Skip to main content
Top
Published in:

Open Access 01-12-2024 | Research

Effects of intermittent fasting on body composition, clinical health markers and memory status in the adult population: a single-blind randomised controlled trial

Authors: Zahara Ali Rizvi, Javeria Saleem, Irfan Zeb, Ruhma Shahzad, Jawwad Afzal Kayani, Joham Faryal, Gul Mehar Javaid Bukhari, Gholamreza Abdi, Mukul Jain

Published in: Nutrition Journal | Issue 1/2024

Login to get access

Abstract

Introduction

Despite the popularity and potential protective effects of intermittent fasting (IF) against metabolic disorders, more human trials must be conducted to highlight its effects on human health. Therefore, the present trial aimed to investigate the effect of IF on the body composition, health markers, and memory status of obese and overweight adults.

Methods

A parallel randomised controlled trial was conducted in Lahore, Pakistan, with 30 participants recruited from each of the three arms (regular diet, customised diet, and IF group) with a follow-up period of 12 weeks.

Results

There was no significant difference in the mean percentage change in BMI at the end of the study period (p = 0.55). The IF group exhibited a negative median change (-4.41%) in systolic blood pressure compared with the other two groups (p = 0.014), with no difference among the groups in diastolic blood pressure or blood sugar levels (p > 0.05). The percentage change in waist circumference was more significant in the IF group than in the control group, with a significant improvement in the median percentage change in total cholesterol, LDL, triglyceride, and HDL levels (p < 0.05) as well as in the memory score (p < 0.05).

Conclusion

This study revealed that IF helps improve participants’ lipid parameters, systolic blood pressure, and memory status.

Trial Registration

The present study is registered at the registry of Clinicaltrials.gov with identity number NCT05521945 and registration date 30/08/22.
Literature
1.
go back to reference Ahmed A, Saeed F, Arshad MU, Afzaal M, Imran A, Ali SW, Niaz B, Ahmad A, Imran M. Impact of intermittent fasting on human health: an extended review of metabolic cascades. Int J Food Prop. 2018;21(1):2700–13.CrossRef Ahmed A, Saeed F, Arshad MU, Afzaal M, Imran A, Ali SW, Niaz B, Ahmad A, Imran M. Impact of intermittent fasting on human health: an extended review of metabolic cascades. Int J Food Prop. 2018;21(1):2700–13.CrossRef
3.
go back to reference Mattson MP, Longo VD, Harvie M. Impact of intermittent fasting on health and disease processes. Ageing Res Rev. 2017;39:46–58.CrossRefPubMed Mattson MP, Longo VD, Harvie M. Impact of intermittent fasting on health and disease processes. Ageing Res Rev. 2017;39:46–58.CrossRefPubMed
5.
go back to reference Yuan X, Wang J, Yang S, Gao M, Cao L, Li X, Hong D, Tian S, Sun C. Effect of intermittent fasting diet on glucose and lipid metabolism and insulin resistance in patients with impaired glucose and lipid metabolism: a systematic review and meta-analysis. International journal of endocrinology. 2022;2022. Yuan X, Wang J, Yang S, Gao M, Cao L, Li X, Hong D, Tian S, Sun C. Effect of intermittent fasting diet on glucose and lipid metabolism and insulin resistance in patients with impaired glucose and lipid metabolism: a systematic review and meta-analysis. International journal of endocrinology. 2022;2022.
6.
go back to reference Richardson CE. The effects of Time restricted feeding on Cardio-metabolic risk variables in competitive male runners. University of California, Davis; 2020. Richardson CE. The effects of Time restricted feeding on Cardio-metabolic risk variables in competitive male runners. University of California, Davis; 2020.
7.
go back to reference Mandal S, Simmons N, Awan S, Chamari K, Ahmed I. Intermittent fasting: eating by the clock for health and exercise performance. BMJ open Sport Exerc Med. 2022;8(1):e001206.CrossRefPubMedPubMedCentral Mandal S, Simmons N, Awan S, Chamari K, Ahmed I. Intermittent fasting: eating by the clock for health and exercise performance. BMJ open Sport Exerc Med. 2022;8(1):e001206.CrossRefPubMedPubMedCentral
8.
go back to reference Keogh JB, Pedersen E, Petersen KS, Clifton PM. Effects of intermittent compared to continuous energy restriction on short-term weight loss and long‐term weight loss maintenance. Clin Obes. 2014;4(3):150–6.CrossRefPubMed Keogh JB, Pedersen E, Petersen KS, Clifton PM. Effects of intermittent compared to continuous energy restriction on short-term weight loss and long‐term weight loss maintenance. Clin Obes. 2014;4(3):150–6.CrossRefPubMed
10.
go back to reference Patterson RE, Laughlin GA, Sears DD, LaCroix AZ, Marinac C, Gallo LC, Hartman SJ, Natarajan L, Senger CM, Martínez ME, Villaseñor A. Intermittent fasting and human metabolic health. J Acad Nutr Dietetics. 2015;115(8):1203.CrossRef Patterson RE, Laughlin GA, Sears DD, LaCroix AZ, Marinac C, Gallo LC, Hartman SJ, Natarajan L, Senger CM, Martínez ME, Villaseñor A. Intermittent fasting and human metabolic health. J Acad Nutr Dietetics. 2015;115(8):1203.CrossRef
11.
go back to reference Tinsley GM, La Bounty PM. Effects of intermittent fasting on body composition and clinical health markers in humans. Nutr Rev. 2015;73(10):661–74.CrossRefPubMed Tinsley GM, La Bounty PM. Effects of intermittent fasting on body composition and clinical health markers in humans. Nutr Rev. 2015;73(10):661–74.CrossRefPubMed
12.
go back to reference Harvie MN, Pegington M, Mattson MP, Frystyk J, Dillon B, Evans G, Cuzick J, Jebb SA, Martin B, Cutler RG, Son TG. The effects of intermittent or continuous energy restriction on weight loss and metabolic disease risk markers: a randomized trial in young overweight women. Int J Obes. 2011;35(5):714–27.CrossRef Harvie MN, Pegington M, Mattson MP, Frystyk J, Dillon B, Evans G, Cuzick J, Jebb SA, Martin B, Cutler RG, Son TG. The effects of intermittent or continuous energy restriction on weight loss and metabolic disease risk markers: a randomized trial in young overweight women. Int J Obes. 2011;35(5):714–27.CrossRef
13.
go back to reference Ahmed N, Farooq J, Siddiqi HS, Meo SA, Kulsoom B, Laghari AH, Jamshed H, Pasha F. Impact of intermittent fasting on lipid profile–a quasi-randomized clinical trial. Front Nutr. 2021;7:596787.CrossRefPubMedPubMedCentral Ahmed N, Farooq J, Siddiqi HS, Meo SA, Kulsoom B, Laghari AH, Jamshed H, Pasha F. Impact of intermittent fasting on lipid profile–a quasi-randomized clinical trial. Front Nutr. 2021;7:596787.CrossRefPubMedPubMedCentral
14.
go back to reference Sutton EF, Beyl R, Early KS, Cefalu WT, Ravussin E, Peterson CM. Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes. Cell Metabol. 2018;27(6):1212–21.CrossRef Sutton EF, Beyl R, Early KS, Cefalu WT, Ravussin E, Peterson CM. Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes. Cell Metabol. 2018;27(6):1212–21.CrossRef
15.
go back to reference Moro T, Tinsley G, Bianco A, Marcolin G, Pacelli QF, Battaglia G, Palma A, Gentil P, Neri M, Paoli A. Effects of eight weeks of time-restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance-trained males. J Translational Med. 2016;14:1–0.CrossRef Moro T, Tinsley G, Bianco A, Marcolin G, Pacelli QF, Battaglia G, Palma A, Gentil P, Neri M, Paoli A. Effects of eight weeks of time-restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance-trained males. J Translational Med. 2016;14:1–0.CrossRef
16.
go back to reference Mattson MP, Moehl K, Ghena N, Schmaedick M, Cheng A. Intermittent metabolic switching, neuroplasticity and brain health. Nat Rev Neurosci. 2018;19(2):81–94.CrossRef Mattson MP, Moehl K, Ghena N, Schmaedick M, Cheng A. Intermittent metabolic switching, neuroplasticity and brain health. Nat Rev Neurosci. 2018;19(2):81–94.CrossRef
17.
go back to reference Anton SD, Moehl K, Donahoo WT, Marosi K, Lee SA, Mainous AG III, Leeuwenburgh C, Mattson MP. Flipping the metabolic switch: understanding and applying the health benefits of fasting. Obesity. 2018;26(2):254–68.CrossRefPubMed Anton SD, Moehl K, Donahoo WT, Marosi K, Lee SA, Mainous AG III, Leeuwenburgh C, Mattson MP. Flipping the metabolic switch: understanding and applying the health benefits of fasting. Obesity. 2018;26(2):254–68.CrossRefPubMed
18.
go back to reference Kazmi T, Nagi ML, Razzaq S, Hussnain S, Shahid N, Athar U. Burden of noncommunicable diseases in Pakistan. East Mediterr Health J. 2022;28(11):798–804.CrossRefPubMed Kazmi T, Nagi ML, Razzaq S, Hussnain S, Shahid N, Athar U. Burden of noncommunicable diseases in Pakistan. East Mediterr Health J. 2022;28(11):798–804.CrossRefPubMed
19.
go back to reference Zhang X, Tong T, Chang A, Ang TF, Tao Q, Auerbach S, Devine S, Qiu WQ, Mez J, Massaro J, Lunetta KL. Midlife lipid and glucose levels are associated with Alzheimer’s disease. Alzheimer’s Dement. 2023;19(1):181–93.CrossRef Zhang X, Tong T, Chang A, Ang TF, Tao Q, Auerbach S, Devine S, Qiu WQ, Mez J, Massaro J, Lunetta KL. Midlife lipid and glucose levels are associated with Alzheimer’s disease. Alzheimer’s Dement. 2023;19(1):181–93.CrossRef
20.
go back to reference Biernat E, Stupnicki R, Lebiedziński B, Janczewska L. Assessment of physical activity by applying IPAQ questionnaire. Phys Educ Sport. 2008;52(2):83–9. Biernat E, Stupnicki R, Lebiedziński B, Janczewska L. Assessment of physical activity by applying IPAQ questionnaire. Phys Educ Sport. 2008;52(2):83–9.
21.
go back to reference Abdi H, Zhao B, Darbandi M, Ghayour-Mobarhan M, Tavallaie S, Rahsepar AA, Parizadeh SM, Safariyan M, Nemati M, Mohammadi M, Abbasi-Parizad P. The effects of body acupuncture on obesity: anthropometric parameters, lipid profile, and inflammatory and immunologic markers. The Scientific World Journal. 2012;2012. Abdi H, Zhao B, Darbandi M, Ghayour-Mobarhan M, Tavallaie S, Rahsepar AA, Parizadeh SM, Safariyan M, Nemati M, Mohammadi M, Abbasi-Parizad P. The effects of body acupuncture on obesity: anthropometric parameters, lipid profile, and inflammatory and immunologic markers. The Scientific World Journal. 2012;2012.
22.
go back to reference Boller B, Mellah S, Ducharme-Laliberté G, Belleville S. Relationships between years of education, regional grey matter volumes, and working memory-related brain activity in healthy older adults. Brain Imaging Behav. 2017;11:304–17.CrossRefPubMed Boller B, Mellah S, Ducharme-Laliberté G, Belleville S. Relationships between years of education, regional grey matter volumes, and working memory-related brain activity in healthy older adults. Brain Imaging Behav. 2017;11:304–17.CrossRefPubMed
23.
go back to reference Troyer AK, Rich JB. Multifactorial memory questionnaire. Professional Manual. Baycrest. 2018 May. Troyer AK, Rich JB. Multifactorial memory questionnaire. Professional Manual. Baycrest. 2018 May.
24.
go back to reference Ara T, Jahan N, Sultana N, Choudhury R, Yeasmin T. Effect of Ramadan fasting on total cholesterol (TC) low density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) in healthy adult male. J Bangladesh Soc Physiologist. 2016;10(2):46–50.CrossRef Ara T, Jahan N, Sultana N, Choudhury R, Yeasmin T. Effect of Ramadan fasting on total cholesterol (TC) low density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) in healthy adult male. J Bangladesh Soc Physiologist. 2016;10(2):46–50.CrossRef
25.
go back to reference Shi H, Zhang B, Abo-Hamzy T, Nelson JW, Ambati CS, Petrosino JF, Bryan RM Jr, Durgan DJ. Restructuring the gut microbiota by intermittent fasting lowers blood pressure. Circul Res. 2021;128(9):1240–54.CrossRef Shi H, Zhang B, Abo-Hamzy T, Nelson JW, Ambati CS, Petrosino JF, Bryan RM Jr, Durgan DJ. Restructuring the gut microbiota by intermittent fasting lowers blood pressure. Circul Res. 2021;128(9):1240–54.CrossRef
26.
go back to reference Santos HO, Macedo RC. Impact of intermittent fasting on the lipid profile: Assessment associated with diet and weight loss. Clin Nutr ESPEN. 2018;24:14–21.CrossRefPubMed Santos HO, Macedo RC. Impact of intermittent fasting on the lipid profile: Assessment associated with diet and weight loss. Clin Nutr ESPEN. 2018;24:14–21.CrossRefPubMed
28.
go back to reference Dias GP, Murphy T, Stangl D, Ahmet S, Morisse B, Nix A, Aimone LJ, Aimone JB, Kuro-O M, Gage FH, Thuret S. Intermittent fasting enhances long-term memory consolidation, adult hippocampal neurogenesis, and expression of longevity gene Klotho. Mol Psychiatry. 2021;26(11):6365–79.CrossRefPubMedPubMedCentral Dias GP, Murphy T, Stangl D, Ahmet S, Morisse B, Nix A, Aimone LJ, Aimone JB, Kuro-O M, Gage FH, Thuret S. Intermittent fasting enhances long-term memory consolidation, adult hippocampal neurogenesis, and expression of longevity gene Klotho. Mol Psychiatry. 2021;26(11):6365–79.CrossRefPubMedPubMedCentral
29.
go back to reference Kanwar D, Wasay M. Effects of Intermittent Fasting on Cognition and Neurodegeneration. Pakistan J Neurol Sci (PJNS). 2021;16(3):34–7. Kanwar D, Wasay M. Effects of Intermittent Fasting on Cognition and Neurodegeneration. Pakistan J Neurol Sci (PJNS). 2021;16(3):34–7.
30.
go back to reference Malinowski B, Zalewska K, Węsierska A, Sokołowska MM, Socha M, Liczner G, Pawlak-Osińska K, Wiciński M. Intermittent fasting in cardiovascular disorders—an overview. Nutrients. 2019;11(3):673.CrossRefPubMedPubMedCentral Malinowski B, Zalewska K, Węsierska A, Sokołowska MM, Socha M, Liczner G, Pawlak-Osińska K, Wiciński M. Intermittent fasting in cardiovascular disorders—an overview. Nutrients. 2019;11(3):673.CrossRefPubMedPubMedCentral
31.
go back to reference Adlouni A, Ghalim N, Saı̈le R, Hda N, Parra HJ, Benslimane A. Beneficial effect on serum apo AI, apo B and lp AI levels of Ramadan fasting. Clin Chim Acta. 1998;271(2):179–89.CrossRefPubMed Adlouni A, Ghalim N, Saı̈le R, Hda N, Parra HJ, Benslimane A. Beneficial effect on serum apo AI, apo B and lp AI levels of Ramadan fasting. Clin Chim Acta. 1998;271(2):179–89.CrossRefPubMed
32.
go back to reference Shibata N, Jishage KI, Arita M, Watanabe M, Kawase Y, Nishikawa K, Natori Y, Inoue H, Shimano H, Yamada N, Tsujimoto M. Regulation of hepatic cholesterol synthesis by a novel protein (SPF) that accelerates cholesterol biosynthesis. FASEB J. 2006;20(14):2642–4.CrossRefPubMed Shibata N, Jishage KI, Arita M, Watanabe M, Kawase Y, Nishikawa K, Natori Y, Inoue H, Shimano H, Yamada N, Tsujimoto M. Regulation of hepatic cholesterol synthesis by a novel protein (SPF) that accelerates cholesterol biosynthesis. FASEB J. 2006;20(14):2642–4.CrossRefPubMed
Metadata
Title
Effects of intermittent fasting on body composition, clinical health markers and memory status in the adult population: a single-blind randomised controlled trial
Authors
Zahara Ali Rizvi
Javeria Saleem
Irfan Zeb
Ruhma Shahzad
Jawwad Afzal Kayani
Joham Faryal
Gul Mehar Javaid Bukhari
Gholamreza Abdi
Mukul Jain
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2024
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/s12937-024-01046-9

Keynote series | Spotlight on menopause

Menopause can have a significant impact on the body, with effects ranging beyond the endocrine and reproductive systems. Learn about the broader systemic effects of menopause, so you can help patients in your clinics through the transition.

Launching: Thursday 12th December 2024
 

Prof. Martha Hickey
Dr. Claudia Barth
Dr. Samar El Khoudary
Developed by: Springer Medicine
Register your interest now

Keynote webinar | Spotlight on adolescent vaping

  • Live
  • Webinar | 29-01-2025 | 18:00 (CET)

Growing numbers of young people are using e-cigarettes, despite warnings of respiratory effects and addiction. How can doctors tackle the epidemic, and what health effects should you prepare to manage in your clinics?

Watch it live: Wednesday 29th January, 18:00-19:30 CET
 

Prof. Ann McNeill
Dr. Debbie Robson
Benji Horwell
Developed by: Springer Medicine
Join the webinar

Keynote webinar | Spotlight on modern management of frailty

Frailty has a significant impact on health and wellbeing, especially in older adults. Our experts explain the factors that contribute to the development of frailty and how you can manage the condition and reduce the risk of disability, dependency, and mortality in your patients.

Prof. Alfonso Cruz-Jentoft
Prof. Barbara C. van Munster
Prof. Mirko Petrovic
Developed by: Springer Medicine
Watch now

A quick guide to ECGs

Improve your ECG interpretation skills with this comprehensive, rapid, interactive course. Expert advice provides detailed feedback as you work through 50 ECGs covering the most common cardiac presentations to ensure your practice stays up to date. 

PD Dr. Carsten W. Israel
Developed by: Springer Medizin
Start the cases

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine
Read more