Evidence map›Paper›PMID 42182822›Full record

ArticleAging biology2023

When a Calorie Is Not a Calorie: Metabolic and Molecular Effects of Intermittent Fasting in Humans; Exploratory Outcomes of a Randomized Clinical Trial.

Valeria Tosti, Ruteja A Barve, Beatrice Bertozzi, Nicola Veronese, Francesco Spelta, Edda Cava, Mark P Mattson, Laura Piccio, Dayna S Early, Richard D Head and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Aging biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01964118 (Can Intermittent Fasting Mimic the Metabolic and Cardiovascular and Anti-aging Effects of Calorie Restriction?), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT01964118 nacompletednot on this map

Can Intermittent Fasting Mimic the Metabolic and Cardiovascular and Anti-aging Effects of Calorie Restriction?

TypeinterventionalSponsorWashington University School of MedicineRan2013 to 2016Enrolled50ConditionsObesity, OverweightArmsIntermittent Fasting group, control group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Genetic regulation of fasting-induced longevity effects.bioRxiv : the preprint server for biology · 2025
    Article
  5. 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

11 authors.

Valeria TostiDepartment of Medicine, Washington University, St. Louis, MO, USA.
Ruteja A BarveDepartment of Genetics, Washington University, St. Louis, MO, USA.
Beatrice BertozziDepartment of Medicine, Washington University, St. Louis, MO, USA.
Nicola VeroneseGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Palermo, Italy.
Francesco SpeltaDepartment of Medicine, Washington University, St. Louis, MO, USA.
Edda CavaDepartment of Medicine, Washington University, St. Louis, MO, USA.
Mark P MattsonDepartment of Neuroscience, Johns Hopkins University, Baltimore, MD, USA.
Laura PiccioBrain and Mind Centre, School of Medical Sciences, The University of Sydney, Sydney, NSW, Australia.
Dayna S EarlyDepartment of Medicine, Washington University, St. Louis, MO, USA.
Richard D HeadDepartment of Genetics, Washington University, St. Louis, MO, USA.
Luigi FontanaCharles Perkins Center, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Intermittent Fasting-induced Gut Microbiome Modulation of CNS AutoimmunityR01NS102633 · NINDS · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI ZHOU, YANJIAO · 2017 to 2022
$2.1M
NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NINDS NIH HHS R01 NS102633
6 · The paper itself

Abstract

Intermittent fasting (IF) extends healthspan and lifespan in rodents and has been associated with metabolic benefits in humans, yet results so far have been inconsistent. In this study, we tested the effects of IF-induced weight loss on metabolic and molecular determinants of healthy aging. We performed a randomized clinical trial with a partial cross-over design in overweight men and women (30-65 y, average 49.3 ± 8.2 y) to test the effects of six-month IF (NCT01964118). Fifty participants were randomized to the IF (n = 28) or usual diet (n = 22) group. The primary outcome was the assessment of change in serum C-reactive protein levels from baseline to six months; secondary outcomes were changes in insulin sensitivity using oral glucose tolerance test (OGTT)-based indexes, and plasma metabolomics and gene expression changes in colon mucosa. No difference in serum levels of C-reactive protein or multiple cytokines and chemokines was observed over this period, despite a significant IF-induced 8% weight loss. IF caused a statistically significant but clinically irrelevant small improvement in OGTT-derived insulin sensitivity indexes. Preliminary multi-omic data analysis suggests that a nonlinear relationship exists between IF-induced weight loss and inhibition of multiple key nutrient-sensing aging pathways. More trials are needed to understand the impact of different degrees of energy restriction on metabolic and molecular health in humans, and how fasting should be complemented with diet quality changes during feast days to maximize clinical and longevity outcomes.

Identifiers

PMID42182822
PMCPMC13196608

What OpenQuestion holds

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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.