Can alternating feast and fast days beat daily dieting for lasting weight loss?
NCT ID NCT05184361
First seen Jul 22, 2026 · Last updated Jul 23, 2026 · Updated 1 time
Summary
This trial tests whether intermittent energy restriction (alternating normal and reduced-calorie days) works better than continuous daily calorie cutting for weight loss in women with obesity. Researchers will measure changes in body fat, muscle mass, and metabolic adaptation — the body's tendency to slow metabolism during weight loss. The goal is to find a diet pattern that helps women keep weight off long-term.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- intermittent energy restriction (IER) compared with continuous energy restriction (CER)
- What this could lead to
- If one diet pattern proves more effective, it could offer a better strategy for long-term weight loss and weight maintenance in obesity.
- What could go wrong
- This is a small, early-stage trial with only 75 women, so results may not apply to men or other populations. Dietary adherence can vary, and metabolic adaptation may still limit long-term success.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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75 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Jun 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 45 years
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Women * BMI ranging between 30 and 39.9 kg/m2 * Age between 20-45 years * Weight stable in the last 6 months (less than 5% weigh variation) * Inactive (less then 150 min/week of moderate physical activity or 75 min/week of vigorous physical activity * Living in Lisbon Metropolitan Area and being able to drive to Faculty of Human Kinetics and Germano de Sousa Laboratory (Algés) * Available to be randomized to any of the trial groups (CER or IER) * Willing to commit with the assigned group protocol, including the nutritional intervention and lifestyle recommendations, as well as being available for participation in all evaluation moments. Exclusion Criteria: * Previous or present health disorders: cancer, autoimmune, cardiac, psychiatric, kidney and liver disease (except liver steatosis), diabetes, chronic intestinal inflammatory disease, or other medical conditions known to affect energy balance homeostasis * Menopause * Hormonal or thyroid disorder * Medications that promote weight gain or alter energy balance, including corticosteroids, antidepressants, anxiolytics, mood-stabilizing, and antipsychotics * Medications or dietary supplements for weight-loss in the past 3 months * Pregnant for the past 6 months or breastfeeding * Planning to get pregnant in the next 2 years or getting pregnant during the study * Current consumption of more than 14 alcoholic drinks per week or other substance abuse, and/or current acute treatment or rehabilitation program for alcohol/substance abuse * Surgery or in hospital admission for the last month * Positive for Covid-19 in the past 3 months or testing positive during the intervention phase of the study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Faculdade de Motricidade Humana da Universidade de Lisboa
Cruz Quebrada, Lisbon District, 1495-751, Portugal
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