Fasting · 6 cited studies

Research on Fasting

Intermittent fasting research has accumulated faster than the cultural conversation. Patterson & Sears' 2017 review summarised the early case: TRE and 5:2 produce weight loss comparable to continuous calorie restriction. The TREAT trial (Lowe 2020, JAMA Internal Medicine) tempered enthusiasm: 16:8 produced no greater weight loss than three-meal eating, and lean-mass loss was higher. Liu 2022 (NEJM) extended this to a year-long Chinese RCT — TRE + calorie restriction was equivalent to calorie restriction alone. Sutton's 6-hour early-TRE study did show metabolic benefits without weight loss in prediabetic men, suggesting timing may matter independent of restriction. The honest summary: fasting is a behavioural tool that helps some people eat less, not a metabolic switch. Below: the major fasting trials and reviews.

  • Moderate evidence2017

    Metabolic Effects of Intermittent Fasting

    Patterson RE, Sears DD · Annual Review of Nutrition

    Review of intermittent fasting and time-restricted eating: weight loss comparable to continuous restriction.

    FastingSource ↗
  • Moderate evidence2021

    Cardiometabolic Benefits of Intermittent Fasting

    Varady KA et al. · Annual Review of Nutrition

    Review of alternate-day and 5:2 fasting: 4–8% body-weight loss over 8–12 weeks with cardiometabolic improvement.

    FastingSource ↗
  • Moderate evidence2020

    Effects of Time-Restricted Eating on Weight Loss and Other Metabolic Parameters in Women and Men With Overweight and Obesity (TREAT)

    Lowe DA et al. · JAMA Internal Medicine

    TREAT trial: 16:8 TRE produced no greater weight loss than three-meal control; lean-mass loss was higher.

    FastingSource ↗
  • Strong evidence2022

    Calorie restriction with or without time-restricted eating in weight loss

    Liu D et al. · New England Journal of Medicine

    12-month RCT: TRE 8h+CR vs CR alone produced equivalent weight loss; window timing didn't add benefit.

    FastingSource ↗
  • Moderate evidence2018

    Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss

    Sutton EF et al. · Cell Metabolism

    Early 6h eating window improved insulin sensitivity, BP, and oxidative stress in prediabetic men with no weight change.

    FastingInsulin ResistanceSource ↗
  • Moderate evidence2016

    A randomized pilot study comparing zero-calorie alternate-day fasting to daily caloric restriction

    Catenacci VA et al. · Obesity

    ADF and continuous CR produced equivalent weight loss; ADF retained more weight after 24 wks but had higher dropout.

    FastingSource ↗

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