Rius-Bonet Julia, Macip Salvador, Closa Daniel, Massip-Salcedo Marta
FoodLab, Faculty of Health Sciences, Universitat Oberta de Catalunya, Barcelona 08018, Spain.
Mechanisms of Cancer and Aging Laboratory - South, Josep Carreras Leukaemia Research Institute, Badalona 08916, Barcelona, Spain.
Nutr Rev. 2025 Feb 1;83(2):e635-e648. doi: 10.1093/nutrit/nuae062.
Intermittent fasting (IF) has proven to be a feasible dietary intervention for the wider population. The recent increase in IF clinical trials highlights its potential effects on health, including changes in body composition, cardiometabolic status, and aging. Although IF may have clinical applications in different populations, studies suggest there may be sex-specific responses in parameters such as body composition or glucose and lipid metabolism. Here, the existing literature on IF clinical trials is summarized, the application of IF in both disease prevention and management is discussed, and potential disparities in response to this type of diet between men and women are assessed. Moreover, the potential mechanisms that may be contributing to the sexually dimorphic response, such as age, body composition, tissue distribution, or sex hormones are investigated. This review underscores the need to further study these sex-specific responses to IF to define the most effective time frames and length of fasting periods for men and women. Tailoring IF to specific populations with a personalized approach may help achieve its full potential as a lifestyle intervention with clinical benefits.
间歇性禁食(IF)已被证明是一种适用于更广泛人群的可行饮食干预措施。近期IF临床试验的增加凸显了其对健康的潜在影响,包括身体成分、心脏代谢状况和衰老方面的变化。尽管IF可能在不同人群中具有临床应用价值,但研究表明,在身体成分或糖脂代谢等参数方面可能存在性别特异性反应。在此,总结了关于IF临床试验的现有文献,讨论了IF在疾病预防和管理中的应用,并评估了男性和女性对这种饮食反应的潜在差异。此外,还研究了可能导致性别差异反应的潜在机制,如年龄、身体成分、组织分布或性激素。本综述强调需要进一步研究这些对IF的性别特异性反应,以确定男性和女性最有效的禁食时间框架和时长。采用个性化方法为特定人群量身定制IF,可能有助于充分发挥其作为具有临床益处的生活方式干预措施的潜力。