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Effects of four-hour and six-hour time-restricted feeding on weight and cardiometabolic health: a randomized controlled trial in adults with obesity

S. Cienfuegos, K. Gabel, Faiza Kalam, M. Ezpeleta, Eric Wiseman, V. Pavlou, Shuhao Lin, M. L. Oliveira et al.

Cell Metabolism, 2020

473 citations

Abstract

Summary Time-restricted feeding (TRF) regimens have grown in popularity; however, very few studies have examined their weight loss efficacy. We conducted the first human trial (Clinicaltrials.gov - NCT03867773) to compare the effects of two popular forms of TRF (4-h and 6-h) on body weight and cardiometabolic risk factors. Adults with obesity were randomized to 4-h TRF (eating only between 3 to 7 pm), 6-h TRF (eating only between 1 to 7 pm) or a control group (no meal timing restrictions). After 8 weeks, 4-h and 6-h TRF produced comparable reductions in body weight (∼3%), insulin resistance and oxidative stress, versus controls. Energy intake was reduced by ∼550 kcal/d in both TRF groups, without calorie counting. These findings suggest that 4-h and 6-h TRF induce mild reductions in body weight over 8 weeks, and show promise as interventions for weight loss. These diets may also improve some aspects of cardiometabolic health.

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Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

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