Across 28 trials in 302 healthy adults, single fasted workouts were associated with larger rises in glucose and insulin and larger drops in free fatty acids than fed workouts, with no difference in triglycerides or the body's fuel-use ratio. The pooled results give no support to the idea that fasted sessions are better for glucose or fat metabolism.
What it shows: Worth taking seriously but deliberately narrow: results pooled from 28 trials in 302 healthy adults, all measuring single workouts lasting 36 to 150 minutes. It says nothing about whether weeks of habitual fasted training change fat loss, fitness or long-term metabolic health.Meta-analysis · Clin Nutr ESPEN