Evidence map›Paper›PMID 42625622›Full record

SynthesisFrontiers in endocrinology2026

Effects of fasting on thyroid hormone profiles: a systematic review and meta-analysis of TSH, FT3, FT4, and total T3 responses.

Süleyman Ulupınar, Kaan Kaya, Ayşe Çamlı, Merve Terzi, Alişan Yavuz, Serhat Özbay

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 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

6 authors.

Süleyman UlupınarFaculty of Sport Sciences, Erzurum Technical University, Erzurum, Türkiye.
Kaan KayaFaculty of Sport Sciences, Istanbul Yeni Yuzyil University, Istanbul, Türkiye.
Ayşe ÇamlıFaculty of Health Sciences, Department of Nutrition and Dietetics, Erzurum Technical University, Erzurum, Türkiye.
Merve TerziDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Istanbul Yeni Yuzyil University, Istanbul, Türkiye.
Alişan YavuzFaculty of Sport Sciences, Istanbul Yeni Yuzyil University, Istanbul, Türkiye.
Serhat ÖzbayFaculty of Sport Sciences, Erzurum Technical University, Erzurum, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Fasting induces coordinated metabolic and endocrine adaptations, yet its effects on thyroid hormone dynamics remain incompletely characterized. This systematic review and meta-analysis aimed to evaluate the effects of fasting on thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4), and total triiodothyronine (total T3). Methods: PubMed, Web of Science, and Scopus were searched for peer-reviewed original research articles published in English between January 2000 and June 2026. Human studies examining fasting interventions lasting ≥ 24 h and reporting pre-post thyroid hormone data in adults were included. Standardized mean changes were calculated as Hedges' Results: Fifteen studies were included in the systematic review. Fasting was associated with significant reductions in FT3 ( Conclusions: Fasting produces a biomarker-specific thyroid response characterized by pronounced reductions in FT3 and total T3, a moderate decrease in TSH, and relative stability of FT4. This pattern is more consistent with altered peripheral thyroid hormone metabolism and reduced T4-to-T3 conversion than with a uniform suppression of thyroid hormone production.

Indexed as

FastingThyroid HormonesThyrotropinThyroxineTriiodothyronineHumansThyroid HormonesThyrotropinThyroxineTriiodothyroninefastingFT3FT4thyroid hormonestotal T3TSH

Identifiers

PMID42625622
PMCPMC13489877

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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.