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Trial registered on ANZCTR
Registration number
ACTRN12616001531404
Ethics application status
Approved
Date submitted
1/11/2016
Date registered
7/11/2016
Date last updated
7/11/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Fasting and its effect on Cognitive Function
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Scientific title
The effect of caloric restriction and fasting on cognitive performance, satiety levels and fatigue in healthy adult females
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Secondary ID [1]
290440
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Weight Loss
300795
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overweight / obesity
300839
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Cognitive function
300840
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Condition category
Condition code
Diet and Nutrition
300621
300621
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0
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Obesity
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Mental Health
300665
300665
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In this randomised crossover design, adult women will complete three experimental days at the CSIRO Cognitive Laboratory in Adelaide, South Australia. Two days will utilise a Caloric Restriction Condition protocol. In both of these conditions, participants will consume a total of ~500 kcal throughout the testing. Two different patterns of delivery will permit the investigation of overall caloric restriction as well as meal timing on the relevant outcomes. In addition to their energy kcal allowance, participants are provided with ~100 kcal of caloric-neutral vegetable snacks (cucumber, celery & capsicum) for ad-lib consumption and to assist with any intestinal discomfort. The washout between each testing day is 1 week (7-days).
Bulking - Participants will consume a total allowance of ~500 kcal in the form of two liquid meal replacement shakes delivered at 9am and 11am respectively. Participants may only consume water throughout the day.
Extended Distribution - Participants will consume a total allowance of ~500 kcal in the form of one Liquid Meal Replacement at 9am, and two snack bars consumed at 12pm and 3pm respectively. Participants may only consume water throughout the day.
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Intervention code [1]
296285
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Lifestyle
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Intervention code [2]
296324
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Treatment: Other
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Comparator / control treatment
Fasting - Participants will not be permitted to consume any kcal other than the ~100 kcal of caloric-neutral vegetable snacks (cucumber, celery & capsicum) for ad-lib consumption to assist with any intestinal discomfort. Participants may only consume water throughout the day.
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Control group
Active
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Outcomes
Primary outcome [1]
300031
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Cognitive Function: captured as mean performance on the CSIRO Computerised Fatigue Battery (CFB). The CFB consists of three tasks (Psychomotor Vigilance Task, Interference Task & Arithmetic Task) in each set, with three sets performed per assessment
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Assessment method [1]
300031
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Timepoint [1]
300031
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Baseline (0; 8:30am), +1.5, +3.5, +5.5, +7.5 hours
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Primary outcome [2]
300032
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Cognitive Fatigue: captured as intra-individual variability estimates (e.g., Standard Deviation of Reaction Times, Coefficient of Variation of Reaction Times) during performance on the CSIRO Computerised Fatigue Battery (CFB). The CFB consists of three tasks (Psychomotor Vigilance Task, Interference Task & Arithmetic Task) in each set, with three sets performed per assessment
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Assessment method [2]
300032
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Timepoint [2]
300032
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Baseline (0; 8:30am), +1.5, +3.5, +5.5, +7.5 hours
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Primary outcome [3]
300033
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Subjective Fatigue: Measured with a modified Activation-Deactivation Adjective Check List VAS instrument
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Assessment method [3]
300033
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Timepoint [3]
300033
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Baseline (0; 8:30am), +1.5, +3.5, +5.5, +7.5 hours
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Secondary outcome [1]
328866
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Blood Glucose: Determined via use of a lancing device and blood glucose meter
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Assessment method [1]
328866
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Timepoint [1]
328866
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Baseline (0; 8:30am), +1.5, +2.5, +3.5, +4.5, +5.5, +6.5, +7.5 hours
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Secondary outcome [2]
328867
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Satiety & Food Cravings Questionnaire
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Assessment method [2]
328867
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Timepoint [2]
328867
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Baseline (0; 8:30am), +1.5, +2.5, +3.5, +4.5, +5.5, +6.5, +7.5 hours
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Eligibility
Key inclusion criteria
Self-reported cognitively healthy participants
Able to undertake a computerised battery
Not currently using a fasting regime for weight management or weight loss
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Minimum age
20
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Smoker
BMI >30
History of mood disorder (e.g., Depression or Anxiety)
Neurological Disease (e.g., Dementia)
Uncontrolled Hypertension
Diabetes (both types)
Lactose intolerant
Coeliac Disease
Nut/Seed allergy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
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Actual
12/09/2016
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Date of last participant enrolment
Anticipated
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Actual
6/10/2016
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Date of last data collection
Anticipated
11/11/2016
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Actual
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Sample size
Target
20
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Accrual to date
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Final
17
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
294847
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Government body
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Name [1]
294847
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CSIRO
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Address [1]
294847
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Gate 13, Kintore Avenue, Adelaide, SA 5000
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Country [1]
294847
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Australia
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Primary sponsor type
Government body
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Name
CSIRO
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Address
Gate 13, Kintore Avenue, Adelaide, SA 5000
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Country
Australia
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Secondary sponsor category [1]
293686
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None
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Name [1]
293686
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Address [1]
293686
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Country [1]
293686
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296232
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CSIRO Health and Medical Human Research Ethics Committee (CHM HREC) Low Risk Review Panel
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Ethics committee address [1]
296232
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c/o Dr Anneliese Spinks Ecosciences Precinct, 41 Boggo Road, Dutton Park QLD 4102
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Ethics committee country [1]
296232
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Australia
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Date submitted for ethics approval [1]
296232
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29/08/2016
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Approval date [1]
296232
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02/09/2016
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Ethics approval number [1]
296232
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LR 16/2016
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Summary
Brief summary
Fasting may have benefits for weight loss, the acute effects of this on cognitive function and mental fatigue throughout fasting days are not well understood. Some studies have shown negative impacts of fasting including slower psychomotor speed, slower reaction times, reduced memory capacity, reduced working memory function, and poorer inhibition and reasoning skills. These deficits have the potential to impact negatively on activities including driving, and functioning within the workforce more generally. Ultimately these negative effects may impact on retention in these weight loss programs due to potentially unwanted side-effects, thus moderating their impact on health outcomes resulting from sustained weight loss. A current trend in weight loss programs is to avoid true fasting days and instead, incorporate extreme Caloric Restriction days. One current approach, known as the 5:2 intermittent fasting method, recommends a total caloric intake allowance of ~2100kj/day (500 kcal) for women, and ~2500kj/day (600kcal) for men on two days out of every seven (i.e., two days per week). Despite suggestions in the literature that intermittent fasting (including caloric restriction) improves metabolic markers in young women and in those with diabetes, to date, little is known about the impact of caloric restriction on cognitive function, fatigue and satiety. In particular, there has been limited exploration about how best to distribute the permissible restricted calories across the day. The timing of energy consumption is likely an important factor that could alter any potentially negative effects of caloric restriction on cognitive function and fatigue, particularly in the context of carbohydrates. This study will explore the impact of different nutrient intake timing during caloric restriction days on cognitive performance, fatigue, satiety and blood glucose. In light of literature showing negative effects of fasting on cognitive function, our hypotheses are as follows: 1) Fasting will result in poorer cognitive function and enhanced fatigue compared to both of the caloric restriction arms (Bulking and Extended Distribution) 2) Extended Distribution of calories will result in less fatigue throughout the afternoon assessments compared to Bulking 3) Fasting will lead to significantly higher subjective ratings of fatigue and satiety compared to both caloric restriction conditions 4) Fasting will result in significantly lower blood glucose readings compared to both caloric restriction conditions
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
70098
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Dr Ian Zajac
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Address
70098
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CSIRO, PO Box 10041, Adelaide BC, SA, 5000
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Country
70098
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Australia
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Phone
70098
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+61 8 8303 8875
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Fax
70098
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Email
70098
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[email protected]
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Contact person for public queries
Name
70099
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Ian Zajac
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Address
70099
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CSIRO, PO Box 10041, Adelaide BC, SA, 5000
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Country
70099
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Australia
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Phone
70099
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+61 8 8303 8875
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Fax
70099
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Email
70099
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[email protected]
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Contact person for scientific queries
Name
70100
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Ian Zajac
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Address
70100
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CSIRO, PO Box 10041, Adelaide BC, SA, 5000
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Country
70100
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Australia
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Phone
70100
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+61 8 8303 8875
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Fax
70100
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Email
70100
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Modified fasting compared to true fasting improves blood glucose levels and subjective experiences of hunger, food cravings and mental fatigue, but not cognitive function: Results of an acute randomised cross-over trial.
2021
https://dx.doi.org/10.3390/nu13010065
N.B. These documents automatically identified may not have been verified by the study sponsor.
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