16/8 intermittent fasting: What it is and how it works

Can 16/8 fasting really help you lose weight? Read on to learn how this form of intermittent fasting works—and if it could be right for you.
Published 10 November 2020 | Updated 1 July 2024

Even if you haven’t tried 16/8 fasting, there’s a good chance you’ve heard of this trendy eating approach. The idea is that you can eat whatever you want and still lose weight—as long as you squeeze all your meals and snacks into an 8-hour window every day. For the day’s remaining 16 hours, you purposefully go without food. This recurring practice is a form of intermittent fasting.

Despite the buzz surrounding 16/8—sometimes called 16:8 fasting, or the eight-hour diet—intermittent fasting has been around in various forms for centuries. The 16/8 method is just one example of time-restricted eating, which confines calorie intake to certain hours. Other intermittent fasting approaches alternate entire days of fasting (or very little food intake) with days of normal eating; the 5:2 diet is a popular example. Many people fast for spiritual and religious reasons, as well.

Along with weight loss, some proponents of the 16/8 method point to potential health perks such as improved blood sugar and healthier cholesterol levels. But can swearing off calories for 16 hours a day actually be healthy, and how do you know if it’s the right approach for you? Keep reading for a breakdown of how 16/8 fasting works, an evidence-based look at the pros, cons, and unresolved questions concerning this method, and expert advice for trying 16/8 intermittent fasting if you decide it makes sense for you.

What is 16/8 intermittent fasting?

The 16/8 intermittent fasting method is pretty straightforward, which helps explain its popularity. Simply choose an eight-hour window each day to consume all your meals, snacks, and caloric beverages. During this time, eat whatever you like. After eight hours, you switch to a fasting period of 16 hours. And that's, well, pretty much it. The diet generally doesn’t require following a meal plan, counting calories, restricting specific foods, or increasing intake of specific foods.

The basic goal is to stick with the same eight-hour eating window each day—from 10 a.m. to 6 p.m., for instance. “We study how fasting and eating at the same time every day helps you get aligned with your circadian rhythms,” says Dr. Felicia Steger, PhD, RD. “Your circadian rhythms are anticipatory; they try to predict patterns of behaviour and prepare the body for those activities. So if you eat at the same times every day, your body will better prepare for that eating window”—for example, by teeing up the hormone insulin to help move incoming blood sugar (glucose) into cells for energy.

As we'll explore in a sec, some early research suggests that intermittent fasting is linked with healthy changes in cholesterol, blood pressure, inflammation and glucose response. Just note that such findings are far from definitive at this point, and researchers are still working to fully understand how 16/8 fasting may support human health.

How does 16/8 fasting work?

Before we dive into the potential benefits of 16/8 intermittent fasting, let’s take a closer look at what researchers have explored so far about the underlying mechanisms that may be at play.

When a person skips food for an extended interval, the body’s use of energy actually changes, explains Dr. Mark Mattson, PhD, a neuroscientist with Johns Hopkins Medicine who studies intermittent fasting.

Someone who eats regularly throughout their waking hours is constantly replenishing their liver’s stash of glycogen, a stored form of glucose energy derived from carbs, he continues. When that supply isn’t restocked, however, the body depletes glycogen fairly quickly. “Those glycogen stores can get used up in about 10 hours if you’re fasting”—more quickly if you add in a workout, Dr. Mattson says.

Here’s where things get interesting: Once glycogen stores are used up, the body starts looking for an alternative source of energy. At that point, it begins breaking down stored fats into substances called ketones to get the job done.

This metabolic switch does more than meet the body’s immediate energy needs, Dr. Steger says. “In general, the switch from using glucose to ketones is a trigger point—it shifts your metabolism from focusing on storage and growth to being all about repair and replace,” she explains.

Indeed, in a large review of research on intermittent fasting published in the New England Journal of Medicine in 2019, Dr. Mattson spotlighted evidence suggesting that ketones act as potent signalling molecules that can affect cell and organ functions—for example, by regulating the expression and activity of certain proteins.

16/8 fasting benefits: Fact or fiction?

The 16/8 intermittent fasting approach has shown some promise for supporting some aspects of health, but any splashy claims of effortless weight loss or disease prevention are premature at best, experts tell WeightWatchers. Most studies thus far have been small or conducted on animals and more research is needed to figure out the full effects of intermittent fasting, as well as optimal approaches. Here’s what science has to say about some hot topics so far.

1/ Weight loss

To date, no published research has found that time restriction on its own can trigger accelerated weight loss in humans. But losing weight is possible if a smaller eating window happens to reduce your overall calorie intake says registered dietitian and nutritionist Cara Harbstreet.

Findings so far are mixed on whether people naturally tend to eat less on a 16/8 eating schedule. A small pilot study in 2018, for example, recruited 23 adult volunteers with obesity and had them follow a 16/8 plan for 12 weeks without additional dietary restrictions. Subjects consumed 341 fewer calories (1,426 kJ) per day on average and lost about 3% of their body weight by the study’s end. On the other hand, 16/8 followers in a more recent clinical trial showed no significant difference in calorie intake or weight loss when compared with people in a control group.

As with other diets that tap the body’s glycogen stores for energy—such as the ketogenic diet in its early phase—it’s possible to shed a few kilos of water weight while following a 16/8 intermittent fasting plan. That’s because glycogen is bound with water in the body’s tissues. Just note that this form of weight loss is usually temporary, Harbstreet says.

2/ Heart health

In his research review, Dr. Mattson uncovered a correlation between intermittent fasting and improvements in multiple factors related to cardiovascular health, including blood pressure, resting heart rate, and cholesterol. One small study cited in the review, for example, looked at 19 people living with metabolic syndrome (a group of risk factors for conditions including heart disease). After 12 weeks of limiting themselves to a 10-hour eating window each day, volunteers were found to have significantly lower LDL (“bad”) cholesterol and improved blood pressure readings. Their long-term outcomes, however, were beyond the scope of the study.

3/ Type 2 diabetes risk

Dr. Mattson’s review also suggests that intermittent fasting may improve insulin resistance, a condition that raises a person’s risk of developing type 2 diabetes by keeping too much sugar in the bloodstream. In a small study of 15 men at risk for type 2 diabetes, researchers had them eat their normal diet within a nine-hour window every day. After seven days, participants showed better glucose response after eating a meal. Again, though, file these findings under “promising but highly preliminary.” Says Dr. Steger, “I wouldn’t suggest that time-restricted eating improves diabetes risk factors given the currently available data.”

4/ Inflammation

Some research shows that when people switch to an intermittent fasting approach, they could end up with reduced markers for systemic inflammation, according to Dr. Mattson. One study recruited 34 men who regularly engaged in resistance training and split them into two groups. Those who were assigned to eat in an eight-hour window every day had reduced inflammation markers compared to those who ate on a more extended schedule. As with other potential benefits of intermittent fasting, the reasons for the connection aren’t totally clear at this point.

16/8 fasting foods

A 16/8 fasting approach generally doesn’t limit or mandate specific foods—technically, you could munch on potato chips for eight hours and still be “following the plan.” As you might expect, however, no expert who spoke with WeightWatchers actually recommended that strategy. Eating a balanced diet with plenty of nutritious whole foods is advisable for overall health, Harbstreet says. And given the time-restricted nature of 16/8 fasting, focusing on foods that satisfy your appetite and help keep hunger at bay is another goal to keep in mind. Here are some foods you want to put on your plate if you are considering following a 16/8 fasting plan:

  • Whole fruits and vegetables. Eating plenty of these two food groups can help reduce the risk of developing certain health conditions. Fruits and veggies are full of fibre, vitamins, and other key nutrients.
  • Wholegrains. This group includes foods made with whole wheat flour, oatmeal, and brown rice. Unlike refined grains, wholegrains contain the entire kernel and deliver plenty of fibre to help you feel full.
  • Protein-rich foods. “This is an important category because protein will help you feel satisfied and hopefully avoid feeling hungry during the fasting window,” Harbstreet says. And you don’t have to load up beef burgers to stay satisfied. Other good sources of protein include eggs, seafood, and plant-based options such as beans, peanuts, and tofu.
  • Dairy foods. This includes anything made from milk, including yoghurt and cheese. Such foods tend to be good sources of calcium, potassium, vitamin D, and protein.
  • Healthy fats. Unsaturated fats found in foods like avocados, salmon, nuts, and oils like olive and canola have been associated with a lower risk for cardiovascular disease, among other things. Plus, they make meals extra delicious.

Is 16/8 intermittent fasting safe?

Limiting daily calorie intake to an eight-hour window does not pose serious health concerns for most healthy adults, Dr. Steger says. If you have an underlying health issue such as diabetes, if you are pregnant, or if you have a history of disordered eating, she recommends chatting with your doctor before trying a fasting regimen or making any major change to your diet.

And don’t forget that you might feel moody and hungry while your body gets used to fasting for long stretches. In some cases, people report feeling nauseous or dizzy, or experiencing diarrhoea or constipation.

Some unpleasant side effects can pop up when the body switches to using ketones for energy, a temporary phenomenon popularly known as “keto flu”. Those symptoms can include nausea, vomiting, headache, fatigue, dizziness, insomnia, constipation, and difficulty exercising.

Harbstreet also cautions against clock watching. Speaking from her experience working with clients, she says, “There are people who obsess over what time it is and wait for the seconds to tick down to when their eating window will open, but this kind of approach can possibly lead to bingeing and, afterward, guilt or shame.” If you relate to that feeling, the 16/8 method might not be a healthy eating approach for you.

16/8 intermittent fasting tips

Many people need an adjustment period to get used to fasting for 16 hours, Dr. Mattson notes, adding that “you might feel irritable and hungry during that time.” Such feelings often improve within four weeks or so, he says.

You may also need a little while to figure out how best to approach eating within your eight-hour window. “It comes down to your appetite,” Harbstreet says. “A little trial and error with this approach is a good idea—whether you go with three meals in the eight hours, or two meals and a snack or two.”

Your needs and preferences might vary somewhat from day to day, but having a general sense of your preferred approach will help you make a plan for what to eat when.

The upshot: Is 16/8 fasting right for you?

While far from being a required part of a healthy diet, 16/8 intermittent fasting can be a safe and workable eating approach for many adults. Research on the possible health perks of time-restricted eating is still emerging, but early evidence hints at some benefit in areas such as weight loss, blood pressure, and cholesterol. If you want to give 16/8 fasting a try, experts recommend using your eating window to enjoy a wide variety of whole, nutritious foods.