Effects of Different Caloric Restriction Patterns on Blood Pressure and Other Cardiovascular Risk Factors: A Systematic Review and Network Meta-Analysis of Randomized Trials.

Context All types of caloric restriction are preventive against cardiovascular risk factors, but the best restriction method and most affected factors have not been identified. Objective The objective of this study was to explore the effects of different caloric restriction methods on various cardio...

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Publicado en:Nutrition Reviews Vol. 83; no. 4; pp. 636 - 648
Autores principales: Zhang, Hui, Du, Jinchao, Zhang, Mingchen, Li, Tingting, Zhang, Pingping, Wang, Xiaowen, Sun, Zhongguang
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2025
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      pub: Oxford University Press / USA
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        atl: Effects of Different Caloric Restriction Patterns on Blood Pressure and Other Cardiovascular Risk Factors: A Systematic Review and Network Meta-Analysis of Randomized Trials.
      aug:
        au:
          Zhang, Hui
          Du, Jinchao
          Zhang, Mingchen
          Li, Tingting
          Zhang, Pingping
          Wang, Xiaowen
          Sun, Zhongguang
        affil: School of Rehabilitation Medicine, Shandong Second Medical University, Weifang 261053, China
      sug:
        subj:
          Energy Intake
          Diet, Fat-Restricted
          Dietary Patterns
          Blood Pressure
          Cardiovascular Risk Factors Prevention and Control
          Human
          Systematic Review
          Meta Analysis
          Cholesterol, Dietary
          Dietary Fats
          Dietary Carbohydrates
          Funding Source
          PubMed
          Cochrane Library
          Embase
          Intermittent Fasting
          Body Mass Index
          Waist Circumference
          Hypertension Prevention and Control
          Obesity Prevention and Control
          Checklists
          Data Analysis Software
      ab: Context All types of caloric restriction are preventive against cardiovascular risk factors, but the best restriction method and most affected factors have not been identified. Objective The objective of this study was to explore the effects of different caloric restriction methods on various cardiovascular risk factors by horizontally comparing program advantages and disadvantages via network meta-analysis. Data Sources The PubMed, Web of Science, Cochrane Library, and Embase literature databases were searched (October 2013 to October 2023). Data Extraction Eligible randomized controlled trials involving participants who underwent caloric restriction and systolic blood pressure (SBP), diastolic blood pressure (DBP), body mass index (BMI), and high-density lipoprotein (HDL) cholesterol level measurements were included. Data Analysis Thirty-six of 13 208 records (0.27%) were included. Two researchers reviewed the articles, extracted data, and assessed article quality. Results Alternate-day fasting (ADF) reduced SBP (4.88 mmHg; CI, 2.06-7.15) and DBP (5.10 mmHg; CI, 2.44-7.76). Time-restricted eating reduced SBP (2.46 mmHg; CI, 0.16-4.76) but not DBP. Continuous energy restriction (CER) significantly reduced BMI (1.11 kg/m2; CI = 0.16, 2.06) and waist circumference (3.28 cm; CI, 0.62-5.94). Conclusions This meta-analysis confirmed the preventive effect of CER and ADF on various cardiovascular risk factors. Additionally, CER is more likely to reduce obesity, and ADF is more likely to reduce blood pressure (BP). Based on this meta-analysis, CER is recommended to control obesity only for people who are obese and do not have elevated BP or other abnormal indicators. Additionally, ADF for early control or prevention is recommended for patients who have abnormal BP or other cardiovascular risk factors. Systematic Review Registration PROSPERO registration no. CRD42023455889.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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