مجله علوم و صنایع غذایی ایران

مجله علوم و صنایع غذایی ایران

Intermittent Fasting versus Mediterranean Diet on HbA1c, Insulin Resistance, and Lipid Profile in Young Adults: A 4 Week Pilot Randomized Controlled Trial – Implications for Functional Food Development and Personalized Nutrition

نوع مقاله : مقاله پژوهشی

نویسندگان
1 Faculty of Agriculture / Tikrit University - Department of Food Science - Iraq.
2 Faculty of Agriculture / Samarra University - Department of Food Science - Iraq
10.48311/fsct.2026.122300.83337
چکیده
To compare the short term effects of IF (12:12 schedule) and MED (4 week intervention) on glycemic indices (HbA1c and FBG), insulin resistance (HOMA IR), anthropometric measures (weight, waist circumference, BMI), lipid profile, and high sensitivity C reactive protein (hsCRP) in young adults (20 25 years). A 4 week pilot RCT was conducted with 15 participants (10 IF, 5 MED; mean age 22.4 ± 1.6 years) stratified by metabolic status. Biological samples were analysed in triplicate (total 45 measurements). Adherence was monitored via 3 day food diaries reviewed weekly by a Registered Dietitian. Both dietary approaches improved metabolic outcomes. The IF group showed numerically larger reductions in FBG (Δ –8.44 vs. –5.80 mg/dL), waist circumference (Δ –2.79 vs. –1.90 cm), and BMI (Δ –0.54 vs. –0.38). The MED group demonstrated numerically greater reductions in total and LDL cholesterol (Δ –9.46 vs. –6.93 mg/dL) and hsCRP (Δ –0.42 vs. –0.35 mg/L). Between group differences reached nominal significance only for FBG, waist circumference, and BMI. These pilot data suggest that IF may have short term advantages in glycemic control and adiposity, while MED may offer greater anti inflammatory and lipid lowering benefits in Arab young adults. These findings provide a rationale for developing functional food products tailored to each dietary pattern and for integrating chrono nutrition principles into food formulation. From an industrial perspective, IF-optimized products could include meal replacements or snacks designed for specific eating windows, while MED-inspired products could focus on polyphenol-rich, prebiotic-fortified formulations targeting inflammation and cardiovascular health.
کلیدواژه‌ها
موضوعات

[1]  World Health Organization. (2023). Global Report on Diabetes. WHO Press, Geneva.
[2]  Cho, Y., Hong, N., Kim, K.‑W., et al. (2019). The effectiveness of intermittent fasting to reduce body mass index and glucose metabolism: A systematic review and meta‑analysis. Journal of Clinical Medicine, 8(10), 1645.
[3]  Sutton, E. F., Beyl, R., Early, K. S., et al. (2018). Early time‑restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes. Cell Metabolism, 27(6), 1212‑1221.
[4]  Rynders, C. A., Thomas, E. A., Zaman, A., et al. (2019). Effectiveness of intermittent fasting and time‑restricted feeding compared to continuous energy restriction for weight loss. Nutrients, 11(10), 2442.
[5]  Manoogian, E. N. C., & Panda, S. (2017). Circadian rhythms, time‑restricted feeding, and healthy aging. Ageing Research Reviews, 39, 59‑67.
[6]  Estruch, R., Ros, E., Salas‑Salvadó, J., et al. (2018). Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra‑virgin olive oil or nuts. New England Journal of Medicine, 378(25), e34.
[7]  Martínez‑González, M. A., & Bes‑Rastrollo, M. (2014). Dietary patterns, Mediterranean diet, and cardiovascular disease. Current Opinion in Lipidology, 25(1), 20‑26.
[8]  American Diabetes Association (ADA). (2024). Standards of Medical Care in Diabetes – 2024. Diabetes Care, 47(Suppl. 1), S1‑S321.
[9]  Zarrinpar, A., Chaix, A., & Panda, S. (2016). Daily eating patterns and their impact on health and disease. Trends in Endocrinology & Metabolism, 27(2), 69‑83.
[10]       Wilkinson, M. J., Manoogian, E. N. C., Zadourian, A., et al. (2020). Ten‑hour time‑restricted eating reduces weight, blood pressure, and atherogenic lipids in patients with metabolic syndrome. Cell Metabolism, 31(1), 92‑104.
[11]       CONSORT Group. (2010). CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. BMJ, 340, c332.
[12]       Lowe, D. A., Wu, N., Rohdin‑Bibby, L., et al. (2020). Effects of time‑restricted eating on weight loss and other metabolic parameters in women and men with overweight and obesity. JAMA Internal Medicine, 180(11), 1491‑1499.
[13]       Morris, C. J., Yang, J. N., Garcia, J. I., et al. (2015). Endogenous circadian system and circadian misalignment impact glucose tolerance via separate mechanisms in humans. Proceedings of the National Academy of Sciences, 112(17), E2225‑E2234.
[14]       Zeevi, D., Korem, T., Zmora, N., et al. (2015). Personalized nutrition by prediction of glycemic responses. Cell, 163(5), 1079‑1094.
[15]       Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates.
[16]       O'Keefe, J. H., & Cordain, L. (2004). Cardiovascular disease resulting from a diet and lifestyle at odds with our Paleolithic genome: How to become a 21st‑century hunter‑gatherer. Mayo Clinic Proceedings, 79(1), 101‑108.
[17]       Salas‑Salvadó, J., Bulló, M., Estruch, R., et al. (2019). Prevention of diabetes with Mediterranean diets: A subgroup analysis of a randomized trial. Annals of Internal Medicine, 160(1), 1‑10.
[18]       Mattson, M. P., Longo, V. D., & Harvie, M. (2017). Impact of intermittent fasting on health and disease processes. Ageing Research Reviews, 39, 46‑58.
[19]       Tapsell, L. C., Neale, E. P., Satija, A., & Hu, F. B. (2016). Foods, nutrients, and dietary patterns: Interconnections and implications for dietary guidelines. Advances in Nutrition, 7(3), 445‑454.
[20]       Ordovás, J. M., & Corella, D. (2018). Nutritional genomics. Annual Review of Genomics and Human Genetics, 19, 287‑310.