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Updated: Sep 16, 2025

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Effects of fasting on HDL particle function and size distribution.
Joanne Agus1, Angela M Zivkovic1
1Department of Nutrition, University of California, Davis, CA, USA.
Journal of Lipid Research
|July 7, 2025
Summary
Fasting
Area of Science:
- Lipid metabolism and cardiovascular health research.
Background:
- High-density lipoprotein (HDL) particle function is crucial for cardiovascular health.
- The impact of various fasting regimens on HDL particles requires further elucidation.
Purpose of the Study:
- To review the current evidence on how intermittent fasting (IF) and continuous fasting (CF) affect HDL cholesterol (HDL-C), particle concentration, and size distribution.
- To identify limitations and inconsistencies in existing research regarding fasting and HDL particles.
Main Methods:
- A narrative review of existing scientific literature on fasting and HDL particles.
- Analysis of studies employing intermittent fasting (IF) and continuous fasting (CF) protocols.
- Examination of reported changes in HDL-C, HDL particle size, and concentration.
Main Results:
- Evidence on fasting's impact on HDL particles is limited and inconsistent, especially for IF.
- Confounding factors like weight loss in IF studies complicate the interpretation of HDL changes.
- Continuous fasting (CF) studies show a mild trend towards decreased HDL-C and altered particle distribution, but health implications are unclear.
Conclusions:
- The precise effects of fasting on HDL particles are not well-established.
- Further research is necessary to understand the health implications of fasting-induced changes in HDL particles.
Keywords:
Intermittent fastinghigh density lipoproteinparticle concentrationprolonged fastingsize distributionMore Related Videos
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