The Impact of Overnight Nutrition Support on Sleep and Circadian Rhythm Disruption in the ICU
NCT04737200 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2026-05-19
Summary
The purpose of this study is to determine whether modifying the timing of nutrition support from overnight to daytime enhances sleep quality, preserves circadian rhythms, and improves overall inflammation and cardiometabolic profiles in postoperative patients in the cardiac surgical ICU on enteral nutrition.
Conditions
- Feeding Patterns
- Sleep
- Glucose Intolerance
Interventions
- DIETARY_SUPPLEMENT
-
Time-of-day of enteral nutrition provision (daytime first)
Enteral nutrition (tube feeds) will be provided during the daytime followed by nighttime.
- DIETARY_SUPPLEMENT
-
Time-of-day of enteral nutrition provision (nighttime first)
Enteral nutrition (tube feeds) will be provided during the nighttime followed by daytime.
Sponsors & Collaborators
-
Massachusetts General Hospital
lead OTHER
Principal Investigators
-
Hassan S Dashti, Ph.D., R.D. · Massachusetts General Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-02-08
- Primary Completion
- 2027-03-31
- Completion
- 2027-03-31
Countries
- United States
Study Locations
More Related Trials
-
The Effect of Sequential Feeding for Circadian Rhythm and Gut Flora Rhythm in Critically Ill Patients
NCT06083831 ·Status: RECRUITING
-
Stabilization of Circadian Rhythms in Delirious ICU Patients Through Light Intervention
NCT05807178 ·Status: RECRUITING ·Phase: NA
-
Creating Naptime: An Overnight, Non-Pharmacologic Intensive Care Unit Sleep Promotion Protocol
NCT03119207 ·Status: COMPLETED ·Phase: NA
-
Sleep Investigation in Respirator Treated ICU Patients: the Importance of Intensive Environment
NCT01681043 ·Status: COMPLETED ·Phase: NA
-
Improving Sleep in the Pediatric Intensive Care Unit
NCT00178321 ·Status: WITHDRAWN ·Phase: NA
-
Impact of a Multifaceted Intervention of Environment Control in the ICU to Optimize Quantity and Quality of Sleep
NCT05694052 ·Status: COMPLETED ·Phase: NA
-
Effects of Light and Sound Modification on Sleep Quality and Circadian Rhythm in the MICU Patients
NCT04129918 ·Status: COMPLETED ·Phase: NA
-
Impact of Chronic Circadian Disruption vs. Chronic Sleep Restriction on Metabolism
NCT02171273 ·Status: COMPLETED ·Phase: NA
-
This Trial Examines How Last Meal Composition and Timing Affect Sleep Quality and Circadian Gene Expression Among Medical Residents. Recruitment Not Yet Started; Study Begins Dec 2025 and Ends Dec 2026.
NCT07339592 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Circadian Melatonin Rhythms in Critically Ill Patients With Delirium
NCT04721613 ·Status: COMPLETED
-
Circadian Rhythm Disruption in the Hospital Intensive Care Environment
NCT05828680 ·Status: ACTIVE_NOT_RECRUITING
-
Dietary Impact on Sleep, Rhythms and Related Physiology
NCT07138313 ·Status: RECRUITING ·Phase: NA
-
Promotion of Sleep for Patients Submitted to Percutaneous Intervention to Treat Heart Diseases
NCT04716491 ·Status: UNKNOWN ·Phase: NA
-
Aging Program Project Grant 6
NCT03490825 ·Status: COMPLETED ·Phase: NA
-
Managing Sleep-wake Disruption Due to Hospitalisation: the Circadian Care Project
NCT05228444 ·Status: UNKNOWN ·Phase: NA
-
Sleep Timing and Energy Balance
NCT01866280 ·Status: COMPLETED ·Phase: NA
-
Sleep Headphones and HDU: a Novel Intervention and Sound Evaluation
NCT03774212 ·Status: COMPLETED ·Phase: NA
-
Sleep Quantity and Quality in the ICU: a Prospective Observational Stud
NCT03796338 ·Status: COMPLETED
-
Cardiovascular Risk and Circadian Misalignment in Short Sleepers - Role of Extended Eating Period
NCT06070194 ·Status: RECRUITING ·Phase: NA
-
Circadian Intervention to Improve Cardiometabolic Health
NCT05943626 ·Status: RECRUITING ·Phase: NA
-
Role of Photic and Non-photic Time Cues in Resetting Circadian Rhythms
NCT05276739 ·Status: UNKNOWN ·Phase: NA
-
Behavioral Chronotype: Impact on Sleep and Metabolism
NCT03647306 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Impact of Sleep Quality on Outcomes After Cardiac Surgery
NCT06527105 ·Status: RECRUITING ·Phase: NA
-
Time Restricted Nutrition in Pediatric Stem Cell Transplant Recipients
NCT04549038 ·Status: COMPLETED ·Phase: NA
-
Intensive Care Unit (ICU) Sleep Quality and Neurocognitive Performance
NCT01061242 ·Status: COMPLETED ·Phase: NA