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

  • Mackenzie Fong (a1), Ian D. Caterson (a1) and Claire D. Madigan (a1)

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.

Corresponding author
* Corresponding author: M. Fong, fax +61 2 8627 0141, email
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1. Johnston, JD (2014) Physiological responses to food intake throughout the day. Nutr Res Rev 27, 107118.
2. Arble, DM, Bass, J, Laposky, AD, et al. (2009) Circadian timing of food intake contributes to weight gain. Obesity 17, 21002102.
3. Tahara, Y & Shibata, S (2014) Chrono-biology, chrono-pharmacology, and chrono-nutrition. J Pharmacol Sci 124, 320335.
4. Johnston, JD (2014) Physiological links between circadian rhythms, metabolism and nutrition. Exp Physiol 99, 11331137.
5. Albrecht, U (2012) Timing to perfection: the biology of central and peripheral circadian clocks. Neuron 74, 246260.
6. Damiola, F, Le Minli, N, Preitner, N, et al. (2000) Restricted feeding uncouples circadian oscillators in peripheral tissues from the central pacemaker in the suprachiasmatic nucleus. Genes Dev 14, 29502961.
7. Fliers, E, la Fleur, S & Kalsbeek, A (2014) Circadian control of glucose metabolism. Mol Metab 3, 372383.
8. Froy, O (2010) Metabolism and circadian rhythms – implications for obesity. Endocr Rev 31, 124.
9. Holmbäck, U, Forslund, A, Lowden, A, et al. (2003) Endocrine responses to nocturnal eating – possible implications for night work. Eur J Nutr 42, 7583.
10. Holmback, U (2002) Metabolic, endocrine and mood responses to nocturnal eating in men are affected by sources of dietary energy. Ups J Med Sci 107, 121158.
11. Knutsson, A, Karlsson, B, Ornkloo, K, et al. (2002) Postprandial responses of glucose, insulin and triglycerides: influence of the timing of meal intake during night work. Nutr Health 16, 133141.
12. Almoosawi, S, Winter, J, Prynne, CJ, et al. (2012) Daily profiles of energy and nutrient intakes: are eating profiles changing over time? Eur J Clin Nutr 66, 678686.
13. Kant, AK & Graubard, BI (2006) Secular trends in patterns of self-reported food consumption of adult Americans: NHANES 1971–1975 to NHANES 1999–2002. Am J Clin Nutr 84, 12151223.
14. US Department of Agriculture, Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group & US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics (2012) What We Eat in America, NHANES 2009–2010.
15. Murray, M & Vickers, Z (2009) Consumer views of hunger and fullness. A qualitative approach. Appetite 53, 174182.
16. Scheer, FAJL, Morris, CJ & Shea, SA (2013) The internal circadian clock increases hunger and appetite in the evening independent of food intake and other behaviors. Obesity 21, 421423.
17. Holmstrup, ME, Fairchild, TJ, Keslacy, S, et al. (2013) Satiety, but not total PYY, Is increased with continuous and intermittent exercise: exercise frequency and satiety. Obesity 21, 20142020.
18. Frecka, JM & Mattes, RD (2008) Possible entrainment of ghrelin to habitual meal patterns in humans. Am J Physiol Gastrointest Liver Physiol 294, G699G707.
19. Romon, M, Edme, JL, Boulenguez, C, et al. (1993) Circadian variation of diet-induced thermogenesis. Am J Clin Nutr 57, 476480.
20. Bo, S, Fadda, M, Castiglione, A, et al. (2015) Is the timing of caloric intake associated with variation in diet-induced thermogenesis and in the metabolic pattern? A randomized cross-over study. Int J Obes (Lond) 39, 16891695.
21. Ravussin, E, Acheson, KJ, Vernet, O, et al. (1985) Evidence that insulin resistance is responsible for the decreased thermic effect of glucose in human obesity. J Clin Invest 76, 12681273.
22. Hibi, M, Masumoto, A, Naito, Y, et al. (2013) Nighttime snacking reduces whole body fat oxidation and increases LDL cholesterol in healthy young women. Am J Physiol Regul Integr Comp Physiol 304, R94R101.
23. Gluck, ME, Venti, CA, Salbe, AD, et al. (2011) Higher 24-h respiratory quotient and higher spontaneous physical activity in nighttime eaters. Obesity 19, 319323.
24. Forslund, HB, Lindroos, AK, Sjostrom, L, et al. (2002) Meal patterns and obesity in Swedish women - a simple instrument describing usual meal types, frequency and temporal distribution. Eur J Clin Nutr 56, 740747.
25. Reeves, S, Huber, J, Smith, T, et al. (2012) Differences in responses to breakfast between breakfast eaters and breakfast skippers. Proceedings of the Nutrition Society Conference: Summer Meeting of the Nutrition Society Hosted by the Irish Section, 16–19 July 2012, p. 71.
26. Almoosawi, S, Vingeliene, S, Karagounis, LG, et al. (2016) Chrono-nutrition: a review of current evidence from observational studies on global trends in time-of-day of energy intake and its association with obesity. Proc Nutr Soc 75, 487500.
27. Caviezel, F, Cattaneo, AG, Marini, G, et al. (1984) Effect of different timing of meals in the dietary treatment of obesity single daily meals vs. 3 low calorie meals. In Recent Advances in Obesity and Diabetes Research, pp. P201–P204 [N Melchionda, DL Horwitz and DS Schade, editors]. New York: Raven Press.
28. Del Ponte, A, Angelucci, E, Capani, F, et al. (1984) Modifications in the oscillation of substrates in obese subjects subjected to variations in the pattern of meal-timing. [Italian]. Bollettino della Societa italiana di biologia sperimentale 60, 20992104.
29. Jakubowicz, D, Froy, O, Wainstein, J, et al. (2012) Meal timing and composition influence ghrelin levels, appetite scores and weight loss maintenance in overweight and obese adults. Steroids 77, 323331.
30. Jakubowicz, D, Barnea, M, Wainstein, J, et al. (2013) High caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity 21, 25042512.
31. Keim, NL, Van Loan, MD, Horn, WF, et al. (1997) Weight loss is greater with consumption of large morning meals and fat-free mass is preserved with large evening meals in women on a controlled weight reduction regimen. J Nutr 127, 7582.
32. Lombardo, M, Bellia, A, Padua, E, et al. (2014) Morning meal more efficient for fat loss in a 3-month lifestyle intervention. J Am Coll Nutr 33, 198205.
33. Madjd, A, Taylor, MA, Delavari, A, et al. (2016) Beneficial effect of high energy intake at lunch rather than dinner on weight loss in healthy obese women in a weight-loss program: a randomized clinical trial. Am J Clin Nutr 104, 982989.
34. Sensi, S & Capani, F (1987) Chronobiological aspects of weight loss in obesity: effects of different meal timing regimens. Chronobiol Int 4, 251261.
35. Sortland, K, Gjerlaug, AK & Harviken, G (2013) Weight documentation, body mass index, meal frequency and overnight fast among elderly in nursing home – a pilot study. Nor J Nurs Res Clin Stud/Vård i Norden 33, 4145.
36. Rath, R & Petrasek, R (1970) Relation of the number of daily meals and time of physical exercise to body composition and various metabolic indicators in subjects with so-called normal weight. [Czech]. Cas Lek Cesk 109, 332338.
37. Soga, Y, Shirai, C & Ijichi, A (2013) [Association between daily lifestyle and the risk of metabolic syndrome among young adults in Japan. An analysis of Kobe city young adult health examination data]. Nihon Koshu Eisei Zasshi 60, 98106.
38. Nishino, K, Nomura, T, Takeshita, Y, et al. (2013) Multiple effects of split meal servings on metabolic abnormalities in middleaged overweight males. J Jpn Diabetes Soc 56, 833840.
39. Koliaki, C & Katsilambros, N (2016) The timing of meals and obesity: an emerging association with clinical implications. [Greek]. Arch Hellen Med 33, 3944.
40. Jebb, SA, Ahern, AL, Olson, AD, et al. (2011) Primary care referral to a commercial provider for weight loss treatment versus standard care: a randomised controlled trial. Lancet 378, 14851492.
41. Jolly, K, Lewis, A, Beach, J, et al. (2011) Comparison of range of commercial or primary care led weight reduction programmes with minimal intervention control for weight loss in obesity: Lighten Up randomised controlled trial. BMJ 10, 343.
42. Cochrane Collaboration Tool (2011) Cochrane Handbook for Systematic Reviews of Interventions. Assessing Risk of Bias in Included Studies. Chichester: Cochrane Collaboration Tool.
43. Review Manager (RevMan) (2014) The Cochrane Collaboration, version 5.3 ed. Copenhagen: The Nordic Cochrane Centre.
44. Aljuraiban, GS, Chan, Q, Griep, LMO, et al. (2015) The impact of eating frequency and time of intake on nutrient quality and body mass index: The INTERMAP Study, a population-based study. J Acad Nutr Diet 115, 528536.
45. Almoosawi, S, Prynne, CJ, Hardy, R, et al. (2013) Time-of-day of energy intake: association with hypertension and blood pressure 10 years later in the 1946 British Birth Cohort. J Hypertens 31, 882892.
46. Morse, SA, Ciechanowski, PS, Katon, WJ, et al. (2006) Isn’t this just bedtime snacking? The potential adverse effects of night-eating symptoms on treatment adherence and outcomes in patients with diabetes. Diabetes Care 29, 18001804.
47. Striegel-Moore, RH, Franko, DL, Thompson, D, et al. (2006) Night eating: prevalence and demographic correlates. Obesity (Silver Spring) 14, 139147.
48. Wang, JB, Patterson, RE, Ang, A, et al. (2014) Timing of energy intake during the day is associated with the risk of obesity in adults. J Hum Nutr Diet 27, 255262.
49. Summerbell, CD, Moody, RC, Shanks, J, et al. (1996) Relationship between feeding pattern and body mass index in 220 free-living people in four age groups. Eur J Clin Nutr 50, 513519.
50. Bo, S, Musso, G, Beccuti, G, et al. (2014) Consuming more of daily caloric intake at dinner predisposes to obesity. A 6-year population-based prospective cohort study. PLOS ONE 9, e108467.
51. Kant, AK, Ballard-Barbash, R & Schatzkin, A (1995) Evening eating and its relation to self-reported body weight and nutrient intake in women, CSFII 1985-86. J Am Coll Nutr 14, 358363.
52. Baron, KG, Reid, KJ, Kern, AS, et al. (2011) Role of sleep timing in caloric intake and BMI. Obesity 19, 13741381.
53. Del Ponte, A, Angelucci, E, Capani, F, et al. (1984) Variations of carbohydrate and lipid oxidations in obese subjects submitted to different meal-timing manipulations. Bollettino Societa Italiana Biologia Sperimentale 60, 20992104.
54. Berteus Forslund, H, Lindroos, AK, Sjostrom, L, et al. (2002) Meal patterns and obesity in Swedish women-a simple instrument describing usual meal types, frequency and temporal distribution. Eur J Clin Nutr 56, 740747.
55. Reeves, S, Huber, JW, Halsey, LG, et al. (2014) Experimental manipulation of breakfast in normal and overweight/obese participants is associated with changes to nutrient and energy intake consumption patterns. Physiol Behav 133, 130135.
56. Casazza, K, Fontaine, KR, Astrup, A, et al. (2013) Myths, presumptions, and facts about obesity. N Engl J Med 368, 446454.
57. Drewnowski, A (2009) Defining nutrient density: development and validation of the nutrient rich foods index. J Am Coll Nutr 28, 421S426S.
58. Ruiz-Lozano, T, Vidal, J, De Hollanda, A, et al. (2016) Evening chronotype associates with obesity in severely obese subjects: interaction with CLOCK 3111T/C. Int J Obes (Lond) 40, 15501557.
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