Systematic review2020Open access

Health Effects of Alternate-Day Fasting in Adults: A Systematic Review and Meta-Analysis

Cui Y, Cai T, Zhou Z, Mu Y, Lu Y, Gao Z, Wu J, Zhang Y

Frontiers in nutrition · 38 citations

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
National Natural Science Foundation of China
Government
Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support
Government
Beijing Municipal Administration of Hospitals
Government
Taishan Scholar Foundation of Shandong Province
Grants
National Natural Science Foundation of China (81870525); Beijing Municipal Administration of Hospitals (DFL20190502); Beijing Municipal Administration of Hospitals (ZYLX201820); Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (DFL20190502); National Natural Science Foundation of China (81801429); National Natural Science Foundation of China (81870525, 81801429); Beijing Municipal Administration of Hospitals (81801429); Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (81801429); National Natural Science Foundation of China (tsqn201909199); National Natural Science Foundation of China (81572835); National Natural Science Foundation of China (ZYLX201820); National Natural Science Foundation of China (DFL20190502); Beijing Municipal Administration of Hospitals Clinical Medicine Development of Special Funding Support (ZYLX201820); Taishan Scholar Foundation of Shandong Province (tsqn201909199)

Based on 4 listed funder(s) and full-text disclosure statement.

Publication

Published
2020-11-24 · Front Nutr · vol. 7 · p. 586036
Publisher
Frontiers Media
Cited
61 citations · more than 73% of similar papers · 1.0× the field average
References
70 works
Access
Open access (journal) · CC-BY
Research areas
Dietary Effects on Health · Diet and metabolism studies · Nutritional Studies and Diet
Keywords
Medicine, Meta-analysis, Randomized controlled trial, Body mass index, Blood pressure, Internal medicine, Weight loss, Insulin resistance, Obesity, High-density lipoprotein, Endocrinology, Cholesterol

8 authors

From CN

  • Yuanshan CuiQingdao University; Capital Medical University; Yuhuangding Hospital; Beijing Tian Tan Hospital
  • Tong CaiQingdao University; Binzhou Medical University; Shandong University of Aeronautics; Yuhuangding Hospital
  • Zhongbao ZhouCapital Medical University; Beijing Tian Tan Hospital
  • Yingmei MuQingdao University; Yuhuangding Hospital
  • Youyi LuQingdao University; Yuhuangding Hospital
  • Zhenli GaoQingdao University; Yuhuangding Hospital

Abstract

Background: Alternate-day fasting (ADF) method is becoming more and more popular among adults. This meta-analysis aims to evaluate the effects of ADF on adults. Methods: Randomized controlled trials (RCTs) of ADF were searched using PubMed (1988 to March 2020), EMBASE (1995 to March 2020), and the Cochrane Controlled Trials Register. A systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-analyses. The datum was calculated by RevMan version 5.3.0. The original references for relating articles were also reviewed. Results: Seven randomized controlled trials involving 269 participants (152 in the ADF group and 117 in the control group) were studied. In this meta-analysis, compared with the control group, the ADF group showed statistically significant reductions in weight (p p p = 0.001), low-density lipoprotein (p = 0.01), triglycerides (p = 0.02), fat mass (p = 0.002), lean mass (p = 0.002), systolic blood pressure (p = 0.003), diastolic blood pressure (p = 0.007), and total calorie intake (p = 0.007). At the same time, the analysis demonstrated that the ADF group had a same effect compared with control group in aspects of high-density lipoprotein (p = 0.27), homeostasis model assessment-insulin resistance (p = 0.55), and fasting blood sugar (p = 0.09). Conclusions: This meta-analysis suggests that ADF is a viable diet strategy for weight loss, and it has a substantial improvement in risk indicators for diseases in obese or normal people.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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