Short‐term intermittent energy restriction interventions for weight management: a systematic review and meta‐analysis
Summary This systematic review synthesized the available evidence on the effect of short‐term periods of intermittent energy restriction (weekly intermittent energy restriction; ≥7‐d energy restriction) in comparison with usual care (daily continuous energy restriction), in the treatment of overweig...
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| Veröffentlicht in: | Obesity reviews 2018-01, Vol.19 (1), p.1-13 |
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| creator | Harris, L. McGarty, A. Hutchison, L. Ells, L. Hankey, C. |
| description | Summary
This systematic review synthesized the available evidence on the effect of short‐term periods of intermittent energy restriction (weekly intermittent energy restriction; ≥7‐d energy restriction) in comparison with usual care (daily continuous energy restriction), in the treatment of overweight and obesity in adults. Six electronic databases were searched from inception to October 2016. Only randomized controlled trials of interventions (≥12 weeks) in adults with overweight and obesity were included. Five studies were included in this review. Weekly intermittent energy restriction periods ranged from an energy intake between 1757 and 6276 kJ/d−1. The mean duration of the interventions was 26 (range 14 to 48) weeks. Meta‐analysis demonstrated no significant difference in weight loss between weekly intermittent energy restriction and continuous energy restriction post‐intervention (weighted mean difference: −1.36 [−3.23, 0.51], p = 0.15) and at follow‐up (weighted mean difference: −0.82 [−3.76, 2.11], p = 0.58). Both interventions achieved comparable weight loss of >5 kg and therefore were associated with clinical benefits to health. The findings support the use of weekly intermittent energy restriction as an alternative option for the treatment of obesity. Currently, there is insufficient evidence to support the long‐term sustainable effects of weekly intermittent energy restriction on weight management. |
| doi_str_mv | 10.1111/obr.12593 |
| format | Article |
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This systematic review synthesized the available evidence on the effect of short‐term periods of intermittent energy restriction (weekly intermittent energy restriction; ≥7‐d energy restriction) in comparison with usual care (daily continuous energy restriction), in the treatment of overweight and obesity in adults. Six electronic databases were searched from inception to October 2016. Only randomized controlled trials of interventions (≥12 weeks) in adults with overweight and obesity were included. Five studies were included in this review. Weekly intermittent energy restriction periods ranged from an energy intake between 1757 and 6276 kJ/d−1. The mean duration of the interventions was 26 (range 14 to 48) weeks. Meta‐analysis demonstrated no significant difference in weight loss between weekly intermittent energy restriction and continuous energy restriction post‐intervention (weighted mean difference: −1.36 [−3.23, 0.51], p = 0.15) and at follow‐up (weighted mean difference: −0.82 [−3.76, 2.11], p = 0.58). Both interventions achieved comparable weight loss of >5 kg and therefore were associated with clinical benefits to health. The findings support the use of weekly intermittent energy restriction as an alternative option for the treatment of obesity. Currently, there is insufficient evidence to support the long‐term sustainable effects of weekly intermittent energy restriction on weight management.</description><identifier>ISSN: 1467-7881</identifier><identifier>EISSN: 1467-789X</identifier><identifier>DOI: 10.1111/obr.12593</identifier><identifier>PMID: 28975722</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adults ; Body weight ; Body weight loss ; Caloric Restriction ; Carcinogens ; Cattle ; Clinical trials ; Continuous energy restriction ; Diet, Reducing ; Energy consumption ; Energy intake ; Energy management ; Humans ; intermittent energy restriction ; Life Style ; Meta-analysis ; Obesity ; Obesity - diet therapy ; Overweight ; Overweight - diet therapy ; Patient Compliance ; Physical growth ; Randomized Controlled Trials as Topic ; Reviews ; Systematic review ; Weight Loss</subject><ispartof>Obesity reviews, 2018-01, Vol.19 (1), p.1-13</ispartof><rights>2017 The Authors. published by John Wiley & Sons Ltd on behalf of World Obesity</rights><rights>2017 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity.</rights><rights>2018 World Obesity</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3883-e12b3a65c3fa75b6dea51085b36bdc043fa81f545fdaa7cb165b78ae14f34da13</citedby><cites>FETCH-LOGICAL-c3883-e12b3a65c3fa75b6dea51085b36bdc043fa81f545fdaa7cb165b78ae14f34da13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fobr.12593$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fobr.12593$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28975722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Harris, L.</creatorcontrib><creatorcontrib>McGarty, A.</creatorcontrib><creatorcontrib>Hutchison, L.</creatorcontrib><creatorcontrib>Ells, L.</creatorcontrib><creatorcontrib>Hankey, C.</creatorcontrib><title>Short‐term intermittent energy restriction interventions for weight management: a systematic review and meta‐analysis</title><title>Obesity reviews</title><addtitle>Obes Rev</addtitle><description>Summary
This systematic review synthesized the available evidence on the effect of short‐term periods of intermittent energy restriction (weekly intermittent energy restriction; ≥7‐d energy restriction) in comparison with usual care (daily continuous energy restriction), in the treatment of overweight and obesity in adults. Six electronic databases were searched from inception to October 2016. Only randomized controlled trials of interventions (≥12 weeks) in adults with overweight and obesity were included. Five studies were included in this review. Weekly intermittent energy restriction periods ranged from an energy intake between 1757 and 6276 kJ/d−1. The mean duration of the interventions was 26 (range 14 to 48) weeks. Meta‐analysis demonstrated no significant difference in weight loss between weekly intermittent energy restriction and continuous energy restriction post‐intervention (weighted mean difference: −1.36 [−3.23, 0.51], p = 0.15) and at follow‐up (weighted mean difference: −0.82 [−3.76, 2.11], p = 0.58). Both interventions achieved comparable weight loss of >5 kg and therefore were associated with clinical benefits to health. The findings support the use of weekly intermittent energy restriction as an alternative option for the treatment of obesity. Currently, there is insufficient evidence to support the long‐term sustainable effects of weekly intermittent energy restriction on weight management.</description><subject>Adults</subject><subject>Body weight</subject><subject>Body weight loss</subject><subject>Caloric Restriction</subject><subject>Carcinogens</subject><subject>Cattle</subject><subject>Clinical trials</subject><subject>Continuous energy restriction</subject><subject>Diet, Reducing</subject><subject>Energy consumption</subject><subject>Energy intake</subject><subject>Energy management</subject><subject>Humans</subject><subject>intermittent energy restriction</subject><subject>Life Style</subject><subject>Meta-analysis</subject><subject>Obesity</subject><subject>Obesity - diet therapy</subject><subject>Overweight</subject><subject>Overweight - diet therapy</subject><subject>Patient Compliance</subject><subject>Physical growth</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Reviews</subject><subject>Systematic review</subject><subject>Weight Loss</subject><issn>1467-7881</issn><issn>1467-789X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kctOxCAUhonR6Di68AUMiRtdzNhTSqHudOItMTHxkrhraHs6YnoZgZlJdz6Cz-iTyFh1YSKbA_wfPwd-QvYgGIMfx21mxhDyhK2RAUSxGAmZPK3_ziVskW1rX4IARMJgk2yFMhFchOGAdPfPrXEfb-8OTU11syraOWwcxQbNtKMGrTM6d7pten3hRb-wtGwNXaKePjtaq0ZNsfbKCVXUdtZhrZzO_emFxiVVTUFrdMpf5Mmqs9rukI1SVRZ3v-uQPF6cP0yuRje3l9eT05tRzqRkI4QwYyrmOSuV4FlcoOIQSJ6xOCvyIPLbEkoe8bJQSuQZxDwTUiFEJYsKBWxIDnvfmWlf5_4xaa1tjlWlGmznNoUkEkEigQcePfiDvrRz4_tdUf67gIFvaUiOeio3rbUGy3RmdK1Ml0KQrvJIfR7pVx6e3f92nGc1Fr_kTwAeOO6Bpa6w-98pvT276y0_AQ1BmcU</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Harris, L.</creator><creator>McGarty, A.</creator><creator>Hutchison, L.</creator><creator>Ells, L.</creator><creator>Hankey, C.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TS</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>Short‐term intermittent energy restriction interventions for weight management: a systematic review and meta‐analysis</title><author>Harris, L. ; McGarty, A. ; Hutchison, L. ; Ells, L. ; Hankey, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3883-e12b3a65c3fa75b6dea51085b36bdc043fa81f545fdaa7cb165b78ae14f34da13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Body weight</topic><topic>Body weight loss</topic><topic>Caloric Restriction</topic><topic>Carcinogens</topic><topic>Cattle</topic><topic>Clinical trials</topic><topic>Continuous energy restriction</topic><topic>Diet, Reducing</topic><topic>Energy consumption</topic><topic>Energy intake</topic><topic>Energy management</topic><topic>Humans</topic><topic>intermittent energy restriction</topic><topic>Life Style</topic><topic>Meta-analysis</topic><topic>Obesity</topic><topic>Obesity - diet therapy</topic><topic>Overweight</topic><topic>Overweight - diet therapy</topic><topic>Patient Compliance</topic><topic>Physical growth</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Reviews</topic><topic>Systematic review</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harris, L.</creatorcontrib><creatorcontrib>McGarty, A.</creatorcontrib><creatorcontrib>Hutchison, L.</creatorcontrib><creatorcontrib>Ells, L.</creatorcontrib><creatorcontrib>Hankey, C.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harris, L.</au><au>McGarty, A.</au><au>Hutchison, L.</au><au>Ells, L.</au><au>Hankey, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short‐term intermittent energy restriction interventions for weight management: a systematic review and meta‐analysis</atitle><jtitle>Obesity reviews</jtitle><addtitle>Obes Rev</addtitle><date>2018-01</date><risdate>2018</risdate><volume>19</volume><issue>1</issue><spage>1</spage><epage>13</epage><pages>1-13</pages><issn>1467-7881</issn><eissn>1467-789X</eissn><abstract>Summary
This systematic review synthesized the available evidence on the effect of short‐term periods of intermittent energy restriction (weekly intermittent energy restriction; ≥7‐d energy restriction) in comparison with usual care (daily continuous energy restriction), in the treatment of overweight and obesity in adults. Six electronic databases were searched from inception to October 2016. Only randomized controlled trials of interventions (≥12 weeks) in adults with overweight and obesity were included. Five studies were included in this review. Weekly intermittent energy restriction periods ranged from an energy intake between 1757 and 6276 kJ/d−1. The mean duration of the interventions was 26 (range 14 to 48) weeks. Meta‐analysis demonstrated no significant difference in weight loss between weekly intermittent energy restriction and continuous energy restriction post‐intervention (weighted mean difference: −1.36 [−3.23, 0.51], p = 0.15) and at follow‐up (weighted mean difference: −0.82 [−3.76, 2.11], p = 0.58). Both interventions achieved comparable weight loss of >5 kg and therefore were associated with clinical benefits to health. The findings support the use of weekly intermittent energy restriction as an alternative option for the treatment of obesity. Currently, there is insufficient evidence to support the long‐term sustainable effects of weekly intermittent energy restriction on weight management.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28975722</pmid><doi>10.1111/obr.12593</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adults Body weight Body weight loss Caloric Restriction Carcinogens Cattle Clinical trials Continuous energy restriction Diet, Reducing Energy consumption Energy intake Energy management Humans intermittent energy restriction Life Style Meta-analysis Obesity Obesity - diet therapy Overweight Overweight - diet therapy Patient Compliance Physical growth Randomized Controlled Trials as Topic Reviews Systematic review Weight Loss |
| title | Short‐term intermittent energy restriction interventions for weight management: a systematic review and meta‐analysis |
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