Intermittent fasting two days versus one day per week, matched for total energy intake and expenditure, increases weight loss in overweight/obese men and women.


Journal

Nutrition journal
ISSN: 1475-2891
Titre abrégé: Nutr J
Pays: England
ID NLM: 101152213

Informations de publication

Date de publication:
04 06 2022
Historique:
received: 19 01 2022
accepted: 26 05 2022
entrez: 6 6 2022
pubmed: 7 6 2022
medline: 9 6 2022
Statut: epublish

Résumé

Intermittent fasting (IF), consisting of either a one-day (IF1) or two consecutive days (IF2) per week, is commonly used for optimal body weight loss. Our laboratory has previously shown an IF1 diet combined with 6d/week of protein pacing (P; 4-5 meals/day evenly spaced, ~ 30% protein/day) significantly enhances weight loss, body composition, and cardiometabolic health in obese men and women. Whether an IF1-P or IF2-P, matched for weekly energy intake (EI) and expenditure (EE), is superior for weight loss, body composition, and cardiometabolic health is unknown. This randomized control study directly compared an IF1-P (n = 10) versus an IF2-P (n = 10) diet on weight loss and body composition, cardiovascular (blood pressure and lipids), hormone, and hunger responses in 20 overweight men and women during a 4-week weight loss period. Participants received weekly dietary counseling and monitoring of compliance from a registered dietitian. All outcome variables were assessed pre (week 0) and post (week 5). Both groups significantly reduced body weight, waist circumference, percent body fat, fat mass, hunger, blood pressure, lipids, glucose, and increased percent fat-free mass (p < 0.05). However, IF2-P resulted in significantly greater reductions in body weight (-29%) and waist circumference (-38%) compared to IF1-P (p < 0.05), and showed a strong tendency for greater reductions in fat mass, glucose, and hunger levels (p < 0.10) despite similar weekly total EI (IF1-P, 9058 ± 692 vs. IF2-P, 8389 ± 438 kcals/week; p = 0.90), EE (~ 300 kcals/day; p = 0.79), and hormone responses (p > 0.10). These findings support short-term IF1-P and IF2-P to optimize weight loss and improve body composition, cardiometabolic health, and hunger management, with IF2-P providing enhanced benefits in overweight women and men. This trial was registered March 03, 2020 at www. gov as NCT04327141 .

Sections du résumé

BACKGROUND
Intermittent fasting (IF), consisting of either a one-day (IF1) or two consecutive days (IF2) per week, is commonly used for optimal body weight loss. Our laboratory has previously shown an IF1 diet combined with 6d/week of protein pacing (P; 4-5 meals/day evenly spaced, ~ 30% protein/day) significantly enhances weight loss, body composition, and cardiometabolic health in obese men and women. Whether an IF1-P or IF2-P, matched for weekly energy intake (EI) and expenditure (EE), is superior for weight loss, body composition, and cardiometabolic health is unknown.
METHODS
This randomized control study directly compared an IF1-P (n = 10) versus an IF2-P (n = 10) diet on weight loss and body composition, cardiovascular (blood pressure and lipids), hormone, and hunger responses in 20 overweight men and women during a 4-week weight loss period. Participants received weekly dietary counseling and monitoring of compliance from a registered dietitian. All outcome variables were assessed pre (week 0) and post (week 5).
RESULTS
Both groups significantly reduced body weight, waist circumference, percent body fat, fat mass, hunger, blood pressure, lipids, glucose, and increased percent fat-free mass (p < 0.05). However, IF2-P resulted in significantly greater reductions in body weight (-29%) and waist circumference (-38%) compared to IF1-P (p < 0.05), and showed a strong tendency for greater reductions in fat mass, glucose, and hunger levels (p < 0.10) despite similar weekly total EI (IF1-P, 9058 ± 692 vs. IF2-P, 8389 ± 438 kcals/week; p = 0.90), EE (~ 300 kcals/day; p = 0.79), and hormone responses (p > 0.10).
CONCLUSIONS
These findings support short-term IF1-P and IF2-P to optimize weight loss and improve body composition, cardiometabolic health, and hunger management, with IF2-P providing enhanced benefits in overweight women and men.
TRIAL REGISTRATION
This trial was registered March 03, 2020 at www.
CLINICALTRIALS
gov as NCT04327141 .

Identifiants

pubmed: 35658959
doi: 10.1186/s12937-022-00790-0
pii: 10.1186/s12937-022-00790-0
pmc: PMC9166203
doi:

Substances chimiques

Hormones 0
Lipids 0
Glucose IY9XDZ35W2

Banques de données

ClinicalTrials.gov
['NCT04327141']

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

36

Informations de copyright

© 2022. The Author(s).

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Auteurs

Paul J Arciero (PJ)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA. parciero@skidmore.edu.

Karen M Arciero (KM)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Michelle Poe (M)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Alex E Mohr (AE)

College of Health Solutions, Arizona State University, Phoenix, AZ, 85004, USA.

Stephen J Ives (SJ)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Autumn Arciero (A)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Molly Boyce (M)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Jin Zhang (J)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Melissa Haas (M)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Emma Valdez (E)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Delaney Corbet (D)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Kaitlyn Judd (K)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Annika Smith (A)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Olivia Furlong (O)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Marley Wahler (M)

Human Nutrition and Metabolism Laboratory, Department of Health and Human Physiological Sciences, Skidmore College, 815 North Broadway, Saratoga Springs, NY, 12866, USA.

Eric Gumpricht (E)

Isagenix International LLC, Gilbert, AZ, 85297, USA.

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Classifications MeSH