间歇性禁食可能对减肥影响不大,研究发现。
Intermittent fasting may make little difference to weight loss, review finds

原始链接: https://www.bbc.co.uk/news/articles/c4ge7n3pq62o

最近对22项研究的综述,涵盖近2000名成年人,调查了间歇性禁食(IF)与标准饮食建议或不提供建议相比,在减肥方面的有效性。发表在《科克伦系统评价数据库》上的研究结果表明,**间歇性禁食在减肥或生活质量方面,与传统节食或完全不干预相比,几乎没有或没有显著益处**。 研究人员对这些结果有中等程度的信心,但他们承认现有研究存在局限性——研究规模小且方法各异。首席作者路易斯·加雷尼亚尼警告不要对间歇性禁食的在线炒作过于相信,证据并不支持这种热情。 该综述强调需要进一步研究来探索间歇性禁食对整体健康的影响,包括2型糖尿病等疾病,并了解不同的间歇性禁食方法如何影响不同人群(男性与女性、不同的BMI以及不同的国家)。最终,医生在建议减肥策略时应考虑患者的个体需求。

## 间歇性禁食与体重减轻:结果不一 最近的综述表明,间歇性禁食(IF)可能不会比传统的卡路里限制提供显著的体重减轻优势。核心原则仍然是摄入卡路里与消耗卡路里之间的关系,IF的益处可能在于*除了*体重减轻之外的领域,例如肠道健康和炎症减少。 然而,许多评论者分享了使用IF的积极个人经验,通常与饮食改变结合,例如低碳水化合物或高蛋白质摄入。 几位指出,IF的有效性源于自然地减少整体卡路里摄入,从而更容易维持热量缺口。 另一些人强调了*准确地*将IF与标准节食进行比较的难度,因为研究通常使用8小时的进食窗口——一些人认为这并非真正的IF。 经验各异,有些人发现严格的方法,如每天一餐,效果很好,而另一些人则更喜欢灵活性。 力量训练也被认为是身体成分变化的关键因素。 最终,讨论表明,个体反应差异很大,可持续性和个人偏好对于成功至关重要。
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原文

The research team looked at the results of 22 previous studies involving nearly 2,000 adults to find out if short-term intermittent fasting (over a period up to 12 months) was better at helping adults lose weight than standard dietary advice, or no advice at all.

Intermittent fasting is a fairly new approach to losing weight, and has gained popularity in recent years. Different types include:

  • only eating during a set period each day

  • fasting on certain days of the week

  • alternating between days of eating normally and days of eating very little

Compared to giving people traditional advice on dieting, such as reducing calorie intake and eating more healthily, the review found intermittent fasting made little to no difference to people's weight loss or quality of life.

It also made little to no difference compared to those offered no advice or who were waiting for advice on weight loss, although the effect on quality of life was not clear.

Although the researchers say they are "moderately confident" on these findings, they are less confident about the results comparing standard dieting and intermittent fasting.

Most of the studies they looked at did not use the most robust methods and included small numbers of people, making it difficult to work out the true effects.

Luis Garegnani, lead review author from the Universidad Hospital Italiano de Buenos Aires, said he was concerned by the online hype around fasting.

"Intermittent fasting may be a reasonable option for some people, but the current evidence doesn't justify the enthusiasm we see on social media," he said.

But the researchers also agree that everyone is different and some people could benefit. "Doctors will need to take a case-by-case approach when advising an overweight adult on losing weight," said senior review author Eva Madrid.

The review, published in the Cochrane Database of Systematic Reviews, external, says more research is needed to look at the impact of intermittent fasting on other aspects of people's health, such as the status of their type 2 diabetes and other underlying health conditions, and how satisfied it made them feel.

It also said there were many different types of intermittent fasting and more detail was needed on how they could impact men and women separately, in addition to those with different BMIs and from different countries.

The studies in this review took place in Europe, North America, China, Australia and South America.

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