Countermeasures to Circadian Misalignment

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-35
SponsorColorado State University

About this trial

Insufficient sleep and circadian misalignment are independent risk factors for the development of obesity and diabetes, yet few strategies exist to counter metabolic impairments when these behaviors are unavoidable.

This project will examine whether avoiding food intake during the biological night can mitigate the impact of circadian misalignment on metabolic homeostasis in adults during simulated night shift work. Findings from this study could identify a translatable strategy to minimize metabolic diseases in populations that include anyone working nonstandard hours such as police, paramedics, firefighters, military personnel, pilots, doctors and nurses, truck drivers, and individuals with sleep disorders.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

18-35 old; men and women; equal numbers of women and men will be included.

Body Mass Index (BMI) between 20.0 and 24.9 ("normal" weight).

Physical activity history: inactive to habitual moderate physical activity level

Sleep/wake history: habitual sleep duration between 7-9.25 hours.

Disqualifiers

Any clinically significant medical, psychiatric, or sleep disorder

Use of prescribed medications/supplements/illicit drugs within one month prior to study

History of shift work in year prior to study, or travel more than one time zone in three weeks prior to study. [NOTE: Subjects can be studied at a later date.]

Women with history of prior gynecological pathology, <1 year post-partum, breast-feeding and/or pregnant.

Trial design

Design model

Crossover

Treatments tested in this trial

  • Time-restricted feeding

    Behavioral

    Each subject will participate in both conditions (CM and CM+TRF)--one in which food is allowed during the nighttime period and one in which food will be restricted to the daytime only. Food intake will be matched across conditions and designed to keep participants weight stable.

  • Circadian Misalignment

    Behavioral

    Healthy lean subjects will undergo circadian misalignment induced using a simulated night shift-work protocol in both conditions of the study. Each condition will last approximately 6 days.

Treatment groups

32 Participants
are divided into 2 treatment groups
Group A: Circadian misalignment (Condition A)Experimental treatment 1 intervention
Group B: Circadian misalignment with time-restricted feeding (Condition B)Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Insulin sensitivity-derived from glucose tolerance test

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.
2

Muscle tissue lipids-assessed by lipidomic analyses

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.

Secondary outcomes

1

24-hour circulating blood glucose levels-assessed by assay

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.
2

24-hour circulating blood insulin levels-assessed by assay

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.
3

24-hour circulating blood free fatty acid levels-assessed by assay

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.

Other outcomes

1

Cognitive assessments-Karolinska Sleepiness Scale

subjective sleepiness measurement 1-9, 1=Very Alert, 9=Very sleepy, great effort to keep awake, fighting sleep

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.
2

Cognitive assessments-Positive and Negative Affect Schedule

subjective emotions \& feelings, Scores range from 10-50 with higher scores represent higher levels of positive affect of 20 emotions \& feelings items, and lower scores represent lower levels of negative affect of 20 emotions \& feelings items.

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.
3

Cognitive assessments- Psychomotor Vigilance Task

reaction time

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.
4

Cognitive assessments- Conjunction Visual Search Task

reaction time \& error rate

Time frame
Change to be assessed at Day 3, Day 5, Day 31, Day 33.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Colorado State University

Lead sponsor

University of Colorado, Denver

Collaborator

Salk Institute for Biological Studies

Collaborator

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator