“Probably” small enough to be ignored. This paper will be something to consider in a larger review, however, which you qualified in your post.
Why I comment is because on a public forum, the d and r in front of your name psychologically gives the idea in this paper far more emphasis to the average reader than if someone else posted it.
Just balancing the scale. Don’t rearrange your lives just yet. I’m my clinical experience, changing eating habits is the one positive lifestyle intervention that already has a lot of pressure against it: social, psychological, physiological, cultural, educational, etc. It is far easier to get someone to skip breakfast than supper.
Pointing out a paper like this might just add to the already overwhelming amount of pressure against change. I can hear someone coming into my office later today saying they can’t fast because a report said I need to skip dinner. And that’s the only meal my whole family sits down to.
W/r to diet and health, fasting is probably one of the most powerful and effective tools we have in behavior modification.
I know you know this Mike. As I said, just balancing out the scale for the average reader.