Obesity

Post-intervention sustainability of time-restricted eating versus caloric restriction: a secondary analysis

Int J Obes (Lond)Published Secondary analysis of a randomised trial

Authors' conclusion

Despite limitations including small sample size and self-reported weight, both self-sustained TRE and CR showed similar acceptability and weight maintenance at 3-6 months post-intervention.

Study context

Population
Adults with obesity after a 12-week supervised intervention; follow-up cohort 24 F/17 M, age 43.1 ± 11.6 years, BMI 34.7 ± 5.4 kg/m²41 completed follow-up
Participants
29 vs 26
Comparison
Time-restricted eating vs caloric restriction
  • Time-restricted eating (TRE)n = 29
  • Caloric restriction (CR)n = 26reference
Primary endpoint
Post-intervention sustainability (weight maintenance, continuation and recommendation rates)
Follow-up
1, 3 and 6 months post-intervention
Methodological detailspost-intervention follow-up, Small sample size and self-reported weight
  • Post-intervention follow-up
  • Small sample size and self-reported weight

Primary result

As reported in the abstract

Weight change vs final intervention weight · 1, 3 and 6 months

CR: significant weight loss at 1 month, returning to baseline by 3 months

−1.6 ± 2.5 kg

p = 0.02

Further findings

OutcomeTRECRP value
Continuation rates (1, 3, 6 months)Similar52%, 36%, 47%63%, 57%, 50%P = 0.60
Recommendation rates (1, 3, 6 months)Similar81%, 85%, 86%88%, 86%, 80%P = 0.72

Self-reported experiences

TRE: improved sleep, energy and digestion; morning hunger and scheduling challenges
CR: increased food mindfulness; tracking anxiety, cravings and potential binge eating

Original publication

Post-intervention sustainability of time-restricted eating versus caloric restriction: a secondary analysis. Int J Obes (Lond). Published 28 November 2025. doi:10.1038/s41366-025-01968-2

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