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.
- 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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