The impact of weight cycling on health outcomes in animal models: A systematic review and meta‐analysis

• Published in: Obesity reviews 2022-05, Vol.23 (5), p.e13416-n/a
• Main Authors: Thillainadesan, Senthil, Madsen, Søren, James, David E., Hocking, Samantha L.
• Format: Article
• Language: English
• Subjects: Animal models; Animals; Body weight; Body weight loss; Cycles; Diet; Diet, Reducing - methods; Glucose; Glucose tolerance; Humans; Meta-analysis; Obesity; Outcome Assessment, Health Care; Overweight; Pattern analysis; Reviews; Systematic review; Weight control; Weight Cycling; Weight Loss
• ISSN: 1467-7881; 1467-789X
• DOI: 10.1111/obr.13416

Summary The pattern of weight loss and regain, termed “weight cycling,” is common in overweight individuals. It is unclear whether the well‐established benefits of weight loss persist following weight regain or whether weight cycling is harmful. Human studies of weight cycling have conflicting results reflecting limitations of the observational designs of these studies. By controlling the macronutrient content of diets in animal studies, weight cycling can be studied in a highly controlled manner, thereby overcoming the limitations of human studies. We conducted a systematic review and meta‐analysis of animal studies which assessed the health consequences of weight cycling. Studies were classified into those which compared weight cycling to lifelong obesity and those which compared weight cycling to later onset obesity. There were no differences in health outcomes between weight cycled animals and those with lifelong obesity, highlighting that weight regain reverses health benefits achieved by weight loss. In comparison with animals with later onset obesity, weight cycled animals had higher fasting glucose levels and more impaired glucose tolerance following weight regain. Our review of animal studies suggests that health benefits of diet‐induced weight loss do not persist after weight regain and weight cycling results in adverse metabolic outcomes.