Evidence map›Paper›PMID 33920973›Full record

ReviewNutrients2021

Effects of Calorie Restriction on Health Span and Insulin Resistance: Classic Calorie Restriction Diet vs. Ketosis-Inducing Diet.

Ana Napoleão, Lívia Fernandes, Cátia Miranda, Ana Paula Marum

Open access · goldAbstract readComparative StudyReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
6.8field-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.

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

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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  19. Mechanisms of Leydig Cell Aging and Obesity-Related Hypogonadism in Men: A Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
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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 1 institution in 1 country.

Ana NapoleãoSpanish Society of Precision Health, SENMO/SESAP, 38320 Canary Islands, Spain.ORCID 0000-0001-8933-5568
Lívia FernandesIntegrative Medicine Centre, CEMINT, Technical-Scientific Nucleus, 2800-56 Almada, Portugal.ORCID 0000-0001-8798-2526
Cátia MirandaIntegrative Medicine Centre, CEMINT, Technical-Scientific Nucleus, 2800-56 Almada, Portugal.ORCID 0000-0003-1191-8928
Ana Paula MarumSpanish Society of Precision Health, SENMO/SESAP, 38320 Canary Islands, Spain.ORCID 0000-0003-4392-1275
Instituto Politecnico de Setubal · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the incidence of Chronic Non-Communicable Diseases (CNCDs) increases, preventive approaches become more crucial. In this review, calorie restriction (CR) effects on human beings were evaluated, comparing the benefits and risks of different CR diets: classic CR vs. ketosis-inducing diets, including intermittent fasting (IF), classic ketogenic diet (CKD), fasting mimicking diet (FMD), very-low-calorie ketogenic Diet (VLCKD) and Spanish ketogenic Mediterranean diet (SKMD). Special emphasis on insulin resistance (IR) was placed, as it mediates metabolic syndrome (MS), a known risk factor for CNCD, and is predictive of MS diagnosis. CR is the most robust intervention known to increase lifespan and health span, with high evidence and known biochemical mechanisms. CR improves cardiometabolic risk parameters, boosts exercise insulin sensitivity response, and there may be benefits of implementing moderate CR on healthy young and middle-aged individuals. However, there is insufficient evidence to support long-term CR. CKD is effective for weight and MS management, and may have additional benefits such as prevention of muscle loss and appetite control. SKMD has extreme significance benefits for all the metabolic parameters studied. Studies show inconsistent benefits of IF compared to classic CR. More studies are required to study biochemical parameters, reinforce evidence, identify risks, and seek effective and safe nutritional CR approaches.

Indexed as

Caloric RestrictionDiet, KetogenicDiet, MediterraneanFastingHumansInsulin ResistanceKetosisLongevitycalorie restrictionchronic non-communicable diseasesdietfastinghealth spaninsulin resistanceketosislifespanlow-calorielow-carbmetabolic syndrome

Identifiers

PMID33920973
PMCPMC8071299
OpenAlexW3153266122

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.