Meta-analysis2022

Metabolic Efficacy of Time-Restricted Eating in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Liu L, Chen W, Wu D, Hu F

The Journal of clinical endocrinology and metabolism · 65 citations

How it was studied

Design
Meta-analysis (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
National Key Research and Development Program of China
Government
National Nature Science Foundation of China
Government
National Key R&D Program of China
Grants
National Natural Science Foundation of China (31871180); National Key Research and Development Program of China (2020YFA0803604); National Natural Science Foundation of China (91957113)

Based on 4 listed funder(s).

Publication

Published
2022-10-03 · J Clin Endocrinol Metab · vol. 107 · issue 12 · pp. 3428–3441
Publisher
Oxford University Press
Cited
81 citations · more than 92% of similar papers · 2.7× the field average
Impact
Top 10% most cited in its field
References
65 works
Access
Paywalled
Research areas
Dietary Effects on Health · Enhanced Recovery After Surgery · Genetics, Aging, and Longevity in Model Organisms
Keywords
Meta-analysis, Randomized controlled trial, Medicine, Psychology, Gerontology, Internal medicine
MeSH
humans, obesity, body weight, adult, overweight, cholesterol, ldl, randomized controlled trials as topic

4 authors

From CN

  • Lili LiuCentral South University; Second Xiangya Hospital of Central South University
  • Wei ChenCentral South University; Second Xiangya Hospital of Central South University
  • Dan WuCentral South University; Second Xiangya Hospital of Central South University
  • Fang Hu · correspondingCentral South University; Second Xiangya Hospital of Central South University

Abstract

Context

Time-restricted eating (TRE), which restricts food intake to a limited duration of the day, is a key regimen of intermittent fasting.

Objective

The aim of our study was to provide an up-to-date meta-analysis and systematic review to evaluate the efficacy of TRE on weight loss and other metabolic-related parameters in adults.

Methods

We searched PubMed, EMBASE, and the Cochrane Library for relevant studies published before February 26, 2022. Study duration of TRE was at least 4 weeks. Body weight and other metabolic-related continuous parameters were described as weighted mean difference (WMD) with 95% CI.

Results

Seventeen randomized controlled trials involving 899 participants were analyzed. The pooled meta-analysis has shown that TRE contributed to a significant decrease in body weight with a WMD of -1.60 kg (95% CI -2.27 to -0.93) and fat mass with WMD -1.48 kg (95% CI -1.59 to -1.38). Subgroup analysis showed that TRE could reduce body weight and fat mass especially in overweight participants with WMD -1.43 kg (95% CI -2.05 to -0.81) and -1.56 kg (95% CI -1.67 to -1.44), respectively. TRE also showed beneficial effects on the lipid spectrum in overweight participants, including decreased levels of triglyceride (WMD -12.71 mg/dL, 95% CI -24.9 to -0.52), total cholesterol (WMD -6.45 mg/dL, 95% CI -7.40 to -5.49), and low-density lipoprotein cholesterol (WMD -7.0 mg/dL, 95% CI -9.74 to -4.25). However, compared with control, TRE had no significant effects on waist circumference, body mass index, glycosylated hemoglobin, or blood pressure.

Conclusion

This updated meta-analysis found that TRE may be an effective approach to improve the metabolic state of nonobese subjects, especially in overweight participants.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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