Review Article

The Effect of Time-Restricted Eating on Insulin Levels and Insulin Sensitivity in Patients with Polycystic Ovarian Syndrome: A Systematic Review

Table 1

Summary of typical intermittent fasting/time-restricted eating regimens.

RegimenDescription

Intermittent fasting/time-restricted eatingMost commonly involves fasting for 16–18 hours with an eating window of 6–8 hours, leveraging the natural circadian rhythm. Plain water and unsweetened fluids (black plain tea/coffee) are allowed
Time-restricted feedingRestriction of caloric intake to specific time periods of the day, typically 8–12 hours during daytime hours. Term typically used in animal studies
Alternate day complete fastingNo calorie intake on fasting days, followed by a day of ad lib intake (eating to satiety)
Alternate day modified fastingRestricted calorie intake on “fasting” days (<25% daily energy requirements), alternated with days of ad lib intake (eating to satiety)
Periodic fasting1-2 fasting days/week and 5-6 days of normal caloric intake
5 : 2
6 : 1
Ramadan fastingFasting from dawn until sunset followed by ad lib calorie intake after sunset to before dawn. Similar to time-restricted eating but conflicts with circadian rhythm
No water or fluids during fasting