This is a randomized clinical trial focusing on the effect of intermittent fasting on
sleep and quality of life among healthy population. More specifically, the first
objective of this study will be to investigate the impact of intermittent fasting on
sleep including sleep quality, efficiency, duration, and sleep latency among healthy
individuals. The second objective will be to explore the impact of intermittent fasting
on participants' quality of life and fatigue using validated questionnaires. The third
objective is to compare the effect of the two prevailing fasting windows including early
morning feeding window (8 a.m.-4 p.m.) and late feeding window (12 p.m.-8 p.m.) on sleep
and quality of life.
The investigators expect that intermittent fasting would have a positive effect on sleep
and would allow participants to experience an improvement in their sleep during this
practice. The investigators also assume that intermittent fasting would have a positive
effect on participants' quality of life and fatigue. Moreover, intermittent fasting
during the early morning feeding window (8 a.m.-4 p.m.) would have a more positive impact
on sleep and quality of life compared to the late feeding window (12 p.m.-8 p.m.) because
it would be more aligned with the circadian rhythm.
This project will be conducted over a 10-week period. Subjects will be divided into two
groups (group A and group B) that will alternate their fasting windows each month. Each
group will consist of 36 male and female volunteers, adults, aged between 18 and 65 years
old, and with a BMI between 18.5 and 29.9.
At recruitment, all subjects will provide their written informed consent prior to
enrolling in the study. Once the subject's consent is obtained, the participants will be
randomly assigned to Group A or Group B. More specifically, during baseline assessment,
the participants will randomly draw an envelope containing a piece of paper labeled Group
A or Group B. There will be as many envelopes as there are participants, half containing
the Group A paper and the other half containing the Group B paper. Once the subject will
be assigned to their group, they will be labeled with a number (ranging from 1 to 36)
which will allow us to maintain their anonymity.
The study will last 10 weeks in total, with 4 weeks for each window, followed by a 2-week
"washout" period where the subjects follow their usual diet between each group of 4 weeks
intermittent fasting period. For the first month, group A will follow a feeding period
from 12 p.m. to 8 p.m. (known as late feeding window) and group B will follow a feeding
period from 8 a.m. to 4 p.m. (known as early feeding window). The following 2 weeks both
groups will return to their usual eating habits. For the second month, group A will
follow an early feeding window while group B will follow a late feeding window.
At enrollment, information concerning baseline characteristics such as age, body mass
index (BMI), profession, physical activity, usual eating habits and smoking status, will
be collected.
During baseline assessment, at the end of each month and at the end of the washout period
all participants will complete four validated questionnaires to assess any changes they
may have experienced in sleep, quality of life, fatigue, and physical activity. Moreover,
during these appointments, anthropometric measurements including height (cm), BMI
(kg/m2), muscle mass (kg), visceral mass (kg), fat mass (kg), bone mineral mass (kg),
waistline (cm) and waist-hip ratio will be carried out using impedance scales in order to
observe any possible changes on body composition. Lastly, participants will be asked
verbally to mention if they have experienced any side effects such as headache, vertigo,
nausea, vomiting, abdominal pain, changes in bowel movements, fatigue, mood swing.
Subjects will also be required to use the Automated Self-Administered 24h Dietary
Assessment (ASA24) Tool software once per week, which is a 24-hour food diary. Its
purpose is to collect detailed and accurate information on all foods, beverages, and
supplements (vitamins, minerals, etc.) consumed by the subject during the last 24 hours.
Data concerning total energy intake (kcal/day), protein intake (gr/day), carbohydrates
intake (gr/day), fat intake (gr/day), fibers intake (gr/day), amount of water (L/day) and
alcohol intake (gr/day) will be analyzed.
The primary outcome of this study will be to investigate the impact of intermittent
fasting on sleep including sleep quality, efficiency, duration, and sleep latency among
healthy individuals. This will be carried out using the PSQI - Pittsburgh Sleep Quality
Index: a standardized self-report questionnaire assessing the subjective sleep quality,
sleep efficiency (percentage of time spent in bed actually asleep), sleep duration, and
sleep latency (time taken to fall asleep) over the last month. It consists of 19 items,
resulting in a total score of 0 to 21. Scores above 5 can be used as an indicator of poor
sleep quality.
The second objective will be to explore the impact of intermittent fasting on
participants' quality of life using the validated questionnaire Short Form Health 36
(SF-36) that objectively measures quality of life by covering eight domains of health.
Sf-36 assesses eight scales: physical functioning, role limitations due to physical
health, bodily pain, general health perceptions, energy/fatigue, social functioning,
general mental health (emotional well-being), and role limitations due to emotional
health, measured by 36 questions, with an additional question on health
change/transition. All scores will be recoded with a maximum score of 100. A higher score
indicates a better quality of life.
Another primary outcome that will be explored is the impact of intermittent fasting on
symptoms of fatigue. This will be carried out using the Fatigue Assessment Scale (FAS), a
10-item scale assessing symptoms of chronic fatigue.
In addition, the impact of intermittent fasting on physical activity will be examined
using the Global Physical Activity Questionnaire (GPAQ). Information concerning
participation in physical activity in three areas (work activity, travel to and from
places, recreational activities) as well as sedentary behavior will be collecting through
16 questions.