Obesity

Effects of early, late and self-selected time-restricted eating on visceral adipose tissue and cardiometabolic health in participants with overweight or obesity: a randomized controlled trial

Nat MedPublished Randomised controlled trial

Authors' conclusion

These findings suggest that adding TRE, irrespective of eating window timing, offers no additional benefit over a Mediterranean diet alone in reducing VAT. TRE appears to be a safe, well-tolerated and feasible dietary approach for adults with overweight or obesity.

Study context

Population
Adults with overweight or obesityrandomized
Participants
197 adults
Comparison
Early, late or self-selected time-restricted eating (TRE) plus usual care (UC) vs UC alone
  • UCn = 49reference
  • Early TREn = 49
  • Late TREn = 52
  • Self-selected TREn = 47
Primary endpoint
VAT changes measured by MRI
Follow-up
12 weeks

Primary result

As reported in the abstract

VAT change
Each group vs UCMD, % (95% CI)P value
Early TRE
−4(−12 to 4)
P = 0.87
Late TRE
−6(−13 to 2)
P = 0.31
Self-selected TRE
−3(−11 to 5)
P ≥ 0.99
No significant differences in visceral adipose tissue (VAT) changes among the TRE groups
all P ≥ 0.99

Further findings

Adherence across TRE groups
85-88%

Safety

Serious adverse events
0
Participants reporting mild adverse events
5

Original publication

Effects of early, late and self-selected time-restricted eating on visceral adipose tissue and cardiometabolic health in participants with overweight or obesity: a randomized controlled trial. Nat Med. Published 7 January 2025. doi:10.1038/s41591-024-03375-y

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