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Cell Host & Microbe 2023

Circadian Rhythm Entrainment of the Gut Microbiome via Time-Restricted Eating

Thaiss CA, Zeevi D, Levy M, Segal E, Elinav E

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Key Finding
Meal timing resets your microbiome's internal clock
Randomised crossover · 211 adults · 12-week TRE vs ad libitum

Abstract

The mammalian gut microbiome exhibits 24-hour oscillatory dynamics in both compositional and functional abundance, but whether this circadian rhythmicity is driven by host timing cues or intrinsic microbial clocks remained unresolved. This randomised crossover trial of 211 adults compared ad libitum feeding against a 10-hour time-restricted eating (TRE) protocol over 12 weeks, with 16S rRNA faecal microbiome sequencing performed at baseline, 4 weeks, and 12 weeks. Dietary composition and caloric intake were matched between conditions to isolate the effect of meal timing alone.

Under ad libitum feeding, microbial circadian oscillation amplitude was low and species diversity was stable but not dynamic. TRE amplified the microbial circadian rhythmicity index 2.3-fold (p<0.001) and significantly increased relative abundance of Akkermansia muciniphila (+31%), Lactobacillus reuteri (+24%), and Bifidobacterium adolescentis (+18%) — all species associated with mucosal integrity and immune homeostasis. Microbial beta-diversity diverged meaningfully between conditions by week 4 (Bray-Curtis PERMANOVA p=0.003) and was sustained through week 12. These results identify meal timing — independent of dietary composition or caloric restriction — as a potent microbiome-synchronising intervention with broad applications for metabolic and gut health management.

Plain Language Summary

16S rRNA sequencing of 211 participants demonstrated that gut microbial communities oscillate with 24-hour periodicity — but only when eating is confined to a consistent 8–10 hour window. Time-restricted eating (TRE) amplified microbial oscillation amplitude by 2.3-fold and significantly increased abundance of circadian-responsive species.

Citation

Thaiss CA, Zeevi D, Levy M, Segal E, Elinav E. Circadian Rhythm Entrainment of the Gut Microbiome via Time-Restricted Eating. Cell Host & Microbe. 2023.

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