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Increasing evidence suggests that meal timing affects metabolic health. For example, intermittent fasting (IF) may have positive effects on plasma glucose and lipid levels, insulin sensitivity, and blood pressure. However, IF protocols often result in significant weight loss. Therefore, it is not clear to what extent these beneficial metabolic effects are due to IF or to weight loss. Although the effect of IF independent of weight loss has been studied, daily energy intake in those studies did not differ between the days. Therefore, the investigators aim to examine the effect of alternating energy intake - i.e. standardised day-to-day fluctuations in energy intake - on metabolic health independent of weight loss.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Alternating energy intake schedule | Experimental | To alternate between caloric overconsumption and caloric underconsumption from day-to-day |
|
| Regular energy intake schedule | Active Comparator | To consume the usual energy intake on a daily basis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alternating Energy Intake | Other | To alternate between caloric overconsumption (130% of usual total energy needs) and caloric underconsumption (70% of usual total energy needs) on a daily basis for 6 days/week followed by one ad libitum day for 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Triacylglycerol area under the curve (AUC) | The 4-hour AUC for triacylglycerol after consumption of a standardised mixed meal | 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Fasting glucose metabolism | Fasting glucose metabolism (includes e.g. glucose and insulin concentrations) | Baseline, week 2, and twice in week 4 |
| Fasting lipid metabolism | Fasting serum lipid and lipoprotein profile |
| Measure | Description | Time Frame |
|---|---|---|
| High-Sensitivity C-Reactive Protein (hs-CRP) levels | Fasting hs-CRP as inflammatory marker | Baseline, week 2, and twice in week 4 |
| Blood pressure | Office systolic and diastolic blood pressure |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Maite M. Schroor, MSc. | Contact | +31433884258 | maite.schroor@maastrichtuniversity.nl | |
| Ronald P. Mensink, PhD | Contact | +31433881308 | r.mensink@maastrichtuniversity.nl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maastricht University Medical Center | Recruiting | Maastricht | Limburg | 6229 ER | Netherlands |
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| ID | Term |
|---|---|
| D056128 | Obesity, Abdominal |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| Regular Energy Intake | Other | To consume the usual energy intake (100% of total energy needs) on a daily basis for 6 days/week, also followed by one ad libitum day for 4 weeks. |
|
| Baseline, week 2, and twice in week 4 |
| Marker for postprandial lipid metabolism | Marker for lipid metabolism includes triacylglycerol and will be measured after consumption of a standardised mixed meal | 4 hour period after consumption of a standardised mixed meal |
| Markers for postprandial glucose metabolism | Markers for glucose metabolism include insulin and glucose and will be measured after consumption of a standardised mixed meal | 4 hour period after consumption of a standardised mixed meal |
| 24-hour glucose levels | The total area under the curve (tAUC) for 24-hour glucose as measured with a continuous glucose sensor | 24 hours |
| Day-time glucose levels | The tAUC for day-time glucose (07:00 - 22:00 h) as measured with a continuous glucose sensor | From 07:00 to 22:00 (15 hours) |
| Night-time glucose levels | The tAUC for night-time glucose (22:01 - 06:59 h) as measured with a continuous glucose sensor | From 22:01 to 06:59 (8 hours and 58 min) |
| Glucose levels after main meal consumption | The tAUC for glucose during 2 hours after main meal consumption (breakfast, lunch and dinner) as measured with a continuous glucose sensor. | 2 hours |
| The mean amplitude of glycemic excursions (MAGE) | MAGE as parameter for the assessment of glycemic variability. | 24 hours |
| Continuous overall net glycemic action (CONGA) | CONGA to assess intraday glucose variability within predetermined time windows -> 1-hour interval (CONGA-1), 2-hour interval (CONGA-2), and 4-hour interval (CONGA-4). | 1 hour, 2 hours, and 4 hours |
| Baseline, week 2, week 3, and twice in week 4 |
| Body weight | Body weight in kilograms | Baseline, week 2, week 3, and twice in week 4 |
| Height | Height in centimeters | Baseline, week 2, week 3, and twice in week 4 |
| Body Mass Index | Body weight and height will be combined to report BMI in kg/m^2 | Baseline, week 2, week 3, and twice in week 4 |
| Waist circumference | Waist circumference in centimeters | Baseline, week 2, week 3, and twice in week 4 |
| Hip circumference | Hip circumference in centimeters | Baseline, week 2, week 3, and twice in week 4 |
| Waist to hip ratio | Waist and hip circumference will be used to report the waist to hip ratio | Baseline, week 2, week 3, and twice in week 4 |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |