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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| early time-restricted eating (eTRE) | Experimental | 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) |
|
| control eating schedule (CON) | Experimental | 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) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| weight maintenance diet (WMD) | Other | A diet meeting the participant's weight maintenance energy needs will be provided. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Energy digestibility | Calculated as gross energy of the diet (kcals) - gross energy excreted in stool (kcals) | Days 4-9 |
| Measure | Description | Time Frame |
|---|---|---|
| Fat digestibility | Calculated as fat content of the diet - fat content excreted in stool | Days 4-9 |
| Carbohydrate digestibility | Calculated as carbohydrate content of the diet - carbohydrate content excreted in stool |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Claire E Berryman, Ph.D. | Florida State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Florida State University | Tallahassee | Florida | 32306 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40414300 | Derived | Dawson MA, Cheung SN, La Frano MR, Nagpal R, Berryman CE. Intestinal Energy Absorption Is Associated with Glycemic Variability in Young, Healthy Adults. J Nutr. 2025 Jul;155(7):2205-2214. doi: 10.1016/j.tjnut.2025.05.018. Epub 2025 May 23. | |
| 38232698 | Derived | Dawson MA, Cheung SN, La Frano MR, Nagpal R, Berryman CE. Early time-restricted eating improves markers of cardiometabolic health but has no impact on intestinal nutrient absorption in healthy adults. Cell Rep Med. 2024 Jan 16;5(1):101363. doi: 10.1016/j.xcrm.2023.101363. |
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| ID | Term |
|---|---|
| D050177 | Overweight |
| ID | Term |
|---|---|
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
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The study is a randomized, crossover, controlled feeding study design consisting of two 9-d weight maintenance diet periods separated by at least 3 weeks.
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| Days 4-9 |
| Protein digestibility | Calculated as protein content of the diet - protein content excreted in stool | Days 4-9 |
| Metabolizable energy | Calculated as gross energy of the diet (kcals) - gross energy excreted in urine and stool (kcals) | Days 4-9 |
| Metabolizable protein | Calculated as protein content of the diet - protein excreted in urine and stool | Days 4-9 |
| Postabsorptive and postprandial plasma metabolites | 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 | Microbiota composition and diversity will be determined using 16S rRNA gene sequencing. | Day 6 |
| Gastrointestinal transit time | A gas-sensing capsule will be ingested to measure transit time in the gastrointestinal tract. | Day 6 |
| Gastrointestinal gas production | A gas-sensing capsule will be ingested to measure hydrogen, carbon dioxide, and oxygen production in the gastrointestinal tract. | Day 6 |
| Gastrointestinal temperature | A gas-sensing capsule will be ingested to measure temperature in the gastrointestinal tract. | Day 6 |
| 24-h glucose concentrations | A continuous glucose monitor will be used to collect and assess 24-h glucose concentrations. | Days 1-8 |
| 24-h glucose variability | A continuous glucose monitor will be used to collect and assess 24-h glucose variability. | Days 1-8 |
| Thermic effect of food | 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 |
| D012816 |
| Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |