Obesity

Time-Restricted Eating and Sleep, Mood, and Quality of Life in Adults With Overweight or Obesity: A Secondary Analysis of a Randomized Clinical Trial

JAMA Netw OpenPublished Secondary analysis of a parallel-group randomised controlled trial

Authors' conclusion

In this secondary analysis of a randomized clinical trial of 3 different TRE schedules, incorporating TRE into a UC intervention, regardless of the eating window timing, was not associated with significant changes in sleep, mood, or quality of life compared with UC alone in adults with overweight or obesity. The findings suggest TRE may be a viable nutritional weight management strategy without adverse effects on sleep, mood, or quality of life.

Study context

Population
Men and women aged 30 to 60 years with overweight or obesity, Granada and Pamplona (Spain); 49.7% women, mean age 46.1 years, mean BMI 32.8randomized
Participants
197 men
Comparison
Early, late or self-selected 8-h 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
Changes in sleep (accelerometry), mood (depression, anxiety, stress) and quality of life (questionnaires)
Follow-up
12-week intervention
Methodological detailsprespecified secondary analysis, multicentre, allocation 1:1:1:1, Conducted April 11, 2022, to March 6, 2023
  • Prespecified secondary analysis
  • Multicentre
  • Allocation 1:1:1:1
  • Conducted April 11, 2022, to March 6, 2023

Primary result

As reported in the abstract

Sleep, mood and quality of life: early TRE vs UC · 12 weeks
Early TRE vs UCMean difference, hours (95% CI)
Total sleep time
0.2(−0.2 to 0.6)
Early TRE vs UCMean difference, points (95% CI)
Beck Depression Inventory Fast Screen score
0.2(−1.0 to 1.3)
STAI state anxiety score
−1.2(−6.4 to 4.1)
Perceived Stress Scale score
2.1(−1.8 to 5.9)
SF-36 general health score
3.3(−4.4 to 10.9)

Original publication

Time-Restricted Eating and Sleep, Mood, and Quality of Life in Adults With Overweight or Obesity: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. Published 2 June 2025. doi:10.1001/jamanetworkopen.2025.17268

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