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Ensayo controlado aleatorizado2016

A randomized pilot study comparing zero-calorie alternate-day fasting to daily caloric restriction in adults with obesity

Catenacci VA, Pan Z, Ostendorf D, Brannon S, Gozansky WS, Mattson MP, Martin B, MacLean PS, Melanson EL, Troy Donahoo W

Obesity (Silver Spring, Md.) · 251 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institutes of Health
Gobierno
National Institute on Aging
Gobierno
National Institute of Diabetes and Digestive and Kidney Diseases
Gobierno
National Center for Advancing Translational Sciences
Gobierno
National Center for Complementary and Integrative Health
Gobierno
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Gobierno
NIDDK NIH HHS
Gobierno
NCATS NIH HHS
Gobierno
NICHD NIH HHS
Gobierno
NCCIH NIH HHS
Subvenciones
National Institute of Diabetes and Digestive and Kidney Diseases (P30 DK048520); Eunice Kennedy Shriver National Institute of Child Health and Human Development (P50 HD073063); National Center for Advancing Translational Sciences (UL 1 TR001082); National Center for Complementary and Integrative Health (R21 AT002617); National Institute of Diabetes and Digestive and Kidney Diseases (K01 DK067403); National Institutes of Health (UL1-TR-001082); National Institutes of Health (TR001082); National Institutes of Health (NIH UL1 TR001082); National Institutes of Health (R21 AT002617‐02); National Institutes of Health (R21 AT002617‐02, NIH UL1 TR001082, NIH DK 048520); National Institutes of Health (NIH-DK048520)

Según 10 financiadores declarados.

Publicación

Publicado
2016-08-29 · Obesity (Silver Spring) · vol. 24 · número 9 · págs. 1874–1883
Editorial
Wiley
Citado
332 citas · más que el 99% de estudios similares · 11.9× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
39 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Dietary Effects on Health · Genetics, Aging, and Longevity in Model Organisms · Diet and metabolism studies
Palabras clave
Caloric theory, Calorie, Medicine, Low calorie diet, Obesity, Caloric intake, Randomized controlled trial, Calorie restriction, Gerontology, Weight loss, Internal medicine
MeSH
humans, obesity, body weight, weight loss, treatment outcome, caloric restriction, diet, reducing, fasting, pilot projects, body composition, energy intake, adult, middle aged, female, male

10 autores

  • Victoria A. Catenacci🇺🇸 · autor de correspondenciaColorado School of Public Health; University of Colorado Anschutz
  • Zhaoxing Pan🇺🇸Children's Hospital Colorado; University of Colorado Anschutz; University of Colorado Denver
  • Danielle M. Ostendorf🇺🇸Colorado School of Public Health; University of Colorado Anschutz
  • Sarah Brannon🇺🇸Colorado School of Public Health; University of Colorado Anschutz
  • Wendolyn S. Gozansky🇺🇸Kaiser Permanente
  • Mark P. Mattson🇺🇸National Institutes of Health; Johns Hopkins University; Johns Hopkins Medicine; Institute on Aging; National Institute on Aging
  • Bronwen Martin🇺🇸National Institutes of Health; National Institute on Aging
  • Paul S. MacLean🇺🇸Colorado School of Public Health; University of Colorado Anschutz
  • Edward L. Melanson🇺🇸University of Colorado Anschutz
  • William Troy Donahoo🇺🇸Kaiser Permanente; University of Colorado Anschutz

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

To evaluate the safety and tolerability of alternate-day fasting (ADF) and to compare changes in weight, body composition, lipids, and insulin sensitivity index (Si) with those produced by a standard weight loss diet, moderate daily caloric restriction (CR).

Methods

Adults with obesity (BMI ≥30 kg/m(2) , age 18-55) were randomized to either zero-calorie ADF (n = 14) or CR (-400 kcal/day, n = 12) for 8 weeks. Outcomes were measured at the end of the 8-week intervention and after 24 weeks of unsupervised follow-up.

Results

No adverse effects were attributed to ADF, and 93% completed the 8-week ADF protocol. At 8 weeks, ADF achieved a 376 kcal/day greater energy deficit; however, there were no significant between-group differences in change in weight (mean ± SE; ADF -8.2 ± 0.9 kg, CR -7.1 ± 1.0 kg), body composition, lipids, or Si. After 24 weeks of unsupervised follow-up, there were no significant differences in weight regain; however, changes from baseline in % fat mass and lean mass were more favorable in ADF.

Conclusions

ADF is a safe and tolerable approach to weight loss. ADF produced similar changes in weight, body composition, lipids, and Si at 8 weeks and did not appear to increase risk for weight regain 24 weeks after completing the intervention.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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