The Impact of Meal Frequency on Bone Remodeling in Healthy Adults

University of Jordan

Status: Completed

Conditions: Healthy Adults

Treatments: Other: Meal Frequency Manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06359483

108/2021

Details and patient eligibility

About

The study aimed to investigate the effect of meal frequency on bone remodeling using the marker Procollagen Type 1 N-terminal propeptide (P1NP). Thirty healthy adult males from Jordan participated in a randomized controlled intervention trial. They were randomly assigned to three or eight daily meals for three consecutive days over two phases. Blood samples were obtained at the beginning and end of each phase, and P1NP levels were analyzed. The results showed a substantial drop in P1NP levels compared to the baseline, indicating that meal frequency influences bone development. There were no significant changes between the groups eating three and eight meals per day. The study emphasizes the importance of dietary patterns in bone health and advises additional research to understand the relationship between meal frequency and bone metabolism.

Full description

The study looked into how meal frequency influences bone remodeling, focusing on the Procollagen Type 1 N-terminal propeptide (P1NP) marker, which indicates bone production. Bone remodeling is a continual process in which osteoclasts break down bone tissue and osteoblasts form new bone tissue. Dietary patterns are increasingly recognized as influencing bone remodeling and general bone health, with meal frequency playing an important role in bone metabolism.

To perform the study, 30 healthy adult males aged 19 to 30 were recruited from Jordan using informational flyers. They participated in a randomized controlled intervention experiment. The participants were randomly allocated to one of two groups: one group ate three meals per day and the other ate eight meals per day. This dietary pattern was followed for three consecutive days in what was referred to as Phase 1 of the study.

Following Phase 1, there was a one-week washout phase to remove any residual effects from the previous food pattern. Following the washout period, the participants were moved to an alternate meal frequency (i.e., those who had three meals per day were now eating eight, and vice versa) for another three days, known as Phase 2.

Blood samples were collected from participants at baseline (before beginning the food intervention) and after each phase of the trial. The levels of P1NP in the blood samples were determined using an enzyme-linked immunosorbent assay (ELISA), a widely used laboratory technique for detecting and quantifying chemicals.

Enrollment: 30 patients

Sex: All

Ages: 19 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Healthy individuals aged between 19 and 30 years

2. Absence of medical conditions affecting bone remodeling, including:

   • Hyper/hypothyroidism
   • Diabetes
   • Cancer
   • Renal problems
   • Paget's disease
   • Cushing's disease
   • Multiple myeloma
   • Rickets
   • Osteomalacia
   • Hypogonadism
   • Osteoporosis
   • Metastatic carcinoma
   • Gaucher's disease
   • Hairy cell leukemia

Exclusion criteria

1. Abnormal food habits, including:

   • Night eating or frequent diet changes
   • Shift work
   • Daytime sleepers
   • Irregular sleeping patterns

2. Use of medications or supplements impacting bone remodeling, calcium homeostasis, or sleep patterns

3. History of a broken or fractured bone within the last 6 months before the study

4. Exclusively enlisting male volunteers to eliminate the potential influence of maternal hormones, such as estrogen, on bone remodeling dynamics

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Three Meals/Day Phase

Experimental group

Description:

Participants in this arm consumed three meals daily, each providing a standardized amount of calories and macronutrients. Meals were served at specific times throughout the day, and blood samples were collected at baseline, after the last day of Phase 1, and after the last day of Phase 2. This arm aimed to investigate the impact of consuming three meals daily on bone remodeling and P1NP levels.

Treatment:

Other: Meal Frequency Manipulation

Eight Meals/Day Phase

Experimental group

Description:

Participants in this arm consumed eight meals per day, with smaller portions served more frequently throughout the day than the three-meals-per-day arm. Each meal provided a standardized amount of calories and macronutrients. Blood samples were collected at the same time points as in the three-meals-per-day arm. This arm aimed to compare the effects of consuming eight meals per day versus three meals per day on bone remodeling and P1NP levels.

Treatment:

Other: Meal Frequency Manipulation