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Achieving weight loss when practicing time-restricted eating: a longitudinal study of experiences among individuals with overweight
Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital – Steno Diabetes Center Copenhagen, Herlev, Denmark.
Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital – Steno Diabetes Center Copenhagen, Herlev, Denmark; The Danish Multiple Sclerosis Society, Valby, Denmark.
Department of Prevention, Health Promotion and Community Care, Copenhagen University Hospital – Steno Diabetes Center Copenhagen, Herlev, Denmark.
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0003-4456-7853
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2025 (English)In: Nutrition Bulletin, ISSN 1471-9827, E-ISSN 1467-3010, Vol. 50, no 3, p. 472-485Article in journal (Refereed) Published
Abstract [en]

This study explored experiences with time-restricted eating (TRE) and weight loss in the RESET trial, including 3 months of intervention and 3 months of follow-up. Participants were living with overweight and at risk for type 2 diabetes (T2D). Data included semi-structured interviews and body weight measurements at baseline, post-intervention and follow-up. Participants were grouped based on relative weight loss: (1) High weight loss (median −5.1% (range: −2.4% to −7.1%)) (n = 6), (2) moderate weight loss (median −1.1% (−1.4% to −0.7%)) (n = 7) and (3) low/no weight loss (median +0.8% (range: −0.2% to +3.4%)) (n = 7). Second, interviews were analysed longitudinally, applying content analysis. The concept of career was used to analyse TRE preparation, initiation, continuation and maintenance. Participants who achieved high weight loss when practicing TRE had structured daily routines, consistent meal patterns and strong social support from partners. They adapted quickly to TRE and maintained/furthered their weight loss during follow-up. Although weight loss was an initial motivator for all, participants motivated by health benefits found TRE easier and achieved better weight loss results than those overly focused on losing weight. Participants who achieved moderate weight loss faced TRE challenges due to inconsistent routines and motivations, often switching to ‘traditional dieting’ during follow-up. Participants who achieved low or no weight loss struggled with irregular routines, low social support, guilt when exceeding the eating window and viewing weight loss as an all-or-nothing goal of TRE, making it unmaintainable. In conclusion, successful TRE practice for weight loss requires greater flexibility in the concept, tailored guidance to adapt daily routines and strengthening social support.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025. Vol. 50, no 3, p. 472-485
Keywords [en]
body weight, food choice, healthy eating, intermittent fasting, public health, type 2 diabetes
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:umu:diva-242195DOI: 10.1111/nbu.70018ISI: 001523644600001PubMedID: 40619939Scopus ID: 2-s2.0-105009762193OAI: oai:DiVA.org:umu-242195DiVA, id: diva2:1983874
Funder
Novo Nordisk Foundation, NNF17OC0027822Available from: 2025-07-14 Created: 2025-07-14 Last updated: 2025-09-22Bibliographically approved

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Audulv, Åsa

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