Obesity

Time‐Restricted Eating Promotes Weight Loss and Favorable Changes in Adipose in Obesity: The TREAD Randomized Control Trial

Obesity (Silver Spring)Published Randomised controlled trial

Primary result · Change in weight from baseline to end of studyResult — go to the resultBetween-group difference −2.91 kg CI −4.21 to −1.60

Authors' conclusion

In adults with obesity, compared with SOC dietary counseling alone, TRE promotes weight loss, healthier body composition, and, in exploratory analyses, reduction in adipose tissue proinflammatory gene expression.

Study context

Population
Adults with obesity (BMI 30–50 kg/m²) without diabetes and baseline eating window ≥ 14 h/day; mean age 55 ± 12.1 years, 58% women, BMI 35.5 ± 4.8 kg/m²52 completed
Participants
61 adults
Comparison
10-h time-restricted eating (TRE) vs standard of care
  • TREn = 26
  • Standard of care (SOC)n = 26reference
Primary endpoint
Change in weight (kg)
Follow-up
12 weeks
Methodological detailssingle-center, 1:1 randomization
  • Single-center
  • 1:1 randomization

Primary result

Change in weight from baseline to end of study

Between-group difference

−2.91 kg

CI −4.21 to −1.60

P < 0.001

Change by group

TRE

−4.59

mean · 95% CI −5.51–-3.67 · kg

SOC

−1.68

mean · 95% CI −2.59–-0.77 · kg

TREvs SOC
between-group difference −2.91 kg (CI −4.21 to −1.60); P < 0.001

As reported in the abstract

Further findings

Adipose tissue gene expression (exploratory RNA-seq, subgroup)

Downregulation of proinflammatory genes in adipose tissue during TRE
  • Exploratory

Original publication

Time‐Restricted Eating Promotes Weight Loss and Favorable Changes in Adipose in Obesity: The TREAD Randomized Control Trial. Obesity (Silver Spring). Published 2 June 2026. doi:10.1002/oby.70228

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