Obesity

Randomized controlled trial of time-restricted eating: secondary analyses of breath acetone

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

Primary result · Breath acetoneResult — go to the resultBetween group difference 5.45 parts per million

Authors' conclusion

We show for the first time that ketone bodies decrease after a period of adaptation to time-restricted eating of a calorie-restricted diet likely from enhanced fat oxidation and ketone utilization.

Study context

Population
Subjects on an 8-week calorie-restricted diet randomized to different time-restricted eating windows
Participants
60 subjects
Comparison
14-hour fast, 10-hour eating window (14:10) vs 12-hour fast, 12-hour eating window (12:12) on a calorie-restricted diet
Primary endpoint
Weekly fasting breath acetone (ketone bodies)
Follow-up
Weeks 4 to 8

Primary result

Breath acetone

Between group difference

5.45 parts per million

P = 0.012

As reported in the abstract

Further findings

Breath acetone, first 3 weeks

Breath acetone increased for the first three weeks without a significant difference between groups

Weight loss

14:10 lost more weight than 12:12 (previously reported)

Original publication

Randomized controlled trial of time-restricted eating: secondary analyses of breath acetone. Int J Obes (Lond). Published 11 June 2025. doi:10.1038/s41366-025-01818-1

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