Meal timing for obese patients

Dr. Feigenbaum,

In the other post you made the reply quoted below. I wanted to ask for a little clarification, is the weight loss due to controlled meal timing due to the patients ability to better stay on the prescribed diet, or is it simply a function of the meal timing itself?

For example, do patients who eat later in the day lose less weight due to behavioral issues that cause them to eat more than prescribed (because of the later meal timing), or is it simply a function of losing less weight due to the later meal timing?

Furthermore, based on what you said, can i assume that an obese patient who doss not have glucose control issues does not benefit from meal timing?

I am particularly interested as I am currently an obese patient who recently won a battle with pre-diabetes. I am currently eating a controlled caloric diet and am interested to know if meal timing can help to accelerate my weight loss journey. But if it’s a behavioral issue that’s less helpful.

-Arthur

We don’t really know!

There are only a few controlled studies (e.g. metabolic ward studies) as compared to free-living trials. My gestalt is that there are two major mechanisms going on:

  1. Consistent meal timing driving more consistent eating habits and appropriate appetite-satiety signaling
  2. Circadian rhythm -related hormone differences improving appetite-satiety signaling

We’ll see in the future!

How fascinating. Thank you very much for your expertise and time.