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Network meta-analysis of three different forms of intermittent energy restrictions for overweight or obese adults
Abstract
This network meta-analysis aimed to compare the efficacy of three forms of intermittent energy restriction (IER), including alternate-day fasting (ADF), the 5:2 diet, and time-restricted feeding (TRF), in overweight or obese adults. A literature search was conducted in PubMed, Embase, Cochrane Library, and China National Knowledge Infrastructure (CNKI) to find relevant randomized controlled trials (RCTs) until August 10, 2022. The modified Cochrane risk of bias assessment tool was applied to assess the methodological quality of eligible studies. Random network meta-analysis was conducted using STATA 14.0. Sixteen RCTs were included, with 1228 patients. Overall, the methodological quality ranged from low to moderate. ADF was superior to CER and 5:2 diet in reducing waist circumference, whereas 5:2 diet was superior to CER in reducing BMI. Regarding fat mass and drop-out, all forms of IER were comparable. Sensitivity analyses indicated that the type of individuals had no influence on the pooled results; nevertheless, ADF significantly reduced weight compared to CER and achieved significant waist circumference reduction compared to CER, 5:2 diet, and TRF. ADF may be preferentially prescribed for overweight or obese adults. More large-scale and high-quality studies are required, however, to investigate the effect of TRF on overweight and obesity.
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In another network meta-analysis, Ma et al. found superior weight loss with alternate-day fasting compared to continuous energy restriction, but fat mass changes were similar across intermittent fasting variants.
“In another recent network meta-analysis, Ma et al. [68] also found superior weight loss with ADF compared to CER, but fat mass changes were similar across the IF variants (ADF, TWF, and TRE).”
From International Society of Sports Nutrition position stand: diets for body weight reduction (2026) · cites this paper as [68]
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Cited by
Sorted by citations
International Society of Sports Nutrition position stand: diets for body weight reduction
Aragon, A. A., Campbell, B. I., Schoenfeld, B. J., Stout, J. R., Kalman, D., Arciero, P. J., Arent, S. M., Kreider, R. B., Taylor, L. W., Bannock, L., et al. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2740266
Metadata
- Authors
- Ma, Y., Sun, L., & Mu, Z.
- ORCID
- Ma, Yahui
- Venue
- International Journal of Obesity
- Published
- 2023-11-18
- Volume
- 48
- Issue
- 1
- Pages
- 55-64
- ISSN
- 0307-0565
- 1476-5497
- Cited by
- 12
- References
- 8
- Language
- en
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