Time-restricted Eating and Circadian Health in Night Shift Workers (FastingClocks)
Effect of a Time-restricted Eating Protocol on Glucose Homeostasis, Markers of Circadian System, Appetite Control, and Oxidative Stress Parameters in Night Shift Workers
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Metropolitan Region
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Santiago, Metropolitan Region, Chile, 8380453
- Faculty of Medicine, University of Chile
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Adults (range 18 - 60 yrs.) Men and women Performing as a healthcare worker Being a shift-worker for at least 6 months in the current schedule Working in rotating shiftwork, including at least one night shift Reporting no work-related performance difficulties
Exclusion Criteria:
- Current and chronic neurological disorders
- Pathologies related to abnormal adrenal activity
- Liver or kidney disease
- Uncontrolled hypertension, dyslipidemia, and thyroid disease
- Insulin resistance and T2D
- BMI ≥40 kg/m2
- Use of medications known to alter body composition, such as insulin sensitizers, glucocorticoids, or anti-depressants
- Autoimmune diseases with acute symptoms; recent surgery of any kind (in the last 3 months);
- Acute, chronic inflammation (usCRP >10 mg/L)
- Following any dietary restriction (special diet) in the previous three months
- Having a short sleep (habitual sleep duration of less than 6h per day)
- History of bariatric surgery
- Depression (Beck Depression Inventory) or sleep disorders (Pittsburgh Sleep Questionnaire)
- Night-eating syndrome (Night Eating Questionnaire)
- Intense exercise level (>3 days/week of high-intensity exercise)
- Having traveled across time zones (at any time during the last month) and planning travel during the study
- Pregnant or intend to become pregnant, and
- Lactating women
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Time-restricted eating
Self-selected eating window of 10 hours per day without any other dietary modification (e.g., types of food or amount of energy consumed) for 8 weeks, with 14 hours fasting per day (mandatory fasting from 00:00h until 06:00h).
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During the intervention (TRE) each participant will freely choose the starting time of their eating window.
If needed, participant can modify the selected start time of their eating window only once during the intervention period, and the research team must be informed.
After a washout period of at least 30 days, participants will undergo the opposite condition (TRE or Regular eating) after the initial randomization
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No Intervention: Regular eating
Participants must maintain their usual eating pattern (i.e., usual eating window) for 8 weeks, but without any dietary or lifestyle changes
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from Baseline in the mean fasting glycemia at 8 weeks
Time Frame: From baseline to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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Fasting glycemia level (in mg/dL) will be measured from fasting blood samples and measured with the hexokinase method
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From baseline to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change from baseline to end of treatment (8weeks) in 24-h glycemic control
Time Frame: From baseline to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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24-h glycemic control (expressed in mg/dL), measured with continuous glucose monitoring (CGM) using a portable capillary glucose sensor, over 10 consecutive days.
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From baseline to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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24-hour motor activity level (counts/min)
Time Frame: From enrollment to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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Motor activity will be assessed by accelerometric recordings (actigraphic data) of wrist activity.
Actigraphy data will assess motor activity before and after the intervention
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From enrollment to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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Change from Baseline in the circadian clock-genes expression at 8 weeks
Time Frame: From baseline to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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Clock-gene expression will be evaluated by relative expression, performing RT-stem loop real-time PCR, from fasting whole-blood samples taken at baseline and after 8 weeks, in each study period.
Gene expression levels of the target sequences will be normalized to the expression of GAPDH, and will be calculated by applying equation 2-∆∆ CT.
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From baseline to the end of treatment (at 8 weeks), in each study period (TRE and REG)
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Change from baseline in thiobarbituric acid reactive substances (TBARS) level at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)]
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TBARS level (in µM/ml) will be measured in plasma samples
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)]
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Change from baseline in F-8 isoprostane level at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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F-8 isoprostane level (in pg/mL) will be measured in plasma samples
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from Baseline in Appetite-related feelings at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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A visual analog scale will be used to assess appetite feeling levels.
Each participant rates their subjective feelings of appetite, satiety, and desire to eat using a 100 mm visual analog scale, with endpoints indicating from "not at all" (0 mm) to "extremely" (100 mm).
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in total-, reduced- and oxidized glutathione levels at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Total-, reduced-, and oxidized glutathione levels (in µM) will be measured in plasma samples
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in C-reactive protein levels at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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C-reactive protein levels (in mg/L) will be measured in serum samples
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in pro-inflammatory cytokine levels at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Interleukin 1β, Interleukin 6, and Tumor necrosis factor (TNF-α) levels (in pg/mL) will be measured in plasma samples.
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in body mass index at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Body mass index will be calculated (expressed as kg/m2) from body weight and height anthropometric measurements, measured with light clothes and expressed as Kg (weight) and cm (height), respectively.
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in fat mass index at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Fat mass index (in kg/m²) will be assessed by dual-energy X-ray absorptiometry (DXA) using a Lunar DPXL densitometer
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from Baseline in sleep duration at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Sleep duration will be measured through continuous actigraphic recordings during daytime and nighttime for 10 days, and expressed in minutes
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in fat-free mass index at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Fat-free mass index (in kg/m²) will be assessed by dual-energy X-ray absorptiometry (DXA) using a Lunar DPXL densitometer
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in fat mass at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Fat mass (in %) will be assessed by dual-energy X-ray absorptiometry (DXA) using a Lunar DPXL densitometer
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in muscle mass at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Muscle mass (in %) will be estimated by dual-energy X-ray absorptiometry (DXA) using a Lunar DPXL densitometer
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Change from baseline in Bone Mineral Density at 8 weeks
Time Frame: From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Bone Mineral Density (BMD, in g/cm2) will be assessed by dual-energy X-ray absorptiometry (DXA) using a Lunar DPXL densitometer
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From baseline to the end of treatment (8 weeks) in each study period (TRE and REG)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Lucía Cifuentes, MD, Ethics Committee for Human Subjects of the Faculty of Medicine, University of Chile
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- TRE-Shift-2024
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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