Every year, 45 million American adults go on a diet. That’s not surprising when you consider that 180 million American adults—70 percent of us—are overweight or obese. But no matter which diet you choose—high-protein or high-fiber, low-carb or low-fat, keto or paleo, vegan or carnivore—it’s likely that dieting itself, with all its demands and deprivations, will be a difficult ordeal. It’s equally likely that when you go off your diet, you’ll slowly but surely regain all the weight you lost. It’s estimated that only one in 20 people who lose weight on a diet maintain weight loss long-term.
Restricting time, not food
The good news: Research my colleagues and I have conducted at the University of Illinois shows that there’s a way to lose weight that doesn’t involve dieting. This unique approach to weight loss is called time-restricted eating (TRE). Rather than restricting the foods you can eat, you restrict the times you can eat. On a daily basis, you eat all your food within a limited window of time—for example, between noon and 8 p.m. There are no special foods to emphasize, no “bad” foods to eliminate, and no calories to count. You just eat during fewer hours.
With TRE, you consume fewer calories because you spend less time during the day eating. Research shows that an eating window of eight hours accomplishes a daily reduction of 300 to 500 calories. This research is summarized in a scientific paper in the May 2022 issue of Nature Reviews/Endocrinology.
Less weight, better health
Studies show that, along with weight loss, TRE produces many health benefits in people who are overweight and obese:
- Less body fat, which generates inflammatory compounds that raise the risk for chronic disease
- Lower levels of fasting insulin. High levels of this glucose-regulating hormone are a risk factor for type 2 diabetes.
- Less insulin resistance, another risk factor for type 2 diabetes
- Balanced levels of blood sugar, which helps prevent or normalize type 2 diabetes
- Lower blood pressure. High blood pressure is a risk factor for heart attack and stroke.
- Lower triglycerides, a heart-harming blood fat
- Lower levels of 8-isoprostane, a biomarker of chronic inflammation.
Importantly, TRE does a better job of reducing insulin resistance than calorie restriction. That’s probably because not eating for a stretch of time helps the body know when to release insulin to regulate blood sugar and helps make cells more insulin sensitive.
In fact, in a study being readied for publication, my colleagues and I compared TRE to a calorie-restricted diet in people who had type 2 diabetes for at least 15 years. We found that calorie restriction was ineffective for weight loss and blood sugar control. It hardly worked at all. But TRE helped people with diabetes lose an average of 8 percent of their body weight—one of the most successful studies on weight loss in diabetes ever conducted. Some of the study participants were able to get off their diabetes medication, and some achieved full remission from type 2 diabetes, with A1c levels in the normal range.
Tips for TRE
Scientific research shows that people who successfully lose weight on a time-restricted diet adopt these simple habits:
Eat between noon and 8 p.m. You can do TRE any time that works for you, but in informal surveys, 95 percent of people who have made a lifestyle of time-restricted eating have chosen noon to 8 p.m. as their eating window. Many studies on time-restricted eating show that this is the time period that most people find preferable. Many study participants tend to dislike a time-restricted eating period of 10 a.m. to 6 p.m., because it’s likely they’ll miss the evening meal—the most social meal of the day. Don’t worry about skipping breakfast, which is sometimes touted as the “the most important meal of the day.” A recent study in BMJ analyzed 13 studies on breakfast and weight loss, involving more than 1,400 people, and found there was no health risk in skipping breakfast—and a slight advantage in losing weight.
You can lose weight eating almost any foods. In my research, we often provided weekly nutritional counseling to study participants, guiding them to increase their intake of fruits, vegetables, and other whole foods. It almost never worked. It is very hard to change dietary patterns, most of which are learned in childhood.
TRE can accomplish weight loss without changing the foods you eat. However, for overall health, it’s still important to try to eat more fruits, vegetables, and whole grains, and less processed foods, sugars, and saturated fats.
- Feel free to skip a day. Skipping TRE one day a week—for example, Saturday, so you can do more socializing—is fine. It won’t affect your ability to shed pounds and keep them off.
- Stay hydrated. It’s important to stay well-hydrated during the fasting period. Try to drink at least 68 ounces (2 liters) of water every day (along with any other beverages you drink).
- Drink no more than two diet sodas daily. Some research indicates that drinking diet soda increases cravings for sugary foods and imbalances insulin. For that reason, limit your intake of diet sodas to no more than two per day.
- Coffee and tea. Add no more than 1 teaspoon of sugar and 1 teaspoon of cream (or milk or half-and-half) to any cup of coffee or tea. Limit coffee and/or tea to no more than four cups per day.
- Alcohol is permitted. During your eating window, men can safely have two drinks, and women can have one. (A drink is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of distilled spirits.)
- If you have a history of eating disorders, don’t engage in TRE. TRE doesn’t cause eating disorders. But in people with a history of eating disorders, such as binge-eating disorder, TRE might trigger the problem. Also, TRE is contraindicated for pregnant or lactating women and for children under the age of 12, since the safety of TRE for these groups hasn’t been scientifically evaluated.