Obesity

Effect of time restricted feeding with low carbohydrate, high protein and fat diet without calorie restriction on body weight, blood sugar and lipid profile over 6 months: a retrospective cohort study

Int J Obes (Lond)Published Retrospective cohort study

Authors' conclusion

TRF with LCHPF diet demonstrated significant improvement in BMI, FBS, HbA1c, triglycerides and HDL. Combining TRF and LCHPF could lead to better individual diabetic management.

Study context

Population
People treated with time-restricted feeding plus low carbohydrate, high protein and fat diet without calorie restriction at Clinixero, Kuala Lumpur, February 2021–August 2023
Exposure
Time-restricted feeding (TRF) with low carbohydrate and high protein and fat (LCHPF) diet for 3 months vs 6 months
Outcome
BMI change from before to after intervention
Follow-up
3 and 6 months
Methodological detailsopen-label, single-centre
  • Open-label
  • Single-centre

Main finding

As reported in the abstract

Mean BMI decreased after 3 months, not statistically significant
p = 0.0572
BMI decreased significantly after 6 months
p < 0.0001

Observational data: associations, not effects.

Further findings

Fasting blood sugar (FBS) · 3 and 6 months

No significant decrease after 3 months
P = 0.068
Significantly reduced after 6 months
P = 0.026

HbA1c · 3 and 6 months

Significantly decreased after 3 months
P = 0.019
Significantly decreased after 6 months
P < 0.0001

TG · 3 and 6 months

Significantly reduced after 6 months
P < 0.001
Reduction after 3 months

Cholesterol, HDL and LDL · 6 months

Mean cholesterol, HDL and LDL showed a marked increase
P < 0.001

Original publication

Effect of time restricted feeding with low carbohydrate, high protein and fat diet without calorie restriction on body weight, blood sugar and lipid profile over 6 months: a retrospective cohort study. Int J Obes (Lond). Published 23 July 2025. doi:10.1038/s41366-025-01832-3

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