TRIM: The Time-Restricted Intake of Meals Study
Study Details
Study Description
Brief Summary
TRIM is a randomized, controlled feeding study to evaluate if eating earlier in the day vs. later in the day impacts weight and glucose homeostasis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Time-restricted feeding
|
Behavioral: Time-restricted feeding
Participants consume food earlier in the day
|
Other: Usual feeding pattern Comparison |
Behavioral: Usual feeding pattern
Participants consume food later in the day
|
Outcome Measures
Primary Outcome Measures
- Weight Change [12 weeks]
Weight change will be measured in kg
Secondary Outcome Measures
- Fasting glucose [12 weeks]
Change in fasting glucose
- HOMA-IR [12 weeks]
Change in HOMA-IR
- AUC glucose [12 weeks]
Area-under-the-curve for glucose on OGTT
- Glycated albumin [12 weeks]
Glycated albumin
Eligibility Criteria
Criteria
Inclusion Criteria:
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Prediabetes defined by HbA1c 5.7-6.4%, or type 2 diabetes with HbA1c 6.5-6.9%
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Class I-III obesity (BMI 30-50 kg/m2)
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If on medications for hypertension, stable regimen for at least past 6 months
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Willingness to adjust timing of feeding
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Willingness and ability to eat study diet and nothing else during run-in and intervention
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Willingness to complete measurement procedures
Exclusion Criteria:
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Moderate to severe obstructive sleep apnea
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Shift work;
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Other sleep/circadian disorders: e.g., circadian phase delay or phase advance; restless legs syndrome, insomnia, narcolepsy, habitual sleep <6 hours/night
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Routinely ate within compressed time window in the past year (e.g., routinely eats all food within an 10-hour or narrower window, follows an intermittent fasting protocol)
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Renal dysfunction (estimated Glomerular Filtration Rate (GFR) <30 using the simplified Chronic Kidney Disease (CKD) Epidemiology Collaboration (EPI) equation 34)
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Use of glucose-lowering medications, weight loss medications, medications for sleep disorders (sedative/hypnotic drugs, stimulants), lithium, systemic corticosteroids, diuretics, blood thinners requiring regular monitoring (e.g. warfarin), anti-psychotic drugs and antiretroviral therapy
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Body weight >400 pounds (limitation of facility scales)
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1 drink per day of alcohol
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Active substance use disorder or significant psychiatric/psychologic disorder that would interfere with participation
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Significant food allergies, preferences, intolerances, or dietary supplements that would interfere with diet adherence
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Weight loss or gain of ≥5% during past 6 months
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Pregnant, planning to become pregnant, or breastfeeding
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Planning to start a weight loss program
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Planning to leave the area prior to end of study
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Current participation in another clinical trial
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Cancer diagnosis requiring active treatment in past two years or planned treatment (with exception of localized non-melanoma skin cancer)
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Active inflammatory bowel disease, malabsorption, or history of major gastrointestinal surgery involving bowel resection
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Myocardial infarction or stroke in past 6 months
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Prior bariatric surgery
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Any serious illness that would interfere with participation
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Other conditions or situations at the discretion of the PI
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Johns Hopkins ProHealth | Baltimore | Maryland | United States | 21207 |
Sponsors and Collaborators
- Johns Hopkins University
- American Heart Association
Investigators
- Principal Investigator: Nisa Maruthur, MD, Johns Hopkins University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB00155640
- 17SFRN33590069