Evidence map›Paper›PMID 42746281›Full record

ReviewFood science & nutrition2026

Effect of Intermittent Fasting on Weight Loss in Overweight and Obese Adults: A Systematic Review of Clinical Trials.

Hafiz Muhammad Irfan Manzoor, Muhammad Tauseef Sultan, Aneela Hameed, Ahmad Mujtaba Noman, Mahnoor Khalid, Maheen Kazmi, Aiman Sohail, Mohamed Fawzy Ramadan, Eliasse Zongo, Muhammad Abdul Rahim and 1 more

Abstract readReview
In one paragraph

Review in Food science & 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.

Hafiz Muhammad Irfan ManzoorDepartment of Human Nutrition, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.ORCID https://orcid.org/0009-0008-8567-9177
Muhammad Tauseef SultanDepartment of Human Nutrition, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.ORCID https://orcid.org/0000-0002-2852-7555
Aneela HameedDepartment of Animal Food Products Technology, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.
Ahmad Mujtaba NomanDepartment of Human Nutrition, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.ORCID https://orcid.org/0000-0002-7559-0338
Mahnoor KhalidDepartment of Human Nutrition, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.
Maheen KazmiDepartment of Human Nutrition, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.ORCID https://orcid.org/0009-0005-4366-4995
Aiman SohailDepartment of Human Nutrition, Faculty of Food Science and Nutrition Bahauddin Zakariya University Multan Pakistan.
Mohamed Fawzy RamadanDepartment of Clinical Nutrition, Faculty of Applied Medical Sciences Umm Al-Qura University Makkah Saudi Arabia.ORCID https://orcid.org/0000-0002-5431-8503
Eliasse ZongoLaboratory of Research and Teaching in Animal Health and Biotechnology Université Nazi Boni Bobo-Dioulasso Burkina Faso.ORCID https://orcid.org/0000-0001-9885-8301
Muhammad Abdul RahimDepartment of Food Science & Nutrition, College of Allied Health Sciences Times University Multan Pakistan.ORCID https://orcid.org/0009-0007-1930-1881
Fahad Al-AsmariDepartment of Food and Nutrition Sciences, College of Agricultural and Food Sciences King Faisal University Al-Ahsa Saudi Arabia.ORCID https://orcid.org/0000-0003-4253-2796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intermittent fasting (IF), an alternative calorie restriction strategy, supports weight management and may enhance cardiovascular health, improve glycemic control, and offer potential protective effects against cancer, alongside other possible health benefits. The objective of this systematic review is to study the impact of intermittent fasting on weight loss among overweight and obese adults. The original research articles were searched in four electronic databases: PubMed, Cochrane Library, Google Scholar, and ScienceDirect, with specific time frame restrictions. After going through an organized process of screening and eligibility, 26 out of 2307 studies fitting the inclusion criteria were identified. The established methodological procedure observed in this review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines to ensure transparency and credibility in the approach. All the included studies demonstrated statistically significant reductions in body weight resulting from intermittent fasting interventions over durations ranging from 3 to 50 weeks. However, several trials exhibited comparable effectiveness between intermittent fasting and continuous calorie restriction. The findings suggest that intermittent fasting is an effective approach for weight loss, contributing to favorable changes in body composition, including a decrease in fat mass, an improvement in lean mass, and a reduction in waist circumference. These outcomes collectively contribute to improvements in body mass index (BMI) and overall metabolic health. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 (RoB2) tool for 24 RCT studies, resulting in 16 studies with a low risk of bias, 1 study with a high risk, and 7 studies showing a moderate risk. While two included non-randomized controlled studies were assessed using the MMAT tool. Different forms of intermittent fasting including TRE (16:8, 20:4, 14:10, and 18:6), Alternate Day Fasting (ADF), and IF (5:2) appear promising for sustainable weight management. Among these, ADF and TRE (particularly 16:8 protocols) demonstrated the most consistent evidence of weight reduction across included studies, with no evidence of statistically significant differences in comparison with continuous calorie restriction. Moreover, future studies should compare different protocols, such as time-restricted eating and alternate-day fasting, while exploring underlying physiological mechanisms to guide healthcare professionals in creating effective, personalized dietary strategies for managing overweight and obesity.

Indexed as

body compositiondietary patternsintermittent fastingobesitytime‐restricted eatingweight loss

Identifiers

PMID42746281
PMCPMC13575763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.