Research Summary
Analyzed using Evidence Intelligence™

Diet and Fasting Improve HDL Function in Type 2 Diabetes

Last updated July 17, 2026

Key finding

Following the 12-week intervention, the IF regimen significantly elevated serum apoM levels (p = 0.0144).

This study investigated the effects of intermittent fasting on HDL functionality in individuals with type 2 diabetes, finding significant increases in serum apoM levels with intermittent fasting.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of intermittent fasting on HDL functionality in individuals with type 2 diabetes, finding significant increases in serum apoM levels with intermittent fasting.

Clinical relevance

Understanding how different dietary interventions affect HDL functionality is crucial for managing cardiovascular risk in individuals with type 2 diabetes. The findings suggest that intermittent fasting may provide a beneficial approach to improving specific lipid profiles, potentially leading to better overall health outcomes.

Keep in mind

The study did not assess long-term effects beyond the 12-week intervention. Sample size and demographic characteristics may limit generalizability. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Anja P, Anna O, Julia TS, et al. Effects of Dietary Interventions and Intermittent Fasting on HDL Functionality in Individuals with Type 2 Diabetes. Cardiovascular Diabetology. 2024;23:339. doi:10.1186/s12933-024-02426-5

Main Effects

Intermittent fasting significantly increased serum apoM levels (p = 0.0144).

Non-intermittent fasting significantly elevated PON1 activity (p = 0.0455).

Both groups showed enhanced HDL cholesterol efflux capacity (p < 0.0001, p = 0.0006).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Intermittent Fasting (IF) and Elevated LCAT activity in non-IF group, HDL cholesterol, PON1 activity elevation in non-IF group, and 1 more.

Primary intervention

Intermittent Fasting (IF)

Primary outcomes

  • Elevated LCAT activity in non-IF group
  • HDL cholesterol
  • PON1 activity elevation in non-IF group

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 50

0

Related topics

4

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Elevated LCAT activity in non-IF group

Intermittent Fasting (IF) → Elevated LCAT activity in non-IF group

Intermittent Fasting (IF) → Elevated LCAT activity in non-IF group

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HDL cholesterol

Intermittent Fasting (IF) → HDL cholesterol

Intermittent Fasting (IF) → HDL cholesterol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

PON1 activity elevation in non-IF group

Intermittent Fasting (IF) → PON1 activity elevation in non-IF group

Intermittent Fasting (IF) → PON1 activity elevation in non-IF group

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Serum Apolipoprotein M (apoM) levels

Intermittent Fasting (IF) → Serum Apolipoprotein M (apoM) levels

Intermittent Fasting (IF) → Serum Apolipoprotein M (apoM) levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Intermittent fasting raised serum apoM levels significantly (p = 0.0144).
  • Non-intermittent fasting improved PON1 activity (p = 0.0455).
  • Both interventions enhanced HDL cholesterol efflux capacity.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals interested in dietary interventions for cardiovascular health.
keep in mind

Keep in Mind

  • The findings are based on a 12-week intervention period.
  • Results may not apply to populations outside the study sample.
  • Further research is needed to explore long-term impacts and mechanisms.
between the lines

Between the Lines

  • The study did not assess long-term effects beyond the 12-week intervention.
  • Sample size and demographic characteristics may limit generalizability.
  • Potential confounding factors were not fully controlled.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Intermittent Fasting (IF) and Adipokine and Angiogenic Markers, Intermittent Fasting (IF) and Elevated LCAT activity in non-IF group.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Intermittent Fasting (IF) improve elevated lcat activity in non-if group?

Emerging Evidence

Intermittent Fasting (IF) appears to improve Elevated LCAT activity in non-IF group.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Elevated LCAT activity in non-IF group

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Intermittent Fasting (IF) improve hdl cholesterol?

Emerging Evidence

Intermittent Fasting (IF) appears to improve HDL cholesterol.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HDL cholesterol

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Intermittent Fasting (IF) improve pon1 activity elevation in non-if group?

Emerging Evidence

Intermittent Fasting (IF) appears to improve PON1 activity elevation in non-IF group.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    PON1 activity elevation in non-IF group

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Intermittent Fasting (IF) improve serum apolipoprotein m (apom) levels?

Emerging Evidence

Intermittent Fasting (IF) appears to improve Serum Apolipoprotein M (apoM) levels.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Serum Apolipoprotein M (apoM) levels

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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