Evidence map›Paper›PMID 40017349›Full record

Trial reportAlimentary pharmacology & therapeutics2025

Effects of a 12-Week Mediterranean-Type Time-Restricted Feeding Protocol in Patients With Metabolic Dysfunction-Associated Steatotic Liver Disease: A Randomised Controlled Trial-The 'CHRONO-NAFLD Project'.

Sofia Tsitsou, Triada Bali, Magdalini Adamantou, Aristi Saridaki, Kalliopi-Anna Poulia, Dimitrios S Karagiannakis, Emilia Papakonstantinou, Evangelos Cholongitas

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05866744 (Effects of a Time-restricted Hypocaloric Mediterranean Diet in Patients with Non-alcoholic Fatty Liver Disease on Glucose Metabolism), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–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.

NCT05866744 nacompletednot on this map

Effects of a Time-restricted Hypocaloric Mediterranean Diet in Patients with Non-alcoholic Fatty Liver Disease on Glucose Metabolism (CHRONO-NAFLD Project)

TypeinterventionalSponsorAgricultural University of AthensRan2023 to 2024Enrolled59ConditionsNon-Alcoholic Fatty Liver DiseaseArmsEarly Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet, Late Time-Restricted Feeding Plus Hypocaloric Mediterranean Diet, Hypocaloric Mediterranean Diet Without Time Restriction In Feeding
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. From Single Agents to Synergy: Redefining Therapeutic Strategies in MASLD.International journal of molecular sciences · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. [Research progress on the effects of time-restricted eating on metabolic associated fatty liver disease].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article
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

8 authors.

Sofia TsitsouLaboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-0045-0461
Triada BaliFirst Department of Internal Medicine, Laiko General Hospital of Athens, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Magdalini AdamantouFirst Department of Internal Medicine, Laiko General Hospital of Athens, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Aristi SaridakiFirst Department of Internal Medicine, Laiko General Hospital of Athens, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Kalliopi-Anna PouliaLaboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-0023-8102
Dimitrios S KaragiannakisFourth Department of Internal Medicine, Attiko University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-0082-634X
Emilia PapakonstantinouLaboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-4498-7105
Evangelos CholongitasFirst Department of Internal Medicine, Laiko General Hospital of Athens, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0002-3645-582X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Mediterranean diet (MD) is considered the best dietary approach for patients with metabolic dysfunction-associated steatotic liver disease (MASLD). Recently, time-restricted feeding (TRF) has gained attention for its lifestyle compatibility and health benefits.

aimsThis study aimed to compare the effects of a hypocaloric MD with a 10-h TRF protocol to an unrestricted MD in MASLD patients with overweight/obesity and evaluate differences between early and late TRF.

methodsThis 12-week randomised controlled trial in MASLD patients with overweight/obesity consisted of three groups, all following a hypocaloric Mediterranean-type diet. The control group had no eating time restrictions. The early TRF (eTRF) and late TRF (lTRF) groups had a 10-h eating window, from 8 AM to 6 PM and from 12 PM to 10 PM, respectively. Various health parameters were measured. Compliance was tracked via food diaries, and an 8-week follow-up occurred post-intervention.

resultsFifty-nine MASLD individuals (27 males; 52.9 years; body mass index 32.1 kg/m

conclusionsThis study corroborates the efficacy of MD in ameliorating cardiometabolic risk factors such as body weight and blood pressure in MASLD patients. The combination with an eTRF protocol may improve glycaemic control (NCT05866744).

trial registrationThe study is registered at clinicaltrials.gov (NCT05866744).

Indexed as

Diet, MediterraneanIntermittent FastingNon-alcoholic Fatty Liver DiseaseObesityAdultBody Mass IndexFemaleHumansMaleMiddle AgedOverweightTime FactorsTreatment Outcomeglucose metabolisminsulin resistanceintermittent fastingliver steatosisMediterranean dietmetabolic dysfunction‐associated steatotic liver diseasetime‐restricted feeding

Identifiers

PMID40017349
PMCPMC11950810

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.