal from carbs; consumed 3-4 h before sleep for 2 weeks.

Group Type EXPERIMENTAL

High-Carbohydrate Last Meal

Intervention Type DIETARY_SUPPLEMENT

Dinner ≈30% daily kcal; \~80% carb; taken 3-4 h before sleep for 2 weeks

High-Protein Last Meal

≈30% of daily kcal; \~38-54% of dinner kcal from protein; consumed 3-4 h before sleep for 2 weeks.

Group Type EXPERIMENTAL

High-Protein Last Meal

Intervention Type DIETARY_SUPPLEMENT

Dinner ≈30% daily kcal; \~38-54% protein; 3-4 h before sleep for 2 weeks.

Balanced Standard last meal

Standard balanced dinner (per usual guidelines), same timing (3-4 h pre-sleep) and 2 weeks duration.

Group Type ACTIVE_COMPARATOR

Balanced Standard Dinner

Intervention Type DIETARY_SUPPLEMENT

Standard macronutrient distribution; same timing (3-4h pre-sleep) and 2-week duration.

Interventions

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High-Carbohydrate Last Meal

Dinner ≈30% daily kcal; \~80% carb; taken 3-4 h before sleep for 2 weeks

Intervention Type DIETARY_SUPPLEMENT

High-Protein Last Meal

Dinner ≈30% daily kcal; \~38-54% protein; 3-4 h before sleep for 2 weeks.

Intervention Type DIETARY_SUPPLEMENT

Balanced Standard Dinner

Standard macronutrient distribution; same timing (3-4h pre-sleep) and 2-week duration.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Currently enrolled and working in Jordanian hospitals.
* Not currently following a specific diet or weight-loss program.
* Willing to comply with study protocol and intervention meals for two weeks. Provide written informed consent before participation.

Exclusion Criteria

* Presence of any chronic medical condition (e.g., diabetes, thyroid disorders, gastrointestinal, cardiovascular, or respiratory diseases).
* Diagnosed sleep disorders, such as insomnia, sleep apnea, or restless legs syndrome.
* Mental health disorders (stress, anxiety, or depression diagnosed or medicated).
* Pregnancy or lactation.
* Use of medications or herbal supplements known to affect sleep (e.g., melatonin, chamomile, ashwagandha, lavender).
* Caffeine dependence exceeding moderate levels ( \>400 mg caffeine/day).
Minimum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Jordan

OTHER

Sponsor Role lead

Responsible Party

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Hadeel Ali Ghazzawi

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hadeel A Ghazzawi, professor

Role: PRINCIPAL_INVESTIGATOR

The University of Jordan School of Agriculture

Locations

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University of Jordan Hospital

Amman, , Jordan

Site Status

Countries

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Jordan

Other Identifiers

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University of Jordan 491/2025

Identifier Type: -

Identifier Source: org_study_id

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