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Eur J Clin Nutr
2022 Jan 01;761:65-73. doi: 10.1038/s41430-021-00909-2.
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Effects of intermittent (5:2) or continuous energy restriction on basal and postprandial metabolism: a randomised study in normal-weight, young participants.
Gao Y
,
Tsintzas K
,
Macdonald IA
,
Cordon SM
,
Taylor MA
.
Abstract
BACKGROUND/OBJECTIVES: Intermittent energy restriction (IER) may overcome poor long-term adherence with continuous energy restriction (CER), for weight reduction. We compared the effects of IER with CER for fasting and postprandial metabolism and appetite in metabolically healthy participants, in whom excess weight would not confound intrinsic metabolic differences.
SUBJECTS/METHODS: In a 2-week randomised, parallel trial, 16 young, healthy-weight participants were assigned to either CER (20% below estimated energy requirements (EER)) or 5:2 IER (70% below EER on 2 non-consecutive days; 5 days at EER, per week). Metabolic and appetite regulation markers were assessed before and for 3 h after a liquid breakfast; followed by an ad libitum lunch; pre- and post-intervention.
RESULTS: Weight loss was similar in both groups: -2.5 (95% CI, -3.4, -1.6) kg for 5:2 IER vs. -2.3 (-2.9, -1.7) kg for CER. There were no differences between groups for postprandial incremental area under the curve for serum insulin, blood glucose or subjective appetite ratings. Compared with CER, 5:2 IER led to a reduction in fasting blood glucose concentrations (treatment-by-time interaction, P = 0.018, η2p = 0.14). Similarly, compared with CER, there were beneficial changes in fasting composite appetite scores after 5:2 IER (treatment-by-time interaction, P = 0.0003, η2p = 0.35).
CONCLUSIONS: There were no significant differences in postprandial insulinaemic, glycaemic or appetite responses between treatments. However, 5:2 IER resulted in greater improvements in fasting blood glucose, and beneficial changes in fasting subjective appetite ratings.
Alhussain,
Irregular meal-pattern effects on energy expenditure, metabolism, and appetite regulation: a randomized controlled trial in healthy normal-weight women.
2016, Pubmed,
Echinobase
Alhussain,
Irregular meal-pattern effects on energy expenditure, metabolism, and appetite regulation: a randomized controlled trial in healthy normal-weight women.
2016,
Pubmed
,
Echinobase
Antoni,
Intermittent v. continuous energy restriction: differential effects on postprandial glucose and lipid metabolism following matched weight loss in overweight/obese participants.
2018,
Pubmed
BECK,
An inventory for measuring depression.
1961,
Pubmed
Bhaskaran,
Body-mass index and risk of 22 specific cancers: a population-based cohort study of 5·24 million UK adults.
2014,
Pubmed
Blundell,
Appetite control: methodological aspects of the evaluation of foods.
2010,
Pubmed
Carter,
The effects of intermittent compared to continuous energy restriction on glycaemic control in type 2 diabetes; a pragmatic pilot trial.
2016,
Pubmed
Carter,
Effect of Intermittent Compared With Continuous Energy Restricted Diet on Glycemic Control in Patients With Type 2 Diabetes: A Randomized Noninferiority Trial.
2018,
Pubmed
Cho,
The Effectiveness of Intermittent Fasting to Reduce Body Mass Index and Glucose Metabolism: A Systematic Review and Meta-Analysis.
2019,
Pubmed
Conley,
Is two days of intermittent energy restriction per week a feasible weight loss approach in obese males? A randomised pilot study.
2018,
Pubmed
Craig,
International physical activity questionnaire: 12-country reliability and validity.
2003,
Pubmed
Dansinger,
Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial.
2005,
Pubmed
Durnin,
The assessment of the amount of fat in the human body from measurements of skinfold thickness.
1967,
Pubmed
Durnin,
Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years.
1974,
Pubmed
Flint,
Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies.
2000,
Pubmed
Garner,
The eating attitudes test: psychometric features and clinical correlates.
1982,
Pubmed
Global BMI Mortality Collaboration,
Body-mass index and all-cause mortality: individual-participant-data meta-analysis of 239 prospective studies in four continents.
2016,
Pubmed
Halberg,
Effect of intermittent fasting and refeeding on insulin action in healthy men.
2005,
Pubmed
Hall,
Energy balance and its components: implications for body weight regulation.
2012,
Pubmed
Harvie,
The effects of intermittent or continuous energy restriction on weight loss and metabolic disease risk markers: a randomized trial in young overweight women.
2011,
Pubmed
Harvie,
The effect of intermittent energy and carbohydrate restriction v. daily energy restriction on weight loss and metabolic disease risk markers in overweight women.
2013,
Pubmed
Henry,
Basal metabolic rate studies in humans: measurement and development of new equations.
2005,
Pubmed
Jensen,
2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society.
2014,
Pubmed
Jones,
Two weeks of early time-restricted feeding (eTRF) improves skeletal muscle insulin and anabolic sensitivity in healthy men.
2020,
Pubmed
Kahn,
Mechanisms linking obesity to insulin resistance and type 2 diabetes.
2006,
Pubmed
Kivipelto,
Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease.
2005,
Pubmed
Klempel,
Dietary and physical activity adaptations to alternate day modified fasting: implications for optimal weight loss.
2010,
Pubmed
Klop,
Dyslipidemia in obesity: mechanisms and potential targets.
2013,
Pubmed
Krug,
The dynamic range of the human metabolome revealed by challenges.
2012,
Pubmed
Lavie,
Obesity and cardiovascular disease: risk factor, paradox, and impact of weight loss.
2009,
Pubmed
Martin,
Effect of calorie restriction on the free-living physical activity levels of nonobese humans: results of three randomized trials.
2011,
Pubmed
Matsuda,
Insulin sensitivity indices obtained from oral glucose tolerance testing: comparison with the euglycemic insulin clamp.
1999,
Pubmed
Matthews,
Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man.
1985,
Pubmed
Mattson,
Impact of intermittent fasting on health and disease processes.
2017,
Pubmed
McGuire,
Effects of arterial versus venous sampling on analysis of glucose kinetics in man.
1976,
Pubmed
Middleton,
Long-Term Adherence to Health Behavior Change.
2013,
Pubmed
Müller,
Metabolic adaptation to caloric restriction and subsequent refeeding: the Minnesota Starvation Experiment revisited.
2015,
Pubmed
Robertson,
Extended effects of evening meal carbohydrate-to-fat ratio on fasting and postprandial substrate metabolism.
2002,
Pubmed
Rynders,
Effectiveness of Intermittent Fasting and Time-Restricted Feeding Compared to Continuous Energy Restriction for Weight Loss.
2019,
Pubmed
Schübel,
Effects of intermittent and continuous calorie restriction on body weight and metabolism over 50 wk: a randomized controlled trial.
2018,
Pubmed
Stubbs,
The use of visual analogue scales to assess motivation to eat in human subjects: a review of their reliability and validity with an evaluation of new hand-held computerized systems for temporal tracking of appetite ratings.
2000,
Pubmed
Subar,
Addressing Current Criticism Regarding the Value of Self-Report Dietary Data.
2015,
Pubmed
Sundfør,
Effect of intermittent versus continuous energy restriction on weight loss, maintenance and cardiometabolic risk: A randomized 1-year trial.
2018,
Pubmed
Varady,
Alternate-day fasting and chronic disease prevention: a review of human and animal trials.
2007,
Pubmed
Varady,
Alternate day fasting for weight loss in normal weight and overweight subjects: a randomized controlled trial.
2013,
Pubmed
WEIR,
New methods for calculating metabolic rate with special reference to protein metabolism.
1949,
Pubmed
Westerterp,
Exercise, energy balance and body composition.
2018,
Pubmed
Yalow,
Immunoassay of endogenous plasma insulin in man. 1960.
1996,
Pubmed