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The study will test whether the consumption of a low versus a high glycemic index pre-bed drink influences sleep architecture, memory consolidation, nocturnal glucose metabolism, and mood.
Few studies have examined the impact of meal composition on sleep. Most research has focused on carbohydrate intake, although reports are sporadic and confounded by the manipulation of other macronutrients. Nonetheless, the pattern of results appears to depend on the nature of the sleep variable under investigation e.g., latency, duration, or efficiency. The study will determine whether manipulating the glycemic index of a pre-bed drink influences sleep architecture, procedural and declarative memory consolidation, nocturnal glucose metabolism, and mood.
Participants will stay in the sleep laboratory for three nights, each night separated by one week (visit 1, 2, and 3). The first night is an acclimatisation night. The same procedure will be followed on all three nights, as described below.
On the morning of each visit, a continuous glucose monitor will be set up and worn until 8pm the following evening. Participants will be asked to return to the sleep laboratory at 7pm, having fasted for five hours, and asked to consume a standardised evening meal. Several mood questionnaires will be completed throughout the evening and a polysomnography will be set up. Two memory tasks will be administered at approximately 10pm. Immediately after this, participants will consume either water (night 1), or a low glycemic index or high glycemic index drink (night 2 or 3). Participants will retire to bed at approximately 11pm and woken up between 6.30am - 8am, depending on personal preference.
In the morning, the memory tasks will be administered again, as well as two mood questionnaires. Participants will be asked to wear a Pro-Diary watch throughout the day, which measures mood and hunger. At 8pm, both the continuous glucose monitor and Pro-diary watch will be collected from the participant.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low glycemic index drink | Experimental | Fruit drink containing low glycemic index sugar. |
|
| High glycemic index drink | Experimental | Fruit drink containing high glycemic index sugar. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low glycemic index drink | Dietary Supplement | Fruit flavoured drink with low glycemic index sugar (300 ml) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sleep onset latency (polysomnography) | Onset of sleep from the time the lights are turned off. | Bedtime (approx. 11.00pm) to wake time (approx 7.30am) |
| Total sleep time (polysomnography) | The total number of hours of sleep. | Bedtime (approx. 11.00pm) to wake time (approx 7.30am) |
| Wake after sleep onset (polysomnography) | Hours of wake time after three epochs of sleep have occurred. | Bedtime (approx. 11.00pm) to wake time (approx 7.30am) |
| Sleep efficiency (polysomnography) | Total sleep time divided by the time from lights out until awakening in the morning. | Bedtime (approx. 11.00pm) to wake time (approx 7.30am) |
| Sleep stages (polysomnography) | Time spent in each sleep stage. | Bedtime (approx. 11.00pm) to wake time (approx 7.30am) |
| Arousal index (polysomnography) | Number of arousals throughout the night. | Bedtime (approx. 11.00pm) to wake time (approx 7.30am) |
| Leeds Sleep Evaluation Questionnaire | Subjective assessment of sleep quality. Scores range from 0 to 30. Higher scores indicate poorer sleep quality. | Administered 10 - 20 minutes after waking up in the morning, |
| Measure | Description | Time Frame |
|---|---|---|
| Glucose response (continuous glucose monitor) | The 2h and 3h incremental area under the curve (iAUC) will be used to assess glycemic response to the pre-bed drink. The mean amplitude of glycemic excursion (MAGE) will be assessed as an indicator for glycemic variability during the night and for 25 hours. | 25 hours during night 2 and night 3 (weeks 2 and 3) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hayley Young | Swansea University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Swansea University | Swansea | West Glamorgan | SA2 8PP | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39854800 | Derived | Gaylor CM, Brennan A, Blagrove M, Tulip C, Bloxham A, Williams S, Tucker R, Benton D, Young HA. Low and high glycemic index drinks differentially affect sleep polysomnography and memory consolidation: A randomized controlled trial. Nutr Res. 2025 Feb;134:49-59. doi: 10.1016/j.nutres.2024.11.012. Epub 2024 Dec 4. |
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In a randomized, double-blind, and counterbalanced order (AB/BA), participants will receive either a high glycemic index or low glycemic index pre-bed drink. After a 1-week washout period, participants will consume the alternate drink.
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To ensure blinding of participants and researchers, a randomisation list will be produced using Statistical Package for the Social Sciences (SPSS) software by an employee of Swansea University, who is not actively involved in the study.
Blinding will be maintained by the use of encoded beverages to ensure participants, researchers, and the data analysers are unaware of the intervention. The blind will be broken only after statistical analysis of the data is complete.
| High glycemic index drink | Dietary Supplement | Fruit flavoured drink with high glycemic index sugar (300 ml) |
|
| Finger tapping task (procedural memory) | The change in performance from the learning phase to the recall phase. | Completed at 10pm, and between 6.30 - 8am the following morning, on night 2 and night 3 (week 2 and 3). |
| Story recall task (declarative memory) | The number of content words (nouns, adjectives, and verbs) correctly recalled. | Completed at 10pm, and between 6.30 - 8am the following morning, on night 2 and night 3 (week 2 and 3). |
| Epworth Sleepiness Scale | Subjective assessment of daytime sleepiness. Scores range from 0 - 24. Higher scores indicate more daytime sleepiness. | Administered at 8pm on the evening after night 2 and night 3 (week 2 and 3). |
| Mood and hunger | Scores range from 0 - 100. Higher scores indicate stronger feelings. | Completed five times throughout the evening and twice in the morning (immediately after waking up and 20-30 minutes later) on night 2 and night 3 (week 2 and 3). . |
| Mood | Pro-diary watch | Prompted from 9.30am - 5.30pm after night 2 and night 3 (week 2 and 3). |
| Actigraphy | Time spent in each sleep stage. | Night 2 and night 3 (week 2 and 3). |