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The Clinical Impact of Time-restricted Eating on Cancer: A Systematic Review
Eleah J Stringer1,2,3, Rob W G Cloke1,4, Lindsay Van der Meer1,2,3
1Nursing and Allied Health Research and KT Department, BC Cancer, Vancouver, BC V5Z 1G1, Canada.
Nutrition Reviews
|August 30, 2024
Summary
Time-restricted eating (TRE) is feasible for cancer patients and may offer oncological benefits. This dietary intervention shows promise in improving quality of life and potentially reducing cancer markers.
Area of Science:
- Oncology
- Nutritional Science
- Metabolic Health
Background:
- Growing global cancer burden necessitates exploring dietary interventions.
- Pre-clinical studies suggest time-restricted eating (TRE) impacts metabolism and gut microbiome, potentially inhibiting carcinogenesis.
- Human studies on TRE in cancer are emerging, requiring synthesis of current evidence.
Purpose of the Study:
- To systematically evaluate the clinical and metabolomic effects of TRE in cancer patients.
- To compare TRE against ad libitum eating or alternative dietary patterns.
- To synthesize evidence from human studies on TRE for cancer.
Main Methods:
- Comprehensive literature search across multiple databases (MEDLINE, Embase, CINAHL, Cochrane, Web of Science, SCOPUS) up to January 2023.
- Inclusion of original study designs, protocols, and clinical trial registries focusing on intermittent fasting and cancer.
- Extraction, comparison, and critical analysis of data from 24 selected entries (8 articles, 2 abstracts, 1 protocol, 13 registries).
Main Results:
- High adherence rates (67-98%) to TRE observed in cancer patients.
- Improvements in quality of life reported in multiple studies.
- Preliminary evidence suggests TRE may reduce cancer markers (e.g., CEA), lower recurrence rates, and improve metabolic risk factors (BMI, adiposity, glucoregulation, inflammation) within 8 weeks.
Conclusions:
- Time-restricted eating (TRE) is a feasible and acceptable dietary intervention for individuals with cancer.
- Preliminary findings indicate potential oncological benefits associated with TRE.
- TRE demonstrates a positive impact on quality of life for cancer patients.
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