Time-restricted eating for the prevention and management of metabolic diseases
Open accessAbstract
Time-restricted feeding (TRF, animal-based studies) and time-restricted eating (TRE, humans) are an emerging behavioral intervention approach based on the understanding of the role of circadian rhythms in physiology and metabolism. In this approach, all calorie intake is restricted within a consistent interval of less than 12 hours without overtly attempting to reduce calories. This article will summarize the origin of TRF/TRE starting with concept of circadian rhythms and the role of chronic circadian rhythm disruption in increasing the risk for chronic metabolic diseases. Circadian rhythms are usually perceived as the sleep-wake cycle and dependent rhythms arising from the central nervous system. However, the recent discovery of circadian rhythms in peripheral organs and the plasticity of these rhythms in response to changes in nutrition availability raised the possibility that adopting a consistent daily short window of feeding can sustain robust circadian rhythm. Preclinical animal studies have demonstrated proof of concept and identified potential mechanisms driving TRF-related benefits. Pilot human intervention studies have reported promising results in reducing the risk for obesity, diabetes, and cardiovascular diseases. Epidemiological studies have indicated that maintaining a consistent long overnight fast, which is similar to TRE, can significantly reduce risks for chronic diseases. Despite these early successes, more clinical and mechanistic studies are needed to implement TRE alone or as adjuvant lifestyle intervention for the prevention and management of chronic metabolic diseases.
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Time-restricted feeding limits daily caloric intake to a predetermined eating window, typically less than 12 h.
“TRF limits daily caloric intake to a predetermined eating window, typically less than 12 h (13).”
From Intermittent fasting versus continuous energy restriction in MASLD: a systematic review and meta-analysis (2026) · cites this paper as [13]
Alternate-day fasting alternates fasting or calorie-restricted days with ad libitum feeding days, whereas whole-day fasting restricts caloric intake on two nonconsecutive days per week while permitting unrestricted eating on the remaining 5 days.
“ADF alternates fasting or calorie-restricted days with ad libitum feeding days, whereas WDF restricts caloric intake on two nonconsecutive days per week while permitting unrestricted eating on the remaining 5 days (11, 13, 14).”
From Intermittent fasting versus continuous energy restriction in MASLD: a systematic review and meta-analysis (2026) · cites this paper as [13]
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Whittaker, D. S., Akhmetova, L., Carlin, D., Romero, H., Welsh, D. K., Colwell, C. S., & Desplats, P. (2023) · Cell Metabolism · doi:10.1016/j.cmet.2023.07.014 · Cited by 147 · see citing works
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Xie, Y., Zhou, K., Shang, Z., Bao, D., & Zhou, J. (2024) · Nutrients · doi:10.3390/nu16193390 · Cited by 29 · see citing works
“(1) Supplement S1: Table S1 Subgroup analysis results; Figure S1: Certainty of the evidence; (2) Supplement S2: Search query history for Seven electronic databases; and (3) Supplement S3: Body Fat Percentage Calculation.”
BackgroundLifestyle Medicine for Obesity in the Era of Highly Effective Anti-Obesity Treatment
Sannidhi, D., Abeles, R., Andrew, W., Bonnet, J. P., Vitale, K., Niranjan, V., Gulati, M., Pauly, K., Moran, R., Alexander, L., et al. (2025) · Nutrients · doi:10.3390/nu17142382 · Cited by 29 · see citing works
“May improve insulin sensitivity and adherence for some patients [200,201].”
Calorie and Time Restriction in Weight Loss
Laferrère, B., & Panda, S. (2022) · New England Journal of Medicine · doi:10.1056/nejme2202821 · Cited by 14 · see citing works
Self-citationClinical potential of fasting in type 1 diabetes
Varady, K. A., Runchey, M.-C., Reutrakul, S., Vidmar, A. P., & Chow, L. S. (2024) · Trends in Endocrinology & Metabolism · doi:10.1016/j.tem.2024.01.007 · Cited by 12 · see citing works
Self-citationLi, H., & Li, T. (2026) · Frontiers in nutrition · doi:10.3389/fnut.2026.1833688 · Cited by 1 · see citing works
- Authors
- Manoogian, E. N. C., Chow, L. S., Taub, P. R., Laferrère, B., & Panda, S.
- Affiliations
- Salk Institute for Biological Studies (US)
- University of Minnesota (US)
- University of California San Diego (US)
- Columbia University Irving Medical Center (US)
- Corresponding author
- Panda, Satchidananda
- Venue
- Endocrine Reviews
- Publisher
- The Endocrine Society
- Published
- 2021-09-22
- Volume
- 43
- Issue
- 2
- Pages
- 405-436
- ISSN
- 0163-769X (ISSN-L)
- 1945-7189
- PMC
- PMC8905332
- OpenAlex
- W3200449343
- Cited by
- 344
- References
- 161
- Citations by year
- 2026: 87 · 2025: 84 · 2024: 92 · 2023: 50 · 2022: 30 · 2021: 1
- FWCI
- 27.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Endocrine Reviews (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (DK115214, AG068550, CA236352, AG065992)
- U.S. Department of Defense (W81XWH1810645)
- U.S. Department of Homeland Security (EMW-2016-FP-00788)
- Robert Wood Johnson Foundation (76014, DK118278, DK124484, DK098203, DK048404, AG065569)
- Topics
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- time-restricted eating, time-restricted feeding, circadian rhythm, circadian rhythm disruption, metabolic disorders, obesity, diabetes mellitus, cardiovascular disease, overnight fasting, lifestyle intervention, peripheral circadian rhythms
- MeSH terms
- Animals, Cardiovascular Diseases, Circadian Rhythm, Fasting, Humans, Metabolic Diseases, Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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