Randomized controlled trial2025Open access

Effects of Four Weeks of Alternate-Day Fasting with or Without Protein Supplementation-A Randomized Controlled Trial

Pang BWJ, Yang Y, Rashiqah N, Huang CB, Sim DW

Nutrients · 0 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
Nanyang Technological University
University or hospital
National Institute of Education, Nanyang Technological University
University or hospital
Physical Education and Sports Science Final Year Project Fund for consumables

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

Publication

Published
2025-11-25 · Nutrients · vol. 17 · issue 23 · p. 3691
Publisher
Multidisciplinary Digital Publishing Institute
Cited
0 citations · more than 34% of similar papers · 0.0× the field average
References
41 works
Access
Open access (journal) · CC-BY
Research areas
Dietary Effects on Health · Diet and metabolism studies · Muscle metabolism and nutrition
Keywords
Bioelectrical impedance analysis, Randomized controlled trial, Weight loss, Whey protein, Blood pressure, Intermittent fasting, Fat mass, Body weight
MeSH
humans, obesity, weight loss, blood glucose, dietary proteins, body mass index, fasting, body composition, blood pressure, dietary supplements, adult, male, young adult, whey proteins

5 authors

From SG

  • Benedict Wei Jun PangNanyang Technological University; Geriatric Education and Research Institute
  • Yifan Yang · correspondingNanyang Technological University
  • Nur RashiqahNanyang Technological University
  • Christopher HuangNanyang Technological University
  • D. W. SimNanyang Technological University

Abstract

Background/Objectives: Long-term alternate-day fasting (ADF) effectively combats obesity, but its short-term effects are less clear. Like other diets, ADF-induced weight loss often includes muscle loss, and whether protein supplementation mitigates this is uncertain. This study examined the effects of short-term ADF on body composition and health and whether protein supplementation preserves muscle mass during weight loss in young Asian men with an unhealthy BMI (≥23.0 kg/m2). Methods: Twenty participants were recruited for a single-arm trial to address the first objective, and twenty-six participants were randomly assigned to a control (C) or protein group (P) in a follow-up trial to address the second objective. The participants alternated between feeding (ad libitum) and fasting (400-600 kcal consumed between 12 and 2 PM) days for four weeks. The participants in P consumed 25 g of whey protein as part of the fasting-day meal. Pre-post body composition was assessed using bioelectrical impedance analysis. Anthropometry, fasting blood glucose (FG), and resting blood pressure (BP) were measured weekly. Results: Since interaction effects were absent, data from all three groups were combined for analyses. Four weeks of ADF significantly (p p = 0.753-0.919). No significant differences were detected between the C and P groups for any of the measures. Conclusions: Short-term ADF effectively reduced body and fat mass, but it also reduced muscle mass, and this reduction was not attenuated by low-dose protein supplementation (25 g) during fasting days. Future studies should explore the effectiveness of protein or leucine supplementation, throughout the feeding and fasting days, in terms of preserving muscle during weight loss.

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

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