How do meal timing and meal frequency influence  the development, prevention, and management of metabolic syndrome? A systematic review of human studies.

Autores/as

  • Aaltje E. MANAMPIRING Department Of Chemistry, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia https://orcid.org/0009-0008-0560-3165
  • Joice Nancy Ansje ENGKA Department of Physiology, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia
  • Billy J. KEPEL Department of Chemistry, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia.
  • Karina E. KUSSOY Dr. J.H Awaloei Tateli Hospital

DOI:

https://doi.org/10.12873/454manampiring

Palabras clave:

Body composition, Circadian rhythms, Insulin sensitivity, Meal frequency, Meal timing, Metabolic syndrome, Time-restricted eating, Type 2 diabetes

Resumen

Background: Metabolic syndrome (MetS) is a complex condition characterized by central obesity, insulin resistance, hypertension, and dyslipidemia, significantly raising the risk for chronic diseases such as cardiovascular disease and type 2 diabetes. Recent research emphasizes meal timing and frequency 
as potentially modifiable lifestyle factors influencing metabolic health independently of caloric intake. 
Objective: To systematically review how meal timing and 
meal frequency impact the development, prevention, and management of metabolic syndrome. 
Methods: A comprehensive search across Semantic 
Scholar, Google Scholar, and Scopus extensive academic 
database, identified relevant literature. Studies were included if they assessed meal timing/frequency interventions in adults, reported metabolic syndrome components, involved human subjects, and lasted at least four weeks. Data extraction systematically focused on study design, participant characteristics, intervention specifics, and metabolic outcomes. 
Results: Thirty-two studies were reviewed, comprising 
randomized controlled trials, cohort studies, meta-analyses, and intervention studies. Key findings indicate that regular and early time-restricted eating significantly improves insulin sensitivity, glucose metabolism, lipid profiles, and body composition (e.g., reduced visceral fat and waist circumference). Conversely, irregular or infrequent eating patterns, such as one meal per day, are associated with negative outcomes, including elevated blood pressure and cholesterol levels. 
Conclusions: Aligning meal timing and frequency with cir
cadian rhythms and maintaining consistent meal schedules notably enhances metabolic health markers. These findings provide strong support for incorporating chrononutrition principles into public health recommendations and clinical practices for managing metabolic syndrome. 

Biografía del autor/a

  • Joice Nancy Ansje ENGKA, Department of Physiology, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia

    Department of Physiology, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia

  • Billy J. KEPEL, Department of Chemistry, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia.
    1. Department of Chemistry, Faculty of Medicine, Sam Ratulangi University, 95115, Indonesia.
  • Karina E. KUSSOY, Dr. J.H Awaloei Tateli Hospital

    Dr. J.H Awaloei Tateli Hospital

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Publicado

25-11-2025

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[1]
2025. How do meal timing and meal frequency influence  the development, prevention, and management of metabolic syndrome? A systematic review of human studies. Nutrición Clínica y Dietética Hospitalaria. 45, 4 (Nov. 2025). DOI:https://doi.org/10.12873/454manampiring.

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