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Effects of Time-restricted Eating on Nutrient Absorption in Healthy Adults

2022年6月22日 更新者:Claire E. Berryman、Florida State University
This 2-period, crossover, controlled-feeding trial will investigate the effects of early time-restricted eating (8am-2pm), compared to a control eating timeframe (8am-8pm), on energy and macronutrient digestibility, the thermic effect of food (TEF), postprandial blood metabolites, 24 h glucose concentrations, glycemic variability, intestinal hydrogen gas production, gastrointestinal transit time, and microbiome composition. This study will also seek to determine factors that may predict intestinal absorption efficiency (i.e., digestibility) including the microbial composition of stool, fasting and postprandial metabolomics, gastrointestinal transit time, thermic effect of food, 24 h glucose concentrations and variability, and hydrogen gas production.

調査の概要

状態

完了

条件

詳細な説明

The obesity epidemic is well documented, and despite a complex etiology influenced by genetic, physiological, psychological, social, behavioral, and environmental factors, obesity seems to be the result of energy imbalance, where energy intake exceeds energy expenditure, regardless of the internal and external influences. Studies aiming to quantify and manipulate modulators of energy balance, including gastrointestinal (GI) energy absorption rates (i.e., digestibility), are crucial for reducing the incidence of overweight and obesity and improving overall human health. Despite considerable interindividual variability in the amount of ingested energy that is absorbed (~87-98% of ingested energy) by the gastrointestinal tract, generalized equations are used to calculate individual energy intake requirements, and the factors that contribute to such variability, including meal-timing, are largely unknown.

The proposed study seeks to determine the effects of restricting the eating window to 6-h (early time-restricted eating) as compared to a control eating window of 12 h on energy and macronutrient digestibility, thermic effect of food (TEF), postprandial blood metabolites (triglyceride, insulin, glucose, fructose, galactose, inositol, and sorbitol), 24 h glucose concentrations and glycemic variability, intestinal hydrogen gas production, microbiome composition, and gastrointestinal transit time in response to a controlled, energy balanced diet. In addition, this project will determine whether energy digestibility can be predicted from biological and physiological factors such as gut microbiota composition, gastrointestinal transit time, 24-h glucose concentrations, and postabsorptive and postprandial metabolomic profiles.

Participants will be randomized to early TRE (6-h feeding window, 8am-2pm) or a control eating schedule (12-h feeding window, 8am-8pm) and consume a controlled, energy balance diet (breakfast, lunch, dinner, snacks, and beverages) for 9 consecutive days before crossing over to the other intervention after at least a 3-wk washout for females (to control for hormonal fluctuations) and at least a 2-wk washout for males. Participants will collect stool and urine during each feeding phase. Gross energy content (heat combustion by bomb calorimetry) of the diet, stool, and urine samples will be used to calculate energy digestibility (diet gross energy - stool gross energy) and metabolizable energy. Factors that may mediate and/or predict energy digestibility efficiency, including gastrointestinal microbial composition, transit time, and gas production, fasting and postprandial metabolites, continuous glucose concentrations, and thermogenesis will be assessed.

研究の種類

介入

入学 (実際)

17

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Florida
      • Tallahassee、Florida、アメリカ、32306
        • Florida State University

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

20年~45年 (大人)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

説明

Inclusion Criteria:

  • 20-45 years old
  • Normal weight or overweight (18.5 to 29.9 kg/m2)
  • Not taking any probiotics for 4 weeks prior to and throughout the entire study
  • Willing to refrain from smoking, vaping, chewing tobacco, and dietary supplement use throughout the study
  • Willing to consume a controlled diet for 9 consecutive days on 2 different occasions (18 days total) and collect all urine and fecal output for 3-5 days during each occasion
  • Pass the blue dye gastrointestinal tracer (given at screening) within 72 hours of administration

Exclusion Criteria:

  • Metabolic or cardiovascular abnormalities, gastrointestinal disorders, prior bariatric surgery, malabsorption, or any condition that interferes with metabolism (e.g., kidney disease, diabetes, cardiovascular disease, etc.)
  • Suspected or known strictures, fistulas, or physiological/mechanical gastrointestinal obstruction
  • Present condition of alcoholism, anabolic steroids, or other substance abuse issues
  • Women who are pregnant, lactating, planning to become pregnant, or who have an irregular menstrual cycle in the past 6 months
  • Weight fluctuations ± 5% of body weight in the last 6 months
  • Allergies or intolerance to foods included in the controlled diet
  • Any use of antibiotics, except topical antibiotics, within 3 months of study participation
  • Colonoscopy within 3 months of study participation
  • Use of laxatives, stool softeners, or anti-diarrheal medications more than once a week within 4-weeks of study enrollment

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:基礎科学
  • 割り当て:ランダム化
  • 介入モデル:クロスオーバー割り当て
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:early time-restricted eating (eTRE)
Participants will be provided a weight-maintenance diet for 9 consecutive days and will consume all meals and snacks in a 6-h window in the morning hours (e.g., 8:00 AM - 2:00 PM)
A diet meeting the participant's weight maintenance energy needs will be provided.
実験的:control eating schedule (CON)
Participants will be provided a weight-maintenance diet for 9 consecutive days and will consume all meals and snacks in a 12-h window in the morning hours (e.g., 8:00 AM - 8:00 PM)
A diet meeting the participant's weight maintenance energy needs will be provided.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Energy digestibility
時間枠:Days 4-9
Calculated as gross energy of the diet (kcals) - gross energy excreted in stool (kcals)
Days 4-9

二次結果の測定

結果測定
メジャーの説明
時間枠
Fat digestibility
時間枠:Days 4-9
Calculated as fat content of the diet - fat content excreted in stool
Days 4-9
Carbohydrate digestibility
時間枠:Days 4-9
Calculated as carbohydrate content of the diet - carbohydrate content excreted in stool
Days 4-9
Protein digestibility
時間枠:Days 4-9
Calculated as protein content of the diet - protein content excreted in stool
Days 4-9
Metabolizable energy
時間枠:Days 4-9
Calculated as gross energy of the diet (kcals) - gross energy excreted in urine and stool (kcals)
Days 4-9
Metabolizable protein
時間枠:Days 4-9
Calculated as protein content of the diet - protein excreted in urine and stool
Days 4-9
Postabsorptive and postprandial plasma metabolites
時間枠:Day 6
Plasma metabolites will be measured using gas chromatography coupled with mass spectrometry in the postabsorptive state and following a standardized meal (1 hour, 2 hours, 3 hours, and 4 hours after meal intake).
Day 6
Gut microbiome
時間枠:Day 6
Microbiota composition and diversity will be determined using 16S rRNA gene sequencing.
Day 6
Gastrointestinal transit time
時間枠:Day 6
A gas-sensing capsule will be ingested to measure transit time in the gastrointestinal tract.
Day 6
Gastrointestinal gas production
時間枠:Day 6
A gas-sensing capsule will be ingested to measure hydrogen, carbon dioxide, and oxygen production in the gastrointestinal tract.
Day 6
Gastrointestinal temperature
時間枠:Day 6
A gas-sensing capsule will be ingested to measure temperature in the gastrointestinal tract.
Day 6
24-h glucose concentrations
時間枠:Days 1-8
A continuous glucose monitor will be used to collect and assess 24-h glucose concentrations.
Days 1-8
24-h glucose variability
時間枠:Days 1-8
A continuous glucose monitor will be used to collect and assess 24-h glucose variability.
Days 1-8
Thermic effect of food
時間枠:Day 6
Indirect calorimetry measures will be collected in the resting state and for 4 hours (15-30, 45-60, 75-90, 105-120, 165-180, and 225-240 minutes) following the consumption of a standardized meal.
Day 6

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

捜査官

  • 主任研究者:Claire E Berryman, Ph.D.、Florida State University

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2021年12月1日

一次修了 (実際)

2022年6月10日

研究の完了 (実際)

2022年6月10日

試験登録日

最初に提出

2021年3月14日

QC基準を満たした最初の提出物

2021年5月3日

最初の投稿 (実際)

2021年5月7日

学習記録の更新

投稿された最後の更新 (実際)

2022年6月23日

QC基準を満たした最後の更新が送信されました

2022年6月22日

最終確認日

2022年6月1日

詳しくは

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個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

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米国FDA規制機器製品の研究

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