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Revisión sistemática2022Acceso abierto

Effects of Intermittent Fasting in Human Compared to a Non-intervention Diet and Caloric Restriction: A Meta-Analysis of Randomized Controlled Trials

Gu L, Fu R, Hong J, Ni H, Yu K, Lou H

Frontiers in nutrition · 42 citas

Cómo se estudió

Diseño
Revisión sistemática (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente

Según la declaración de financiación del texto completo.

Publicación

Publicado
2022-05-02 · Front Nutr · vol. 9 · pág. 871682
Editorial
Frontiers Media
Citado
60 citas · más que el 90% de estudios similares · 2.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
79 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Dietary Effects on Health · Diet and metabolism studies · Nutritional Studies and Diet
Palabras clave
intermittent fasting, caloric restriction, weight loss, body mass index, waist circumference, fat mass, fat-free mass, fasting blood glucose, insulin, insulin resistance, HOMA-IR, triglycerides, obesity, metabolic disorders, body composition, fasting insulin, fasting triglycerides

6 autores

  • Lihu Gu🇨🇳Ningbo No. 2 Hospital; University of Chinese Academy of Sciences
  • Rongrong Fu🇨🇳Zhejiang Chinese Medical University
  • Jiaze Hong🇨🇳Zhejiang Chinese Medical University
  • Haixiang Ni🇨🇳Zhejiang Chinese Medical University
  • Kepin Yu🇨🇳Zhejiang Chinese Medical University
  • Haiying Lou🇨🇳 · autor de correspondenciaShaoxing People's Hospital

Resumen

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

Background

The popularity of applying intermittent fasting (IF) has increased as more and more people are trying to avoid or alleviate obesity and metabolic disease. This study aimed to systematically explore the effects of various IF in humans.

Methods

The randomized controlled trials (RCTs) related to IF vs. non-intervention diet or caloric restriction (CR) were retrieved in PubMed, Web of Science, Cochrane Library database, and Embase. Extraction outcomes included, but were not limited to, weight, body mass index (BMI), waist circumference (WC), fasting glucose, and triglyceride (TG).

Results

This study includes 43 RCTs with 2,483 participants. The intervention time was at least 1 month, and the median intervention time was 3 months. Contrasting results between IF and non-intervention diet showed that participants had lower weight (weighted mean difference (WMD) = 1.10, 95% CI: 0.09-2.12, p = 0.03) and BMI after IF (WMD = 0.38, 95% CI: 0.08-0.68, p = 0.01). The WC of participants after IF decreased significantly compared with the non-intervention diet (WMD = 1.02, 95% CI: 0.06-1.99, p = 0.04). IF regulated fat mass (FM) more effectively than non-intervention diet (WMD = 0.74, 95% CI: 0.17-1.31, p = 0.01). The fat-free mass of people after IF was higher (WMD = -0.73, 95% CI: (-1.45)-(-0.02), p = 0.05). There was no difference in fasting blood glucose concentrations between participants in the after IF and non-intervention diet groups. The results of insulin concentrations and HOMA-IR, though, indicated that IF was significantly more beneficial than non-intervention diet (standard mean difference (SMD) = -0.21, 95% CI: 0.02-0.40, p = 0.03, and WMD = 0.35, 95% CI: 0.04-0.65, p = 0.03, respectively). Cholesterol and TG concentrations in participants after IF were also lower than that after a nonintervention diet (SMD = 0.22, 95% CI: 0.09-0.35, p = 0.001 and SMD = 0.13, 95% CI: 0.00-0.26, p = 0.05, respectively). IF outcomes did not differ from CR except for reduced WC.

Conclusion

Intermittent fasting was more beneficial in reducing body weight, WC, and FM without affecting lean mass compared to the non-intervention diet. IF also effectively improved insulin resistance and blood lipid conditions compared with non-intervention diets. However, IF showed less benefit over CR.

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

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