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Alternate-day versus daily energy restriction diets: which is more effective for weight loss? A systematic review and meta-analysis

Alhamdan BA, Garcia-Alvarez A, Alzahrnai AH, Karanxha J, Stretchberry DR, Contrera KJ, Utria AF, Cheskin LJ

Obesity science & practice · 70 citas

Cómo se estudió

Diseño
Metaanálisis (clasificado por nuestro filtro de IA)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Saudi Arabian Cultural Mission
Gobierno
Saudi Arabian Cultural Mission (SACM)

Según 2 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2016-07-15 · Obes Sci Pract · vol. 2 · número 3 · págs. 293–302
Editorial
Wiley
Citado
97 citas · más que el 73% de estudios similares · 1.0× el promedio de su campo
Referencias
48 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC-ND
Áreas de investigación
Dietary Effects on Health · Genetics, Aging, and Longevity in Model Organisms · Diet and metabolism studies
Palabras clave
Weight loss, Medicine, Dieting, Very low calorie diet, Meta-analysis, Intermittent fasting, Animal science, Obesity, Internal medicine, Biology

8 autores

  • B. A. Alhamdan🇺🇸 · autor de correspondenciaJohns Hopkins University
  • Alicia García-Álvarez🇺🇸Johns Hopkins University
  • A. H. Alzahrnai🇺🇸Johns Hopkins University
  • J. Karanxha🇺🇸Johns Hopkins University
  • D. R. Stretchberry🇺🇸Johns Hopkins University
  • Kevin J. Contrera🇺🇸Johns Hopkins University; Johns Hopkins Medicine
  • Alan Fremder Utria🇺🇸Johns Hopkins University; Johns Hopkins Medicine
  • Lawrence Jay Cheskin🇺🇸Johns Hopkins University

Resumen

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

Background

Alternate-day-fasting (ADF) has been proposed as an effective dieting method. Studies have found that it also can increase life span in rodents, and reduce inflammation in humans. The aim of this paper was to systematically review the efficacy of ADF compared to very-low-calorie dieting (VLCD) in terms of weight loss, and reduction of fat mass and fat-free mass.

Methods

Systematic review: PubMed literature searches were performed. Fixed review procedures were applied. Studies were evaluated for quality. Twenty-eight studies were included. Meta-analysis: 10/28 studies (four ADF and six matched VLCD) were further analyzed.

Results

After adjustment for BMI and duration, there was no significant difference in mean body weight loss (VLCD 0.88 kg more weight loss than ADF, 95% CI: -4.32, 2.56) or fat-free mass (VLCD 1.69 kg more fat-free mass loss than ADF, 95% CI: -3.62, 0.23); there was a significant difference observed in fat mass (ADF 3.31 kg more fat mass loss than VLCD, 95% CI: 0.05, 6.56). Meta-analysis showed that, among ADF studies, the pooled change in body weight, fat mass and fat-free mass was 4.30 kg (95% CI: 3.41, 5.20), 4.06 kg (95% CI: 2.99, 5.13) and 0.72 kg (95% CI: -0.07, 1.51), respectively, while among VLCD studies, the pooled change was 6.28 kg (95% CI: 6.08, 6.49), 4.22 kg (95% CI: 3.95, 4.50) and 2.24 kg (95% CI: 1.95, 2.52), respectively.

Conclusions

Our results from both the systematic review and the meta-analysis suggest that ADF is an efficacious dietary method, and may be superior to VLCD for some patients because of ease of compliance, greater fat-mass loss and relative preservation of fat-free mass. Head-to-head randomized clinical trials are needed to further assess relative efficacy of these two approaches.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).

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