Early vs. Late Time Restricted Eating in Adolescents With Obesity at Risk for Diabetes

Many adolescents find it challenging to adhere to conventional treatment for pediatric obesity because they require daily calorie counting, easy access to fresh food, and the ability to change the home environment. As such, adherence is poor which limits efficacy. One simpler and promising approach is limiting the timing of eating, instead of changing the food quality or quantity. This approach is called, Time-restricted eating (TRE) and involves eating over an 8- to 10-hour eating window and fasting for the remainder of the day.

Inclusion Criteria:12-21 years with obesity (BMI>95th percentile)participant must be willing and able to adhere to the assessments, visit schedules, and eating/fasting periodsbaseline eating window greater than 12 hours.Exclusion Criteria:diagnosis of Prader-Willi Syndrome, brain tumor, or diabetes serious intellectual disabilityprevious diagnosis or subthreshold symptoms of an eating disorder (anorexia nervosa, bulimia nervosa, binge-eating disorder)parent/guardian-reported physical, mental of other inability to participate in the assessmentsprevious bariatric surgerycurrent participation in other interventional weight loss studies.