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. Author manuscript; available in PMC: 2020 Aug 10.
Published in final edited form as: Am J Med. 2020 Apr 21;133(8):901–907. doi: 10.1016/j.amjmed.2020.03.030

Table 1.

Effects of Intermittent Fasting on Cardiovascular Risk Factors

Study Title Duration (weeks) Subjects Intervention Results
Obesity
 Ash (2003) 12 n=51, M only Mean age 54yo Overweight DM2 ADF Mean weight loss of 6.4±4.6kg
Reduction in waist circumference 8.1±4.6cm
Loss of body fat 1.9±1.5%
 Harvie (2011) 24 n=107, F only Mean age 40yo overweight and obese premenopausal 2 day a week fast (75% caloric restriction) Lost 6.4 kg (CI 4.8 to 7.8)
 Heilbronn (2005) 3 n=16, M % F Male mean age 34yo; Female Mean age 30yo nonobese ADF Decrease in body fat 2.5+0.5% of initial body weight
4+1% of their fat mass (pcO.OOl)
 Hoddy (2014) 8 n=74, M and F Mean age 45yo obese ADF for either lunch, dinner or small meals ADF-lunch 3.5±0.4 kg
ADF-dinner for 4.1 ± 0.5 kg
ADF-small meals 4.0 ± 0.5 kg
 Wilkinson (2019) 12 n=19, M and F Mean age 59yo Metabolic Syndrome 10-hour fast Weight reduction 3.3±3.2kg BMI reduction l.l±0.97kg/m2 Waist Circumference 4.5±6.7cm
Hypertension
 Eshghina (2013) 6 n=15, F only Mean age 34 Overweight and obese 3 days of a week fast (75% caloric restriction) SBP ↓ 115+9mmHg to 105+10mmHg
DBP ↓ 83+11mmHg to 75+11mmHg)
 Nematy (2012) 4 n=82, M and F Mean age 54yo ≥1 Cardiovascular Risk Factor Ramadan SBP ↓ 133±6mmHg to 130±7mmHg
NS DBP
 Sutton (2018) 5 n=8, M only Mean age 56yo Prediabetic 18-hour daily fasts SBP ↓ 11 ± 4mmHg
DBP ↓ 10 ± 4mmgHg
 Wilkinson (2019) 12 n=19, M and F Mean age 59yo Metabolic Syndrome 10-hour fast SBP ↓ 5±10mmHg
DBP ↓ 7±8 mmHg
Dyslipidemia
 Bhutani (2013) 12 n=83, M and F Mean age 42yo obese ADF (75% caloric reduction)
ADF combined with exercise
LDL ↓ 12±5%
NS TG
HDL ↑ 18±9%
 Nematy (2012) 4 n=82, M and F Mean age 54yo ≥1 Cardiovascular Risk Factor Ramadan LDL ↓ 13 (110±46 to 97±35)
TG ↓ 41 (225±129 to 183±112)
HDL ↑ 4 (43±9 to 48±8)
 Varady (2011) 12 n=60, M and F Mean age 47yo overweight and obese ADF (75% caloric reduction) LDL ↓ 10± 4%
TG ↓ 17± 5%
HDL ↑ 16±5%
Diabetes Mellitus
 Bhutani (2013) 12 n=83, M and F Mean age 42yo obese ADF (75% caloric reduction)
ADF combined with exercise
NS fasting glucose
NS insulin
 Catenacci (2016) 8 n=14, M and F Mean age 40yo obese ADF (100% calorie reduction) Fasting glucose ↓6.0+2mg/dL
NS insulin
 Klempel (2012) 8 n=54, F only Mean age 48yo Prediabetic, obese Total Fast 24-hour then 6 days of 70% liquid intake
Total Fast 24-hour then 6 day of 70% food intake
Insulin ↓ 3.0±3.0uIU/ml
Glucose ↓ 4.0±3.0mg/dL
 Sutton (2018) 5 n=8, M only Mean age 56yo Prediabetic 18-hour daily fasts Fasting insulin ↓3.4±1.6mU/L
Insulinogenic Index ↑14±7U/mg

ADF=Alternative Day Fast, DM 2=Diabetes Mellitus type II, DBP=Diastolic Blood Pressure, HDL=High Density Lipoprotein, F=Female, LDL=Low Density Lipoprotein, M=Male, NS=Not Significant, SBP=Systolic Blood Pressure, TG=Triglyceride