The Effect of Early Time-Restricted Eating vs Later Time-Restricted Eating on Weight Loss and Metabolic Health

Jan 26, 2023The Journal of clinical endocrinology and metabolism

Weight Loss and Metabolic Health with Early versus Late Daily Time-Restricted Eating

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Abstract

Twelve randomized controlled trials involving 730 obese or overweight adults were analyzed.

Both early and later time-restricted eating (TRE) resulted in moderate reductions in body weight and insulin resistance compared to non-TRE.
Early TRE was more effective than later TRE in improving insulin resistance, with a difference of -0.44.
No significant difference in weight loss was observed between early and later TRE, with a difference of -0.31 kg.
Early TRE showed significant benefits in glycemic metabolism and blood pressure compared to non-TRE.
No significant differences were found between early and later TRE for fasting blood glucose, blood pressure, and lipid profiles.

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CONTEXT: It remains controversial whether the choice of the daily eating window early or later in time-restricted eating (TRE) intervention (early or later TRE) has different effects on weight loss and metabolic health.

OBJECTIVE: A network meta-analysis was performed to evaluate the efficacy between early and later TRE in adults with obesity or overweight.

METHODS: We searched PubMed, Embase, Web of Science, and Cochrane Library for randomized controlled trials (RCTs) published until October 16, 2022. We conducted a network meta-analysis to evaluate the efficacy of early and later TRE on body weight and metabolic parameters, including glycemic metabolism, blood pressure, and lipid profiles.

RESULTS: Twelve RCTs with 730 obese or overweight adults were included in this meta-analysis. Early TRE and later TRE both elicited moderate reductions in body weight and insulin resistance (IR) (homeostasis model assessment of IR) when compared to non-TRE. Interestingly, early TRE showed more effectiveness than later TRE in improving IR (early vs later TRE: -0.44; 95% CI, -0.86 to -0.02; P < .05), whereas no statistically significant difference was detected in weight loss (early vs later TRE: -0.31 kg; 95% CI, -1.15 to 0.53 kg; P >.05). In addition, early TRE rather than later TRE showed significant benefits in glycemic metabolism and blood pressure when compared to non-TRE. No significant differences between early and later TRE were observed for fasting blood glucose, blood pressure, and lipid profiles.

CONCLUSION: This meta-analysis suggests that people may choose early TRE for more effective weight management and metabolic benefits. Nevertheless, further large-scale RCTs are warranted to verify our findings.

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The Effect of Early Time-Restricted Eating vs Later Time-Restricted Eating on Weight Loss and Metabolic Health

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