Microbiome Assessment for Shift Workers

No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand how shift work affects the gut microbiome and potentially influences disease risk. Researchers will provide both shift workers and regular day workers with a standardized meal and a glucose challenge test to observe microbiome changes at different times of the day. Healthy males who have been shift workers for over 10 years or consistent day workers with similar job roles may be a good fit. Participants need an Android smartphone for the study's remote sensing applications.

As an unphased trial, this study offers participants the opportunity to contribute to groundbreaking research that could improve health outcomes for shift workers.

Will I have to stop taking my current medications?

The trial requires participants to be un-medicated, so you will need to stop taking any current medications before joining. Additionally, you must avoid certain vitamins, alcohol, NSAIDs (a type of pain reliever), anticholinergics (medications that block certain nerve impulses), laxatives, and anti-diarrhea medications for specific periods before certain study activities.

What prior data suggests that the standardized meal with a glucose challenge test is safe?

Research has shown that the meal used in the glucose challenge test is generally safe for people in clinical studies. In one study, researchers used the body's response to a mixed meal to predict the risk of developing type 2 diabetes and found no serious side effects from the meal itself.

The glucose challenge test is also a common method in healthcare to assess how the body handles sugar. Most people tolerate it well, though some might experience mild and temporary discomfort, such as feeling full or having a slight stomach upset.

Overall, research suggests that both the standardized meal and the glucose challenge test are safe for use in this type of study.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it aims to understand how a standardized meal and glucose challenge test can impact the gut microbiome of shift workers. Unlike traditional approaches that might not account for the unique metabolic stresses faced by shift workers, this study explores how their eating patterns and glucose responses differ from those of non-shift workers, or healthy controls. By comparing these two groups, researchers hope to uncover insights into how shift work affects metabolism and gut health, potentially paving the way for tailored dietary or lifestyle interventions.

What evidence suggests that this trial's treatments could be effective for assessing microbiome disruptions in shift workers?

Research shows that working night shifts can alter gut bacteria, potentially increasing health risks. Studies have found that night workers often experience changes in their gut bacteria, leading to inflammation and other health issues. In this trial, participants will receive a standardized meal with a glucose challenge test to assess how their body processes sugar after eating. Previous participants demonstrated significant variation in blood sugar levels based on personal factors. Understanding these differences might help manage health risks related to shift work.26789

Who Is on the Research Team?

CS

Carsten Skarke, MD

Principal Investigator

University of Pennsylvania

Are You a Good Fit for This Trial?

This trial is for non-smoking men aged 40-59 who have been working night shifts or regular day shifts for over 10 years. Participants should be healthy, not on medication, and own an Android smartphone. They can't join if they've traveled across time zones recently, had abdominal surgery, used certain drugs or supplements recently, or have any health issues that could affect the study.

Inclusion Criteria

I am a healthy man, aged 40-59, working shifts outside 7am-6pm for over 10 years without medication.
I am able to understand and agree to the study's procedures and risks.
Own an android smartphone which installs the remote sensing applications (those with apple smartphones will not be recruited)
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Exclusion Criteria

I haven't taken high dose vitamins, alcohol, or NSAIDs in the last two weeks.
High fat foods and caffeine in the past 24 hours prior to the 48-hour deep chronotyping session
Subjects with any abnormal laboratory value or physical finding that according to the investigator may interfere with interpretation of the study results, be indicative of an underlying disease state, or compromise the safety of a potential subject
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants undergo baseline assessments including core body temperature, sleep/activity cycles, cortisol and melatonin levels, and postprandial glucose and insulin levels

1 week
Multiple assessments (in-person and remote)

Experimental Phase

Participants receive a standardized meal with a glucose challenge test and are monitored for microbiome fluctuations and other physiological outputs

48 hours
Continuous monitoring (remote)

Follow-up

Participants are monitored for safety and effectiveness after the experimental phase

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Standardized meal with a glucose challenge test
Trial Overview The study aims to understand how working night shifts affects the microbiome compared to regular day shift workers by examining their behavior, clinical data, and metabolites after eating a standardized meal followed by a glucose test.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Cohort 2Experimental Treatment1 Intervention
Group II: Cohort 1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Pennsylvania

Lead Sponsor

Trials
2,118
Recruited
45,270,000+

Citations

How Shift Work Affects Our Gut Microbiota - PubMed CentralShift work and night work are associated with a higher risk of diseases, an inflammatory state and the alteration of the gut microbiota composition.
Individual variations in glycemic responses to ...These results demonstrate interindividual variability in PPGRs to carbohydrate meals and mitigators and their association with metabolic and molecular profiles.
A Systematic Review of Shift Work and Gut Microbiota ...Conclusions: Shift work is associated with significant alterations in gut microbiota composition that may contribute to adverse health outcomes. However, ...
Personalized glucose prediction using in situ data onlyOur study addresses whether accurate PPGR prediction can be achieved with a limited and easily obtainable set of data collected in real-world, everyday ...
A New Approach to Personalized Nutrition: Postprandial ...This review aims to summarize the evidence of the components that integrate personalized nutrition focused on the prevention of PPGRs.
Gut microbiota and diet in patients with different glucose ...The gut microbiota (GM) has recently been identified as a new potential risk factor in addition to well-known diabetes risk factors. To investigate the GM ...
Gastrointestinal Symptoms and the Assessment of Diet in ...As a result, shift workers frequently experience GI symptoms such as abdominal pain, bloating, and indigestion [16]. Compared to individuals ...
Cardiometabolic benefits of a non-industrialized-type diet ...We tested a microbiome restoration strategy comprising a diet that recapitulated key characteristics of non-industrialized dietary patterns (restore diet) and a ...
A mixed meal tolerance test predicts onset of type 2 ...Glucose responses to a mixed meal predicted the development of type 2 diabetes. This indicates that a mixed nutritional challenge provides important ...
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