Obesity

A meta‐analysis comparing the effectiveness of alternate day fasting, the 5:2 diet, and time‐restricted eating for weight loss

Obesity (Silver Spring)Published Systematic review and network meta-analysis of randomised trials

An erratum to this article was published (Obesity (Silver Spring), May 2025 ↗)

Authors' conclusion

The present meta-analysis concludes that IF is comparable to CER and a promising alternative for weight loss. Among the three regimens, ADF showed the highest effectiveness for weight loss, followed by CER and TRE. Further well-powered RCTs with longer durations of intervention are required to draw solid conclusions.

Study context

Population
General population; Randomized controlled trials (RCTs) assessing weight loss and intermittent fasting (IF), searched 2011 to June 2021
Participants
1,768 participants24 RCTs
Comparison
Intermittent fasting vs caloric energy restriction
Outcome
Weight loss
Methodological detailsrandom effects network analysis, meta-regression
  • Random effects network analysis
  • Meta-regression

Pooled result

Body weight loss

Mean difference

0.26 kg

95% CI −0.31 to 0.84

P = 0.37

Between IF and CER
mean difference 0.26 kg (95% CI −0.31 to 0.84); P = 0.37

As reported in the abstract

Further pooled results

Compliance · trials shorter than 3 months

Compliance generally high in trials <3 months
>80%

Original publication

A meta‐analysis comparing the effectiveness of alternate day fasting, the 5:2 diet, and time‐restricted eating for weight loss. Obesity (Silver Spring). Published 8 November 2022. doi:10.1002/oby.23568

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.