ClinicalTrials.gg
CompletedNCT05464342IPACPUpdated Jun 5, 2023

Integral Physiological Adaptations to Carbohydrate Periodization

An interventional study of Evening LGI Carbohydrate Consumption Group and Evening HGI Carbohydrate Consumption in Sleepiness, Fatigue and Feeding Patterns, sponsored by University of Thessaly. Completed at 2 sites in 2 countries. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-06-05.

Sponsored by University of Thessaly · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Study summary

The purpose of this study is to examine the effect of long-term carbohydrate periodization protocols on sleep architecture, sleep quality, daytime sleepiness, physical performance, body composition, gut microbiome, and miRNA in healthy trained individuals.

Read the detailed description

Athletic populations have been particularly susceptible to sleep inadequacies, experience several sleep issues, and fall below the age-specific sleep recommendations. However, it is well demonstrated that exercise does not impair sleep by itself, and furthermore, acute post-exercise nutrition could elevate the exercise-induced sleep-optimizing effect, with further benefits for the next physical performance. In line with these findings, in a metanalysis of clinical trials, it was shown that pre-bed carbohydrate availability resulted in significant alterations in sleep architecture. It is of utmost importance to highlight that throughout this metanalysis, it was revealed that no long-term nutrition intervention for sleep optimization has been studied yet. These data raise the question of whether a long-term carbohydrate periodization protocol could optimize sleep and alter gut function in a way that athletic performance will be also enhanced. This would allow elucidating further potential interrelations and biological pathways underlying these adaptations.

02

Conditions studied

  • Sleepiness
  • Fatigue
  • Feeding Patterns
  • Daytime Sleepiness, Excessive

Keywords

  • sleep
  • Carbohydrate periodization
  • Dietary Intervention
  • Sports Nutrition
  • Chrononutrition
  • Chronobiology
  • Gut Microbiome
  • miRNA
03

In context

Sleepiness

92 studies on the registry are indexed under Sleepiness; 20 are open to participants now.

This study's enrollment of 45 is below the median of 62 across 62 interventional studies indexed under Sleepiness.

Browse Sleepiness studies →

Lead sponsor

University of Thessaly is the lead sponsor of 195 studies on the registry; 44 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Both sexes, Age between 18 and 50 yrs old, Regularly participating in sports activities.

Exclusion criteria

Exclusion Criteria:

  • Any kind of history of major diseases or medication, Excessive amounts of alcohol and caffeine consumption
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
45 participants (actual)

Study arms

  • Experimental
    Evening LGI Carbohydrate Consumption

    Dietary Intervention: Consumption of Low Glyceamic Index (LGI) carbohydrates intake post-workout/evening.

    Behavioral: Evening LGI Carbohydrate Consumption Group

  • Experimental
    Evening HGI Carbohydrate Consumption

    Dietary Intervention: Consumption of High Glyceamic Index (HGI) carbohydrates intake post-workout/evening.

    Behavioral: Evening HGI Carbohydrate Consumption

  • Experimental
    Evening NO-CHO Carbohydrate Consumption

    Dietary Intervention: No consumption of carbohydrates intake post-workout/evening.

    Behavioral: Evening NO-CHO Carbohydrate Consumption

Interventions

  • BehavioralEvening LGI Carbohydrate Consumption Group

    Participants will receive in the evening food with low glycemic index

  • BehavioralEvening HGI Carbohydrate Consumption

    Participants will receive in the evening food with high glycemic index

  • BehavioralEvening NO-CHO Carbohydrate Consumption

    Participants will receive in the evening a meal with no carbohydrates at all.

06

What researchers measure

Primary outcomes

  1. Sleep Efficiency

    Changes sleep efficiency assessed by the gold-standard method of polysomnography. Sleep efficiency is the percentage of time spent asleep while in bed. It is calculated by dividing the amount of time spent asleep (in minutes) by the total amount of time in bed (in minutes). A normal sleep efficiency is considered to be 85% or higher.

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

  2. Quality of Sleep Score

    Changes in Quality of Sleep will be assessed by the Pittsburgh Sleep Quality Index. The Pittsburgh Sleep Quality Index (PSQI) is a self-report questionnaire that assesses sleep quality over a 1-month time interval. The measure consists of 19 individual items, creating 7 components that produce one global score. The sleep component scores are summed to yield a total score ranging from 0 to 21 with the higher total score (referred to as the global score) indicating worse sleep quality.

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

  3. Daytime Sleepiness

    Changes in Daytime sleepiness will be assessed by Epworth Sleepiness Scale (ESS). The Epworth Sleepiness Scale (ESS) measures the general level of daytime sleepiness. It is a subjective scale that asks the respondent to rate his or her propensity to doze or fall asleep during 8 common daily activities to determine the level of daytime sleepiness. The score varies between 0-24 with 0-5 Lower Normal Daytime Sleepiness, 6-10 Higher Normal Daytime Sleepiness, 11-12 Mild Excessive Daytime Sleepiness, 13-15 Moderate Excessive Daytime Sleepiness, 16-24 Severe Excessive Daytime Sleepiness.

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

Secondary outcomes

  1. Body Composition

    Changes in Body composition. The changes in body composition will be assessed by the skinfold measurements and BIA

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

  2. Exercise Performance

    Changes in Exercise Performance will be assessed by a VO2max test. A VO2 max test is a maximal exercise test performed on a treadmill or bike while connected to a machine capable of analyzing your expired air. Your test provides data on how much oxygen you use as you exercise and determines the maximal oxygen you can consume during exercise.

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

  3. Gut Microbiome

    Changes in Gut Microbiome. Participants' gut microbiome will be studied by analyzing stool samples DNA will be extracted, and the presence of selected gut bacterial populations will be examined qualitatively and quantitatively using specific primers and quantitative Real-Time PCR.

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

  4. miRNA levels

    Changes in miRNA levels. miRNA levels that are associated with hypertrophy or cardiovascular function will be analyzed by blood sample collection at baseline and at one month.

    Time frame: Assessed at 0-month (pre) and at 1-month (post)

07

Study locations

2 sites
  • Department of Life and Health Sciences
    Nicosia, CY2417, Cyprus
  • Lifestlye Medicine Laboratory, TEFAA, University of Thessaly
    Trikala, Thessaly 42100, Greece
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2022 to primary completion in Apr 2023, 8 months.

Of 22 interventional studies with no phase under Sleepiness, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 32. This study's 8 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 4, 2022
First posted
Jul 19, 2022
StartActual
Jul 5, 2022
Primary completionActual
Apr 1, 2023
CompletionActual
May 31, 2023
Last update
Jun 5, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05464342
Collaborators
University of Nicosia, University of Cyprus
Responsible party
Giorgos K. Sakkas (Associate Professor, University of Thessaly) — Principal investigator
First posted
Jul 19, 2022
Start date
Jul 5, 2022
Primary completion
Apr 1, 2023
Completion
May 31, 2023
Last update
Jun 5, 2023

Study contacts

Georgios Sakkas, PhD
study chair · University of Thessaly

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2023. You cannot join it, but the record below documents what was studied.

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