Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study

Due to its simplicity, time-limited eating (TLE) may represent a more feasible approach for treating adolescents with obesity compared to other caloric restriction regimens. This pilot study examines the feasibility and safety of TLE combined with continuous glucose monitoring (CGM) in adolescents....

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Autores principales:	Alaina P. Vidmar, Monica Naguib, Jennifer K. Raymond, Sarah Jeanne Salvy, Elizabeth Hegedus, Choo Phei Wee, Michael I. Goran
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	intermittent fasting continuous glucose monitor obesity pediatrics adolescents Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/17433e5821e2402991ecda2988585b3d
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spelling	oai:doaj.org-article:17433e5821e2402991ecda2988585b3d2021-11-25T18:33:16ZTime-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study10.3390/nu131136972072-6643https://doaj.org/article/17433e5821e2402991ecda2988585b3d2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3697https://doaj.org/toc/2072-6643Due to its simplicity, time-limited eating (TLE) may represent a more feasible approach for treating adolescents with obesity compared to other caloric restriction regimens. This pilot study examines the feasibility and safety of TLE combined with continuous glucose monitoring (CGM) in adolescents. Fifty adolescents with BMI ≥95th percentile were recruited to complete a 12-week study. All received standard nutritional counseling, wore a CGM daily, and were randomized to: (1) Prolonged eating window: 12 h eating/12 h fasting + blinded CGM; (2) TLE (8 h eating/16 h fasting, 5 days per week) + blinded CGM; (3) TLE + real-time CGM feedback. Recruitment, retention, and adherence were recorded as indicators of feasibility. Weight loss, dietary intake, physical activity, eating behaviors, and quality of life over the course of the intervention were explored as secondary outcomes. Forty-five participants completed the study (16.4 ± 1.3 years, 64% female, 49% Hispanic, 75% public insurance). There was high adherence to prescribed eating windows (TLE 5.2 d/wk [SD 1.1]; control 6.1 d/wk [SD 1.4]) and daily CGM wear (5.85 d/wk [SD 4.8]). Most of the adolescents (90%) assigned to TLE reported that limiting their eating window and wearing a CGM was feasible without negative impact on daily functioning or adverse events. There were no between-group difference in terms of weight loss, energy intake, quality of life, physical activity, or eating behaviors. TLE combined with CGM appears feasible and safe among adolescents with obesity. Further investigation in larger samples, with a longer intervention duration and follow-up assessments are needed.Alaina P. VidmarMonica NaguibJennifer K. RaymondSarah Jeanne SalvyElizabeth HegedusChoo Phei WeeMichael I. GoranMDPI AGarticleintermittent fastingcontinuous glucose monitorobesitypediatricsadolescentsNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3697, p 3697 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intermittent fasting continuous glucose monitor obesity pediatrics adolescents Nutrition. Foods and food supply TX341-641
spellingShingle	intermittent fasting continuous glucose monitor obesity pediatrics adolescents Nutrition. Foods and food supply TX341-641 Alaina P. Vidmar Monica Naguib Jennifer K. Raymond Sarah Jeanne Salvy Elizabeth Hegedus Choo Phei Wee Michael I. Goran Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study
description	Due to its simplicity, time-limited eating (TLE) may represent a more feasible approach for treating adolescents with obesity compared to other caloric restriction regimens. This pilot study examines the feasibility and safety of TLE combined with continuous glucose monitoring (CGM) in adolescents. Fifty adolescents with BMI ≥95th percentile were recruited to complete a 12-week study. All received standard nutritional counseling, wore a CGM daily, and were randomized to: (1) Prolonged eating window: 12 h eating/12 h fasting + blinded CGM; (2) TLE (8 h eating/16 h fasting, 5 days per week) + blinded CGM; (3) TLE + real-time CGM feedback. Recruitment, retention, and adherence were recorded as indicators of feasibility. Weight loss, dietary intake, physical activity, eating behaviors, and quality of life over the course of the intervention were explored as secondary outcomes. Forty-five participants completed the study (16.4 ± 1.3 years, 64% female, 49% Hispanic, 75% public insurance). There was high adherence to prescribed eating windows (TLE 5.2 d/wk [SD 1.1]; control 6.1 d/wk [SD 1.4]) and daily CGM wear (5.85 d/wk [SD 4.8]). Most of the adolescents (90%) assigned to TLE reported that limiting their eating window and wearing a CGM was feasible without negative impact on daily functioning or adverse events. There were no between-group difference in terms of weight loss, energy intake, quality of life, physical activity, or eating behaviors. TLE combined with CGM appears feasible and safe among adolescents with obesity. Further investigation in larger samples, with a longer intervention duration and follow-up assessments are needed.
format	article
author	Alaina P. Vidmar Monica Naguib Jennifer K. Raymond Sarah Jeanne Salvy Elizabeth Hegedus Choo Phei Wee Michael I. Goran
author_facet	Alaina P. Vidmar Monica Naguib Jennifer K. Raymond Sarah Jeanne Salvy Elizabeth Hegedus Choo Phei Wee Michael I. Goran
author_sort	Alaina P. Vidmar
title	Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study
title_short	Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study
title_full	Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study
title_fullStr	Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study
title_full_unstemmed	Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study
title_sort	time-limited eating and continuous glucose monitoring in adolescents with obesity: a pilot study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/17433e5821e2402991ecda2988585b3d
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Time-Limited Eating and Continuous Glucose Monitoring in Adolescents with Obesity: A Pilot Study

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