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Peer-reviewedCC BY 4.0Nutrition and Health

Impact of time-restricted eating on reproductive hormones and androgen markers in adult females: A systematic review

  1. 1Faculty of Health, Medicine and Behavioural Sciences, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia

Abstract

Background: Time-restricted eating (TRE) is a popular dietary intervention shown to facilitate weight loss. However, the impact of TRE on female reproductive hormones and androgen markers is not clear.

Aim: This systematic review aimed to synthesise and evaluate the current body of evidence on the effect of TRE on reproductive hormones and androgen markers in adult females.

Methods: A systematic search was conducted across PubMed, Embase, CINAHL and Web of Science. All randomised controlled trials, pre–post and pilot/feasibility studies until May 2024 meeting the predefined inclusion criteria were included. Two researchers screened and selected eligible studies and extracted relevant data. Eligible studies methodological quality was assessed using the American Dietetic Association (ADA) Quality Criteria Checklist.

Results: Six studies met the inclusion criteria. Randomised controlled trials (RCTs) conducted in women with general obesity (body mass index > 30 kg/m2) consistently found no significant changes in androgens or other key hormones (testosterone, oestrogen, progesterone, luteinising hormone, cortisol, dehydroepiandrosterone and sex hormone-binding globulin). In contrast, non-randomised studies focusing on women with polycystic ovary syndrome (PCOS) reported beneficial changes to hormone profiles, including decreased testosterone and luteinising hormone, although these effects may have been confounded by weight loss.

Conclusion: While limited by six studies, the current evidence on TRE's impact on female hormones is inconclusive and varies significantly by population and study design. While TRE appears to be a hormonally safe weight-loss strategy in women with general obesity, more rigorous, long-term RCTs are needed to establish its therapeutic role, in particular for conditions like PCOS.

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BibTeX
@article{jirapak2026impact,
  title = {{Impact of time-restricted eating on reproductive hormones and androgen markers in adult females: A systematic review}},
  author = {Aimee Jirapak and Emily Adams and Georgia M Black and Brooke L Devlin},
  journal = {Nutrition and Health},
  year = {2026},
  month = jul,
  doi = {10.1177/02601060261467643},
  url = {https://doi.org/10.1177/02601060261467643},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Impact of time-restricted eating on reproductive hormones and androgen markers in adult females: A systematic review
AU  - Aimee Jirapak
AU  - Emily Adams
AU  - Georgia M Black
AU  - Brooke L Devlin
PY  - 2026
DA  - 2026/07/10
JO  - Nutrition and Health
DO  - 10.1177/02601060261467643
UR  - https://doi.org/10.1177/02601060261467643
AB  - Background: Time-restricted eating (TRE) is a popular dietary intervention shown to facilitate weight loss. However, the impact of TRE on female reproductive hormones and androgen markers is not clear.  Aim: This systematic review aimed to synthesise and evaluate the current body of evidence on the effect of TRE on reproductive hormones and androgen markers in adult females.  Methods: A systematic search was conducted across PubMed, Embase, CINAHL and Web of Science. All randomised controlled trials, pre–post and pilot/feasibility studies until May 2024 meeting the predefined inclusion criteria were included. Two researchers screened and selected eligible studies and extracted relevant data. Eligible studies methodological quality was assessed using the American Dietetic Association (ADA) Quality Criteria Checklist.  Results: Six studies met the inclusion criteria. Randomised controlled trials (RCTs) conducted in women with general obesity (body mass index > 30 kg/m2) consistently found no significant changes in androgens or other key hormones (testosterone, oestrogen, progesterone, luteinising hormone, cortisol, dehydroepiandrosterone and sex hormone-binding globulin). In contrast, non-randomised studies focusing on women with polycystic ovary syndrome (PCOS) reported beneficial changes to hormone profiles, including decreased testosterone and luteinising hormone, although these effects may have been confounded by weight loss.  Conclusion: While limited by six studies, the current evidence on TRE's impact on female hormones is inconclusive and varies significantly by population and study design. While TRE appears to be a hormonally safe weight-loss strategy in women with general obesity, more rigorous, long-term RCTs are needed to establish its therapeutic role, in particular for conditions like PCOS.
SN  - 0260-1060
SN  - 2047-945X
ER  -