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. 2021 Jan 14;65(1):14–23. doi: 10.20945/2359-3997000000322

Table 2. Unanswered questions and rationale for them.

Unanswered questions about IF protocols Rationale for the question
Does time-restricted feeding during the morning, afternoon, or evening have different metabolic effects? Circadian rhythm is biologically regulated, and many animals’ studies demonstrate metabolic disarrangements when food intake occurs in the rest phase of the species.
Are there weight-loss independent effects of intermittent fasting on cardiovascular risk markers and insulin resistance? Prolonged fasting has a unique metabolic profile in animals, and some studies in humans suggest that insulin sensitivity can improve, even in the absence of weight loss. Others suggest a beneficial effect in those with insulin resistance.
Can fasting-mimicking diets reduce aging or chronic diseases? The rationale for the development of a fast-mimicking diet is to provide these benefits. Nowadays, we only have evidence of improved surrogate markers.
Is there an intermittent fasting protocol associated with higher long-term adherence? Fewer studies compared different intermittent fasting protocols head-to-head. Long term adherence is important for sustained health benefits.