Relative Impacts of Different Intermittent Fasting Methods on Metabolism

Intermittent fasting, especially alternate-day fasting, provides an effective alternative to continuous energy restriction for improving metabolic health.

Intermittent fasting: A promising approach to enhancing metabolic health

This study provides a comprehensive analysis of how various intermittent fasting strategies affect metabolic health and evaluates their relative efficacy.

Study Overview 

Intermittent fasting has gained attention for its potential metabolic benefits, but questions remain about which regimen is most effective and how it compares to continuous energy restriction. To address these questions, we analyzed data from over 9,800 participants across 153 studies, focusing on three common intermittent fasting regimens: time-restricted eating, alternate-day fasting, and the 5:2 diet. These were compared with continuous energy restriction and usual diets. 

Our analysis examined four key metabolic domains (anthropometry, blood pressure, glycemic parameters, and lipid profile) across 14 specific outcomes. By employing network meta-analysis, we were able to combine direct and indirect evidence, allowing us to rank the effectiveness of each dietary strategy based on their impacts on metabolic health. 

Key Findings 

The findings highlighted that all intermittent fasting regimens significantly reduced body weight compared to usual diets. The network meta-analysis revealed that intermittent fasting was more effective than usual diets in 85.4% of the studied metabolic outcomes and outperformed continuous energy restriction in 56.1%. Among the intermittent fasting regimens, alternate-day fasting consistently emerged as the most effective strategy for improving metabolic health, ranking first in 64.3% of the comparisons and second in 14.3%. 

Conclusion 

This research supports intermittent fasting as an effective dietary approach for improving metabolic health, outperforming usual diets and demonstrating efficacy comparable to continuous energy restriction. Among the various intermittent fasting regimens, alternate-day fasting stands out as the most promising, consistently delivering the most substantial improvements based on current evidence. 

These findings contribute to a broader understanding of intermittent fasting as a viable strategy for improving metabolic health and inform future dietary recommendations.

 

Prof. Ling-Wei Chen’s email address: [email protected]

 

 

Published: 17 Jan 2025

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This study is supported by grants awarded to L-WC (MOST110-2314-B-002-290-MY2, P110A290; NSTC112-2314-B-002-322-MY3) from the Ministry of Science and Technology (now the National Science and Technology Council). L-WC receives further financial support from the National Taiwan University Higher Education Sprout Project (111L7304, 111L7306, 110L7418, 110L881002) within the framework of the Higher Education Sprout Project by the Ministry of Education in Taiwan.