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Updated: Jun 7, 2025

Assessment of the Metabolic Effects of Isocaloric 2:1 Intermittent Fasting in Mice
Published on: November 27, 2019
The Role of Intermittent Fasting on Metabolic Syndrome: A Systematic Review and Meta-Analysis
Bandar A Almabruk1, Saleh H Alharbi1, Fawaz S Alsaqer2
1Internal Medicine, King Salman Hospital, Riyadh, SAU.
Intermittent fasting significantly reduces weight, BMI, LDL cholesterol, and blood pressure in metabolic syndrome patients. It shows promise as a non-drug approach for managing this condition.
Area of Science:
- Metabolic Health and Nutrition
- Dietary Interventions
- Systematic Review and Meta-Analysis
Background:
- Metabolic syndrome is a growing health concern characterized by factors like obesity, high cholesterol, and hypertension.
- Intermittent fasting (IF) is an increasingly popular dietary strategy with potential benefits for metabolic health.
- Previous research suggests IF may positively impact weight, cholesterol, blood pressure, and glucose control in individuals with metabolic syndrome.
Purpose of the Study:
- To systematically review and meta-analyze existing studies on the effects of intermittent fasting on key metabolic parameters in individuals diagnosed with metabolic syndrome.
- To quantify the impact of intermittent fasting on weight, body mass index (BMI), cholesterol levels (LDL and HDL), blood pressure (BP), and glucose control.
Main Methods:
- A systematic literature search was conducted across PubMed and Google Scholar, identifying 6,451 studies.
- Eleven studies meeting the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were included in the final analysis.
- A random effects meta-analysis was performed to synthesize data on weight, BMI, cholesterol, BP, and glucose levels.
Main Results:
- Intermittent fasting demonstrated significant reductions in weight (mean reduction: 3.59 kg) and BMI (mean decrease: 1.39 kg/m²).
- Significant decreases were observed in low-density lipoprotein (LDL) cholesterol (mean reduction: 56.22 mg/dL) and systolic blood pressure (mean decrease: 5.54 mmHg).
- High-density lipoprotein (HDL) cholesterol levels showed minimal changes, and glucose levels remained stable post-intervention.
Conclusions:
- Intermittent fasting is an effective non-pharmacological strategy for improving weight, BMI, LDL cholesterol, and blood pressure in individuals with metabolic syndrome.
- The findings support the use of intermittent fasting as a component of metabolic syndrome management.
- Further research is warranted to investigate long-term outcomes and determine optimal IF protocols for diverse populations.
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