Intermittent Fasting Plus Resistance Training Reduces Fat While Preserving Muscle: What the Meta-Analysis Shows
A 2021 meta-analysis of 6 RCTs (n=149) in J Strength Cond Res found IF combined with resistance training significantly reduces fat mass while preserving lean mass.
Intermittent Fasting Plus Resistance Training Reduces Fat While Preserving Muscle: What the Meta-Analysis Shows
Medical disclaimer: This article summarises published research for informational purposes only. It is not medical advice and is not a substitute for guidance from a qualified health professional. Always consult your doctor before starting any fasting protocol, especially if you have an existing health condition or take medication.
Study at a Glance
| Title | Effects of intermittent fasting combined with resistance training on anthropometric variables: systematic review and meta-analysis |
| Journal | Journal of Strength and Conditioning Research |
| Published | June 2021 |
| Study type | Systematic review and meta-analysis |
| Total participants | ~149 (across 6 randomised controlled trials) |
| Duration | Studies ranged from 4 to 16 weeks |
| Lead researcher | Damoon Ashtary-Larky |
| Institution | Ahvaz Jundishapur University of Medical Sciences, Iran |
| Funding | Institutional research support |
| Source | View on PubMed → |
What This Study Looked At
The central question this meta-analysis tried to answer was whether combining intermittent fasting with resistance training produces different results for body composition than conventional approaches. Specifically, the researchers wanted to know whether IF protocols impair muscle mass gains — one of the most persistent concerns among people who exercise and want to fast. The review pooled data from six randomised controlled trials, covering the effects of intermittent fasting (primarily 16:8 time-restricted eating) combined with resistance training on fat mass, lean body mass, and body weight.
This question matters because resistance training is one of the most effective methods for preserving and building muscle, and people often worry that combining it with fasting could undermine muscle-building results or accelerate muscle loss.
Who Was Studied
| Group | Participants | What They Did |
|---|---|---|
| IF + Resistance Training | ~75 | Followed an intermittent fasting protocol (primarily 16:8 TRE) alongside a structured resistance training programme |
| Control / Comparison | ~74 | Followed continuous caloric restriction or habitual eating with the same resistance training programme |
Participant profile: Adults across a range of ages, both trained and untrained. Studies varied in sex composition. Participants were generally healthy with no major medical conditions.
How intermittent fasting worked in these studies: Most protocols used 16:8 time-restricted eating — an 8-hour eating window with a 16-hour fast daily. Some studies used alternate-day fasting variations. Caloric intake across the eating window varied by study; some matched calories between groups, others allowed ad libitum eating within the window.
Resistance training protocol: Varied by study — typically 3–5 sessions per week, covering major muscle groups. Programmes ranged from beginner to intermediate level. Training intensity and volume were kept consistent between IF and control groups to isolate the effect of the fasting protocol.
What the Researchers Found
Fat Mass
| Group | Change in Fat Mass |
|---|---|
| IF + Resistance Training | Significantly reduced (weighted mean difference ~−1.1 kg, p < 0.001) |
| Control | Less reduction |
- Intermittent fasting combined with resistance training produced a statistically significant reduction in fat mass compared to control conditions.
- The effect was consistent across the six included trials.
- Fat mass reduction in the IF+RT groups was comparable to or greater than the reduction seen in continuous caloric restriction groups, suggesting IF does not impair fat loss when combined with training.
Lean Body Mass (Muscle Mass)
| Group | Change in Lean Mass |
|---|---|
| IF + Resistance Training | No significant change (lean mass preserved) |
| Control | No significant change |
- There was no significant difference in lean body mass between IF+RT groups and controls. Muscle mass was preserved in both groups.
- This is the central finding: intermittent fasting did not cause additional muscle loss compared to conventional approaches when resistance training was performed.
- This challenges the concern that fasting inevitably causes muscle wasting in people who exercise regularly.
Body Weight and BMI
- Body weight was significantly reduced in IF+RT groups.
- BMI showed a corresponding reduction.
- Changes in BMI and weight mirrored the fat mass reductions, consistent with lean mass preservation.
What Did Not Change
- Lean body mass: No significant loss in either group — the key finding supporting the safety of IF for active individuals.
- Muscle strength outcomes were not consistently reported across studies, limiting conclusions about performance effects.
What the Researchers Concluded
The authors concluded that intermittent fasting combined with resistance training is an effective strategy for reducing fat mass without compromising lean body mass. The results were comparable to continuous caloric restriction for body composition outcomes, suggesting IF is a viable alternative approach — particularly for individuals who find time-restricted eating more sustainable than constant calorie counting.
What This Means If You Fast
- You do not need to choose between fasting and building or preserving muscle. The meta-analysis shows that muscle mass is maintained when IF is combined with resistance training — the concern that fasting wastes muscle is not supported by the pooled evidence.
- Fat loss continues even when you train. The IF+RT combination produced meaningful fat reductions, suggesting the two approaches complement each other rather than working against each other.
- 16:8 is the most studied protocol for this purpose. Most studies used a 16-hour fast with an 8-hour eating window. If you train and fast, 16:8 is a practical starting point.
- Protein intake during the eating window matters. Lean mass was preserved in these studies, but protein quality and timing within the eating window was a factor across many of them. Breaking your fast with a protein-rich meal — particularly after training — supports muscle repair. What you eat after a workout during fasting is important.
- Consistency beats intensity. Study durations ranged from 4 to 16 weeks. Longer durations generally showed clearer results. This is not a quick fix — it works over months, not days.
- The comparison to calorie restriction matters. IF performed similarly to continuous caloric restriction, which means the approach works — and for many people, restricting eating to a window is easier to sustain than constant counting.
Study Limitations
- Small total sample size: ~149 participants across 6 RCTs is modest. Larger trials would strengthen these conclusions.
- Heterogeneity between studies: IF protocols, training programmes, caloric intake, and participant characteristics varied across the six included trials.
- Mixed sex composition: Some studies were male-only, some female-only, and some mixed. Sex-specific effects cannot be fully separated from the pooled results.
- Short study durations: The maximum follow-up was 16 weeks. Longer-term effects on muscle mass and fat loss are not established from this meta-analysis alone.
- Strength and performance outcomes: Most studies focused on body composition rather than measuring strength gains or training performance, leaving those questions partially unanswered.
- Caloric control varied: Not all studies matched total caloric intake between IF and control groups, which makes it difficult to isolate the fasting effect from caloric restriction effects.
Source
Ashtary-Larky D, Bagheri R, Asbaghi O, Tinsley GM, Choobineh S, Wong A, Dutheil F, Suzuki K, Soori R. (2021). Effects of intermittent fasting combined with resistance training on anthropometric variables: systematic review and meta-analysis. Journal of Strength and Conditioning Research, 35(6), 1700–1712. PMID: 33491972
Frequently Asked Questions
Does intermittent fasting cause muscle loss if you do resistance training?
Based on this meta-analysis of six RCTs, no — muscle mass was preserved in IF+resistance training groups, with no significant difference from control groups. The concern that fasting inevitably leads to muscle loss appears unfounded when resistance training is maintained alongside the fasting protocol.
What IF protocol was used most in the studies reviewed?
Most studies used 16:8 time-restricted eating — a 16-hour daily fast with an 8-hour eating window. This is the most researched IF protocol in the context of resistance training, and it is practical for most active people.
Can you build muscle while doing intermittent fasting?
The meta-analysis focused on lean mass preservation rather than muscle gain. Lean mass was maintained, not lost — but whether IF optimises muscle hypertrophy compared to non-fasting approaches with equated protein and calories remains an open question. The evidence suggests it does not hinder it.
How long do you need to combine fasting and resistance training to see results?
Studies in this meta-analysis ran from 4 to 16 weeks. Meaningful fat mass reductions were observed across that range, suggesting results begin within 4–6 weeks and continue to build. Consistency over months produces the clearest outcomes.
Is 16:8 fasting safe if you train every day?
Based on this research, yes — when structured correctly, 16:8 fasting alongside daily or near-daily resistance training is safe and effective for fat loss without compromising muscle. Key considerations include adequate protein intake within the eating window and ensuring you are not in extreme caloric deficit. Training in a fasted state is also an option many people use successfully.
Related Research and Articles
- Can you build muscle while intermittent fasting?
- Does intermittent fasting destroy muscle? Myth vs. fact
- What should you eat after working out during intermittent fasting?
- Should you work out in a fasted state?
- How does intermittent fasting affect athletic performance?
- What is the 16:8 intermittent fasting protocol?
- Does intermittent fasting burn muscle?
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