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. 2021 Jul 30;13(1):156–166. doi: 10.1111/jdi.13619

Table 2.

Effects of intermittent very low‐calorie diet on various parameters and mean changes at weeks 10 and 20

Variable Week 10 Week 20

Control

(n = 12)

2 days/week intermittent VLCD

(n = 14)

4 days/week intermittent VLCD

(n = 14)

Control

(n = 12)

2 days/week intermittent VLCD

(n = 14)

4 days/week intermittent VLCD

(n = 14)

Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM
Mean difference ± SEM

P‐value

by time

Mean difference ± SEM

P ‐value

by time

Mean difference ± SEM

P ‐value

by time

Mean difference ± SEM

P ‐value

by time

Mean difference ± SEM

P ‐value

by time

Mean difference ± SEM

P ‐value

by time

Glycemic control and indices
FPG (mg/dL) 140.6 ± 9.2 134.3 ± 8.5 107.9 ± 8.5 137.2 ± 10.7 130.9 ± 9.9 119.9 ± 9.9
−4.5 ± 12.8 0.728 −21.7 ± 11.9 0.075 −51.7 ± 11.9 <0.001 −7.9 ± 13.5 0.560 −25.1 ± 12.5 0.051 −39.7 ± 12.5 0.003
2‐h glucose after OGTT (mg/dL) 291.0 ± 24.8 266.4 ± 23.0 225.3 ± 23.0 317.3 ± 22.5 256.3 ± 20.8 235.9 ± 20.8
−15.7 ± 25.4 0.541 −51.9 ± 23.5 0.033 −123.9 ± 23.5 <0.001 10.7 ± 23.3 0.650 −61.9 ± 21.6 0.007 −113.4 ± 21.6 <0.001
HbA1C (%) 6.7 ± 0.3 6.7 ± 0.2 6.4 ± 0.2 6.9 ± 0.3 6.8 ± 0.2 6.4 ± 0.3
−0.2 ± 0.3 0.497 −0.8 ± 0.3 0.010 −1.2 ± 0.3 <0.001 −0.1 ± 0.3 0.862 −0.7 ± 0.3 0.042 −1.2 ± 0.3 <0.001
HOMA‐IR 3.05 ± 0.77 2.57 ± 0.71 2.54 ± 0.71 3.47 ± 0.74 2.48 ± 0.68 2.39 ± 0.68
−0.61 ± 1.00 0.546 −1.74 ± 0.93 0.069 −1.98 ± 0.93 0.040 −0.19 ± 0.94 0.837 −1.83 ± 0.86 0.041 −2.14 ± 0.87 0.018
Matsuda Index 5.39 ± 1.48 5.37 ± 1.37 7.83 ± 1.37 6.22 ± 1.40 6.24 ± 1.30 6.46 ± 1.30
0.15 ± 1.18 0.899 0.43 ± 1.09 0.694 3.11 ± 1.09 0.007 0.98 ± 1.17 0.406 1.30 ± 1.08 0.237 1.74 ± 1.08 0.115
Insulinogenic index 0.16± 0.05 0.10 ± 0.05 0.23 ± 0.05 0.15 ± 0.06 0.13 ± 0.06 0.28 ± 0.06
0.04 ± 0.05 0.408 −0.01 ± 0.04 0.860 0.08 ± 0.04 0.067 0.04 ± 0.06 0.552 0.03 ± 0.06 0.625 0.14 ± 0.06 0.019
Disposition index 0.47 ± 0.35 0.48 ± 0.33 1.03 ± 0.33 0.51 ± 0.23 0.33 ± 0.21 1.00 ± 0.21
0.03 ± 0.37 0.938 0.33 ± 0.35 0.352 0.67 ± 0.35 0.060 0.07 ± 0.24 0.765 0.17 ± 0.22 0.434 0.64 ± 0.22 0.006
Metabolic parameters/cardiovascular risk factors
Total cholesterol (mg/dL) 187.6 ± 11.0 184.9 ± 10.2 195.2 ± 10.2 200.0 ± 12.4 191.2 ± 11.5 205.1 ± 11.5
−1.3 ± 12.1 0.918 3.7 ± 11.2 0.742 −6.3 ± 11.2 0.577 11.2 ± 13.5 0.413 10.1 ± 12.5 0.425 3.6 ± 12.5 0.772
Triglyceride (mg/dL) 134.7 ± 21.0 131.6 ± 19.4 101.8 ± 19.4 132.7 ± 13.4 126.9 ± 12.4 97.8 ± 12.4
−13.6 ± 18.5 0.468 −38.9 ± 17.1 0.029 −37.4 ± 17.1 0.035 −15.6 ± 15.6 0.325 −43.5 ± 14.5 0.005 −41.4 ± 14.5 0.007
HDL cholesterol (mg/dL) 50.2 ±2.5 50.1± 2.3 44.0± 2.3 51.8 ± 2.5 50.4± 2.3 46.1± 2.3
−0.2±1.7 0.923 −1.3 ± 1.5 0.421 0.3 ± 1.6 0.857 1.5 ±2.2 0.507 −0.9 ± 2.1 0.657 2.4 ± 2.1 0.249
LDL cholesterol (mg/dL) 115.0 ± 11.0 111.6± 10.7 133.6± 10.2 127.1 ± 11.6 120.2± 10.7 143.9± 10.7
−3.1 ± 11.5 0.790 7.0 ± 10.6 0.514 −1.6 ± 10.6 0.883 9.0 ± 12.7 0.483 15.6 ± 11.7 0.191 8.7 ± 11.7 0.463
AST (U/L) 19.4 ± 2.6 16.4 ± 2.5 22.3 ± 2.5 19.1 ± 2.7 18.8 ± 2.5 21.8 ± 2.5
−2.3± 3.6 0.519 −3.1 ± 3.3 0.349 −8.8 ± 3.3 0.012 −2.7 ± 3.3 0.430 −0.8 ± 3.1 0.801 −9.3 ± 3.1 0.005
ALT (U/L) 19.0 ± 2.3 15.1 ± 2.1 23.5 ± 2.1 20.3 ± 2.2 13.7 ± 2.1 24.6 ± 2.1
−5.5±3.3 0.106 −4.3 ± 3.1 0.164 −9.4 ± 3.1 0.004 −4.2 ± 3.7 0.264 −5.8 ± 3.5 0.104 −8.3 ± 3.5 0.022
Systolic BP (mmHg) 133.4 ± 5.0 128.3 ± 4.6 127.4 ± 4.6 125.5 ± 4.0 121.7 ± 4.6 131.1 ± 3.7
−7.0±5.2 0.188 5.4±4.8 0.275 −13.5±4.8 0.008 −14.9±5.0 0.005 −1.2±4.6 0.794 −9.7 ±4.6 0.042
Diastolic BP (mmHg) 78.0 ± 3.4 79.2 ± 3.2 74.7 ± 3.2 73.8 ± 3.3 75.0 ± 3.0 81.9 ± 3.0
−2.3 ± 4.9 0.647 4.4 ± 4.5 0.341 −10.9 ± 4.5 0.021 −6.5 ± 4.6 0.163 0.1 ± 4.2 0.973 −3.8 ± 4.2 0.377
Anthropometric parameters
Weight (kg) 68.7 ± 5.6 71.7 ± 5.1 76.1 ± 5.1 68.7 ± 5.7 71.7 ± 5.2 74.3 ± 5.2
−4.9 ± 1.1 <0.001 −5.5 ± 1.0 <0.001 −6.8 ± 1.0 <0.001 −4.9 ± 1.4 0.002 −5.5 ± 1.3 <0.001 −8.6 ± 1.3 <0.001
BMI (kg/m2) 27.2 ± 1.6 27.7 ± 1.5 28.0 ± 1.5 27.1 ± 1.6 27.8 ± 1.5 27.4 ± 1.5
−2.0 ± 0.5 <0.001 −2.1 ± 0.4 <0.001 −3.0 ± 0.4 <0.001 −2.0 ± 0.6 <0.001 −2.1 ± 0.5 0.001 −3.6 ± 0.5 <0.001
Fat mass (kg) 23.0 ± 3.2 25.7 ± 3.0 23.4 ± 3.0 22.6 ± 3.2 25.2 ± 3.0 22.4 ± 3.0
−3.4 ± 0.9 <0.001 −4.0 ± 0.8 <0.001 −4.5 ± 0.8 <0.001 −3.8 ± 1.1 0.001 −4.5 ± 1.0 <0.001 −5.4 ± 1.0 <0.001
Fat‐free mass (kg) 45.7 ± 3.5 46.0 ± 3.3 52.7 ± 3.3 46.1 ± 4.0 46.5 ± 3.7 49.8 ± 3.7
−1.5 ± 0.5 0.007 −1.5 ± 0.5 0.005 −2.3 ± 0.5 <0.001 −1.1 ± 2.0 0.572 −1.0 ± 1.8 0.603 −5.2 ± 1.8 0.007
Quality of life
SF‐36 (point) 2,730 ± 116 2,785 ± 107 2,866 ± 107 2,684 ± 127 2,757 ± 118 2,697 ± 118
166 ± 158 0.299 341 ± 146 0.025 784 ± 146 <0.001 120 ± 171 0.485 313 ± 158 0.055 615 ± 158 <0.001

ALT, alanine aminotransferase; AST, aspartate aminotransferase; BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); BP, blood pressure; FPG, fasting plasma glucose; HbA1C, glycated hemoglobin; HDL, high‐density lipoprotein; HOMA‐IR, homeostasis model assessment of insulin resistance; LDL, low‐density lipoprotein; OGTT, oral glucose tolerance test; SEM, standard error of the mean; SF‐36, short‐form 36 items; VLCD, very low‐calorie diet.