Research Summary
Analyzed using Evidence Intelligence™

Intermittent Fasting Improves Psychosomatic Competence

Last updated July 12, 2026

Key finding

Subjective sleep quality improved in the whole cohort (F(1,35)=10.04, p=0.003)

This study evaluated the effects of intermittent fasting on psychosomatic competence in insulin-treated patients with type 2 diabetes, finding significant weight loss in the fasting group.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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 evaluated the effects of intermittent fasting on psychosomatic competence in insulin-treated patients with type 2 diabetes, finding significant weight loss in the fasting group.

Clinical relevance

These findings suggest that intermittent fasting may be a beneficial dietary approach for managing weight and psychosomatic health in patients with type 2 diabetes, potentially improving their overall quality of life and diabetes management.

Keep in mind

Small sample size may limit generalizability. Short duration of the study may not capture long-term effects. Lack of blinding could introduce bias in self-reported outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Anna R, Norbert JT, Peter NP, et al. Intermittent Fasting Improves Psychosomatic Competence in Insulin-Treated Patients with Type 2 Diabetes. Diabetes, Obesity & Metabolism. 2026;28(4):3415-3419. doi:10.1111/dom.70469

Main Effects

Intermittent fasting group lost 4.77 kg compared to +0.27 kg in controls (p < 0.001).

Psychosomatic competence improved more in the intermittent fasting group after 12 weeks.

Subjective sleep quality improved in the entire cohort, but no significant group differences were found.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Control (Usual Activity), Intermittent Fasting (IF) and Weight change, Psychosomatic Competence Index (PSCI), Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale, and 1 more.

Primary intervention

Control (Usual Activity)

Primary outcomes

  • Weight change
  • Psychosomatic Competence Index (PSCI)
  • Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale

Evidence relationships

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

5
Evidence pairs
5
Relationships
1
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: 63

1

Related topics

5

Evidence pairs

104

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Weight Loss

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Weight change

Control (Usual Activity) → Weight change

Control (Usual Activity) → Weight change

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Psychosomatic Competence Index (PSCI)

Intermittent Fasting (IF) → Psychosomatic Competence Index (PSCI)

Intermittent Fasting (IF) → Psychosomatic Competence Index (PSCI)

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

Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale

Intermittent Fasting (IF) → Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale

Intermittent Fasting (IF) → Reduction in Daytime Sleepiness Measured by Epworth Sleepiness Scale

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Sleep quality

Intermittent Fasting (IF) → Sleep quality

Intermittent Fasting (IF) → Sleep quality

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

Weight change

Intermittent Fasting (IF) → Weight change

Intermittent Fasting (IF) → Weight change

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

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Today's Activity

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

Evidence Suggest

  • Weight loss in the intermittent fasting group was significant at -4.77 kg (p < 0.001).
  • Overall psychosomatic competence improved more in the fasting group.
  • No significant time effect on sleepiness was observed (p = 0.210).
who this applies

Who this applies to

  • Insulin-treated patients with type 2 diabetes.
  • Individuals seeking dietary interventions for weight management.
keep in mind

Keep in Mind

  • Results may not apply to non-insulin-treated diabetes patients.
  • Further studies are needed to confirm long-term effects of intermittent fasting.
  • Self-reported measures may be subject to bias.
between the lines

Between the Lines

  • Small sample size may limit generalizability.
  • Short duration of the study may not capture long-term effects.
  • Lack of blinding could introduce bias in self-reported outcomes.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Control (Usual Activity) and Quality of Life Outcomes, Control (Usual Activity) and Body Weight.

Related evidence relationships

Explore in Evidence Archive

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

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Questions answered by this study

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

Does Intermittent Fasting (IF) improve psychosomatic competence index (psci)?

Emerging Evidence

Intermittent Fasting (IF) appears to improve Psychosomatic Competence Index (PSCI).

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

Ranked evidence signals

  1. 1

    Psychosomatic Competence Index (PSCI)

    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 sleep quality?

Emerging Evidence

Intermittent Fasting (IF) appears to improve Sleep quality.

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

Ranked evidence signals

  1. 1

    Sleep quality

    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 weight change?

Emerging Evidence

Intermittent Fasting (IF) appears to improve Weight change.

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

Ranked evidence signals

  1. 1

    Weight change

    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 Control (Usual Activity) improve weight change?

Emerging Evidence

Current evidence does not show a clear benefit of Control (Usual Activity) for Weight change.

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

Ranked evidence signals

  1. 1

    Weight change

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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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