Evidence map›Paper›PMID 32016644›Full record

Trial reportEuropean journal of nutrition2020

Severely restricting energy intake for 24 h does not affect markers of bone metabolism at rest or in response to re-feeding.

David J Clayton, Lewis J James, Craig Sale, Iain Templeman, James A Betts, Ian Varley

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

David J ClaytonNational Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK. david.clayton@ntu.ac.uk.ORCID http://orcid.org/0000-0001-5481-0891
Lewis J JamesNational Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, Leicestershire, LE11 3TU, UK.ORCID http://orcid.org/0000-0001-6514-5823
Craig SaleSchool of Science and Technology, Nottingham Trent University, Nottingham, NG11 8NS, UK.ORCID http://orcid.org/0000-0002-5816-4169
Iain TemplemanDepartment for Health, University of Bath, Bath, BA2 7AY, UK.ORCID https://orcid.org/0000-0002-1684-5943
James A BettsDepartment for Health, University of Bath, Bath, BA2 7AY, UK.ORCID http://orcid.org/0000-0002-9129-5777
Ian VarleySchool of Science and Technology, Nottingham Trent University, Nottingham, NG11 8NS, UK.ORCID http://orcid.org/0000-0002-3607-8921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntermittent energy restriction commonly refers to ad libitum energy intake punctuated with 24 h periods of severe energy restriction. This can improve markers of metabolic health but the effects on bone metabolism are unknown. This study assessed how 24 h severe energy restriction and subsequent refeeding affected markers of bone turnover.

methodsIn a randomised order, 16 lean men and women completed 2, 48 h trials over 3 days. On day 1, participants consumed a 24 h diet providing 100% [EB: 9.27 (1.43) MJ] or 25% [ER: 2.33 (0.34) MJ] of estimated energy requirements. On day 2, participants consumed a standardised breakfast (08:00), followed by an ad libitum lunch (12:00) and dinner (19:30). Participants then fasted overnight, returning on day 3. Plasma concentrations of C-terminal telopeptide of type I collagen (CTX), procollagen type 1 N-terminal propeptide (P1NP) and parathyroid hormone (PTH) were assessed as indices of bone metabolism after an overnight fast on days 1-3, and for 4 h after breakfast on day 2.

resultsThere were no differences between trials in fasting concentrations of CTX, P1NP or PTH on days 1-3 (P > 0.512). During both trials, consuming breakfast reduced CTX between 1 and 4 h (P < 0.001) and PTH between 1 and 2 h (P < 0.05), but did not affect P1NP (P = 0.773) Postprandial responses for CTX (P = 0.157), P1NP (P = 0.148) and PTH (P = 0.575) were not different between trials. Ad libitum energy intake on day 2 was greater on ER [12.62 (2.46) MJ] than EB [11.91 (2.49) MJ].

conclusionsTwenty-four hour severe energy restriction does not affect markers of bone metabolism.

Indexed as

Energy IntakePostprandial PeriodBreakfastEnergy MetabolismFemaleHumansMaleMealsParathyroid HormoneParathyroid HormoneBoneBone metabolismIntermittent energy restrictionIntermittent fastingWeight management

Identifiers

PMID32016644
PMCPMC7669762

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.