Effect of Dietary Patterns on Energy Balance Control and Circadian Rhythms

Sponsor
Brigham and Women's Hospital (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT05800990
Collaborator
National Heart, Lung, and Blood Institute (NHLBI) (NIH)
24
1
2
48
0.5

Study Details

Study Description

Brief Summary

The goal of this clinical trial is to to test the effects of dietary composition, on the rhythms of food intake and appetite regulation, and rhythms of energy expenditure.

Participants will:

complete 2 field-based dietary interventions be provided with standard meals record daily food intakes in a real-time manner complete 2 inpatient stays be provided with standard meals have frequent blood draws provide urine, saliva, stool and rectal swab samples

Condition or Disease Intervention/Treatment Phase
  • Behavioral: dietary intervention
N/A

Detailed Description

Obesity is an ongoing epidemic and a serious public health problem. Recent insights into the involvement of the circadian system (i.e., an internal biological rhythm) in energy expenditure and appetite control offer a new perspective to understand the relationship between dietary composition and weight management. Particularly, dietary composition may impact whole-body physiology in part through changes in the circadian system. The study protocol is designed to test the effects of dietary composition, on the rhythms of food intake and appetite regulation, and rhythms of energy expenditure. This study seeks to understand the relationship between dietary composition and weight control in order to lay the groundwork for evidence-based dietary intervention to combat obesity.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
24 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
Single (Participant)
Primary Purpose:
Basic Science
Official Title:
Effect of Dietary Patterns on Energy Balance Control and Circadian Rhythms
Anticipated Study Start Date :
Sep 1, 2023
Anticipated Primary Completion Date :
Aug 31, 2027
Anticipated Study Completion Date :
Aug 31, 2027

Arms and Interventions

Arm Intervention/Treatment
Experimental: Dietary A-B Intervention

The Dietary A first, then the Dietary B intervention. Since this is a single blind study, the details of the dietary interventions cannot be released during recruitment stage but will be made public once enrollment closes.

Behavioral: dietary intervention
Research participants will be assigned to two dietary conditions.

Experimental: Dietary B-A Intervention

The Dietary B first, then the Dietary A intervention. Since this is a single blind study, the details of the dietary interventions cannot be released during recruitment stage but will be made public once enrollment closes.

Behavioral: dietary intervention
Research participants will be assigned to two dietary conditions.

Outcome Measures

Primary Outcome Measures

  1. Circadian phase of melatonin rhythm [Days 18-19]

    Hourly plasma melatonin will be measured under the Constant Routine condition

  2. Percentage of daily caloric intake in the biological evening [Days 7-14]

    Percentage of caloric intake within the 4 hours before bedtime will be derived from real-time record of food and beverage intake during the intervention period

Secondary Outcome Measures

  1. Circadian amplitude of melatonin rhythm [Days 18-19]

    Hourly circulating melatonin will be measured under the Constant Routine condition

  2. Circadian amplitude of subjective hunger rhythms [Days 18-19]

    Hourly subjective hunger will be measured by Visual Analog under the Constant Routine condition

  3. Circadian phase of resting energy expenditure [Days 18-19]

    Hourly energy expenditure will be measured by indirect calorimetry under the Constant Routine condition

Other Outcome Measures

  1. Diurnal variations of postprandial ghrelin responses [Days 17]

    Postprandial circulating ghrelin will be measured at test meals on Test Day

  2. Diurnal profile of leptin [Days 17]

    Circulating leptin will be measured hourly on Test Day

  3. Diurnal profile of subjective hunger ratings [Day 17]

    Hourly subjective hunger will be measured by Visual Analog on Test Day

  4. Circadian amplitude of resting energy expenditure [Days 18-19]

    Hourly resting energy expenditure will be measured by indirect calorimetry under the Constant Routine condition

  5. Diurnal profile of resting energy expenditure [Day 17]

    Resting energy expenditure will be measured at 1-2 hours interval by indirect calorimetry on Test Day

  6. Diurnal profile of respiratory exchange ratio [Day 17]

    Respiratory exchange ratio will be measured at 1-2 hours interval by indirect calorimetry on Test Day

  7. Circadian amplitude and phase of respiratory exchange ratio [Days 18-19]

    Hourly respiratory exchange ratio will be measured by indirect calorimetry under the Constant Routine condition

  8. Circadian phase and amplitude of glucose rhythm [Days 18-19]

    Hourly circulating glucose will be measured under the Constant Routine condition

  9. Circadian phase and amplitude of insulin rhythm [Days 18-19]

    Hourly circulating insulin will be measured under the Constant Routine condition

  10. Circadian phase and amplitude of cortisol rhythm [Days 18-19]

    Hourly circulating cortisol will be measured under the Constant Routine condition

  11. Circadian phase and amplitude of core body temperature rhythm [Days 18-19]

    Core body temperature will be measured continuously under the Constant Routine condition

  12. Diurnal profile of lipids [Day 17]

    Hourly circulating lipids will be measured on Test Day

  13. Circadian phase and amplitude of lipids [Days 18-19]

    Hourly circulating lipids will be measured under Constant Routine condition

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 45 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • 18-45 yr old

  • BMI 18.5-29.9

  • No acute, chronic or debilitating medical conditions (e.g. metabolic, cardiovascular, respiratory, neurological, cancers, etc.)

Exclusion Criteria:
  • Currently smoking/vaping or 5 or more years of smoking/vaping

  • History of drug or alcohol dependency

  • History of psychiatric illness or disorder

Contacts and Locations

Locations

Site City State Country Postal Code
1 Brigham and Women's Hospital Boston Massachusetts United States 02115

Sponsors and Collaborators

  • Brigham and Women's Hospital
  • National Heart, Lung, and Blood Institute (NHLBI)

Investigators

  • Principal Investigator: Frank AJL Scheer, PhD, Brigham and Women's Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Frank AJL Scheer, PhD, Professor, Brigham and Women's Hospital
ClinicalTrials.gov Identifier:
NCT05800990
Other Study ID Numbers:
  • 2022A006894
First Posted:
Apr 6, 2023
Last Update Posted:
Apr 6, 2023
Last Verified:
Mar 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Frank AJL Scheer, PhD, Professor, Brigham and Women's Hospital

Study Results

No Results Posted as of Apr 6, 2023