The impact of Intermittent Fasting on Weight Loss and Metabolic Health - a review of the latest research
DOI:
https://doi.org/10.12775/QS.2024.16.52871Keywords
Intermittent Fasting, Obesity, cancer, cardiovascular risk, diabetesAbstract
Introduction and purpose
Intermittent fasting (IF) is a dietary pattern that alternates between periods of fasting or reduced caloric intake and periods of unrestricted eating. There are three primary types of IF: Alternate Day Fasting (ADF), Time-Restricted Eating (TRE), and Periodic Fasting (PF). This review article summarizes the impact of IF on weight loss. Additionally, it examines the broader health effects of IF, including its influence on cardiovascular risk, diabetes management, and neurodegenerative diseases.
Description of the state of knowledge
Fasting, the practice of abstaining from or limiting food intake for a specified period, has been a cultural and religious tradition worldwide for centurie. Common IF methods alternating 24-hour periods of fasting with days of eating, TRE restricts eating to specific windows of time each day, and PF includes patterns such as the 5:2 diet, where fasting occurs on two days each week.
Conclusions
The analysis of the review article demonstrates that intermittent fasting (IF) leads to weight loss, aiding in the treatment of obesity. Moreover, IF reduces glycated hemoglobin levels and increases periods of normoglycemia, potentially benefiting diabetes patients. Nonetheless, there is a lack of sufficient research to confirm the safety of IF for diabetics, given the risk of hypoglycemia. Research also indicates that IF positively impacts cardiovascular risk factors by lowering total cholesterol, LDL-C, and triglyceride levels. Additionally, while IF might reduce the risk of certain cancers by addressing obesity, it is not advised for cancer patients due to inadequate scientific evidence. Furthermore, some studies indicate that IF could be advantageous in managing certain neurological diseases.
References
Morales-Suarez-Varela M, Collado Sánchez E, Peraita-Costa I, Llopis-Morales A, Soriano JM. Intermittent Fasting and the Possible Benefits in Obesity, Diabetes, and Multiple Sclerosis: A Systematic Review of Randomized Clinical Trials. Nutrients. 2021;13(9):3179. Published 2021 Sep 13. doi:10.3390/nu13093179
Dong TA, Sandesara PB, Dhindsa DS, et al. Intermittent Fasting: A Heart Healthy Dietary Pattern?. Am J Med. 2020;133(8):901-907. doi:10.1016/j.amjmed.2020.03.030
Elortegui Pascual P, Rolands MR, Eldridge AL, et al. A meta-analysis comparing the effectiveness of alternate day fasting, the 5:2 diet, and time-restricted eating for weight loss. Obesity (Silver Spring). 2023;31 Suppl 1(Suppl 1):9-21. doi:10.1002/oby.23568
Madeo F, Carmona-Gutierrez D, Hofer SJ, Kroemer G. Caloric Restriction Mimetics against Age-Associated Disease: Targets, Mechanisms, and Therapeutic Potential. Cell Metab. 2019;29(3):592-610. doi:10.1016/j.cmet.2019.01.018
Duregon E, Pomatto-Watson LCDD, Bernier M, Price NL, de Cabo R. Intermittent fasting: from calories to time restriction. Geroscience. 2021;43(3):1083-1092. doi:10.1007/s11357-021-00335-z
Parr EB, Devlin BL, Hawley JA. Perspective: Time-Restricted Eating-Integrating the What with the When. Adv Nutr. 2022;13(3):699-711. doi:10.1093/advances/nmac015
Hajek P, Przulj D, Pesola F, et al. A randomised controlled trial of the 5:2 diet. PLoS One. 2021;16(11):e0258853. Published 2021 Nov 17. doi:10.1371/journal.pone.0258853
Masood B, Moorthy M. Causes of obesity: a review. Clin Med (Lond). 2023;23(4):284-291. doi:10.7861/clinmed.2023-0168
Caballero B. Humans against Obesity: Who Will Win?. Adv Nutr. 2019;10(suppl_1):S4-S9. doi:10.1093/advances/nmy055
Powell-Wiley TM, Poirier P, Burke LE, et al. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021;143(21):e984-e1010. doi:10.1161/CIR.0000000000000973
Fulton S, Décarie-Spain L, Fioramonti X, Guiard B, Nakajima S. The menace of obesity to depression and anxiety prevalence. Trends Endocrinol Metab. 2022;33(1):18-35. doi:10.1016/j.tem.2021.10.005
Das M, Webster NJG. Obesity, cancer risk, and time-restricted eating. Cancer Metastasis Rev. 2022;41(3):697-717. doi:10.1007/s10555-022-10061-3
Kheniser K, Saxon DR, Kashyap SR. Long-Term Weight Loss Strategies for Obesity. J Clin Endocrinol Metab. 2021;106(7):1854-1866. doi:10.1210/clinem/dgab091
Wadden TA, Tronieri JS, Butryn ML. Lifestyle modification approaches for the treatment of obesity in adults. Am Psychol. 2020;75(2):235-251. doi:10.1037/amp0000517
Wiechert M, Holzapfel C. Nutrition Concepts for the Treatment of Obesity in Adults. Nutrients. 2021;14(1):169. Published 2021 Dec 30. doi:10.3390/nu14010169
Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462. doi:10.1136/bjsports-2020-102955
Kurnik Mesarič K, Pajek J, Logar Zakrajšek B, Bogataj Š, Kodrič J. Cognitive behavioral therapy for lifestyle changes in patients with obesity and type 2 diabetes: a systematic review and meta-analysis [published correction appears in Sci Rep. 2023 Dec 19;13(1):22674]. Sci Rep. 2023;13(1):12793. Published 2023 Aug 7. doi:10.1038/s41598-023-40141-5
Abdi Beshir S, Ahmed Elnour A, Soorya A, et al. A narrative review of approved and emerging anti-obesity medications [published correction appears in Saudi Pharm J. 2024 May;32(5):102047]. Saudi Pharm J. 2023;31(10):101757. doi:10.1016/j.jsps.2023.101757
Popoviciu MS, Păduraru L, Yahya G, Metwally K, Cavalu S. Emerging Role of GLP-1 Agonists in Obesity: A Comprehensive Review of Randomised Controlled Trials. Int J Mol Sci. 2023;24(13):10449. Published 2023 Jun 21. doi:10.3390/ijms241310449
Buch A, Marcus Y, Shefer G, Zimmet P, Stern N. Approach to Obesity in the Older Population. J Clin Endocrinol Metab. 2021;106(9):2788-2805. doi:10.1210/clinem/dgab359
Fink J, Seifert G, Blüher M, Fichtner-Feigl S, Marjanovic G. Obesity Surgery. Dtsch Arztebl Int. 2022;119(5):70-80. doi:10.3238/arztebl.m2021.0359
Arciero PJ, Arciero KM, Poe M, et al. Intermittent fasting two days versus one day per week, matched for total energy intake and expenditure, increases weight loss in overweight/obese men and women. Nutr J. 2022;21(1):36. Published 2022 Jun 4. doi:10.1186/s12937-022-00790-0
Steger FL, Donnelly JE, Hull HR, Li X, Hu J, Sullivan DK. Intermittent and continuous energy restriction result in similar weight loss, weight loss maintenance, and body composition changes in a 6 month randomized pilot study. Clin Obes. 2021;11(2):e12430. doi:10.1111/cob.12430
Domaszewski P, Konieczny M, Dybek T, et al. Comparison of the effects of six-week time-restricted eating on weight loss, body composition, and visceral fat in overweight older men and women. Exp Gerontol. 2023;174:112116. doi:10.1016/j.exger.2023.112116
Steger FL, Jamshed H, Bryan DR, et al. Early time-restricted eating affects weight, metabolic health, mood, and sleep in adherent completers: A secondary analysis. Obesity (Silver Spring). 2023;31 Suppl 1(Suppl 1):96-107. doi:10.1002/oby.23614
Elortegui Pascual P, Rolands MR, Eldridge AL, et al. A meta-analysis comparing the effectiveness of alternate day fasting, the 5:2 diet, and time-restricted eating for weight loss. Obesity (Silver Spring). 2023;31 Suppl 1(Suppl 1):9-21. doi:10.1002/oby.23568
Zhang Q, Zhang C, Wang H, et al. Intermittent Fasting versus Continuous Calorie Restriction: Which Is Better for Weight Loss?. Nutrients. 2022;14(9):1781. Published 2022 Apr 24. doi:10.3390/nu14091781
GRADE Study Research Group, Nathan DM, Lachin JM, et al. Glycemia Reduction in Type 2 Diabetes - Glycemic Outcomes. N Engl J Med. 2022;387(12):1063-1074. doi:10.1056/NEJMoa2200433
Choi JH, Cho YJ, Kim HJ, et al. Effect of Carbohydrate-Restricted Diets and Intermittent Fasting on Obesity, Type 2 Diabetes Mellitus, and Hypertension Management: Consensus Statement of the Korean Society for the Study of Obesity, Korean Diabetes Association, and Korean Society of Hypertension. Diabetes Metab J. 2022;46(3):355-376. doi:10.4093/dmj.2022.0038
Andriessen C, Fealy CE, Veelen A, et al. Three weeks of time-restricted eating improves glucose homeostasis in adults with type 2 diabetes but does not improve insulin sensitivity: a randomised crossover trial. Diabetologia. 2022;65(10):1710-1720. doi:10.1007/s00125-022-05752-z
Obermayer A, Tripolt NJ, Pferschy PN, et al. Efficacy and Safety of Intermittent Fasting in People With Insulin-Treated Type 2 Diabetes (INTERFAST-2)-A Randomized Controlled Trial. Diabetes Care. 2023;46(2):463-468. doi:10.2337/dc22-1622
Pavlou V, Cienfuegos S, Lin S, et al. Effect of Time-Restricted Eating on Weight Loss in Adults With Type 2 Diabetes: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(10):e2339337. Published 2023 Oct 2. doi:10.1001/jamanetworkopen.2023.39337
Djekic D, Shi L, Brolin H, et al. Effects of a Vegetarian Diet on Cardiometabolic Risk Factors, Gut Microbiota, and Plasma Metabolome in Subjects With Ischemic Heart Disease: A Randomized, Crossover Study. J Am Heart Assoc. 2020;9(18):e016518. doi:10.1161/JAHA.120.016518
Nicholls SJ, Lincoff AM, Garcia M, et al. Effect of High-Dose Omega-3 Fatty Acids vs Corn Oil on Major Adverse Cardiovascular Events in Patients at High Cardiovascular Risk: The STRENGTH Randomized Clinical Trial. JAMA. 2020;324(22):2268-2280. doi:10.1001/jama.2020.22258
Chair SY, Cai H, Cao X, Qin Y, Cheng HY, Ng MT. Intermittent Fasting in Weight Loss and Cardiometabolic Risk Reduction: A Randomized Controlled Trial. J Nurs Res. 2022;30(1):e185. doi:10.1097/jnr.0000000000000469
Guo Y, Luo S, Ye Y, Yin S, Fan J, Xia M. Intermittent Fasting Improves Cardiometabolic Risk Factors and Alters Gut Microbiota in Metabolic Syndrome Patients. J Clin Endocrinol Metab. 2021;106(1):64-79. doi:10.1210/clinem/dgaa644
Keenan S, Cooke MB, Chen WS, Wu S, Belski R. The Effects of Intermittent Fasting and Continuous Energy Restriction with Exercise on Cardiometabolic Biomarkers, Dietary Compliance, and Perceived Hunger and Mood: Secondary Outcomes of a Randomised, Controlled Trial. Nutrients. 2022;14(15):3071. Published 2022 Jul 26. doi:10.3390/nu14153071
Moro T, Tinsley G, Pacelli FQ, Marcolin G, Bianco A, Paoli A. Twelve Months of Time-restricted Eating and Resistance Training Improves Inflammatory Markers and Cardiometabolic Risk Factors. Med Sci Sports Exerc. 2021;53(12):2577-2585. doi:10.1249/MSS.0000000000002738
Clifton KK, Ma CX, Fontana L, Peterson LL. Intermittent fasting in the prevention and treatment of cancer. CA Cancer J Clin. 2021;71(6):527-546. doi:10.3322/caac.21694
Ferro Y, Maurotti S, Tarsitano MG, et al. Therapeutic Fasting in Reducing Chemotherapy Side Effects in Cancer Patients: A Systematic Review and Meta-Analysis. Nutrients. 2023;15(12):2666. Published 2023 Jun 8. doi:10.3390/nu15122666
Gudden J, Arias Vasquez A, Bloemendaal M. The Effects of Intermittent Fasting on Brain and Cognitive Function. Nutrients. 2021;13(9):3166. Published 2021 Sep 10. doi:10.3390/nu13093166
Brocchi A, Rebelos E, Dardano A, Mantuano M, Daniele G. Effects of Intermittent Fasting on Brain Metabolism. Nutrients. 2022;14(6):1275. Published 2022 Mar 17. doi:10.3390/nu14061275
Pratscher S, Mickle AM, Marks JG, et al. Optimizing Chronic Pain Treatment with Enhanced Neuroplastic Responsiveness: A Pilot Randomized Controlled Trial. Nutrients. 2021;13(5):1556. Published 2021 May 5. doi:10.3390/nu13051556
Kowalczuk M, Lipińska J, Lipiński Ł, Kopeć I. Intermittent fasting and its influence on health and sports results. Journal of Education, Health and Sport. 2024 Feb 5;57:11–25.
Grzybowski J, Walczak P, Hordejuk M, Marczak A, Hyjek M, Szymkiewicz K, et al. Obesity as a multidimensional problem in the health care system - literature review. Quality in Sport. 2023 Apr 8;11(1):89–97.
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