Impact of Intermittent Fasting on Metabolic Syndrome Reversal in Older Adults

Authors

  • Adnan Saeed Shakir Department of Endocrinology, Services Hospital, Lahore, Punjab, Pakistan.
  • Mehr Un Nisa Mustafa DHQ Teaching Hospital, Mardan, KP, Pakistan.
  • Abdul Baqi Department of Orthopedics, Sheikh Zayed Hospital, Lahore, Punjab, Pakistan.
  • Aisha Akhter Department of Pharmacology, Faculty of Pharmacy, Jinnah University for Women, Karachi, Sindh, Pakistan.
  • Zubia Begum Department of Pharmacology, Faculty of Pharmacy, Jinnah University for Women, Karachi, Sindh, Pakistan.
  • Hinza Shamraz Sir Syed College of Medical Sciences for Girls, Karachi, Sindh, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i7.2669

Keywords:

Intermittent Fasting, Metabolic Syndrome, Older Adults, Insulin Resistance, Glycemic Control, Lipid Profile.

Abstract

Background: The reasons behind the increased prevalence of metabolic syndrome in older individuals are cumulative metabolic stress, a drop in insulin sensitivity, and inactive lifestyles. Intermittent fasting has become one of the possible non-pharmacological approaches, although the evidence was scarce in older age groups. Objective: To evaluate the impact of a structured intermittent fasting regimen on metabolic syndrome reversal and related metabolic parameters in older adults. Methodology: The prospective interventional study was planned to take place between November 2024 and May 2025 at the department of Endocrinology, Services Hospital, Lahore, Pakistan. A total of seventy two adults between the ages of 60 years and older with metabolic syndrome were enrolled. The subjects were put on a 16:8 intermittent fasting program in 12 weeks. Before and after the intervention, anthropometric measurements and glycemic parameters, lipid profile, and blood pressure were monitored. Paired statistical tests were used in comparing outcomes. Results: Intermittent fasting was associated with great weight, BMI, waist circumference, fasting glucose and HbA1c, insulin resistance, total cholesterol, LDL, triglycerides, systolic and diastolic blood pressure reductions (all p < 0.05). Twenty-five percent of the participants had full reversal of their metabolic syndrome and 58% had partial improvement. Compliance was excellent and negative events were low and mild. Conclusion: There were significant changes in metabolism observed with intermittent fasting and some degree of recovery or complete recovery of metabolic syndrome in a considerable percentage of older adults. The regimen was highly accepted and can provide an effective lifestyle intervention to reduce the metabolic risk in ageing communities.

Downloads

Download data is not yet available.

References

1. Parveen, S., & Alhazmi, Y. A. (2022). Impact of intermittent fasting on metabolic syndrome and periodontal disease—A suggested preventive strategy to reduce the public health burden. International Journal of Environmental Research and Public Health, 19(21), 14536.

https://doi.org/10.3390/ijerph192114536

2. Rajpal, A., & Ismail‐Beigi, F. (2020). Intermittent fasting and ‘metabolic switch’: Effects on metabolic syndrome, prediabetes and type 2 diabetes. Diabetes, Obesity and Metabolism, 22(9), 1496-1510.

https://doi.org/10.1111/dom.14080

3. Joaquim, L., Faria, A., Loureiro, H., & Matafome, P. (2022). Benefits, mechanisms, and risks of intermittent fasting in metabolic syndrome and type 2 diabetes. Journal of Physiology and Biochemistry, 78(2), 295-305.

https://doi.org/10.1007/s13105-021-00839-4

4. Guo, Y., Luo, S., Ye, Y., Yin, S., Fan, J., & Xia, M. (2020). Intermittent fasting improves Cardiometabolic risk factors and alters gut microbiota in metabolic syndrome patients. The Journal of Clinical Endocrinology & Metabolism, 106(1), 64-79.

https://doi.org/10.1210/clinem/dgaa644

5. Kunduraci, Y. E., & Ozbek, H. (2020). Does the energy restriction intermittent fasting diet alleviate metabolic syndrome biomarkers? A randomized controlled trial. Nutrients, 12(10), 3213.

https://doi.org/10.3390/nu12103213

6. Faris A., Jahrami, H. A., Alsibai, J., & Obaideen, A. A. (2019). Impact of Ramadan diurnal intermittent fasting on the metabolic syndrome components in healthy, non-athletic Muslim people aged over 15 years: A systematic review and meta-analysis. British Journal of Nutrition, 123(1), 1-22.

https://doi.org/10.1017/s000711451900254x

7. Vasim, I., Majeed, C. N., & DeBoer, M. D. (2022). Intermittent fasting and metabolic health. Nutrients, 14(3), 631.

https://doi.org/10.3390/nu14030631

8. Yuan, X., Wang, J., Yang, S., Gao, M., Cao, L., Li, X., Hong, D., Tian, S., & Sun, C. (2022). Effect of intermittent fasting diet on glucose and lipid metabolism and insulin resistance in patients with impaired glucose and lipid metabolism: A systematic review and meta-analysis. International Journal of Endocrinology, 2022, 1-9.

https://doi.org/10.1155/2022/6999907

9. Borgundvaag, E., Mak, J., & Kramer, C. K. (2020). Metabolic impact of intermittent fasting in patients with type 2 diabetes mellitus: A systematic review and meta-analysis of interventional studies. The Journal of Clinical Endocrinology & Metabolism, 106(3), 902-911.

https://doi.org/10.1210/clinem/dgaa926

10. Zhu, S., Surampudi, P., Rosharavan, B., & Chondronikola, M. (2020). Intermittent fasting as a nutrition approach against obesity and metabolic disease. Current Opinion in Clinical Nutrition & Metabolic Care, 23(6), 387-394.

https://doi.org/10.1097/mco.0000000000000694

11. Mindikoglu, A. L., Abdulsada, M. M., Jain, A., Jalal, P. K., Devaraj, S., Wilhelm, Z. R., Opekun, A. R., & Jung, S. Y. (2020). Intermittent fasting from dawn to sunset for four consecutive weeks induces anticancer serum proteome response and improves metabolic syndrome. Scientific Reports, 10(1).

https://doi.org/10.1038/s41598-020-73767-w

12. Wang, X., Li, Q., Liu, Y., Jiang, H., & Chen, W. (2021). Intermittent fasting versus continuous energy-restricted diet for patients with type 2 diabetes mellitus and metabolic syndrome for glycemic control: A systematic review and meta-analysis of randomized controlled trials. Diabetes Research and Clinical Practice, 179, 109003.

https://doi.org/10.1016/j.diabres.2021.109003

13. Templeman, I., Gonzalez, J. T., Thompson, D., & Betts, J. A. (2019). The role of intermittent fasting and meal timing in weight management and metabolic health. Proceedings of the Nutrition Society, 79(1), 76-87.

https://doi.org/10.1017/s0029665119000636

14. Brocchi, A., Rebelos, E., Dardano, A., Mantuano, M., & Daniele, G. (2022). Effects of intermittent fasting on brain metabolism. Nutrients, 14(6), 1275.

https://doi.org/10.3390/nu14061275

15. Meng, H., Zhu, L., Kord-Varkaneh, H., O Santos, H., Tinsley, G. M., & Fu, P. (2020). Effects of intermittent fasting and energy-restricted diets on lipid profile: A systematic review and meta-analysis. Nutrition, 77, 110801.

https://doi.org/10.1016/j.nut.2020.110801

16. Gudden, J., Arias Vasquez, A., & Bloemendaal, M. (2021). The effects of intermittent fasting on brain and cognitive function. Nutrients, 13(9), 3166.

https://doi.org/10.3390/nu13093166

17. Hoddy, K. K., Marlatt, K. L., Çetinkaya, H., & Ravussin, E. (2020). Intermittent fasting and metabolic health: From religious fast to time‐restricted feeding. Obesity, 28(S1).

https://doi.org/10.1002/oby.22829

18. Morales-Suarez-Varela, M., Collado Sánchez, E., Peraita-Costa, I., Llopis-Morales, A., & Soriano, J. M. (2021). Intermittent fasting and the possible benefits in obesity, diabetes, and multiple sclerosis: A systematic review of randomized clinical trials. Nutrients, 13(9), 3179.

https://doi.org/10.3390/nu13093179

19. Mindikoglu, A. L., Abdulsada, M. M., Jain, A., Choi, J. M., Jalal, P. K., Devaraj, S., Mezzari, M. P., Petrosino, J. F., Opekun, A. R., & Jung, S. Y. (2020). Intermittent fasting from dawn to sunset for 30 consecutive days is associated with anticancer proteomic signature and upregulates key regulatory proteins of glucose and lipid metabolism, circadian clock, DNA repair, cytoskeleton remodeling, immune system and cognitive function in healthy subjects. Journal of Proteomics, 217, 103645.

https://doi.org/10.1016/j.jprot.2020.103645

20. Dote-Montero, M., Sanchez-Delgado, G., & Ravussin, E. (2022). Effects of intermittent fasting on Cardiometabolic health: An energy metabolism perspective. Nutrients, 14(3), 489.

https://doi.org/10.3390/nu14030489

Downloads

Published

2025-07-15

How to Cite

Shakir, A. S., Mustafa, M. U. N., Abdul Baqi, Akhter, A., Begum, Z., & Shamraz, H. (2025). Impact of Intermittent Fasting on Metabolic Syndrome Reversal in Older Adults. Indus Journal of Bioscience Research, 3(7), 1364-1367. https://doi.org/10.70749/ijbr.v3i7.2669