Type 2 & other diabetes

The effects of time-restricted eating on energy balance regulation in adults with overweight/obesity and type 2 diabetes

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

Authors' conclusion

These findings demonstrate that TRE does not prevent the physiologic compensatory changes associated with weight reduction in individuals with overweight/obesity and T2DM.

Study context

Population
Adults with overweight/obesity and T2Dcross-over
Participants
39 adults
Comparison
Time-restricted eating (TRE) vs standard lifestyle
Methodological detailsrandomized, 4-week washout
  • Randomized
  • 4-week washout

Primary result

As reported in the abstract

Energy balance hormones: fasting and oral glucose tolerance test (OGTT) responses
Significant decrease with TRE
difference, fasting leptin −2445 ± 885 ng/mL; P = 0.009
Significant decrease with TRE
difference, leptin AUC0-120 min −12776 ± 3088; P < 0.001
No difference
difference, glucagon AUC0-120 min 0.04 ± 23.5; P = 0.99
No difference
difference, GLP-1 AUC0-120 min 1.6 ± 67.6; P = 0.98
No difference
difference, ghrelin AUC0-120 min 31.0 ± 32.4; P = 0.35
No difference
difference, peptide YY AUC0-120 min −33.9 ± 65.6; P = 0.61

Further findings

OutcomeDifference (Kcal/day)P value
Self-reported energy intakeLess with TRE−384 ± 488P < 0.001

Self-reported energy intake

No differences in macronutrient distribution

Fasting ghrelin, post-TRE vs pre-intervention

Significant increase in fasting ghrelin post-TRE vs pre-intervention
28 ± 11.3 pg/mL, P = 0.02

Original publication

The effects of time-restricted eating on energy balance regulation in adults with overweight/obesity and type 2 diabetes. Int J Obes (Lond). Published 11 March 2026. doi:10.1038/s41366-026-02042-1

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