Journal of Human Nutrition and Dietetics

Timed eating may modestly limit an early metabolic slowdown

After one week, metabolic adaptation averaged minus 13 kilocalories with timed eating versus minus 83 kilocalories without it; resting energy use did not differ.

Paper by Tatiana Almeida de Moraes Campos, Raiane Lira Freitas Brasil, Flávia Fioruci Bezerra · Universidade do Estado do Rio de Janeiro
Randomized trial in 100 adults with severe obesity, against continuous calorie restriction aloneInterventions

1 week

Limit: DXA misses water and organ-mass changes, potentially distorting estimates of metabolic slowdown

Edited by Boris Djordjevic · AgingResearch.News

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In a randomized trial, 100 adults aged 20–60 with severe obesity were prescribed diets providing 60% of their estimated daily energy expenditure for one week. One group was also told to eat only from 10 a.m. to 6 p.m. Researchers measured resting energy use and calculated metabolic adaptation: the change beyond what they predicted from body composition.

The results suggested that timed eating modestly reduced this early adaptation. However, resting energy use did not differ between groups after accounting for starting levels and body composition. Timed eating did not substantially alter hormone or appetite responses. Fat-free mass, everything in the body other than fat, fell by about 800 grams with timed eating versus about 100 grams with calorie restriction alone.

Why it matters

For adults managing obesity as they age, the unresolved question is whether these modest early metabolic effects translate into meaningful long-term weight-management benefits.

Caveats

This one-week trial did not test lasting weight-management benefits. The findings do not cover people outside ages 20–60 or those taking weight-loss medications, who were excluded.

From the paper

Participants

A total of 100 adults were randomized between 2022 and 2024, and all were included in the analyses (n = 50 in TRE + ER).

Results, Baseline Characteristics

Who took part

Eligible participants were adults (20–60 years old) with severe obesity (BMI ≥ 40 kg/m²).

Methods, Participants

Ages

Their mean age was ~33 years and BMI was ~44 kg/m².

Results, Baseline Characteristics

Duration

The interventions were carried out for 7 d (CER, IQR = 5 d and TRE + ER, IQR = 2 d).

Results, Baseline Characteristics

Limitation

The short intervention period, inherent to the objective of evaluating early AT, was challenging due to subtle changes in body composition and RMR.

Discussion

Adaptive thermogenesis

Mean early AT values, calculated according to Nunes et al., were significantly lower in the TRE + ER compared to the CER group (−13 ± 160 kcal vs. −83 ± 150 kcal; p = 0.038).

Results, RMR and Early Adaptive Thermogenesis

Resting metabolic rate

RMR at week 1 did not differ between groups after adjustment for baseline RMR, FFM week1, and FM week1 (β_group = 47 ± 32 kcal/day; p = 0.148).

Results, RMR and Early Adaptive Thermogenesis

Hunger

AUC of hunger increased in the CER group (24 cm*min) and decreased in the TRE + ER (−14 cm*min; group x time interaction, p = 0.048).

Results, Hormonal Profile and Appetite Feelings

Quoted word for word from the full text on PubMed Central.