Evidence map›Paper›PMID 40596030›Full record

ArticleScientific reports2025

Metabolic and hormonal effects of an 8 days water only fasting combined with exercise in middle aged men.

Karol Pilis, Urszula Godlewska, Anna Pilis, Krzysztof Stec, Patrycja Dolibog, Marek Kruszewski, Adrianna Kosior-Lara, Romanbek Kalmatov, Wiesław Pilis, Sławomir Letkiewicz

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. 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

10 authors.

Karol PilisDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland. k.pilis@ujd.edu.pl.
Urszula GodlewskaDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland.
Anna PilisDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland.
Krzysztof StecDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland.
Patrycja DolibogDepartment of Medical Biophysics, Medical University of Silesia, 40-752, Katowice, Poland.
Marek KruszewskiDepartment of Individual Sports, Jozef Pilsudski University of Physical Education in Warsaw, 00-968, Warsaw, Poland.
Adrianna Kosior-LaraDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland.
Romanbek KalmatovMedical Institute, Osh State University, 723500, Osh City, Kyrgyz Republic.
Wiesław PilisDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland.
Sławomir LetkiewiczDepartment of Medical Science and Physiotherapy, Collegium Medicum, Jan Dlugosz University in Czestochowa, Waszyngtona 4/8, 42-200, Czestochowa, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optimal nutrition and physical activity are vital for enhancing physical performance and preventing metabolic diseases like obesity. Recently, interest has grown in long-term fasting, particularly water-only fasting, which involves no food intake and unlimited water consumption. Our study investigated the effects of 8 days of water-only fasting combined with aerobic exercise in 13 middle-aged men, focusing on metabolic, hormonal, and immune changes. Results showed that fasting had a more significant impact than exercise, leading to changes in glucose, uric acid, IGF-1, IGF-2, GH, leptin, and cortisol, improved total antioxidant status (TAS), and reduced lipid peroxidation. While exercise enhanced the effects of fasting on triglycerides, insulin, GH, TAS, PerOX, and IL-6, changes in total protein and lactate were solely due to exercise. Overall, combining fasting and exercise led to a metabolic shift from carbohydrates to fatty acids and hormonal adaptations to stress. These results, although derived from a small group of patients, offer a promising outlook for further research into the effects of fasting combined with physical activity on health and weight maintenance.

Indexed as

ExerciseFastingHormonesAntioxidantsBlood GlucoseHumansInsulinLeptinMaleMiddle AgedWaterAntioxidantsBlood GlucoseHormonesInsulinLeptinWaterFastingHormonal changesImmunityMetabolismPhysical activity

Identifiers

PMID40596030
PMCPMC12219608

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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.