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N/A N=88 Randomized Single-blind Treatment

Prolonged Daily Fasting as a Viable Alternative to Caloric Restriction in At-Risk Obese Humans

Obesity

Enrolled (actual)
88
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcome: Primary: Change in Weight — -3; -3.5; -1.3 Kg

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Time Restricted Eating (TRE) (Behavioral); Caloric Restriction (CR) (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Minnesota
Primary completion
Oct 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Weight
-3; -3.5; -1.3
SECONDARY
Change in Whole Body Percent Fat
SECONDARY
Change in Visceral Fat
SECONDARY
Change in Lean Mass
SECONDARY
Change in Fat Mass
SECONDARY
Change in Caloric Intake
SECONDARY
Change in Metabolic Flexibility

Summary

Purpose: Obesity is reaching epidemic proportions, affecting 36% of the adult population in the United States. There is intense interest in dietary management to treat obesity and its associated complications. The first line of obesity treatment is caloric restriction (CR), although recidivism is common. For moderate CR, attrition rates of 20% are often reported, therefore weight loss options beyond CR are urgently needed.

Eligibility Criteria

Inclusion Criteria

  • BMI ≥30 and ≤ 55 kg/m^2
  • Own a smartphone compatible with the myCircadianClock (mCC) phone application
  • Self-reported habitual wakening between 5-9 am
  • Self reported sleep duration of 6-9 hours
  • Weight must be stable [+/- 5 pounds] for at least 3 months prior to the study
  • Eating window (time between 1st food intake and last food take) ≥14 hours using mCC
  • Insulin resistance based on HOMA-IR≥ 2.5 from screening visit results
  • Able to understand English

Exclusion Criteria

  • Use of beta-blockers or medications known to affect weight, such as thiazolidinedione (TZD), insulin, glucagon-like peptide (GLP)-1 agonists, phentermine, or sibutamine
  • Shift work (i.e. working from 11pm to 7am)
  • Clinically significant medical issues (diabetes, cardiovascular disease, uncontrolled pulmonary disease)
  • A history of abnormal laboratory results, such as hematologic (platelets 2X nl), renal (Cr > 1.5)
  • MRI contraindication (metal in body, claustrophobia)
  • Eating window 6 hours apart on a given day for at least 50% of days)
  • Pregnancy
  • Illiteracy
  • Concern for active eating disorder per screening questionnaire
  • Self-reported eating disorder or history of eating disorder
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04259632). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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