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Systematic Review and Meta-analysis of Randomized Clinical Trials Comparing Time-Restricted Eating With and Without Caloric Restriction for Weight Loss

Fernandes-Alves D, Teixeira GP, Guimarães KC, Crispim CA

Nutrition reviews · 3 citas

Cómo se estudió

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

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Gobierno
CNPq
Subvenciones
Conselho Nacional de Desenvolvimento Científico e Tecnológico (#401761/2022-3)

Según 2 financiadores declarados.

Publicación

Publicado
2025-03-31 · Nutr Rev · vol. 84 · número 3 · págs. 463–486
Editorial
Oxford University Press
Citado
7 citas · más que el 76% de estudios similares · 1.4× el promedio de su campo
Referencias
70 trabajos
Acceso
De pago
Áreas de investigación
Dietary Effects on Health · Circadian rhythm and melatonin · Genetics, Aging, and Longevity in Model Organisms
Palabras clave
Context (archaeology), Medicine, Overweight, Weight loss, Meta-analysis, Body mass index, Obesity, Anthropometry, Randomized controlled trial, Internal medicine, Biology
MeSH
humans, obesity, weight loss, caloric restriction, diet, reducing, fasting, body composition, adult, overweight, randomized controlled trials as topic

4 autores

  • Danielle Fernandes-Alves🇧🇷Universidade Federal de Uberlândia
  • Gabriela Pereira Teixeira🇧🇷Universidade Federal de Uberlândia
  • Kisian Costa Guimarães🇧🇷Universidade Federal de Uberlândia
  • Cibele Aparecida Crispim🇧🇷 · autor de correspondenciaUniversidade Federal de Uberlândia

Resumen

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

Context

Although it is well established that caloric restriction (CR) is the primary driver of weight loss, circadian-driven metabolic benefits have been recognized as possibly enhancing the effects of CR. Time-restricted eating (TRE) has emerged as a promising approach in this context.

Objective

We conducted a systematic review and meta-analysis to compare the effects of TRE with isocaloric diet controls (analysis 1) and non-isocaloric controls (analysis 2) on anthropometric and body-composition parameters in adults with overweight or obesity.

Data sources

A search was carried out in the Medline, LILACS, Embase, and CENTRAL databases using Medical Subject Heading (MeSH) and similar terms such as "Obesity," "Obesity, Abdominal," "Time-restricted eating," "Body weight," "Changes in body weight," and others.

Data extraction

We included 30 studies involving a total of 1341 participants. Studies were screened based on titles and abstracts followed by full-text reading, and data were extracted from eligible studies using a pre-established form. All these steps were performed by 2 authors independently and blinded, with discrepancies resolved by a third author.

Data analysis

The results of main findings revealed that, in studies using non-isocaloric controls, the TRE group showed significant reductions in body weight (BW) (mean difference [MD]: -2.82 kg; 95% CI: -3.49, -2.15), fat mass (FM) (MD: -1.36 kg; 95% CI: -2.09, -0.63), and fat-free mass (FFM) (MD: -0.86 kg; 95% CI: -1.23, -0.49). In studies that used isocaloric control strategies, the TRE group showed significant reductions in BW (MD: -1.46 kg; 95% CI: -2.65, -0.26), FM (MD: -1.50 kg; 95% CI: -2.77, -0.24), and FFM (MD: -0.41 kg; 95% CI: -0.79, -0. 03).

Conclusion

TRE yields favorable anthropometric and clinical outcomes, even when intake is isocaloric between the intervention and control groups. This result suggests that circadian effects may enhance the impact of CR on excess weight.

Systematic review registration

PROSPERO registration no. CRD42022301594.

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

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