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1.
Adherence and metabolic outcomes of early and late time-restricted eating with energy restriction vs. energy restriction alone : a 6-month follow-up
Tanja Črešnovar, Bernarda Habe, Nina Mohorko, Saša Kenig, Zala Jenko Pražnikar, Ana Petelin, 2026, izvirni znanstveni članek

Opis: Background/Objectives: Long-term weight maintenance remains challenging with conventional dietary strategies due to various barriers. Time-restricted eating (TRE) has recently attracted attention as a potential approach to improve adherence, but evidence on long-term maintenance is limited. We investigated the 6-month follow-up (6FU) of early time-restricted eating with energy restriction (eTRE + ER), late time-restricted eating with energy restriction (lTRE + ER) and energy restriction alone (ER). Methods: This 6FU included 69 of 93 participants from a previously conducted 3-month intervention (3INT). After the intervention, participants returned to free-living conditions without dietary guidance. Outcomes included adherence, perceived barriers, body composition, blood pressure, cardiometabolic risk factors, metabolic hormones, subjective appetite, and dietary intake. Results: Adherence of at least ≥5 days per week was low: 7.7% (eTRE + ER), 18.2% (lTRE + ER), and 9.5% (ER). Reduced adherence during the 6FU was associated with a partial reversal of improvements in body mass, body composition, cardiometabolic risk factors, metabolic hormones, and subjective appetite observed during the 3INT. Analysis of perceived barriers showed that environmental and psychosocial barriers were significant predictors of changes in body mass during the 6FU, while environmental and behavioral barriers were associated with extension of the eating window. These associations were most pronounced in the eTRE + ER group. Conclusions: During the 6FU, differences between dietary strategies gradually diminished, although some remained clinically meaningful. Long-term adherence was low across all three dietary strategies, with psychosocial, environmental, and behavioral barriers particularly evident in the eTRE + ER group. Further research is needed to confirm long-term adherence before TRE + ER interventions can be widely applied in clinical practice.
Ključne besede: early time-restricted eating, late time-restricted eating, energy restriction, overweight, obesity
Objavljeno v RUP: 22.03.2026; Ogledov: 334; Prenosov: 12
.pdf Celotno besedilo (2,14 MB)
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2.
Early time-restricted eating with energy restriction has a better effect on body fat mass, diastolic blood pressure, metabolic age and fasting glucose compared to late time-restricted eating with energy restriction and/or energy restriction alone : a 3-month randomized clinical trial
Tanja Črešnovar, Bernarda Habe, Nina Mohorko, Saša Kenig, Zala Jenko Pražnikar, Ana Petelin, 2025, izvirni znanstveni članek

Opis: Background & aims Time-restricted eating (TRE) has attracted increasing attention from researchers and the public. Recent studies suggest that the combination of TRE with energy restriction (ER) may have more favourable effects on both physical and biochemical aspects compared to ER alone. The aim of the present 3-month intervention study was to determine the effects of an 8-h early time-restricted eating and an 8-h late time-restricted eating with ER (eTRE + ER and lTRE + ER) compared to 12-h ER alone on body mass and other anthropometric and cardiometabolic risk factors in participants with overweight and obesity. Methods Participants (n = 108) were allocated to three different groups according to their personal chronotype: eTRE + ER (37 participants), lTRE + ER (37 participants) and ER (34 participants). Ninety-three participants completed the entire 3-month intervention (34 in eTRE + ER, 28 in lTRE + ER and 31 in ER). Anthropometric and cardiometabolic risk factors were measured at baseline and after 1, 2 and 3 months of the intervention. Sleep quality and quality of life were assessed at baseline and after 3 months of the intervention. ER was determined based on the individual's resting metabolic rate. Effects were analyzed using the per-protocol approach. Results Results showed a significant time main effect (p < 0.001), suggesting a decrease in body mass at the end of the 3-month intervention with a mean loss of −5.0 kg (95 % CI, −5.7, −4.3) for the eTRE + ER group, −4.4 kg (95 % CI, −5.2, −3.6) for the lTRE + ER group and −4.3 kg (95 % CI, −5.0, −3.6) for the ER group, with no significant difference between the groups (p = 0.319). eTRE + ER had greater improvements in fat mass (−1.2 % (95 % CI, −2.1, −0.2), p = 0.013) and fasting glucose (−0.35 mmol/L (95 % CI, −0.63, −0.06), p = 0.012) than participants in the lTRE + ER group and greater improvements in fat mass (−1.1 % (95 % CI, −2.0, −0.1), p = 0.022), metabolic age (−3 years (95 % CI, −5, −0), p = 0.028) and diastolic blood pressure (−4 mmHg (95 % CI, −8, −0), p = 0.033) than the participants in the ER group. No significant changes were found between the groups for the other parameters measured. Conclusions There was no difference in body mass between the eTRE + ER, lTRE + ER and ER groups after 3 months of intervention. However, eTRE + ER showed a greater benefit for fasting blood glucose, certain anthropometric parameters and diastolic blood pressure compared to lTRE + ER and/or ER alone. Other anthropometric, biochemical and health-related parameters were not affected by eating window.
Ključne besede: time-restricted eating, overweight, chronotype, body composition, intermittent fasting, energy restriction
Objavljeno v RUP: 30.05.2025; Ogledov: 1758; Prenosov: 22
.pdf Celotno besedilo (1,53 MB)
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