Systematic review2024Open access

The effects of time-restricted eating and Ramadan fasting on gut microbiota composition: a systematic review of human and animal studies

Pieczyńska-Zając JM, Malinowska A, Łagowska K, Leciejewska N, Bajerska J

Nutrition reviews · 19 citations

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People, plus animal or lab work
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Unclassified
Regional Excellence Initiative
Government
Polish Ministry of Science and Higher Education's
Government
Polish Ministry of Science and Higher Education’s

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2023-08-01 · Nutr Rev · vol. 82 · issue 6 · pp. 777–793
Publisher
Oxford University Press
Cited
29 citations · more than 81% of similar papers · 1.4× the field average
References
54 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Dietary Effects on Health · Gut microbiota and health · Immune responses and vaccinations
Keywords
Akkermansia, Gut flora, Firmicutes, Animal studies, Context (archaeology), Bacteroidetes, Intermittent fasting, Biology, Physiology, Microbiome, Lactobacillus, Zoology, Food science, Endocrinology, Bioinformatics, Immunology, Bacteria, Fermentation
MeSH
animals, humans, fasting, islam, gastrointestinal microbiome

5 authors

From PL, NL

  • Joanna Maria Pieczyńska-ZającPoznań University of Life Sciences
  • Anna M. MalinowskaWageningen University & Research
  • Karolina ŁagowskaPoznań University of Life Sciences
  • Natalia LeciejewskaPoznań University of Life Sciences
  • Joanna Bajerska · correspondingPoznań University of Life Sciences

Abstract

Context

It is well known that the microbiome undergoes cyclical diurnal rhythms. It has thus been hypothesized that meal timing may affect gut microbial composition, function, and host health.

Objective

This review aims to examine the effects of time-restricted eating (TRE) and Ramadan fasting (RF) on the composition of the gut microbiota in animal and human studies. The associations between composition of microbiota and host metabolic parameters are also examined.

Data sources

A search was performed on the PubMed, Cochrane, Scopus, and Web of Science databases up to December 31, 2022. The search strategy was performed using the Medical Subject Heading (MeSH) terms "intermittent fasting" and "gastrointestinal microbiome" and the key words "Ramadan fasting" and "microbes."

Data extraction

Seven human studies (4 TRE and 3 RF) and 9 animal studies (7 TRE, 2 RF-like) were retrieved.

Data analysis

TRE and RF in human studies lead to an increase in gut microbial community alpha-diversity. In animal studies (both TRE and RF-like), fasting is not associated with improved alpha-diversity, but enhancement of microbial fluctuation is observed, compared with high-fat diet ad libitum groups. Within Firmicutes and Bacteroidetes phyla, no specific direction of changes resulting from fasting are observed in both animals and human. After TRE or RF, a greater abundance of the Faecalibacterium genus is observed in human studies; changes in Lactobacillus abundance are found in animal studies; and increases in Akkermansia are seen both in humans and in animals fed a feed-pellet diet. Only 2 human studies show a beneficial correlation between microbiota changes and host metabolic (HDL cholesterol) or anthropometric parameters (body mass index).

Conclusions

These findings support the importance of both regimens in improving the gut microbiota composition. However, based on results of animal studies, it can be suggested that diet remains the essential factor in forming the microbiota's environment.

Systematic review registration

PROSPERO registration no. CRD42021278918.

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

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