一项为期1年的随机、对照、平行组、开放标签试验的方案,研究2型糖尿病患者限时饮食的效果和可行性——2型糖尿病治疗中的限时饮食(RESET2)试验。

IF 3.2 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Diabetic Medicine Pub Date : 2025-01-11 DOI:10.1111/dme.15506
Anne-Ditte Termannsen, Annemarie Varming, Natasja Bjerre, Helena Z Wodschow, Gitte S Hansen, Nicole J Jensen, Frederik Persson, Jonatan I Bagger, Satchidananda Panda, Graham Finlayson, Bettina Ewers, Dorte L Hansen, Kirsten Nørgaard, Jørgen Rungby, Louise G Grunnet, Martin B Blond, Nana F Hempler, Kristine Færch, Jonas S Quist
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引用次数: 0

摘要

目的:限时饮食(TRE)限制食物摄入的时间通常为6-10小时/天,没有其他饮食限制。RESET2(限制进食时间治疗2型糖尿病)试验的目的是研究对血糖控制(HbA1c)的影响,以及对超重/肥胖和2型糖尿病患者进行为期1年的TRE干预的可行性。本文的目的是描述RESET2试验的方案。方法:RESET2是一项随机、对照、平行组、开放标签试验。160例2型糖尿病患者(HbA1c >53 mmol/mol(>7.0%)),体重指数≥25 kg/m2,随机分为标准治疗加TRE组,或标准治疗加习惯生活组。干预组和对照组都将遵循标准的糖尿病护理,包括每年3-4次定期临床就诊。干预分为两个阶段:(1)3个月的TRE期,有固定的进食窗口和自选时间,以从参与者的TRE经历中获取数据;(2)9个月的单独调整TRE期。TRE组的参与者将被要求每天减少至少3小时的进食时间,与习惯的进食时间相比,每天减少8-10小时的进食时间。测试日将在基线、3个月后和1年后安排。主要终点是糖化血红蛋白(随机化后3个月和1年评估),次要终点是体重、脂肪量、连续血糖监测得出的时间范围和降糖药物的使用(随机化后1年评估)。此外,我们将进行过程评估,以评估TRE干预是否如假设的那样起作用。
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Protocol for a 1-year randomised, controlled, parallel group, open-label trial on the effects and feasibility of time-restricted eating in individuals with type 2 diabetes- The Restricted Eating Time in the Treatment of Type 2 Diabetes (RESET2) trial.

Aim: Time-restricted eating (TRE) limits the time for food intake to typically 6-10 h/day without other dietary restrictions. The aim of the RESET2 (the REStricted Eating Time in the treatment of type 2 diabetes) trial is to investigate the effects on glycaemic control (HbA1c) and the feasibility of a 1-year TRE intervention in individuals with overweight/obesity and type 2 diabetes. The aim of the present paper is to describe the protocol for the RESET2 trial.

Methods: RESET2 is a randomised, controlled, parallel-group, open-label trial. One hundred and sixty individuals with type 2 diabetes (HbA1c >53 mmol/mol (>7.0%)), and Body Mass Index ≥25 kg/m2 will be randomised to standard care plus TRE, or to standard care and habitual living. Both the intervention and control group will follow standard diabetes care including regular clinical visits 3-4 times/year. The intervention is divided into two periods: (1) a 3-month TRE period with a fixed eating window with a self-selected timing to obtain data from the participants' experiences with TRE and (2) a 9-month individually adjusted TRE period. Participants in the TRE group will be instructed to reduce their eating window by a minimum of 3 h/day compared to the habitual eating window and with an eating window of 8-10 h/day. Test days will be scheduled at baseline, after 3 months and after 1 year. The primary outcome is HbA1c (evaluated 3 months and 1 year after randomisation) and secondary outcomes are body weight, fat mass, continuous glucose monitoring derived time-in-range and use of antidiabetic medicine (evaluated 1 year after randomisation). Additionally, we will conduct a process evaluation to assess whether the TRE intervention functioned as hypothesised.

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来源期刊
Diabetic Medicine
Diabetic Medicine 医学-内分泌学与代谢
CiteScore
7.20
自引率
5.70%
发文量
229
审稿时长
3-6 weeks
期刊介绍: Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”
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