Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis

There are suggestions that large evening meals are associated with greater BMI. This study reviewed systematically the association between evening energy intake and weight in adults and aimed to determine whether reducing evening intake achieves weight loss. Databases searched were MEDLINE, PubMed,...

Full description

Bibliographic Details
Main Authors: Fong, M, Caterson, ID, Madigan, CD
Format: Journal article
Published: Cambridge University Press 2017
_version_ 1826305332821884928
author Fong, M
Caterson, ID
Madigan, CD
author_facet Fong, M
Caterson, ID
Madigan, CD
author_sort Fong, M
collection OXFORD
description There are suggestions that large evening meals are associated with greater BMI. This study reviewed systematically the association between evening energy intake and weight in adults and aimed to determine whether reducing evening intake achieves weight loss. Databases searched were MEDLINE, PubMed, Cinahl, Web of Science, Cochrane Library of Clinical Trials, EMBASE and SCOPUS. Eligible observational studies investigated the relationship between BMI and evening energy intake. Eligible intervention trials compared weight change between groups where the proportion of evening intake was manipulated. Evening intake was defined as energy consumed during a certain time – for example 18.00–21.00 hours – or self-defined meal slots – that is ‘dinner’. The search yielded 121 full texts that were reviewed for eligibility by two independent reviewers. In all, ten observational studies and eight clinical trials were included in the systematic review with four and five included in the meta-analyses, respectively. Four observational studies showed a positive association between large evening intake and BMI, five showed no association and one showed an inverse relationship. The meta-analysis of observational studies showed a non-significant trend between BMI and evening intake (P=0·06). The meta-analysis of intervention trials showed no difference in weight change between small and large dinner groups (−0·89 kg; 95 % CI −2·52, 0·75, P=0·29). This analysis was limited by significant heterogeneity, and many trials had an unknown or high risk of bias. Recommendations to reduce evening intake for weight loss cannot be substantiated by clinical evidence, and more well-controlled intervention trials are needed.
first_indexed 2024-03-07T06:31:18Z
format Journal article
id oxford-uuid:f614296e-f99e-4788-b48a-b7b004d4462c
institution University of Oxford
last_indexed 2024-03-07T06:31:18Z
publishDate 2017
publisher Cambridge University Press
record_format dspace
spelling oxford-uuid:f614296e-f99e-4788-b48a-b7b004d4462c2022-03-27T12:32:18ZAre large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f614296e-f99e-4788-b48a-b7b004d4462cSymplectic Elements at OxfordCambridge University Press2017Fong, MCaterson, IDMadigan, CDThere are suggestions that large evening meals are associated with greater BMI. This study reviewed systematically the association between evening energy intake and weight in adults and aimed to determine whether reducing evening intake achieves weight loss. Databases searched were MEDLINE, PubMed, Cinahl, Web of Science, Cochrane Library of Clinical Trials, EMBASE and SCOPUS. Eligible observational studies investigated the relationship between BMI and evening energy intake. Eligible intervention trials compared weight change between groups where the proportion of evening intake was manipulated. Evening intake was defined as energy consumed during a certain time – for example 18.00–21.00 hours – or self-defined meal slots – that is ‘dinner’. The search yielded 121 full texts that were reviewed for eligibility by two independent reviewers. In all, ten observational studies and eight clinical trials were included in the systematic review with four and five included in the meta-analyses, respectively. Four observational studies showed a positive association between large evening intake and BMI, five showed no association and one showed an inverse relationship. The meta-analysis of observational studies showed a non-significant trend between BMI and evening intake (P=0·06). The meta-analysis of intervention trials showed no difference in weight change between small and large dinner groups (−0·89 kg; 95 % CI −2·52, 0·75, P=0·29). This analysis was limited by significant heterogeneity, and many trials had an unknown or high risk of bias. Recommendations to reduce evening intake for weight loss cannot be substantiated by clinical evidence, and more well-controlled intervention trials are needed.
spellingShingle Fong, M
Caterson, ID
Madigan, CD
Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis
title Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis
title_full Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis
title_fullStr Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis
title_full_unstemmed Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis
title_short Are large dinners associated with excess weight, and does eating a smaller dinner achieve greater weight loss? A systematic review and meta-analysis
title_sort are large dinners associated with excess weight and does eating a smaller dinner achieve greater weight loss a systematic review and meta analysis
work_keys_str_mv AT fongm arelargedinnersassociatedwithexcessweightanddoeseatingasmallerdinnerachievegreaterweightlossasystematicreviewandmetaanalysis
AT catersonid arelargedinnersassociatedwithexcessweightanddoeseatingasmallerdinnerachievegreaterweightlossasystematicreviewandmetaanalysis
AT madigancd arelargedinnersassociatedwithexcessweightanddoeseatingasmallerdinnerachievegreaterweightlossasystematicreviewandmetaanalysis