Study of the Effects of Time-Restricted Feeding on the Immune Function of Individuals With Obesity

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-64
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

The goal of this randomized trial is to: 1) investigate the immunological landscape of patients with obesity and conduct an in-depth functional characterization of their immune system; and 2) precisely define the effects of time-restricted feeding (TRF) on immune function in patients with obesity; 3) uncover the underlying mechanisms by which TRF modulates the immune system patients with obesity through a multi-omics approach.

The main questions it aims to answer are: i) what is the underlying cause of impaired immunocompetence in patients with obesity? ii) how nutritional interventions improve the immune function of patients with obesity? Patients with obesity following TRF (8 h eating window ranging from 6-8 am to 14-16 pm) will be compared to patients with obesity without TRF control schedule (14h eating window ranging from 6-8 am to 8-10 pm). In addition to patients with obesity, the present study aims to recruit a group of a reference healthy group (BMI between 18.5-24.9 kg/m²) that will not receive any nutritional intervention.

The following endpoints will be collected: Body weight and composition using Bioelectrical Impedance Analysis, resting energy expenditure (REE) using indirect calorimetry, blood glucose levels using a continuous glucose monitoring (CGM) device, metabolic parameters (fasting blood glucose levels, C-peptide, HbA1c, insulin, HOMA-IR, total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, hepatic enzymes), and cytokine profile.

Blood and stool, samples will be collected to establish metagenomic, transcriptomic, cytomic and metabolomic analyses.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Women

Age 18-64 years

Body mass Index between 40-50 kg/m²

Self-reported eating pattern window of more than 14h

Disqualifiers

Diabetes type I or II

Major cardiovascular disease

Pregnancy

Medication that could affect the study outcomes (i.e. anti-inflammatory drugs, antibiotics, immunosuppressors)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Time-restrictred feeding

    Other intervention

    Time-restricted feeding pattern consisting of an 8 h eating window (from 6-8 am to 14-16 pm) followed by a 16 h fasting period

  • Non-time restricted feeding

    Other intervention

    14h eating window (from 6-8 am to 8-10 pm), followed by a 10 h fasting period

Treatment groups

24 Participants
are divided into 3 treatment groups
Group A: Time-restricted feedingExperimental treatment 1 intervention
Group B: Non-Time restricted feedingExperimental treatment 1 intervention
Group C: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Level of inflammatory cytokine IL-1β

The mean difference in inflammatory cytokine IL-1β in patients with obesity after 10 weeks under TRF versus patients with obesity without TRF.

Time frame
10 weeks

Secondary outcomes

1

Percent of weight change from baseline

Time frame
Baseline, Week 10
2

Change in lean mass (expressed in kg), measured using Bioelectrical Impedance Analysis from baseline

Time frame
Baseline, Week 10
3

Change in fat mass (expressed in kg), measured using Bioelectrical Impedance Analysis from baseline

Time frame
Baseline, Week 10
4

Change in resting energy expenditure (kcal/day), measured using indirect calorimetry, from baseline

Time frame
Baseline, 10 weeks

Other outcomes

Sponsors and contacts

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

Assistance Publique - Hôpitaux de Paris

Lead sponsor

National Research Agency, France

Collaborator