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Effect of time restricted eating on body weight and fasting glucose in participants with obesity: results of a randomized, controlled, virtual clinical trial

Authors
  • Peeke, Pamela M.1
  • Greenway, Frank L.2
  • Billes, Sonja K.3
  • Zhang, Dachuan2
  • Fujioka, Ken4
  • 1 University of Maryland, Baltimore, MD, USA , Baltimore (United States)
  • 2 Pennington Biomedical Research Center, Baton Rouge, LA, USA , Baton Rouge (United States)
  • 3 August Scientific, Encinitas, CA, USA , Encinitas (United States)
  • 4 Scripps Clinic, La Jolla, CA, USA , La Jolla (United States)
Type
Published Article
Journal
Nutrition & Diabetes
Publisher
Nature Publishing Group UK
Publication Date
Jan 15, 2021
Volume
11
Issue
1
Identifiers
DOI: 10.1038/s41387-021-00149-0
Source
Springer Nature
License
Green

Abstract

BackgroundTime restricted eating (TRE) is an emerging dietary intervention for weight loss that is hypothesized to reinforce the metabolic benefits of nightly fasting/ketosis. This pilot study investigated the effectiveness of a daily 14-h metabolic fast (14:10 TRE beginning after dinner, a “fasting snack” at hour 12, and ending with breakfast 14 h later) combined with a commercial weight management program on body weight and fasting blood glucose (FBG) in individuals with obesity. We also investigated the effect of the low-calorie, high-fat, low-carbohydrate, and low-protein “fasting snack” on blood glucose.MethodsThis 8-week, randomized, controlled, clinical trial included men and women (BMI ≥ 30 kg/m2) between June and October 2020. Study procedures were conducted remotely. Participants were randomized to 14:10 or 12-h TRE (12:12, active comparator) and prescribed a diet (controlled for calories and macronutrient composition) and exercise program that included weekly customized counseling and support. The primary outcome was change from baseline in body weight in the 14:10 group.ResultsOf the 78 randomized participants, 60 (n = 30/group) completed 8 weeks. The LS mean change from baseline in weight in the 14:10 group was −8.5% (95% CI −9.6 to −7.4; P < 0.001) and −7.1% (−8.3 to −5.8; P < 0.001) in the 12:12 group (between group difference −1.4%; −2.7 to −0.2; P < 0.05). There was a statistically significant LS mean change from baseline to week 8 in FBG in the 14:10 group of −7.6 mg/dl (95% CI −15.1 to −0.1; P < 0.05) but not in the 12:12 group (−3.1 mg/dl, −10.0 to 3.7; P = NS). Both interventions resulted in a larger reduction in FBG in participants with elevated FBG (≥100 mg/dl) at baseline (both P < 0.05).ConclusionsIn participants with obesity who completed 8 weeks of the 14:10 TRE schedule combined with a commercial weight loss program, there was statistically significant and clinically meaningful weight loss and improvements in FBG.

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