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| Name | Class |
|---|---|
| National Heart, Lung, and Blood Institute (NHLBI) | NIH |
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The goal of this application is to determine whether changing the timing of food intake prevents the adverse metabolic effects of circadian misalignment.
Shift work is associated with circadian misalignment and an increased risk for the development diabetes, obesity, and cardiovascular disease. This research will determine whether changing the feeding schedule can prevent metabolic alterations that can lead to the abovementioned disorders. This research will provide mechanistic insight and may provide a novel therapeutic approach against the increased risk for diabetes, obesity, and cardiovascular disease among shift workers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental | Experimental | During Forced Desynchrony sleep and wake will occur at different circadian phases, while meals are restricted to the biological day. |
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| Control | Other | During Forced Desynchrony sleep and wake, as well as meals, will occur at different circadian phases. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meal schedule | Behavioral |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in plasma leptin levels across sleep/wake cycle | Frequent blood samples | During circadian alignment (Day 7) and circadian misalignment (Day 10-11) |
| Change in circadian profile of plasma leptin | Frequent blood samples | During constant routine before forced desynchrony (Days 3-4) and constant routine after forced desynchrony (Days 12-13) |
| Change in glucose tolerance | Frequent blood samples before and after standardized meals | During circadian alignment (Day 7) and circadian misalignment (Day 10-11) |
| Change in circadian profile of plasma glucose levels | Frequent blood samples | During circadian alignment (Day 7) and circadian misalignment (Day 10-11) |
| Change in plasma insulin levels after standardized test meal | Frequent blood samples before and after standardized meals | During circadian alignment (Day 7) and circadian misalignment (Day 10-11) |
| Change in circadian profile of plasma insulin levels | Frequent blood samples | During circadian alignment (Day 7) and circadian misalignment (Day 10-11) |
| Measure | Description | Time Frame |
|---|---|---|
| o Change in circadian phase markers, such as from core body temperature, melatonin, and cortisol | Core temperature sensor throughout protocol, days 1-14. Frequent blood samples during constant routine before forced desynchrony (Days 3-4) and constant routine after forced desynchrony (Days 12-13) | Core temperature and frequent blood samples |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Frank A Scheer, PhD | Brigham and Women's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37648646 | Derived | Scheer FAJL, Chellappa SL. Endogenous circadian rhythms in mood and well-being. Sleep Health. 2024 Feb;10(1S):S149-S153. doi: 10.1016/j.sleh.2023.07.012. Epub 2023 Aug 28. | |
| 34861073 | Derived | Chellappa SL, Engen PA, Naqib A, Qian J, Vujovic N, Rahman N, Green SJ, Garaulet M, Keshavarzian A, Scheer FAJL. Proof-of-principle demonstration of endogenous circadian system and circadian misalignment effects on human oral microbiota. FASEB J. 2022 Jan;36(1):e22043. doi: 10.1096/fj.202101153R. |
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| ID | Term |
|---|---|
| D021081 | Chronobiology Disorders |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
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| Changes circadian rhythm in resting energy expenditure |
Indirect calorimetry |
| During constant routine before forced desynchrony (Days 3-4) and constant routine after forced desynchrony (Days 12-13) |
| Change in hunger and appetite, mood, and cognitive performance | Subjective hunger ratings and cognitive tests performed via computer interface | Tests taken throughout the protocol, days 1-14 |
| Changes in microbiota, gene expression, epigenetic or proteomic markers | Frequent blood samples and saliva samples | samples taken during forced desychrony (days 7-11) and the constant routine protocols (days 3-4 and 11-13) |
| Changes in sleep | Polysomnography | sleep periods following day 1, days 6-7 and days 10-11 |