The Rowett Institute
Aberdeen, AB25 2ZD, United Kingdom
NCT Number: NCT03305237
This weight loss study will investigate the impact of calorie distribution across a day (large breakfast meals and smaller evening meals versus small breakfast meals and large evening meals) on body weight, and physiological and behavioral mechanisms regulating energy balance.
Participants will undergo 2 x 4 week energy restriction protocols in a randomized cross over design; big breakfast (45% of calories in the morning meal, 20% at dinner) and big dinner (45% of calories in the evening meal, 20% at breakfast). We predict that timing of eating will influence energy balance, because morning energy expenditure is amplified in comparison to the evening. This study will allow us to assess whether the increased energy expenditure in the morning is linked to natural biological circadian rhythm or behavioral adaptions.
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Notify Me18 year–75 year
All sexes
Interventional
Not applicable
Aberdeen, AB25 2ZD, United Kingdom
Dietary advice for weight management is broadly based on the assumption that a 'calorie is a calorie' and it does not matter when calories are consumed across the day. Recent evidence has challenged this assumption, suggesting that we may utilize calories more efficiently when consumed in the morning relative to the evening, and this could be used as a beneficial strategy for weight loss - this is a newly developing field of investigation which merges circadian biology with nutrition (chrono-nutrition).
Timing of food consumption is a modifiable factor influencing energy balance and body weight (and thus, disease risk). Previous research has shown that calories ingested at different times of the day have different effects on energy utilization, leading to differential weight loss, even at iso-caloric amounts. This study will aim to increase our understanding of the underlying behavioral and physiological mechanisms associated with differential weight loss and energy balance when calories are consumed predominantly in the morning versus in the evening.
This study will be a cross-over study comparing large breakfast versus large evening meals (percent daily calories split between breakfast, lunch and dinner as 45-35-20 (breakfast-loaded) or 20-35-45 (evening-loaded)) during energy restriction (Fed to measured RMR) on energy balance, through differences in both physiological and behavioural changes in energy expenditure and substrate utilization.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Weight loss diet (Calories fed to measured RMR) with calories distributed predominantly at breakfast (percent daily calories split between breakfast, lunch and dinner as 45-35-20%). The diet will be high protein (30% protein, 35% fat and 35% CHO) with all meals provided.
Weight loss diet (Calories fed to measured RMR) with calories distributed predominantly at dinner (percent daily calories split between breakfast, lunch and dinner as 20-35-45%). The diet will be high protein (30% protein, 35% fat and 35% CHO) with all meals provided.
Time frame: Measured up to day 71 of study
Change in energy balance during each diet protocol (body weight (kg))
Time frame: 4 x 2 weeks. Throughout weeks 2-5 and 7-10.
Total energy expenditure measured by DLW for the 4 week BB and BD diet phases
Time frame: Baseline,week 1, week 5, week 6, week 10.
RMR measured with indirect calorimetry (ventilated hood)
Time frame: Week 1, week 5, week 6, week 10.
TEF measured with indirect calorimetry (ventilated hood) for 6 hours after a breakfast meal
Time frame: Week 1, week 5, week 6, week 10.
Measured with Air Displacement plethysmography (BODPOD),
Time frame: Week 1, week 5, week 6, week 10.
Measured with Dual energy x-ray absorptiometry (DEXA)
Time frame: Week 1, week 5, week 6, week 10.
Measured with deuterium dilution
Time frame: Week 1, week 5, week 6, week 10.
4 compartment model to assess changes in body composition (Combined from the measures of body weight, body volume, total body water and bone mineral)
Time frame: Week 1, week 5, week 6, week 10.
Gastric emptying measured using stable isotope, Octanoic acid labelled breath samples.
Time frame: Week 1, week 5, week 6, week 10.
Change in waist and hip circumferences and waist to hip ratio
Time frame: Week 1, week 5, week 6, week 10.
Change in plasma fasting and 2 hr post-meal appetite hormones
Time frame: Week 1, week 5, week 6, week 10.
Change in plasma fasting and 2 hr post-meal glucose
Time frame: Week 1, week 5, week 6, week 10.
Change in plasma fasting and 2 hr post-meal insulin
Time frame: Week 1, week 5, week 6, week 10.
Change in plasma fasting and 2 hr post-meal blood lipids
Time frame: Hourly measures for 3 days in week 1,week 5, week 6, week 10.
Changes in subjective appetite (hunger, fullness, desire to eat) measured using visual analogue scale questionnaires every waking hour for 3 days.
Time frame: Week 1, week 5, week 6, week 10.
Changes in subjective appetite (hunger, fullness, desire to eat) measured using visual analogue scale questionnaires every 30 minutes for 6 hours after test meals.
Time frame: Week 1, week 5, week 6, week 10.
Chronic influence on changes in gut microbiota
Time frame: Measured continuously for 24 hours for 3 days in week 1,week 5, week 6, week 10.
Change in physical activity levels measured with accelerometer (actigraph)
Time frame: Measured continuously for 24 hours for 3 days in week 1,week 5, week 6, week 10.
Changes in 24 hour blood glucose levels measured with a continuous glucose monitor
University of Aberdeen
Other
The Big Breakfast Study: Chrono-nutrition Influence on Energy Expenditure and Body Weight
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