The New Year Looms, So Here is My Key Resolution: Intermittent Fasting

Here comes the New Year, and with it sensible people are looking for ways to fulfill resolutions to eat healthy.

Intermittent fasting is a legitimate option they might want to consider, claims a new review in the 26 December issue of the New England Journal of Medicine.

“The state of the science on intermittent fasting has evolved to the point that it now can be considered as one approach, with exercise and healthy food, to improving and maintaining health as a lifestyle approach,” said senior author Mark Mattson, a neuroscientist with Johns Hopkins Medicine in Baltimore.

There are 2 Key ways to adopt intermittent fasting into your life, they are:

  • Daily time-restricted feeding gives you a narrow window during which you can eat, usually 6 to 8 hours each day.
  • 5:2 intermittent fasting requires that people only eat 1 moderate-sized meal on 2 days each week.

When people are fasting, they are slowly burning through the glucose stored in their liver, the liver holds about 700 calories of glucose.

It takes 10 to 12 hours to use the liver’s energy stores. Then what happens is, fats are used for energy.

This process is called “metabolic switching,” and the 3-meals-a-day eating pattern favored by Americans does not allow their bodies to run through their liver’s energy stores and make the switch to fat-burning.

In the new paper, Dr. Mattson and colleagues summarized the current scientific evidence.

Studies show that intermittent fasting can do the following:

  • Stabilize blood sugar levels, increase resistance to stress, and suppress inflammation.
  • Decrease blood pressure and cholesterol levels, and improve resting heart rate.
  • Improve brain health and memory.

If you’re thinking of intermittent fasting as a fad diet, I think it’s actually a pretty legitimate option,” said Hannah Kittrell, a registered dietitian and manager of the Mount Sinai PhysioLab in New York City, a nutrition and exercise physiology clinic.

The reason for that is it’s not completely cutting out any food groups,” said Ms. Kittrell, who was not part of the study. “It is not telling you do not eat carbs, do not eat fat. It’s just modulating when you are eating food.”

Ms. Kittrell said her lab evaluates different diets by looking at the evolutionary, historical and biological basis for them, and intermittent fasting passes all 3 tests.

There is an evolutionary basis in the sense that hunter-gatherers essentially followed an intermittent fasting diet because food was scarce. They would not necessarily know the next time they would eat,” she said.

The metabolic switch described by Dr. Mattson reflects the biological basis of intermittent fasting, and history is full of examples of humans engaging in fasting, she said.

It has been used for medical and religious reasons,” Ms. Kittrell said.

In the paper, Dr. Mattson lays out sample ways for incorporating fasting into daily life.

People who want to try time-restricted feeding could limit themselves to a 10-hour feeding period 5 days a week for the 1st month, then bring the period down to 8 and then 6 hours in subsequent months. The goal would be to achieve a 6-hour feeding period 7 days a week, the researchers wrote.

Or people could start out by fasting 1 day a week, with 1 meal on that day of 1,000 calories, and extend that to 2 days a week by the 2nd month. The goal would be a single 500-calorie meal on 2 days each week.

Both Mattson and Kittrell warn that beginners are likely be uncomfortable as the body adapts to your new eating pattern.

“This is very similar to exercise programs where someone who is sedentary, they take a month or 2 to get in shape while their organ systems adapt to the exercise,” Dr. Mattson said.

It can take between a few weeks to a couple of months for someone to get comfortable with intermittent fasting, they said.

“If someone typically eats breakfast and tomorrow they do not eat breakfast, they are going to be hungry and irritable as it gets towards lunchtime,” Dr. Mattson said. “That will be gone after two weeks to a month, if they stick with it. That is a very important practical aspect.”

Do not expect immediate results, as it can take a few weeks before the body adapts to the point where pounds start dropping and experiencing improved health indicators.

Participants also must keep in mind that fasting does not give them free license to eat whatever they want, Ms. Kittrell added.

Obviously, you are still going to want to follow a healthy diet,” she said. “It is not like you can eat only fast food but because you are doing intermittent fasting you will be healthy.”

Although Ms. Kittrell considers intermittent fasting a reasonable diet option, she said there is still a lot to learn about it.

For example, studies show that some people respond better to fasting than others, though the reasons why are not yet understood, she said.

“I think it shows promise, but there’s still a lot of work to be done before you can say that intermittent fasting is 100% safe and effective for everybody to follow,” Ms. Kittrell said.

Dr. Mattson, who’s been fasting for 20 years, said there are certain types of people for whom he would not recommend the practice, they are children, the elderly and people who already have very low body weight.

He agrees with Ms. Kittrell that more research needs to be done regarding the health potential of fasting.

For one thing, there is a strong argument to be made that intermittent fasting might improve cancer treatment, Dr. Mattson said.

“It turns out cancer cells typically only use glucose as a food source. They cannot use fats,” Dr. Mattson said. “If you hit them with chemotherapeutic drugs or radiation when the person is fasting, then their cancer cells are more easily killed.”

There are multiple trials ongoing to see if fasting could help treat cancer, Dr. Mattson noted.

Eat healthy, Be healthy, Live lively

Have a terrific Holiday weekend

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