Episode Transcript

What are the Health Benefits of Fasting?
Episode 60: September 09, 2009

I’ve gotten a lot of questions from listeners about fasting: Is it safe? Is it beneficial? How long should one fast? How often?

As it happens, we’re right in the middle of Ramadan, a religious festival during which many Muslims fast from sunup to sundown every day for 30 days. And in just a couple of weeks, observant Jews will be fasting in observation of Yom Kippur.   So, it seems like a great time to answer your questions about fasting!

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What are the Health Benefits of Fasting?

People have fasted as a spiritual practice since ancient times. Today, there are a lot of people claiming that fasting also has a lot of health benefits. And, in fact, research shows that short fasts, lasting anywhere from 20 to 36 hours can in fact reduce some risks for heart disease and diabetes--and maybe even cancer.

As I explained in episodes #31 and #32, going without food for several hours does NOT cause your metabolism to slow down nor does it wreak havoc with your blood sugar. Short fasts actually improve insulin sensitivity and this is pretty big deal. When your cells are sensitive to the effects of insulin, they do a much better job modulating your blood sugar levels after meals and this makes life a lot easier for your poor old pancreas. Loss of insulin sensitivity is a risk factor for both heart disease and diabetes.

Short fasts also reduce oxidative stress and inflammation in cells. Many theorize that this helps prevent and repair DNA damage that could otherwise develop into cancer. There’s even some research suggesting that fasting slows the little clocks that tick inside our mitochondria and trigger senescence, or aging. In other words, fasting might help us live longer by keeping our organs youthful.

I want to emphasize that this is all still very much in the theoretical and experimental phase, but there are a lot of people who have embraced intermittent fasting as an anti-aging strategy. Some of them fast one day a week or one weekend a month. Others fast every other day. If you’re curious about how this works, I’ve put a link in the show notes to an interesting blog about one man’s experience with intermittent fasting.

Interestingly, you can get the metabolic benefits of fasting even if you make up for the lost calories by eating more when you’re not fasting. It doesn’t seem to be about eating less as much as it’s about going longer between meals.

Fasting for Weight Loss

Intermittent fasting doesn’t necessarily lead to weight loss, but it often does. Research shows that when people skip a meal or stop eating for an entire day, they do tend to eat more at the next meal. But even if they allow themselves to eat as much as they want, they don’t quite make up for the calories they missed.

I know that flies in the face of everything you hear, but skipping meals can actually be an effective weight loss strategy. I’ll post a link in the show notes to a summary of some research on this as well as a link to an article I wrote on the pros and cons of fasting as a weight control strategy.

How to Fast Safely

Fasting is not for everyone. Though some people describe feeling euphoric and energized, others feel cranky and sick. And if you’re pregnant, diabetic, severely underweight, recuperating from surgery, or have a serious medical condition, you really shouldn’t fast without close medical supervision. In fact, those with medical conditions are often exempted from religious fasting obligations.

If none of that applies to you and you think you’d like to try an occasional fast, here are some guidelines on how to do it safely.

  1. Keep it short. You don’t have to fast for days at a time to get the metabolic or weight loss benefits. As some of the studies I’ve posted demonstrate, skipping a meal every other day is enough to produce modest weight loss. Fasting for as little as 20 hours at a time is enough to improve insulin sensitivity and other metabolic functions. I don’t recommend going for longer than 36 hours.
  2. Stay hydrated. Those fasting for Ramadan and Yom Kippur usually go without water throughout their fasts. Although no lasting harm appears to come from it, they do often end up somewhat dehydrated. That’s why Ramadan feasts traditionally begin with fruit, soups, and other hydrating foods. If you are not fasting for religious reasons, by all means drink plenty of water during your fast.
  3. Forego vigorous exercise while fasting. A brisk walk is fine but it’s not a good idea to run a marathon or swim the English Channel on a day when you’re not eating as much as usual.
  4. Avoid operating heavy machinery. Don’t operate any heavy machinery--such as automobiles-- until you know how feel while fasting. In Muslim countries, car accidents tend to go up during Ramadan. Then again, that may not be all due to the fasting. A good bit of it may be due to sleep deprivation. Families and friends often gather to break the fast and visit until the wee hours—then get up early for another meal before the fast begins again.
  5. Optimize your nutrition. When you’re not fasting be sure to eat wholesome, nutritious foods. If you’re going to eat less, the nutritional quality of what you do eat becomes that much more important. Fasting for a day and then pigging out on junk food the next day is not a way to move your health agenda forward.
  6. Don’t go too low. If your weight starts to dip below your healthy weight range, you’re fasting too often and may be at risk of nutritional deficiencies. Not sure what your healthy weight range is? I’ll put a link in the show notes to a calculator.
How to Fast without Losing Weight

For many people, weight loss is a welcome benefit of intermittent or modified fasting. But Faraz wrote to ask if I had any tips that could help him maintain his weight during his month of Ramadan fasting.

If you want to avoid losing weight, Faraz, you’ll need to try to eat a normal day’s worth of calories between sundown and sunrise. If you’re also trying to grab a few hours of sleep in there, that may be easier said than done.

When you break your fast in the evenings, choose foods that are nutritious but also calorie-dense--such as nuts, avocados, cheese, meat, and so on. Salads, fruits, and juices are nutritious and can help replenish lost fluids, but they can fill you up without providing as many calories. In the morning, try to be up early enough to grab a good-sized meal (and lots of water) before the fast begins.

Even if you do lose a little weight, choosing nutritious, calorie-dense foods can help you normalize your weight more quickly when you return to your normal eating schedule.

Administrative

This is Monica Reinagel, the Nutrition Diva, with your quick and dirty tips for eating well and feeling fabulous.  These tips are provided for your information and entertainment and are not intended as medical advice. Because everyone is different, please work with your health professional to determine what’s right for you.

Visit nutritiondiva.quickanddirtytips.com for a transcript of this episode, along with links to all the research and resources I mentioned. And visit GoToMyPC.com/podcast for a free 30 day trial.

Have a great day and eat something good for me!

RESOURCES: 

Benefits of fasting for weight control and disease prevention (U.S. News and World Report)

Effect of intermittent fasting on insulin action (Journal of Physiology)

Effects of intermittent fasting on cardiovascular health (Annals of Nutrition and Metabolism)

A Year of Intermittent Fasting (Blog of one man’s experience)

Pros and Cons of Modified Fasting for Weight loss (Monica’s NutritionData.com Blog)

What’s a healthy weight? (BMI Calculator)


Comments (5) for What are the Health Benefits of Fasting? |  Subscribe to Comment

lizzi Says:
9/26/2009 2:41:47 PM
does skipping meals extend to skipping breakfast?
Faraz Says:
9/18/2009 11:45:10 AM
Thank you ND for answering my question. First time in years i have not lost weight to worrying degrees during Ramadan :). Very good information. Keep it up!
veganprimate Says:
9/12/2009 4:45:11 PM
It's quite serendipitious that I came across this site today, as I recently made a change in my eating habits and have begun eating only twice a day. It seemed like all I ever did was eat, and I started wondering how often humans SHOULD eat. Of course, there's the idea of eating lots of small meals which I find unapppealing b/c all you do is think about food and you are never really full. Twice a day is great for me b/c I eat until I'm really full. The satiety feels good, the endorphines feel good, and really, the hunger is not that bad. Knowing I'll be eating a nice big meal helps me deal with the hunger. Anyway, it's nice to know I'm on track with what I'm doing. I really like this podcast and will become a regular listener.
Nutrition Diva Says:
9/9/2009 6:01:34 PM
@leigh: you're right, that is confusing. The improvement in insulin sensitivity is (to a nutritionist) a metabolic benefit...but doesn't have to do with metabolic rate.
Leigh Says:
9/9/2009 3:31:54 PM
Very intriguing episode! I am confused about one thing though. You say "Interestingly, you can get the metabolic benefits of fasting even if you make up for the lost calories by eating more when you’re not fasting." What exactly are the metabolic benefits? I know that you say fasting will not slow your metabolism, so how exactly does it change? Thanks!

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