Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.

Age-related cerebromicrovascular endothelial dysfunction underlies the initiation and progression of cognitive dysfunction and dementia, thus increasing the susceptibility of older adults to such conditions. Normal brain function requires dynamic adjustment of cerebral blood flow to meet the energet...

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Main Authors: Ana Clara da C Pinaffi-Langley, Zsofia Szarvas, Anna Peterfi, Zalan Kaposzta, Peter Mukli, Ali Shahriari, Mihaly Muranyi, Camila B Pinto, Cameron D Owens, Cheryl Adams, Brittany Karfonta, Michael Rohan, Stefano Tarantini, Andriy Yabluchanskiy
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0314871
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author Ana Clara da C Pinaffi-Langley
Zsofia Szarvas
Anna Peterfi
Zalan Kaposzta
Peter Mukli
Ali Shahriari
Mihaly Muranyi
Camila B Pinto
Cameron D Owens
Cheryl Adams
Brittany Karfonta
Michael Rohan
Stefano Tarantini
Andriy Yabluchanskiy
author_facet Ana Clara da C Pinaffi-Langley
Zsofia Szarvas
Anna Peterfi
Zalan Kaposzta
Peter Mukli
Ali Shahriari
Mihaly Muranyi
Camila B Pinto
Cameron D Owens
Cheryl Adams
Brittany Karfonta
Michael Rohan
Stefano Tarantini
Andriy Yabluchanskiy
author_sort Ana Clara da C Pinaffi-Langley
collection DOAJ
description Age-related cerebromicrovascular endothelial dysfunction underlies the initiation and progression of cognitive dysfunction and dementia, thus increasing the susceptibility of older adults to such conditions. Normal brain function requires dynamic adjustment of cerebral blood flow to meet the energetic demands of active neurons, which is achieved the homeostatic mechanism neurovascular coupling (NVC). In this context, therapeutical strategies aimed at rescuing or preserving NVC responses can delay the incidence or mitigate the severity of age-related cognitive dysfunction, and time-restricted eating (TRE) is a potential candidate for such a strategy. Studies have reported that TRE can improve cardiometabolic risk factors in older adults. However, the effect of TRE on cerebrovascular endothelial function remains unexplored. Thus, this protocol outlines the study procedures to test our hypothesis that a 6-month TRE regimen of 10-h eating window will improve NVC responses and endothelial function in community-dwelling older adults. This is a single-arm, open-label interventional trial. We aim to recruit 32 adults aged 55-80 years. Participants are instructed to maintain a TRE regimen of 10 h of free eating followed by 14 h of fasting for 6 months. Before and after fasting, participants are assessed for cognitive performance, peripheral micro- and macrovascular endothelial function, and NVC responses, as well as for several confounding factors, including body composition, dietary, and physical activity data. We expect that 6 months of TRE will improve NVC response and endothelial function in older adults compared with baseline, and that these improvements will be accompanied by improvements in cognitive performance. The study proposed herein will provide critical insight into a new potential therapeutical strategy for targeting age-related cognitive dysfunction. Ultimately, slowing down or alleviating cognitive decline will translate into improved quality of life and longer healthspan for aging adults. This study was prospectively registered at ClinicalTrials.gov (NCT06019195) on August 24, 2023.
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spelling doaj-art-5ebf6fefd42c41539423d84f2b6c600b2025-08-20T02:39:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031487110.1371/journal.pone.0314871Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.Ana Clara da C Pinaffi-LangleyZsofia SzarvasAnna PeterfiZalan KaposztaPeter MukliAli ShahriariMihaly MuranyiCamila B PintoCameron D OwensCheryl AdamsBrittany KarfontaMichael RohanStefano TarantiniAndriy YabluchanskiyAge-related cerebromicrovascular endothelial dysfunction underlies the initiation and progression of cognitive dysfunction and dementia, thus increasing the susceptibility of older adults to such conditions. Normal brain function requires dynamic adjustment of cerebral blood flow to meet the energetic demands of active neurons, which is achieved the homeostatic mechanism neurovascular coupling (NVC). In this context, therapeutical strategies aimed at rescuing or preserving NVC responses can delay the incidence or mitigate the severity of age-related cognitive dysfunction, and time-restricted eating (TRE) is a potential candidate for such a strategy. Studies have reported that TRE can improve cardiometabolic risk factors in older adults. However, the effect of TRE on cerebrovascular endothelial function remains unexplored. Thus, this protocol outlines the study procedures to test our hypothesis that a 6-month TRE regimen of 10-h eating window will improve NVC responses and endothelial function in community-dwelling older adults. This is a single-arm, open-label interventional trial. We aim to recruit 32 adults aged 55-80 years. Participants are instructed to maintain a TRE regimen of 10 h of free eating followed by 14 h of fasting for 6 months. Before and after fasting, participants are assessed for cognitive performance, peripheral micro- and macrovascular endothelial function, and NVC responses, as well as for several confounding factors, including body composition, dietary, and physical activity data. We expect that 6 months of TRE will improve NVC response and endothelial function in older adults compared with baseline, and that these improvements will be accompanied by improvements in cognitive performance. The study proposed herein will provide critical insight into a new potential therapeutical strategy for targeting age-related cognitive dysfunction. Ultimately, slowing down or alleviating cognitive decline will translate into improved quality of life and longer healthspan for aging adults. This study was prospectively registered at ClinicalTrials.gov (NCT06019195) on August 24, 2023.https://doi.org/10.1371/journal.pone.0314871
spellingShingle Ana Clara da C Pinaffi-Langley
Zsofia Szarvas
Anna Peterfi
Zalan Kaposzta
Peter Mukli
Ali Shahriari
Mihaly Muranyi
Camila B Pinto
Cameron D Owens
Cheryl Adams
Brittany Karfonta
Michael Rohan
Stefano Tarantini
Andriy Yabluchanskiy
Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.
PLoS ONE
title Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.
title_full Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.
title_fullStr Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.
title_full_unstemmed Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.
title_short Time-restricted eating for prevention of age-related vascular cognitive decline in older adults: A protocol for a single-arm open-label interventional trial.
title_sort time restricted eating for prevention of age related vascular cognitive decline in older adults a protocol for a single arm open label interventional trial
url https://doi.org/10.1371/journal.pone.0314871
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