Department of Analysis and Evaluation of Food Quality, University of Life Sciences in Lublin, Skromna 8, 20-704, Lublin, Poland.
Curr Nutr Rep. 2021 Jun;10(2):146-154. doi: 10.1007/s13668-021-00353-5. Epub 2021 Apr 7.
A number of recent studies have suggested that intermittent fasting is as effective as traditional calorie restriction (CR) for weight loss and for cardioprotection. However, it is still unclear whether IF improves diabetes risk indicators as does CR. This review provides an overview of various patterns of intermittent fasting and shows the effect of intermittent fasting on human anthropometric such as excess body weight and biochemical parameters for example high glucose and fasting insulin, which are risk factors for diabetes.
There is a growing body of evidence pointing to the benefits of intermittent fasting for glucose and insulin homeostasis, but this should be confirmed by further studies in population groups with (or at high risk) type II diabetes and insulin resistance. Long-term studies are also needed that could reveal potential negative health effects that some studies report. Eleven studies in overweight/obese adult people that included changes in weight, body composition, and diabetic parameters (fasting glucose, fasting insulin, HbA1c concentration, and HOMA-IR index) were published between 2012 and 2020. Seven studies concerning the effects of alternate day fasting (ADF) on weight loss and diabetic parameters were analyzed. All of them have shown the effects of ADF on weight loss and slight improvement in diabetic parameters. For time-restricted feeding (TRF), a significant improvement in the HOMA-IR index was observed in 2 studies. One study saw an increase in fasting glucose. An analysis of 2 studies using a complete alternate day fasting (CADF) was performed. One study showed decrease in fasting glucose and insulin, and in one a decrease in glycosylated hemoglobin (HbA1c) was observed.
Different types of intermittent fasting reduce body weight and reduce diabetes parameters such as fasting glucose, fasting insulin, HOMA-IR index, and glycated hemoglobin (HbA1c).
目的综述: 最近的一些研究表明,间歇性禁食与传统的热量限制(CR)一样有效,可以减轻体重和保护心脏。然而,间歇性禁食是否像 CR 一样改善糖尿病风险指标仍不清楚。这篇综述概述了各种间歇性禁食模式,并展示了间歇性禁食对人体体重指数等人体测量学和高血糖和空腹胰岛素等生化参数的影响,这些都是糖尿病的风险因素。
最近发现: 越来越多的证据表明间歇性禁食对葡萄糖和胰岛素稳态有益,但这需要在有(或有高风险)2 型糖尿病和胰岛素抵抗的人群中进一步研究来证实。还需要进行长期研究,以揭示一些研究报告的潜在负面健康影响。2012 年至 2020 年期间,发表了 11 项关于超重/肥胖成年人体重、身体成分和糖尿病参数(空腹血糖、空腹胰岛素、HbA1c 浓度和 HOMA-IR 指数)变化的研究。分析了 7 项关于隔日禁食(ADF)对体重减轻和糖尿病参数影响的研究。所有这些研究都表明 ADF 对体重减轻和糖尿病参数的轻微改善有效果。对于限时进食(TRF),有 2 项研究观察到 HOMA-IR 指数的显著改善。有一项研究观察到空腹血糖升高。对 2 项使用完全隔日禁食(CADF)的研究进行了分析。一项研究显示空腹血糖和胰岛素降低,另一项研究观察到糖化血红蛋白(HbA1c)降低。
结论: 不同类型的间歇性禁食可减轻体重,降低糖尿病参数,如空腹血糖、空腹胰岛素、HOMA-IR 指数和糖化血红蛋白(HbA1c)。