Evidence map›Paper›PMID 32519900›Full record

ReviewAnnals of medicine2020

Unravelling the health effects of fasting: a long road from obesity treatment to healthy life span increase and improved cognition.

Françoise Wilhelmi de Toledo, Franziska Grundler, Cesare R Sirtori, Massimiliano Ruscica

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Annals of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07155993 (FastForward), which is not on this map. Cited by 67 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 5 pooled it
7.8field-weighted citation impact, top 2% of its field
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.

NCT07155993 enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

FastForward: A Prospective Analysis of Long-term Fasting and Subsequent Food Reintroduction in Humans

Typeobservational_patient_registrySponsorBuchinger Wilhelmi Development & Holding GmbHRan2024 to 2026Enrolled300ConditionsDiabetes (DM), Pre Diabetes, Overweight (BMI &gt, 25)
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 5 syntheses or guidelines pooled it, 114 citations in OpenAlex.

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  12. Remodelling of the gut virome after long-term fasting.NPJ biofilms and microbiomes · 2026
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7 more citing papers are in PubMed but not listed here.

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

4 authors at 4 institutions in 2 countries.

Françoise Wilhelmi de ToledoBuchinger Wilhelmi Clinic, Wilhelm-Beck-Straße 27, Überlingen, Germany.
Franziska GrundlerBuchinger Wilhelmi Clinic, Wilhelm-Beck-Straße 27, Überlingen, Germany.
Cesare R SirtoriDyslipidemia Center, A.S.S.T. Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Massimiliano RuscicaDepartment of Pharmacological and Biomolecular Sciences, Università degli Studi di Milano, Milan, Italy.ORCID 0000-0002-0195-7061
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITBuchinger Wilhelmi · DEHumboldt-Universität zu Berlin · DEUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years a revival of interest has emerged in the health benefits of intermittent fasting and long-term fasting, as well as of other related nutritional strategies. In addition to meal size and composition a new focus on time and frequency of meals has gained attention. The present review will investigate the effects of the main forms of fasting, activating the metabolic switch from glucose to fat and ketones (G-to-K), starting 12-16 h after cessation or strong reduction of food intake. During fasting the deactivation of mTOR regulated nutrient signalling pathways and activation of the AMP protein kinase trigger cell repair and inhibit anabolic processes. Clinical and animal studies have clearly indicated that modulating diet and meal frequency, as well as application of fasting patterns,

Indexed as

AnimalsCaloric RestrictionEnergy IntakeFastingFeeding BehaviorHumansLife StyleLongevityObesitySignal TransductionWeight LossGlucose-to-ketones metabolic switchintermittent fastinglong-term fastingperiodic fastingprolonged fastingzero calorie diet

Identifiers

PMID32519900
PMCPMC7877980
OpenAlexW3033018961

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.