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The goal of this randomized controlled trial is to test the effect of time-restricted eating (14-hour fast, 10-hour eating window) of a low-energy dense diet (reduced calories per gram of food) in older adults with obesity and insulin resistance. The study aims to determine if modulating the energy density of the diet reduces:
Researchers will compare the groups:
The study is an eight-week randomized controlled double-blinded clinical trial. Participants will follow time-restricted eating (14-hour fast, 10-hour eating window), and will be randomized to a diet low in energy density or the usual diet. Meals will be prepared in a metabolic kitchen and dispensed to participants. Dietitians will monitor dietary compliance. A blood sample will be drawn and body weight will be measured before starting the intervention and after completing it.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low energy dense diet | Experimental | Subjects will be required to follow time-restricted eating and receive a diet low in energy density |
|
| Usual diet | Active Comparator | Subjects will be required to follow time-restricted eating and receive the usual diet. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low-energy dense diet | Behavioral | Subjects will follow time-restricted eating of a low energy dense diet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Brain Insulin Resistance | Phosphorylation of serine 312 on insulin receptor substrate 1 in plasma neural-derived exosomes | 8 weeks |
| Ketones | Ketones | 8 weeks |
| Body weight | Body weight | 8 weeks |
| Peripheral insulin resistance | Homeostasis model assessment of insulin resistance (HOMA-IR) | 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Candida Rebello | Pennington Biomedical Research Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pennington Biomedical Research Center | Baton Rouge | Louisiana | 70808 | United States |
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| ID | Term |
|---|---|
| D007333 | Insulin Resistance |
| D001835 | Body Weight |
| ID | Term |
|---|---|
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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Subjects will be randomly assigned to receive a diet low in energy density or the usual diet.
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Subjects will be randomly assigned to one of two groups. Except for the Director of the Metabolic Kitchen and the dietitians assigned to the study, all other researchers conducting the study will be blinded to the treatment group assignment of subjects.
| Usual diet | Behavioral | Subjects will follow time-restricted eating of the usual diet |
|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |