BBC Science Focus

TIME-RESTRICTED EATING LINKED TO HIGHER RISK OF CARDIOVASC­ULAR DEATH

Skipping breakfast might not be so good for your health, after all

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Amajor new study could rock people’s opinion of timerestri­cted eating (a form of intermitte­nt fasting), after finding the practice could significan­tly increase the chances of death due to cardiovasc­ular disease. The new research, presented to the American Heart Associatio­n, claims that restrictin­g your eating to a period of fewer than eight hours per day raises your risk of death due to cardiovasc­ular disease by a staggering 91 per cent.

The study evaluated 20,000 participan­ts’ diets and health outcomes over a period of 17 years. However, it failed to identify even one cause of death for which the risk was reduced by restrictin­g eating to an eight-hour window. A total of 2,797 deaths were recorded among the participan­ts in the study, 840 of which were from cardiovasc­ular causes. The average age of the study participan­ts was 49. The study’s senior author Prof Victor Wenze Zhong, chair of the Department of Epidemiolo­gy and Biostatist­ics at the Shanghai Jiao Tong University School of Medicine, was surprised by the results. “[I] had expected that long-term adoption of eight-hour time-restricted eating would be associated with a lower risk of cardiovasc­ular death and even all-cause death,” he told BBC Science Focus.

“Even though this type of diet has been popular due to its potential short-term benefits, our research clearly shows that, compared with a typical eating time range of 12–16 hours per day, a shorter eating duration wasn’t associated with living longer,” he added.

Despite the study’s compelling statistics, scientists are unsure exactly why time-restricted eating could heighten the risk of cardiovasc­ular death. One possible explanatio­n, Zhong said, could be that restrictin­g eating reduces muscle mass. “Loss of lean body mass has been linked to a higher risk of cardiovasc­ular mortality,” he said.

Time-restricted eating has gained a lot of attention over the past few years for the various health benefits it’s purported to offer, such as weight loss, and reductions in blood sugar and cholestero­l levels. But even if those benefits stand up to scrutiny, the new study casts doubt over the practice’s long-term efficacy.

“This study suggests that time-restricted eating may have short-term benefits, but long-term adverse effects,” said Dr Christophe­r Gardner, Professor of Medicine at Stanford University. But Gardner emphasised that the study still has to be peer-reviewed and details of what foods participan­ts ate have yet to be revealed.

This informatio­n could reveal nutrient density as an alternativ­e explanatio­n to the study’s results, which Zhong acknowledg­es.

“Based on the evidence as of now, focusing on what people eat appears to be more important than focusing on the time when they eat,” he said.

“Time-restricted eating may have short-term benefits, but long-term adverse effects”

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