Connect with us

Health

Time-restricted eating is not a magic bullet for metabolism.

Time-restricted eating is not a magic bullet for metabolism.
Time-restricted eating is not a magic bullet for metabolism.

 


This transcript has been edited for clarity.

welcome to impact factora weekly commentary on new medical research. I'm Dr. F. Perry Wilson of Yale School of Medicine.

One in three American adults, or about 100 million people in this country, have metabolic syndrome. I'm giving you the official criteria here, but essentially this is the syndrome: insulin resistance Visceral fat accumulation makes you more susceptible to many chronic diseases such as diabetes, heart disease, and even dementia.

Photos of metabolic syndrome

Metabolic syndrome is basically a lifestyle-related disease. There is a direct relationship between our diets, the wide availability of carbohydrate-rich and highly processed foods, and the rise of this syndrome in the population.

It reminds me of something I learned from one of my epidemiology teachers. “Lifestyle-related diseases require lifestyle re-intervention.” But did you know? I don't really understand anymore.

I've seen multiple diets come and go with varying effects. I grew up in the low-fat era. This era was perhaps the most detrimental to the nation's health, as food manufacturers began replacing fat with carbohydrates, causing many of the problems we face today.

But I was also part of the Atkins diet and low-carb craze. All things being equal, it's a healthier approach. And I've seen these variants. The Paleo diet (basically a low-carbohydrate, high-protein diet with minimal processed foods) and the Mediterranean diet, which seeks to replace some of the fat with healthier fats.

And of course, there are time limits for eating.

Time-restricted eating, a type of intermittent fasting, has the advantage of being very simple. There are no cookbooks or recipes. Eat whatever you want, but limit it to certain times of the day, ideally within 10 hours from 8 a.m. to 6 p.m.

When it comes to weight loss, effective diets tend to work because they reduce calorie intake. I know, people will get anger In this regard, thermodynamics is not just a good idea, it is also a law.

But losing weight isn't the only reason you need to eat healthy. What we eat can affect our health in many ways. Certain foods have more benefits atherosclerosisincreases inflammation, increases strain on the kidneys and liver, and can affect glucose homeostasis.

So when I saw this article, I was very interested. ”Time-restricted eating in adults with metabolic syndromeAppears in “ Annual report of internal medicine This week we investigated the effects of time-restricted eating on metabolic syndrome itself. Can this lifestyle-related disease be cured with this lifestyle intervention?

In the study, 108 people, all of whom had metabolic syndrome but did not have full-blown diabetes, were randomly assigned to usual care (basically nutrition education) and time-restricted eating. In that group, participants were instructed to reduce their eating time by at least 4 hours to achieve an 8- to 10-hour eating time. The group was followed for 3 months.

Now, before we get to the results, it's important to remember that the success of lifestyle intervention trials is highly dependent on how well people adhere to the lifestyle intervention. Time-restricted eating isn't as simple as taking a pill once a day.

The researchers had participants track their intake using a smartphone app to see if they were adhering to a diet period.

Broadly speaking, they did. At baseline, the eating window for both groups was approximately 14 hours per day. Think 7 a.m. to 9 p.m. The intervention group cut that to just under 10 hours, leaving 10% of their days outside the target period.

A lifestyle change has been achieved. The main results are: Hemoglobin A1c At 3 months old. A1c integrates serum glucose over time and is therefore a good indicator of intervention success in terms of insulin resistance. However, to be honest, the effect was disappointing.

Specifically, the time-restricted eating group had a 0.1 percentage point greater change in A1c than the control group. On average, the baseline A1c of 5.87 went from a 3-month A1c of 5.75.

Other metabolic syndrome markers were similarly lackluster, with no differences in fasting blood glucose, mean blood glucose, or fasting insulin.

There was a slight change in weight. The control group that received the nutritional education lost 1.5% of their body weight over three months. The time-restricted eating group lost 3.3% more weight, or about 7 pounds. This is a reasonable number.

That weight loss resulted in small, but statistically significant, improvements in BMI, body fat percentage, and body fat percentage. LDL cholesterol.

photos of results

Interestingly, and encouragingly, although the intermittent fasting group had greater weight loss, there was no difference in muscle mass loss.

In summary, we can say that, indeed, time-restricted eating seems to help you lose weight. This is essentially due to the fact that time-restricted eating results in lower calorie intake, as seen here.

Photo of calorie change

But at the end of the day, this trial was about whether this relatively simple lifestyle intervention made a difference in terms of metabolic syndrome, and the data are not convincing to support that.

This graph shows how many of the five metabolic syndrome factors participants in this study had from start to finish. Over a three-month period, seven people in the time-restricted eating group moved from three criteria to two or one. In other words, you are “cured” of metabolic syndrome. Nine people in the standard group were cured according to that definition. Remember, they had to have at least three to have this syndrome and therefore be eligible for the trial.

Photos of metabolic syndrome

So the question remains: There's nothing metabolically magical about time-restricted eating. If it simply leads to weight loss by forcing people to reduce their calorie intake, we need to acknowledge that there may be better ways to achieve the same goal. Ten years ago, I would have said that the only way to end the metabolic syndrome epidemic in this country was through lifestyle changes. Today, we live in a world of GLP-1 weight loss drugs. It's a completely different world now. Yes, it's expensive. Yes, there are side effects. But you need to compare and evaluate them. And for now, lifestyle changes alone don't compare at all.

F. Perry Wilson, MD, MSCE, is an associate professor of medicine and public health and director of the Clinical and Translational Research Accelerator at Yale University. His science communication work can be found on the Huffington Post, NPR, and here at Medscape. he tweets @fperrywilsonand his book, How drugs work and when they don't work, currently available.

Sources

1/ https://Google.com/

2/ https://www.medscape.com/viewarticle/time-restricted-eating-not-metabolic-magic-bullet-2024a1000hs2

The mention sources can contact us to remove/changing this article

What Are The Main Benefits Of Comparing Car Insurance Quotes Online

LOS ANGELES, CA / ACCESSWIRE / June 24, 2020, / Compare-autoinsurance.Org has launched a new blog post that presents the main benefits of comparing multiple car insurance quotes. For more info and free online quotes, please visit https://compare-autoinsurance.Org/the-advantages-of-comparing-prices-with-car-insurance-quotes-online/ The modern society has numerous technological advantages. One important advantage is the speed at which information is sent and received. With the help of the internet, the shopping habits of many persons have drastically changed. The car insurance industry hasn't remained untouched by these changes. On the internet, drivers can compare insurance prices and find out which sellers have the best offers. View photos The advantages of comparing online car insurance quotes are the following: Online quotes can be obtained from anywhere and at any time. Unlike physical insurance agencies, websites don't have a specific schedule and they are available at any time. Drivers that have busy working schedules, can compare quotes from anywhere and at any time, even at midnight. Multiple choices. Almost all insurance providers, no matter if they are well-known brands or just local insurers, have an online presence. Online quotes will allow policyholders the chance to discover multiple insurance companies and check their prices. Drivers are no longer required to get quotes from just a few known insurance companies. Also, local and regional insurers can provide lower insurance rates for the same services. Accurate insurance estimates. Online quotes can only be accurate if the customers provide accurate and real info about their car models and driving history. Lying about past driving incidents can make the price estimates to be lower, but when dealing with an insurance company lying to them is useless. Usually, insurance companies will do research about a potential customer before granting him coverage. Online quotes can be sorted easily. Although drivers are recommended to not choose a policy just based on its price, drivers can easily sort quotes by insurance price. Using brokerage websites will allow drivers to get quotes from multiple insurers, thus making the comparison faster and easier. For additional info, money-saving tips, and free car insurance quotes, visit https://compare-autoinsurance.Org/ Compare-autoinsurance.Org is an online provider of life, home, health, and auto insurance quotes. This website is unique because it does not simply stick to one kind of insurance provider, but brings the clients the best deals from many different online insurance carriers. In this way, clients have access to offers from multiple carriers all in one place: this website. On this site, customers have access to quotes for insurance plans from various agencies, such as local or nationwide agencies, brand names insurance companies, etc. "Online quotes can easily help drivers obtain better car insurance deals. All they have to do is to complete an online form with accurate and real info, then compare prices", said Russell Rabichev, Marketing Director of Internet Marketing Company. CONTACT: Company Name: Internet Marketing CompanyPerson for contact Name: Gurgu CPhone Number: (818) 359-3898Email: [email protected]: https://compare-autoinsurance.Org/ SOURCE: Compare-autoinsurance.Org View source version on accesswire.Com:https://www.Accesswire.Com/595055/What-Are-The-Main-Benefits-Of-Comparing-Car-Insurance-Quotes-Online View photos

ExBUlletin

to request, modification Contact us at Here or [email protected]