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This study will investigate the effect of two dietary patterns on sleep outcomes and measures of reported appetite. Participants will be given two different diets on two separate stays.
Normal sleep consists of alternating periods of non-rapid eye movement (NREM) and rapid eye movement (REM) sleep. The deeper stages of NREM sleep are also known as slow-wave sleep (SWS). Genetic and environmental factors, such as age, gender, race, socioeconomic status and others contribute to high inter-individual variability in sleep quality.
Current evidence from epidemiologic, clinical and experimental studies support a strong relationship between insufficient sleep and increased risk for obesity. A reciprocal connection between sleep and energy metabolism may exist between diet and sleep.
It is also well known that diet greatly influences body weight and metabolic health. Numerous disease risk factors are known to be associated with dietary patters consisting low fiber, high saturated fat, and added sugar, but the effects of diet on sleep quality remains unknown.
A small group of studies have indicated an effect of diet on sleep quality (assessed objectively by polysomnography [PSG]) under controlled laboratory conditions. However, none have experimentally tested sleep and appetite outcomes under different dietary patterns matched for macronutrients.
The overall objective of this study is to compare the effects of consumption of unhealthy meals with low fiber, high saturated fat, and high added sugar content i.e. simulated fast food diet [SFF] to healthy meals with high fiber, low saturated fat, and low added sugar content i.e. healthy diet. We hypothesize that a healthy diet (as recommended by the Dietary Guidelines Advisory Committee and the American Heart Association) compared to SFF diet will promote better sleep quality (as assessed by PSG) reflected by higher sleep efficiency, increased SWS and increased REM sleep and other improved sleep variables. We will also evaluate subjective appetite, mood and sleepiness as secondary outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Healthy Diet | Experimental | This dietary pattern will represent recommendations for fiber and added sugar set forth in the 2015 Dietary Guidelines for Americans and saturated fat guidelines from the American Heart Association |
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| Simulated Fast Food (SFF) | Experimental | This dietary pattern will represent the typical American diet for fiber, added sugar, and saturated fat intake. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diet Quality | Other | Diets matched for calorie intake and macronutrient distribution but differing by overall diet quality will be provided in a random order, cross-over design study. |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep quality night 2 | Night 2 PSG recordings | Bedtime (11:00PM) to Wake time (7:30AM) |
| Measure | Description | Time Frame |
|---|---|---|
| Subjective appetite area under the curve | A collection of all subjective ratings (upon waking, pre and post meals, and hourly) | 7:30am-11:00PM |
| Subjective appetite daily average | A collection of all subjective ratings (upon waking, pre and post meals, and hourly) |
| Measure | Description | Time Frame |
|---|---|---|
| Appetite upon waking | First response in the morning using subjective questionnaires | First response in the morning |
| Mood upon waking | First response in the morning using subjective questionnaires |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Esra Tasali, MD | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Univeristy of Chicago | Chicago | Illinois | 60637 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40506285 | Derived | Boege HL, Wilson KD, Kilkus JM, Qiu W, Cheng B, Wroblewski KE, Tucker B, Tasali E, St-Onge MP. Higher daytime intake of fruits and vegetables predicts less disrupted nighttime sleep in younger adults. Sleep Health. 2025 Oct;11(5):590-596. doi: 10.1016/j.sleh.2025.05.003. Epub 2025 Jun 11. |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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Participants will undergo both diet pattern conditions but not be informed of their differences. The technologist scoring the sleep studies and actiwatches will be blinded to the condition
| 7:30am-11:00PM |
| Mood area under the curve | A collection of all subjective ratings (upon waking, pre and post meals, and hourly) | 7:30am-11:00PM |
| Mood daily average | A collection of all subjective ratings (upon waking, pre and post meals, and hourly) | 7:30am-11:00PM |
| Subjective sleep quality area under the curve | A collection of all subjective ratings (upon waking, pre and post meals, and hourly) | 7:30am-11:00PM |
| Subjective sleep quality daily average | A collection of all subjective ratings (upon waking, pre and post meals, and hourly) | 7:30am-11:00PM |
| Sleep quality night 1 | Night 2 PSG recordings | 11:00PM to 7:30AM |
| Sleep night 1 | Measured with wrist actigraphy | 11:00PM to 7:30AM |
| Sleep night 2 | Measured with wrist actigraphy | 11:00PM to 7:30AM |
| Sleep night 3 | Measured with wrist actigraphy | 11:00PM to 7:30AM |
| 7:30AM |
| Sleepiness upon waking | First response in the morning using subjective questionnaires | 7:30AM |
| Morning appetite | Morning hourly and pre and post meal response using subjective questionnaires | 7:30AM to 11:00AM |
| Morning mood | Morning hourly and pre and post meal response using subjective questionnaires | 7:30AM to 11:00AM |
| Morning sleepiness | Morning hourly and pre and post meal response using subjective questionnaires | 7:30AM to 11:00AM |
| Mid-day appetite | Mid-day hourly and pre and post meal response using subjective questionnaires | 11:00AM to 5:00PM |
| Mid-day mood | Mid-day hourly and pre and post meal response using subjective questionnaires | 11:00AM to 5:00PM |
| Mid-day sleepiness | Mid-day hourly and pre and post meal response using subjective questionnaires | 11:00AM to 5:00PM |
| Evening appetite | Evening hourly and pre and post meal response using subjective questionnaires | 5:00PM to 11:00PM |
| Evening mood | Evening hourly and pre and post meal response using subjective questionnaires | 5:00PM to 11:00PM |
| Evening sleepiness | Evening hourly and pre and post meal response using subjective questionnaires | 5:00PM to 11:00PM |
| Bedtime appetite | Response at bedtime using subjective questionnaires | Response at bedtime |
| Bedtime mood | Response at bedtime using subjective questionnaires | 11:00PM |
| Bedtime sleepiness | Response at bedtime using subjective questionnaires | 11:00PM |
| Average sleep duration | At home wrist actigraphy | 21 days |
| Average sleep onset latency | At home wrist actigraphy | 21 days |
| Average night-time awakenings | At home wrist actigraphy | 21 days |
| D001523 |
| Mental Disorders |