Randomized controlled trial2024Open access

Effects of healthy low-carbohydrate diet and time-restricted eating on weight and gut microbiome in adults with overweight or obesity: Feeding RCT

Li L, Li R, Tian Q, Luo Y, Li R, Lin X, Ou Y, Guo T, Chen X, Pan A, Manson JE, Liu G

Cell reports. Medicine · 27 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Deutsches Krebsforschungszentrum
Government
National Natural Science Foundation of China
University or hospital
Huazhong University of Science and Technology
University or hospital
Tongji University
Government
Fundamental Research Funds for the Central Universities
University or hospital
Tongji Medical College, Huazhong University of Science and Technology
Grants
National Natural Science Foundation of China (82325043); Fundamental Research Funds for the Central Universities (2021GCRC076); National Natural Science Foundation of China (82073554)

Based on 6 listed funder(s) and full-text disclosure statement.

Publication

Published
2024-10-24 · Cell Rep Med · vol. 5 · issue 11 · p. 101801
Publisher
Elsevier BV
Cited
35 citations · more than 98% of similar papers · 7.9× the field average
Impact
Top 10% most cited in its field
References
80 works
Access
Open access (journal) · CC-BY-NC
Research areas
Dietary Effects on Health · Diet and metabolism studies · Gut microbiota and health
Keywords
Overweight, Weight loss, Obesity, Body mass index, Microbiome, Randomized controlled trial, Feces, Medicine, Gut flora, Internal medicine, Food science, Physiology, Endocrinology, Biology, Bioinformatics, Immunology, Ecology
MeSH
feces, humans, obesity, body weight, weight loss, body mass index, caloric restriction, adult, middle aged, female, male, overweight, diet, carbohydrate-restricted, gastrointestinal microbiome

12 authors

From CN, US

  • Lin LiHuazhong University of Science and Technology
  • Rui LiHuazhong University of Science and Technology
  • Qingying TianHuazhong University of Science and Technology
  • Yaogan LuoShanghai Institute of Nutrition and Health; University of Chinese Academy of Sciences
  • Ruyi LiHuazhong University of Science and Technology
  • Xiaoyu LinHuazhong University of Science and Technology

Abstract

The effect of a healthy low-carbohydrate diet (HLCD) and time-restricted eating (TRE), alone or in combination, on body weight and gut microbiome beyond caloric restriction remains unclear. In this 12-week two-by-two factorial randomized trial with a 28-week follow-up among 96 participants with overweight or obesity, isocaloric-restricted feeding yields significant weight loss, ranging from 2.57 to 4.11 kg across different groups. Beyond caloric restriction, HLCD and TRE lead to additional reduction in body mass index. HLCD results in additional fat mass loss while TRE yields more lean mass loss. Additionally, HLCD leads to decreased fecal branched-chain amino acids, and TRE tends to yield an increased abundance of probiotic species involved in synthesizing short-chain fatty acids. Moreover, the effect of HLCD on reducing fat mass is sustained during the post-intervention follow-up. Overall, HLCD and TRE are effective in weight management and yield profound gut microbiome and metabolome alteration beyond caloric restriction. This study was registered at ChiCTR.org.cn (ChiCTR2200056363).

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

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