Comparing Time-Restricted Eating and Mediterranean Diet as Additional Treatments for Bipolar Disorder
Led by University of California, Berkeley · Updated on 2026-08-04
300
Participants Needed
1
Research Sites
8 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are conducting a clinical trial to compare the effects of two healthy lifestyle approachestime-restricted eating TRE and the Mediterranean dieton individuals with bipolar disorder who are already receiving medication treatment. The study aims to understand how acceptable each diet is and how they influence manic and depressive symptoms as well as quality of life over time.
Participants will first complete daily records of eating, sleep, and mood for two weeks. Then, they will be randomly assigned to either follow TRE, limiting food intake to a 10-hour daily window, or the Mediterranean diet, which emphasizes vegetables, fruits, whole grains, olive oil, and lean protein sources, for eight weeks. Both groups receive online psychoeducation and optional weekly coaching sessions during the intervention. If successful, these diets may serve as practical additions to standard bipolar disorder treatment.
Throughout the study, participants will have their symptoms and quality of life assessed at the start, during, and after the eight-week dietary intervention. Follow-up evaluations will occur at 3, 6, and 12 months post-intervention to monitor lasting effects. Researchers will also track adherence to the diets, sleep patterns, mood changes, and daily routines using questionnaires, food logs, and ecological momentary assessments to better understand treatment impacts and acceptability.
CONDITIONS
Brief Title
Healthy Lifestyles for Bipolar Disorder
Research Team
S
Sheri L Johnson, PhD
N
Nandini Rajgopal, BS
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Factors
Time Restricted Eating (TRE): 10-hour daily eating window
A behavioral intervention restricting food intake to a 10-hour daily window for 8 weeks.
Dietary counseling to follow a Mediterranean eating pattern, focused on vegetable, fruit, whole grain intake, and olive oil use for 8 weeks.
Role in the trial
Investigational intervention arm; tested for effects on mood, sleep, diet adherence, and quality of life.
Active comparator arm; tested for behavioral and clinical effects alongside time restricted eating.
Primary use
Aims to improve mood, sleep, and quality of life through structured time-limited eating in adults with bipolar disorder.
Aims to improve mood symptoms, sleep, and quality of life through Mediterranean dietary patterns.
How it is given or performed
Participants are instructed to eat all meals and snacks within a self-selected 10-hour daily window, tracked via dietary logs and phone surveys.
Participants receive dietary counseling and follow a Mediterranean-style diet, with adherence tracked using food logs and self-report tools.
Evidence status
TRE is an investigational dietary intervention for bipolar disorder. Evidence is limited to ongoing clinical trials and a recent randomized study assessing its impact on mood and sleep.
The Mediterranean diet is an established healthy eating pattern with evidence for general mood and physical health improvement, though its specific effects in bipolar disorder are under active investigation with recent randomized evidence.
Important limitations
TRE feasibility may be limited for individuals with complex daily schedules, shift work, or medication requirements outside the eating window. Evidence of long-term effects in bipolar disorder is not yet established.
Adherence to Mediterranean eating may vary based on food access, affordability, and cultural preferences. The precise effects of this diet in bipolar disorder remain under study.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 18Years - 65Years
All Genders
Eligibility Criteria
You may qualify if you...
Diagnosis of bipolar I disorder or bipolar II disorder (excluding cyclothymia, BD not otherwise specified, or BD due to another medical condition)
Current sleep or circadian-related problems indicated by self-reports or interview
Living in an English-speaking country with research expertise
English language proficiency demonstrated by speaking English at home or understanding English well
Receiving medical care for bipolar disorder
Stable mood-stabilizing medication regimen for at least one month
Less than 5 kg weight change in the past 3 months
Eating for 12 or more hours per day at least twice weekly
Ability to operate a camera and respond to web-based surveys by phone (loaner phones available)
Not engaged in shift work or caregiving that disrupts sleep chronically
Ability to complete 7 days of dietary logs adequately during baseline
Ability to complete screening and baseline questionnaires with adequate attention
You will not qualify if you...
Current episode of depression, hypomania, mania, or psychosis
Diagnosis or history of eating disorder
Alcohol or substance use disorder in past 3 months
Active suicidal thoughts with plan, intent, or attempt history
Conditions interfering with participation, such as pregnancy, breastfeeding, thyroid disorders, or gastrointestinal absorption problems
Medical conditions like HIV, AIDS, lupus, or multiple sclerosis that may affect mood assessments
Use of medications contraindicated for fasting, including clozapine and certain diabetes-related drugs
Cognitive deficits indicated by low scores on memory and concentration tests
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and baseline visit
Baseline Monitoring
Duration - 2 weeks
Participants complete daily measures of eating, sleep, and mood for two weeks before starting the diet plans.
Daily self-reporting
Dietary Intervention
Duration - 8 weeks
Participants are randomly assigned to follow either time-restricted eating or the Mediterranean diet for 8 weeks, receiving online education and optional weekly coaching.
Regular online check-ins and optional coaching sessions
Follow-up Assessments
Duration - Up to 12 months
Participants complete symptom and quality of life assessments at the end of treatment and at 3, 6, and 12 months post-intervention to monitor lasting effects.
Several follow-up assessments over one year
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Published Research Related To This Trial
A randomized controlled trial to compare the effects of time-restricted eating versus Mediterranean diet on symptoms and quality of life in bipolar disorder.
Sheri L Johnson, Greg Murray, Lance J Kriegsfeld...