- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01769976
Effects of Periodic Fasting Versus Daily Energy Restriction on Metabolic Health (PREFER)
The aim of this study is to examine whether periodic fasting improves markers of diabetes risk and cardiovascular health, and will compare this to the effects observed with daily dieting by energy restriction, and also with no change in energy intake.
It is hypothesized that periodic fasting, with or without weight loss, will be as effective as daily energy restriction to improve markers of metabolic health and energy metabolism.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
South Australia
-
Adelaide, South Australia, Australia, 5005
- Royal Adelaide Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Body mass index (BMI) between 25 and 42 kg/m2
- weight stable (<5% fluctuation in body weight for the 6 months prior to study entry)
Exclusion Criteria:
- history of cardiovascular disease, diabetes, major psychiatric disorders, and eating disorders
- use of prescribed or non-prescribed medications with may affect energy metabolism, gastrointestinal function, body weight, or appetite
- recent weight changes in 3 months prior to study entry
- uncontrolled asthma, current fever, upper respiratory infections
- individuals who regularly perform high intensity exercise (>2 sessions per week)
- pregnancy, lactation (breast feeding), women who are planning to become pregnant
- current intake of >140g of alcohol per week
- current smoker of cigarettes/cigars/marijuana
- current intake of any illicit substance
- experience claustrophobia in confined spaces
- has donated blood within the past 3 months
- unable to comprehend the study protocol
- experiences migraines
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Daily energy restriction
25% reduction in daily energy intake
|
|
Active Comparator: Energy balance diet
Diet provides 100% of energy requirements and is designed to achieve weight stability
|
|
Experimental: Periodic fasting with weight loss
Fast 3 days per week, and consume 1.5 times usual amount of food on other days
|
|
Experimental: Periodic fasting without weight loss
Fast 3 days per week, and consume double usual amount of food on other days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Insulin sensitivity
Time Frame: 8 weeks
|
assessed by hyperinsulinemic euglycemic clamp
|
8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Plasma hormones and adipokines
Time Frame: 8 weeks
|
8 weeks
|
|
Cognitive function, hunger, and mood
Time Frame: 8 weeks
|
8 weeks
|
|
Oxidative stress, stress resistance, and lipid metabolism
Time Frame: 8 weeks
|
8 weeks
|
|
Energy expenditure
Time Frame: 8 weeks
|
resting energy expenditure, and total daily energy expenditure
|
8 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Leonie Heilbronn, University of Adelaide
Publications and helpful links
General Publications
- Allaf M, Elghazaly H, Mohamed OG, Fareen MFK, Zaman S, Salmasi AM, Tsilidis K, Dehghan A. Intermittent fasting for the prevention of cardiovascular disease. Cochrane Database Syst Rev. 2021 Jan 29;1(1):CD013496. doi: 10.1002/14651858.CD013496.pub2.
- Chen M, Liu B, Wilkinson D, Hutchison AT, Thompson CH, Wittert GA, Heilbronn LK. Selenoprotein P is elevated in individuals with obesity, but is not independently associated with insulin resistance. Obes Res Clin Pract. 2017 Mar-Apr;11(2):227-232. doi: 10.1016/j.orcp.2016.07.004. Epub 2016 Aug 11.
- Hutchison AT, Liu B, Wood RE, Vincent AD, Thompson CH, O'Callaghan NJ, Wittert GA, Heilbronn LK. Effects of Intermittent Versus Continuous Energy Intakes on Insulin Sensitivity and Metabolic Risk in Women with Overweight. Obesity (Silver Spring). 2019 Jan;27(1):50-58. doi: 10.1002/oby.22345.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- APP1023401
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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