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The 5:2 Diet Reduces Risk Factors for Cardiovascular Disease in Subjects with and Without Type 2 Diabetes-A
Anton Hellberg1, Michaela L Sundqvist2, Angelica Lindén Hirschberg1,3
1Department of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.
International Journal of Molecular Sciences
|July 28, 2026
Summary
The 5:2 diet improved cardiovascular health in overweight individuals, with or without type 2 diabetes (T2D). Benefits included weight loss and better blood pressure and lipid levels, with some effects lasting a year.
Area of Science:
- Nutrition Science
- Cardiovascular Health
- Metabolic Disorders
Background:
- Obesity and type 2 diabetes (T2D) increase cardiovascular risk.
- Dietary interventions are crucial for managing these conditions.
- The 5:2 diet, involving intermittent fasting, is a popular weight-loss strategy.
Purpose of the Study:
- To evaluate the effects of the 5:2 diet on cardiovascular risk factors.
- To compare outcomes in overweight individuals with and without T2D.
- To assess the durability of these effects at 12 months.
Main Methods:
- Secondary analysis of a 6-month non-randomized controlled trial.
- 97 overweight/obese participants (35 with T2D, 62 controls) followed the 5:2 diet.
- Cardiovascular risk factors, including blood pressure, lipids, adipokines, and inflammatory markers, were measured at baseline, 6, and 12 months.
Main Results:
- Both groups achieved significant weight loss and improved waist circumference, blood pressure, HDLchol, LDLchol, and adiponectin after 6 months.
- T2D participants showed greater reductions in ALT and hsCRP compared to controls.
- Improvements in HDLchol and adiponectin persisted at 12 months, with additional benefits for hsCRP and leptin in the T2D group.
Conclusions:
- The 6-month 5:2 diet significantly improved cardiovascular risk factors in overweight/obese individuals with and without T2D.
- Several benefits, including improved lipid profiles and adiponectin levels, were sustained at 12 months.
- Individuals with T2D experienced notable metabolic advantages from the 5:2 diet intervention.
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