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Not yet recruitingNCT07075133TIMEDIABUpdated Jun 1, 2026

Chrono-restricted Diet and Physical Activity as a New Preventive Strategy for Sarcopenia in Postmenopausal Women With Obesity and Type 2 Diabetes

An interventional study of Antidiabetic diet (control) and eTRE diet in Obesity, Sarcopenia and Post Menopause, sponsored by University Hospital, Toulouse. Not yet recruiting at 1 site in France. Open to participants aged 45 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-01.

Sponsored by University Hospital, Toulouse · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
45 Years to 70 Years
Sex
All
01

Study summary

The aim of TIMEDIAB is to demonstrate that early TRE (eTRE) combined to late (afternoon) exercise will outperform eTRE combined to morning exercise on muscle function as primary endpoint, and glucose homeostasis as secondary endpoint

Read the detailed description

Overweight, obesity, aging and menopause are all independent risk factors in the development of type 2 diabetes mellitus (T2DM). Older women with T2DM are at especially high risk for sarcopenia, i.e. loss of skeletal muscle mass and force, and cardiovascular diseases. The first line of T2DM treatment is based on lifestyle changes including weight loss and physical activity. One major current medical challenge is to find novel lifestyle therapies able to reduce cardiometabolic risk while perserving muscle mass in obese older individuals. As a result, intermittent fasting approaches, including time-restricted feeding/eating (TRF/TRE), have been offered as alternative dietary strategies that may have beneficial effects on weight control and T2DM. It has been recently observed that long-term TRF improve glucose homeostasis while perserving muscle mass and force in female obese mice. The purpose of TIMEDIAB is to demonstrate that early TRE (eTRE) combined to late (afternoon) exercise will outperform eTRE combined to morning exercise on various components of muscle health as primary endpoint, and blood glucose control, body composition, energy balance, cardiovascular risk, and metabolic health as secondary endpoints. This study will pave the way to larger scale randomized clinical trials investigating the long-term effects/benefits of such intervention and in other target populations.

02

Conditions studied

  • Obesity
  • Sarcopenia
  • Post Menopause
  • Type 2 Diabetes
  • Circadian Clock

Keywords

  • Timing of eating
  • Timing of exercise
  • Muscle Function
  • Metabolic Health
  • Obesity
  • Menopause
  • women
03

In context

Obesity

6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.

This study's planned enrollment of 45 is below the median of 78 across 4,878 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

University Hospital, Toulouse is the lead sponsor of 794 studies on the registry; 214 are open to participants now.

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

04

Who can participate

Ages eligible
45 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Post-menopausal women (amenorrhea for at least 12 months, confirmed by gonadotrophins measures)
  • Age range 45-70 years
  • T2DM diagnosed for more than 1 year
  • Subjects with T2DM treated with lifestyle control alone or associated with metformine ± DPP4 inhibitors
  • Ability to sign written informed consent before any study-specific procedure
  • Subject considered as reliable and capable of adhering to protocol
  • Subjects with Body Mass Index (BMI)≥ 30 kg/m²
  • Baseline eating period ≥ 14 h per day (as estimated by 95% eating interval)

Exclusion criteria

Exclusion Criteria:

  • Subjects on T2DM injectable medication or drugs able to induce hypoglycemia (glinides, sulfonylurea)
  • Subjects with HbA1c > 8%
  • Subjects with any of the following medical conditions:

    • Congestive cardiac failure
    • Stage 4 chronic kidney disease (i.e. eGFR \< 30 ml/min/1.73 m2)
    • Liver cirrhosis or chronic liver disease
    • Any medical condition that in the opinion of the investigator could jeopardize or compromise the subject's ability to participate in the study
  • Subjects with previous or present history of serious eating disorder
  • Subjects not able to understand the informed consent form or fasting diary instructions
  • Subjects currently participating or has participated in another study of an investigational medication or an investigational medical device within the last 30 days
  • Women with menopause hormone replacement therapy
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    Diet control (no chrono restriction) + exercise performed in the morning

    Patients following a standard antidiabetic diet combined with morning exercise

    Other: Antidiabetic diet (control) · Other: Physical activity in the morning

  • Experimental
    eTRE (chrono restriction) + exercise performed in the morning

    Patients following the eTRE program combined with physical exercise performed in the morning

    Other: eTRE diet · Other: Physical activity in the morning

  • Experimental
    eTRE (chrono restriction) + exercise performed in the afternoon

    Patients following the eTRE program combined with physical exercise performed in the afternoon

    Other: eTRE diet · Other: Physical activity in the afternoon

Interventions

  • OtherAntidiabetic diet (control)

    Standard antidiabetic diet

  • OthereTRE diet

    eTRE for a total duration of 12 weeks. During the eTRE, volunteers will have to eat and drink (meals + snacks, medication) exclusively during an 8-hour period which will extend between 6 a.m. (flexible: or 7 a.m. or 8 a.m.) in the morning and 2 p.m. (depending on the chosen start time: or 3 p.m. or 4 p.m.), which corresponds to a fasting period of 16 hours per day

  • OtherPhysical activity in the morning

    Physical exercise will consist of 3 weekly morning sessions that will combine aerobic and resistance exercises

  • OtherPhysical activity in the afternoon

    The physical exercise will consist of 3 weekly afternoon sessions that will combine aerobic and resistance exercises.

06

What researchers measure

Primary outcomes

  1. Change in skeletal muscle function

    Change in skeletal muscle function, assessed by 30-CTS score at inclusion (baseline) and 12 weeks after diet/exercise program; This test is used to assess lower limb strength. The score corresponds to the total number of standing positions correctly performed within the allotted 30 seconds.

    Time frame: 4 years

Secondary outcomes

  1. Change in muscle function

    Change in muscle function assessed by various tests, such as: \- TUG Score ( calculates the time it takes to get up from a chair without using your arms. A time \<10 seconds is normal; 10\>time\<20 is a marker of frailty; time \<20 seconds:the elderly person is at high risk of falling).

    Time frame: 4 years

  2. • Change in M value measured by hyperinsulinemic euglycemic clamp

    Systemic insulin sensitivity will be assessed using a euglycemic hyperinsulinemic clamp, oral hyperglycemia, and insulin signaling pathway studies. The M value (unitless measurement) determined during the clamp will be the marker of systemic insulin sensitivity.

    Time frame: 4 years

  3. Change in HbA1c, during an oral glucose tolerance test

    Change in HbA1c (in percentage), during an oral glucose tolerance test

    Time frame: 4years

  4. Change in fasting glucose, during an oral glucose tolerance test

    Change in fasting glucose (g/l), during an oral glucose tolerance test

    Time frame: 4years

  5. Change in 2h blood glucose, during an oral glucose tolerance test

    Change in 2h blood glucose (g/l), during an oral glucose tolerance test

    Time frame: 4 years

  6. Change of the insulin resistance index (HOMA-IR)

    Change of the insulin resistance index (HOMA-IR) from fasting parameters: from fasting insulin levels (mU/mL) and fasting blood glucose levels (mmol/L)

    Time frame: 4years

  7. Change of the insulin sensitivity index (HOMAβ)

    Change of the insulin sensitivity index (HOMAβ) from fasting parameters: from fasting insulinemia (mU/mL) and fasting blood glucose (mmol/L)

    Time frame: 4years

  8. Change in body weight (kg)

    Time frame: 4years

  9. Change in body mass index (kg/m2)

    Time frame: 4years

  10. Change in waist circumference (cm)

    Time frame: 4years

  11. Change in waist-to-hip ratio (without unit)

    Time frame: 4years

  12. Change in body composition

    Change in body composition (fat mass, lean mass, bone mass, muscle mass)

    Time frame: 4years

  13. Change in blood pressure

    Change in systolic and diastolic pressure (mmHg)

    Time frame: 4years

  14. Change in plasma lipid profile

    Liver and muscle lipid content will be measured by MRI.

    Time frame: 4years

  15. Change in muscle function

    Change in muscle function assessed by various tests, such as: Prehension strength: The value of the hand grip strength is measured with a dynamometer for 3 to 5 seconds by 3 measurements with each hand. The average of the 3 measurements for each hand will allow the dominant hand to be interpreted

    Time frame: 4 years

  16. Change in muscle function

    Change in muscle function assessed by various tests, such as: SPPB score: Assesses physical performance and distinguishes between people with severe disability (0-4 points), moderate or frail (4-6 points), mild or pre-frail (7-9 points), and those without significant disability or independent (10-12 points).

    Time frame: 4 years

  17. Change in visceral fat (kg)

    Time frame: 4 years

  18. Change in liver fat (kg)

    Time frame: 4 years

  19. Change in muscle fat (kg)

    Time frame: 4 years

  20. Change in muscle function

    Change in muscle function assessed by various tests, such as: TUG Score ( calculates the time it takes to get up from a chair without using your arms. A time \<10 seconds is normal; 10\>time\<20 is a marker of frailty; time \<20 seconds:the elderly person is at high risk of falling).

    Time frame: 4 years

  21. Change in muscle function

    Change in muscle function assessed by various tests such as: 6 min walk test: At the 6th minute, the operator also notes the level of dyspnea.

    Time frame: 4 years

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07075133
Lead sponsor
University Hospital, Toulouse
Responsible party
Sponsor
First posted
Jul 20, 2025
Start date
Sep 15, 2026 (estimated)
Primary completion
Jul 15, 2029 (estimated)
Completion
Jul 15, 2029 (estimated)
Last update
Jun 1, 2026

Study contacts

MONTASTIER Emilie, MD
Contact
montastier.e@chu-toulouse.fr
5 61 32 30 41 ext. +33
TOMASIK Audrey
Contact
tomasik.a@chu-toulouse.fr
5 61 77 85 97 ext. +33
MONTASTIER Emilie, MD
principal investigator · University Hospital, Toulouse

Oversight

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

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