Evaluation of the Intermittent Fasting Protocol in the treatment of overweight and obesity: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i8.6129

Keywords:

Intermittent fasting; Obesity; Overweight; Nutrition.

Abstract

Obesity is the excessive accumulation of body fat, which causes damage to the health of individuals, such as breathing difficulties, dermatological problems and disorders of the locomotor system and favors the emergence of potentially lethal chronic non-communicable diseases. There are several strategies and tools available to the professional nutritionist to carry out the treatment of overweight and obesity, among them, intermittent fasting, which is a diet protocol that aims to alternate periods of food intake and fasting. The goal is to make the body use the fat stores and with that there is a loss of fat mass, the periods when feeding is allowed are called feeding windows. The study is an integrative review of the literature in Nutrition, with the objective of reviewing the studies that evaluated the applicability of the intermittent fasting protocol in the treatment of overweight and obesity in adult individuals, with emphasis on the aspects of weight loss and improvement of biological markers of health. 10 scientific articles with the highest number of production in the year 2018 were researched and examined. The analyzed articles pointed out that Intermittent Energy Restriction (IER) is an effective dietary alternative to promote weight loss in overweight / obese adults in the short term thus, it can be used in the treatment in a safe way. The results show that IER can result in weight loss in adults with overweight and obesity comparable to traditional Daily Energy Restriction (DER).

Author Biographies

Virgílio Antônio Rodrigues Ferro Junior, Centro Universitário de Brasília e Universidade de Brasília

Departamento de Nutrição

Dayanne da Costa Maynard, Centro Universitário de Brasília e Universidade de Brasília

Departamento de nutrição

References

Adams, K. F., Schatzkin, A., Harris, T. B., Kipnis, V., Mouw, T., Ballard-Barbash, R., Hollenbeck, A., & Leitzmann, M. F. (2006). Overweight, obesity, and mortality in a large prospective cohortof persons 50 to 71 yearsold. The New England Journal of Medicine. 355 (8), 763-778.

Associação Brasileira para o estudo da Obesidade e da Síndrome Metabólica- ABESO. Diretrizes Brasileiras de Obesidade. Revista da ABESO, São Paulo, 4ª edição, 2016.

Bhutani, S., Klempel, M. C., Kroeger, C. M., Trepanowski, J. F. & Varady, K. A. (2013). Alternate day fasting and endurance exercise combine to reduce body weight and favorably alter plasma lipids in obese humans. Obesity. 21, 1370-1379.

Bowen, J., Brindal, E., James-Martin, G. & Noakes, M. (2018). Randomized Trial of a High Protein, Partial Meal Replacement Program with or without Alternate Day Fasting: Similar Effects on Weight Loss, Retention Status, Nutritional, Metabolic, and Behavioral Outcomes. Nutrients. 10 (9), 1145.

Byrne, N. M., Sainsbury, A., King, N. A., Hills, A. P., & Wood, R. E. (2018). Intermittent energy restriction improves weight loss efficiency in obese men: the Matador study. International Journal of Obesity. 42 (2), 129-38.

Corica, F., Bianchi, G., Corsonello, A., Mazzella, N., Lattanzio, F., & Marchesini, G. (2015). Obesity in the Context of Aging: Quality of Life Considerations. Pharmaco Economics. 33 (7), 655-72.

Davis, C. S., Clarke, R. E., Coulter, S., Rounsefell, K. N., Walker, R. E., Rauch, C. E., Huggins, C. E., & Ryan, L. (2016). Intermittent energy restriction and weight loss: a systematic review. European Journal of Clinical Nutrition. 70 (3), 292-9.

Eshghinia, S., & Mohammadzadeh, F.(2013). The effects of modified alternate day fasting diet on weight loss and CAD risk factors in overweight and obese women. Journal of Diabetes & Metabolic Disorders. 12 (1), 1-4.

Harris, L., Hamilton, S., Azevedo, L. B., Olajide, J., De Brún, C., Waller, G., Whittaker, V., Sharp, T., Lean, M., Hankey, C., & Ells, L. (2018). Intermittent fasting interventions for treatment of overweight and obesity in adults: a systematic reviewand meta-analysis. Joanna Briggs Institute. 16 (2), 507-47.

Harvie, M. N., Pegington, M., Mattson, M. P., Frystyk, J., Dillon, B., Cuzick, J., Jebb, S. A., Martin, B., Cutler, R. G., Son, T. G., Carlson, O. D., Egan, J. M., Flyvbjerg, A., & Howell, A. (2011). The effects of intermittent or continuous energy restriction on weight loss and metabolic disease risk markers: a randomised trial in young overweight women. NIH Public Access. 35 (5), 714–27.

Harvie, M., Wright, C., Pegington, M., Mcmullan, D., Mitchell, E., Martin, B., & Mark, P. (2018). The effect of intermittent energy and carbohydrate restriction v. daily energy restriction on weight loss and metabolic disease risk markers in overweight women. HHS. 110 (8), 1534-47.

Hoddy, K. K., Kroeger, C. M., Trepanowski, J. F., Barnosky, A., Bhutani, S., & Varady, K. A. (2014). Meal Timing During Alternate Day Fasting: Impact on Body Weight and Cardiovascular Disease Risk in Obese Adults. Obesity Journal. 22 (12), 2524-31.

Johnstone, A. (2015). Fasting for weight loss: an effective strategy or latest dieting trend?. International Journal of Obesity. 39 (5), 727-33.

Klempel, M. C., Kroeger, C. M., Bhutani, S., Trepanowski, J. F., & Varady, K. A. (2012). Intermittent fasting combined with calorie restriction is effective for weight loss and cardio-protection in obese women. Nutrition Journal. 11 (98), 1-9.

Organização Mundial da Saúde – OMS. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation of Obesity. Geneva.1997.

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Revisão integrativa: O que é e como fazer. Einstein, 8 (1), 102-6.

Trepanowski, J. F., Bhutani, S., Hoddy, K. K., Gabel, K., Freels, S., Rigdon, J., Rood, J., & Ravussin, E. (2018). Effect of Alternate-Day Fasting on Weight Loss, Weight Maintenance, and Cardioprotection Among Metabolically Healthy Obese Adults: A Randomized Clinical Trial. JAMA Intern Med. 177 (7), 930-8.

Varady, K. A., Bhutani, S., Klempel, M. C., Kroeger, C. M., Trepanowski, J. F., Haus, J. M., Hoddy, K. K., & Calvo, Y. (2013). Alternate day fasting for weight loss in normal weight and overweight subjects: a randomized controlled trial. Nutrition journal. 12 (146), 1-8.

Velloso, L. A. (2006). O controle hipotalâmico da fome e da termogênese: implicações no desenvolvimento da obesidade. Arquivos Brasileiros de Endocrinologia & Metabologia. 50 (2), 165-176.

Visscher, T. L., Lakerveld, J., Olsen, N., Kupers, L., Ramalho, S., Keaver, L., & Yumuk, V. (2017). Perceived health status: is obesity perceived as a risk factor and disease?. Obesity facts. 10 (1), 52-60.

Wang, Y., Beydoun, M. A., Liang, L., Caballero, B., & Kumanyika, S. K. (2008). Will all Americans become overweight or obese? Estimating the progression and cost of the US obesity epidemic. Obesity (Silver Spring). 16 (10), 2323-30.

Published

30/07/2020

How to Cite

FERRO JUNIOR, V. A. R. .; MAYNARD, D. da C. Evaluation of the Intermittent Fasting Protocol in the treatment of overweight and obesity: an integrative review. Research, Society and Development, [S. l.], v. 9, n. 8, p. e727986129, 2020. DOI: 10.33448/rsd-v9i8.6129. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/6129. Acesso em: 20 apr. 2024.

Issue

Section

Health Sciences