Evidence map›Paper›PMID 42538401›Full record

ReviewEuropean journal of clinical nutrition2026

Intermittent fasting: Impact, mechanisms and cautions across medical and lifestyle domains.

Kirti Amresh Gautam, Pavika Lal, Tabarak Malik, Saurabh Gupta, Maha Gasmi, Sushmita Saurav, Khushboo Tiwary, Anand Mohan, Richa Mishra, Sajad Ali and 1 more

Abstract readReview
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In one paragraph

Review in European journal of clinical nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kirti Amresh GautamSchool of Engineering & Sciences, GD Goenka University, Gurugram, Haryana, 122103, India. emails2kirti@gmail.com.ORCID http://orcid.org/0000-0002-0399-8473
Pavika LalDepartment of Obstetrics and Gynaecology, GSVM Medical University, Kanpur, India.
Tabarak MalikDepartment of Life Science, Parul Institute of Applied Science, Parul University, Vadodara, Gujarat, India.
Saurabh GuptaDepartment of Biotechnology, Institute of Applied Sciences & Humanities, GLA University, Chaumuhan, Mathura, 281406, Uttar Pradesh, India.
Maha GasmiHigher Institute of Sport and Physical Education of Ksar Said, Tunis, Tunisia.
Sushmita SauravGene Regulation Lab, National Institute of Immunology, New Delhi, India.
Khushboo TiwarySchool of Engineering & Sciences, GD Goenka University, Gurugram, Haryana, 122103, India.
Anand MohanSchool of Bioengineering and Biosciences, Lovely Professional University, Phagwara, 144401, Punjab, India.
Richa MishraDepartment of Computer Engineering, Parul Institute of engineering and Technology (PIET), Parul University, Ta.Waghodia, Vadhodara, 391760, Gujarat, India.
Sajad AliDepartment of Biological Sciences, College of Science, King Faisal University, Al-Ahsa, 31982, Saudi Arabia.
Anil KumarGene Regulation Lab, National Institute of Immunology, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intermittent fasting (IF) has emerged as a promising dietary approach with prospective advantages for clinical as well as non-clinical applications. Research indicates that IF enhances insulin sensitivity, facilitates weight reduction and stimulates cellular repair pathways, including autophagy. Physiological adaptations to fasting are reflected in favorable alterations in biomarkers and metabolic processes. This review examines the current evidence on IF by analyzing studies retrieved through schematic searches of the MEDLINE via PubMed database, Embase and ScienceDirect using specific keyword combinations. It focuses on commonly practiced regimens- Time-restricted eating (TRE) (16/8 method), Alternate-day fasting (ADF), the 5:2 intermittent energy-restriction diet and One meal a day (OMAD) approaches and explores their effects on cardiovascular function, metabolic regulation, cognitive performance and longevity. Various IF regimens including the TRE (16/8 method), ADF, the 5:2 diet and OMAD approaches are discussed in relation to their effects on cardiovascular health, cognitive function, metabolic regulation, aging and longevity. While most finding highlight significant health benefits, inconsistencies and methodological limitations are also reported. Mechanistically, IF orchestrates a coordinated metabolic response through modulation of key nutrient sensing pathway such as AMP activated protein kinase (AMPK), mechanistic target of rapamycin (mTOR) and unc-51-like kinase 1 (ULK1). These cascades interact with Sirtuins (SIRT1/3), peroxisome proliferator activated receptor gamma coactivator-1α (PGC-1α) and the transcription factor EB (TFEB) to regulate autophagy, mitochondrial biogenesis, oxidative stress defense and cellular repair. Clinically, these molecular events underpin improvements in glycaemic control, lipid metabolism and inflammatory balance, supporting the therapeutic potential of IF for cardiometabolic disorders, neuroprotection and healthy aging.

Identifiers

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Registered trials

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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.