Effect of a ketogenic diet, time-restricted eating, or alternate-day fasting on changes in ambulatory blood pressure: a sub-analysis of a randomized clinical trial - Summary - MDSpire

Effect of a ketogenic diet, time-restricted eating, or alternate-day fasting on changes in ambulatory blood pressure: a sub-analysis of a randomized clinical trial

  • By

  • Ana María Gómez-Pérez

  • Borja Bandera-Merchán

  • José Ignacio Martínez-Montoro

  • Mario Gutiérrez-Bedmar

  • Cristina Díaz-Perdigones

  • Alba Subiri-Verdugo

  • Isabel Moreno-Indias

  • Francisco J Tinahones

  • September 5, 2025

  • 0 min

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Objective:

To assess changes in blood pressure through 24-h ambulatory blood pressure monitoring (ABPM) in different hypocaloric diets differing in their theoretical ketogenic potential, particularly in the context of obesity management.

Key Findings:
  • All groups showed statistically significant changes in anthropometric parameters, with mADF exhibiting the greatest improvements in ABPM parameters post-intervention.
  • lTRE showed some improvements, while other groups did not demonstrate significant changes.
  • mADF influenced the reduction in 24-h systolic blood pressure, highlighting its effectiveness.
  • Changes in body fat were linked to reductions in blood pressure, suggesting a potential mechanism.
Interpretation:

Different hypocaloric diets have varying effectiveness in reducing blood pressure, with modified alternate-day fasting being the most effective approach, which may inform dietary recommendations for obesity management.

Limitations:
  • Single-centre study may limit generalizability to broader populations.
  • Sample size of 96 participants may not capture the effects across diverse demographics.
Conclusion:

Low-calorie diets with varying ketogenic potentials can effectively reduce blood pressure in obese individuals, with mADF being the most beneficial approach.

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