Original Article

International Journal of Obesity advance online publication 19 September 2017; doi: 10.1038/ijo.2017.206

Intermittent energy restriction improves weight loss efficiency in obese men: the MATADOR study
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N M Byrne1,2, A Sainsbury3, N A King2, A P Hills1,2 and R E Wood1,2

  1. 1School of Health Sciences, Faculty of Health, University of Tasmania, Launceston, Tasmania, Australia
  2. 2Queensland University of Technology, School of Exercise and Nutrition Sciences and Institute of Health and Biomedical Innovation, Brisbane, Queensland, Australia
  3. 3The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders, Sydney Medical School, Charles Perkins Centre, The University of Sydney, Camperdown New South Wales, Australia

Correspondence: Professor NM Byrne, School of Health Sciences, Faculty of Health, University of Tasmania, Newnham Campus, Launceston, Tasmania 7250, Australia. E-mail: nuala.byrne@utas.edu.au

Received 3 March 2017; Revised 2 July 2017; Accepted 6 August 2017
Accepted article preview online 17 August 2017; Advance online publication 19 September 2017

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Abstract

Background/Objectives:

 

The MATADOR (Minimising Adaptive Thermogenesis And Deactivating Obesity Rebound) study examined whether intermittent energy restriction (ER) improved weight loss efficiency compared with continuous ER and, if so, whether intermittent ER attenuated compensatory responses associated with ER.

Subjects/Methods:

 

Fifty-one men with obesity were randomised to 16 weeks of either: (1) continuous (CON), or (2) intermittent (INT) ER completed as 8 × 2-week blocks of ER alternating with 7 × 2-week blocks of energy balance (30 weeks total). Forty-seven participants completed a 4-week baseline phase and commenced the intervention (CON: N=23, 39.4±6.8 years, 111.1±9.1kg, 34.3±3.0kgm−2; INT: N=24, 39.8±9.5 years, 110.2±13.8kg, 34.1±4.0kgm−2). During ER, energy intake was equivalent to 67% of weight maintenance requirements in both groups. Body weight, fat mass (FM), fat-free mass (FFM) and resting energy expenditure (REE) were measured throughout the study.

Results:

 

For the N=19 CON and N=17 INT who completed the intervention per protocol, weight loss was greater for INT (14.1±5.6 vs 9.1±2.9kg; P<0.001). INT had greater FM loss (12.3±4.8 vs 8.0±4.2kg; P<0.01), but FFM loss was similar (INT: 1.8±1.6 vs CON: 1.2±2.5kg; P=0.4). Mean weight change during the 7 × 2-week INT energy balance blocks was minimal (0.0±0.3kg). While reduction in absolute REE did not differ between groups (INT: -502±481 vs CON: −624±557kJd−1; P=0.5), after adjusting for changes in body composition, it was significantly lower in INT (INT: −360±502 vs CON: −749±498kJd−1; P<0.05).

Conclusions:

 

Greater weight and fat loss was achieved with intermittent ER. Interrupting ER with energy balance ‘rest periods’ may reduce compensatory metabolic responses and, in turn, improve weight loss efficiency.

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