{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:23:53Z","timestamp":1787509433193,"version":"build-2736575974"},"reference-count":56,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>This study aimed to evaluate the impact of time-restricted eating (TRE) on neuro-physiological parameters, objective and subjective sleep, pulmonary capacity, and postural balance among women with excess body weight. Methods: Thirty-one participants were assigned to either a TRE group (n = 15, 28.74 \u00b1 9.25 years, 88.32 \u00b1 13.38 kg, and 32.71 \u00b1 5.15 kg\/m2), engaging in ad libitum 16 h fasting over a 12-week period, or a control group (CG, n = 16, 36.25 \u00b1 11.52 years, 90.88 \u00b1 19.01 kg, and 33.66 \u00b1 6.18 kg\/m2). The assessment of heart rate variability (HRV), spirometric parameters (forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1\/ FVC ratio, objective and subjective sleep assessments employing actigraphy and the Epworth Sleepiness Scale, and postural balance using the Y balance test (YBT) were conducted before and after the intervention. Results: No significant negative effects of TRE were observed for HRV and objective sleep parameters. Only the TRE group improved FEV1 in both sitting (p &lt; 0.0005) and supine positions (p = 0.001). Furthermore, the TRE group showed improvement in postural balance performance compared to the CG in anterior (p = 0.03), postero-medial (p = 0.04), and postero-lateral directions (p = 0.003). Conclusion: This study highlights TRE as a feasible and safe dietary intervention with significant improvements in postural balance and pulmonary function, without any negative impact on HRV or objective sleep assessments among overweight or obese women.<\/jats:p>","DOI":"10.3390\/nu16172919","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T07:59:40Z","timestamp":1725263980000},"page":"2919","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Time-Restricted Eating Benefits on Pulmonary Function and Postural Balance in Overweight or Obese Women"],"prefix":"10.3390","volume":"16","author":[{"given":"Sarra","family":"Miladi","sequence":"first","affiliation":[{"name":"Interdisciplinary Laboratory in Neurosciences, Physiology, and Psychology: Physical Activity, Health, and Learning\u2014LINP2, UFR STAPS, Paris Nanterre University, 92000 Nanterre, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5002-687X","authenticated-orcid":false,"given":"Omar","family":"Hammouda","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory in Neurosciences, Physiology, and Psychology: Physical Activity, Health, and Learning\u2014LINP2, UFR STAPS, Paris Nanterre University, 92000 Nanterre, France"},{"name":"Research Laboratory, Molecular Bases of Human Pathology, LR19ES13, Faculty of Medicine, University of Sfax, Sfax 3000, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranya","family":"Ameur","sequence":"additional","affiliation":[{"name":"High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia"},{"name":"Research Laboratory of Evaluation and Management of Musculoskeletal System Pathologies, LR20ES09, University of Sfax, Sfax 3000, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirine C.","family":"Miladi","sequence":"additional","affiliation":[{"name":"High Institute of Sport and Physical Education of Sfax, University of Sfax, Sfax 3000, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4262-7963","authenticated-orcid":false,"given":"Walid","family":"Feki","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Hedi Chaker Hospital, University of Sfax, Sfax 3000, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6109-7393","authenticated-orcid":false,"given":"Tarak","family":"Driss","sequence":"additional","affiliation":[{"name":"Interdisciplinary Laboratory in Neurosciences, Physiology, and Psychology: Physical Activity, Health, and Learning\u2014LINP2, UFR STAPS, Paris Nanterre University, 92000 Nanterre, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"109000","DOI":"10.1016\/j.isci.2024.109000","article-title":"Time-restricted eating improves health because of energy deficit and circadian rhythm: A systematic review and meta-analysis","volume":"27","author":"Chang","year":"2024","journal-title":"iScience"},{"key":"ref_2","first-page":"2218","article-title":"Obesity and cardiovascular disease: Mechanistic insights and management strategies. A joint position paper by the World Heart Federation and World Obesity Federation","volume":"29","author":"Almahmeed","year":"2022","journal-title":"Eur. Heart J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1414","DOI":"10.1152\/jn.00254.2023","article-title":"Central mechanisms in sympathetic nervous dysregulation in obesity","volume":"130","author":"Patel","year":"2023","journal-title":"J. Neurophysiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1677\/joe.0.1640059","article-title":"Autonomic cardiovascular regulation in obesity","volume":"164","author":"Mussgay","year":"2000","journal-title":"J. Endocrinol."},{"key":"ref_5","first-page":"2022030031","article-title":"Effects of Cardiovagal Training on Autonomic Function, Inflammatory Markers and Insulin Levels in Adults with Obesity","volume":"12","year":"2022","journal-title":"Preprints"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"220263","DOI":"10.1183\/20734735.0263-2022","article-title":"Respiratory complications of obesity: From early changes to respiratory failure","volume":"19","author":"Shah","year":"2023","journal-title":"Breathe"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1097\/ALN.0000000000003154","article-title":"Ventilatory Mechanics in the Patient with Obesity","volume":"132","author":"Grassi","year":"2020","journal-title":"Anesthesiology"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Lo Mauro, A., Tringali, G., Codecasa, F., Abbruzzese, L., Sartorio, A., and Aliverti, A. (2023). Pulmonary and chest wall function in obese adults. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-44222-3"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Zhou, N., Forton, K., Motoji, Y., Scoubeau, C., Klass, M., Naeije, R., and Faoro, V. (2022). Right ventricular-pulmonary arterial coupling impairment and exercise capacity in obese adults. Front. Cardiovasc. Med., 9.","DOI":"10.3389\/fcvm.2022.946155"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.jsmc.2024.04.001","article-title":"Pathophysiology of Chronic Hypercapnic Respiratory Failure","volume":"19","author":"Nanayakkara","year":"2024","journal-title":"Sleep. Med. Clin."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Hagenburg, J., Bertin, E., Salmon, J.-H., Thierry, A., Perotin, J.-M., Dormoy, V., Dury, S., Gaubil, I., Bolko, L., and Lebargy, F. (2022). Association between obesity-related dyspnea in daily living, lung function and body composition analyzed by DXA: A prospective study of 130 patients. BMC Pulm. Med., 22.","DOI":"10.1186\/s12890-022-01884-5"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1007\/s11154-023-09805-5","article-title":"Physical activity and exercise for weight loss and maintenance in people living with obesity","volume":"24","author":"Oppert","year":"2023","journal-title":"Rev. Endocr. Metab. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Rijal, A., Adhikari, T.B., Dhakal, S., Maagaard, M., Piri, R., Nielsen, E.E., Neupane, D., Jakobsen, J.C., and Olsen, M.H. (2024). Effect of exercise on functional capacity and body weight for people with hypertension, type 2 diabetes, or cardiovascular disease: A systematic review with meta-analysis and trial sequential analysis. BMC Sports Sci. Med. Rehabil., 16.","DOI":"10.1186\/s13102-024-00829-1"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Verd\u00fa, E., Homs, J., and Boadas-Vaello, P. (2021). Physiological Changes and Pathological Pain Associated with Sedentary Lifestyle-Induced Body Systems Fat Accumulation and Their Modulation by Physical Exercise. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182413333"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.pcad.2022.11.013","article-title":"Updates on obesity and the obesity paradox in cardiovascular diseases","volume":"78","author":"Tutor","year":"2023","journal-title":"Prog. Cardiovasc. Dis."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.alit.2023.08.007","article-title":"Impact of obesity in asthma: Possible future therapies","volume":"73","author":"Tashiro","year":"2024","journal-title":"Allergol. Int."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1080\/17476348.2018.1506331","article-title":"The effect of obesity on lung function","volume":"12","author":"Peters","year":"2018","journal-title":"Expert Rev. Respir. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e310","DOI":"10.18295\/squmj.2019.19.04.006","article-title":"The Effect of Change in Posture on Spirometry in Patients with Obstructive Sleep Apnoea Syndrome","volume":"19","author":"Kuppuswamy","year":"2019","journal-title":"Sultan Qaboos Univ. Med. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1530\/JOE-21-0155","article-title":"The links between sleep duration, obesity and type 2 diabetes mellitus","volume":"252","author":"Antza","year":"2022","journal-title":"J. Endocrinol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2369613","DOI":"10.1080\/15502783.2024.2369613","article-title":"6-week time-restricted eating improves body composition, maintains exercise performance, without exacerbating eating disorder in female DanceSport dancers","volume":"21","author":"Zhou","year":"2024","journal-title":"J. Int. Soc. Sports Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1210\/endrev\/bnab027","article-title":"Time-restricted Eating for the Prevention and Management of Metabolic Diseases","volume":"43","author":"Manoogian","year":"2022","journal-title":"Endocr. Rev."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Crose, A., Alvear, A., Singroy, S., Wang, Q., Manoogian, E., Panda, S., Mashek, D.G., and Chow, L.S. (2022). Time-Restricted Eating Improves Quality of Life Measures in Overweight Humans. Nutr. J., 13.","DOI":"10.3390\/nu13051430"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Jamshed, H., Beyl, R.A., Della Manna, D.L., Yang, E.S., Ravussin, E., and Peterson, C.M. (2019). Early Time-Restricted Feeding Improves 24-Hour Glucose Levels and Affects Markers of the Circadian Clock, Aging, and Autophagy in Humans. Nutr. J., 11.","DOI":"10.3390\/nu11061234"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Wang, R., Liao, Y., Deng, Y., and Shuang, R. (2024). Unraveling the Health Benefits and Mechanisms of Time-Restricted Feeding: Beyond Caloric Restriction. Nutr. Rev., nuae074.","DOI":"10.1093\/nutrit\/nuae074"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.2174\/0109298673275492231121062033","article-title":"Unlocking the Benefits of Fasting: A Review of Its Impact on Various Biological Systems and Human Health","volume":"31","author":"Mackieh","year":"2023","journal-title":"Curr. Med. Chem."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"111504","DOI":"10.1016\/j.nut.2021.111504","article-title":"Effect of time-restricted feeding on body composition and cardio-metabolic risk in middle-aged women in Taiwan","volume":"93","author":"Lin","year":"2022","journal-title":"Nutrition"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Zimmermann, P., Herz, D., Karl, S., Wei\u00df, J.W., Lackner, H.K., Erlmann, M.P., Sourij, H., Schierbauer, J., Haupt, S., and Aberer, F. (2023). Effects of Different Fasting Interventions on Cardiac Autonomic Modulation in Healthy Individuals: A Secondary Outcome Analysis of the EDIF Trial. Biology, 12.","DOI":"10.3390\/biology12030372"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"15579883221103418","DOI":"10.1177\/15579883221103418","article-title":"Effects of Walking Football during Ramadan Fasting on Heart Rate Variability and Physical Fitness in Healthy Middle-Aged Males","volume":"16","author":"Kammoun","year":"2022","journal-title":"Am. J. Mens. Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"413","DOI":"10.5152\/akd.2014.5108","article-title":"The effects of Ramadan fasting on heart rate variability in healthy individuals: A prospective study","volume":"14","author":"Cansel","year":"2014","journal-title":"Anadolu Kardiyol. Derg."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1515\/revneuro-2014-0011","article-title":"Autonomic contributions in postural control: A review of the evidence","volume":"25","author":"Sibley","year":"2014","journal-title":"Rev. Neurosci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1017\/S000711452200160X","article-title":"The emerging importance of tackling sleep\u2013diet interactions in lifestyle interventions for weight management","volume":"128","author":"Hall","year":"2022","journal-title":"Br. J. Nutr."},{"key":"ref_32","first-page":"295","article-title":"Effect of increase in cortisol level due to stress in healthy young individuals on dynamic and static balance scores","volume":"5","author":"Cay","year":"2018","journal-title":"North. Clin. Istanb."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1080\/09291016.2013.787759","article-title":"The effect of Ramadan intermittent fasting on dynamic postural control in judo athletes","volume":"45","author":"Souissi","year":"2014","journal-title":"Biol. Rhythm. Res."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1007\/s12603-015-0620-y","article-title":"Effects of Ramadan Fasting on Postural Balance and Attentional Capacities in Elderly People","volume":"20","author":"Laatar","year":"2016","journal-title":"J. Nutr. Health Aging"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.gaitpost.2022.07.245","article-title":"The effect of time-of-day and sleep deprivation on postural control: A systematic review","volume":"97","author":"Izadi","year":"2022","journal-title":"Gait Posture"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Paillard, T. (2023). Detrimental effects of sleep deprivation on the regulatory mechanisms of postural balance: A comprehensive review. Front. Hum. Neurosci., 14.","DOI":"10.3389\/fnhum.2023.1146550"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1123\/japa.2018-0107","article-title":"Effects of Melatonin Ingestion Before Nocturnal Sleep on Postural Balance and Subjective Sleep Quality in Older Adults","volume":"27","author":"Kamoun","year":"2019","journal-title":"J. Aging Phys. Act."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Serdar, C.C., Cihan, M., Y\u00fccel, D., and Serdar, M.A. (2021). Sample size, power and effect size revisited: Simplified and practical approaches in pre-clinical, clinical and laboratory studies. Biochem. Med., 31.","DOI":"10.11613\/BM.2021.010502"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1007\/s11695-018-3199-7","article-title":"Analyzing the Psychometric Properties of the Short Form-36 Quality of Life Questionnaire in Patients with Obesity","volume":"28","author":"Alamer","year":"2018","journal-title":"Obes. Surg."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"122814","DOI":"10.1016\/j.lfs.2024.122814","article-title":"Regulation of metabolism by circadian rhythms: Support from time-restricted eating, intestinal microbiota & omics analysis","volume":"351","author":"Xie","year":"2024","journal-title":"Life Sci."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1186\/s12967-016-1044-0","article-title":"Effects of eight weeks of time-restricted feeding (16\/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance-trained males","volume":"14","author":"Moro","year":"2016","journal-title":"J. Transl. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1514","DOI":"10.1378\/chest.10-1872","article-title":"Wrist actigraphy","volume":"139","author":"Martin","year":"2011","journal-title":"Chest"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1093\/ajcn\/nqz126","article-title":"Time-restricted feeding plus resistance training in active females: A randomized trial","volume":"110","author":"Tinsley","year":"2019","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_44","first-page":"657","article-title":"A new staging strategy for chronic obstructive pulmonary disease","volume":"2","author":"Miller","year":"2007","journal-title":"Int. J. Chron. Obs. Pulmon Dis."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"3759","DOI":"10.16965\/ijpr.2021.103","article-title":"Correlation between Balance and BMI in Collegiate students: A cross sectional study","volume":"9","author":"Suvarna","year":"2021","journal-title":"Int. J. Physiother. Res."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Front. Psychol., 4.","DOI":"10.3389\/fpsyg.2013.00863"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1038\/s41430-020-0562-2","article-title":"Effect of Ramadan fasting on heart rate variability as a measure of cardiac stress in a Lebanese cohort","volume":"74","author":"Hammoud","year":"2020","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1080\/10641963.2018.1433194","article-title":"The effects of fasting on heart rate variability in hypertensive patients","volume":"40","author":"Mzoughi","year":"2018","journal-title":"Clin. Exp. Hypertens."},{"key":"ref_49","first-page":"100378","article-title":"Fed and fasted states on heart rate variability, hemodynamic heart rate and blood pressure in adults submited to moderate aerobic exercise","volume":"23","author":"Rodrigues","year":"2019","journal-title":"Int. J. Cardiol. Heart Vasc."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1139\/apnm-2018-0389","article-title":"Safety of 8-h time restricted feeding in adults with obesity","volume":"44","author":"Gabel","year":"2019","journal-title":"Appl. Physiol. Nutr. Metab."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.sleh.2019.08.010","article-title":"A Prevalence of self-reported suboptimal sleep in Australia and receipt of sleep care","volume":"6","author":"Metse","year":"2020","journal-title":"Sleep. Health"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1002\/oby.23614","article-title":"Early time-restricted eating affects weight, metabolic health, mood, and sleep in adherent completers: A secondary analysis","volume":"31","author":"Steger","year":"2023","journal-title":"Obesity"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1177\/1557988316675091","article-title":"The Effects of Ramadan Fasting on the Spirometric Data of Healthy Adult Males","volume":"11","author":"Latiri","year":"2017","journal-title":"Am. J. Mens. Health"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1378\/chest.118.5.1315","article-title":"Effects of weight loss on peak flow variability, airways obstruction, and lung volumes in obese patients with asthma","volume":"118","author":"Hakala","year":"2000","journal-title":"Chest"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"112995","DOI":"10.1016\/j.physbeh.2020.112995","article-title":"Forty-eight-hour fasting declines mental flexibility but improves balance in overweight and obese older women","volume":"223","author":"Solianik","year":"2020","journal-title":"Physiol. Behav."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0887-6185(00)00043-8","article-title":"Visual influences on balance","volume":"15","author":"Redfern","year":"2001","journal-title":"J. Anxiety Disord."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2919\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:46:36Z","timestamp":1760111196000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":56,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["nu16172919"],"URL":"https:\/\/doi.org\/10.3390\/nu16172919","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,1]]}}}