{"id":99,"date":"2013-04-30T21:00:43","date_gmt":"2013-04-30T21:00:43","guid":{"rendered":"http:\/\/joshmitteldorf.peachpuff-wolverine-566518.hostingersite.com\/?p=99"},"modified":"2013-05-04T14:48:49","modified_gmt":"2013-05-04T14:48:49","slug":"99","status":"publish","type":"post","link":"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/04\/30\/99\/","title":{"rendered":"Fasting on a schedule"},"content":{"rendered":"<p dir=\"ltr\"><em>Eating less is the best-tested and surest way to a younger body and an increased life span. \u00a0But it\u2019s a hard discipline to maintain, and many of us would welcome an easier alternative. \u00a0Perhaps we can realize some of the benefits applying a more temporary exercise of willpower, with intermittent fasting. \u00a0It\u2019s counter-intuitive, but seems to be true, that health and longevity are better served by clumping up our food consumption (feast and famine) than by spreading food consumption evenly through the day and through the week. \u00a0The topic is controversial, and the evidence is not just unclear, it\u2019s contradictory. \u00a0The bottom line is that it is worth trying. \u00a0Some people who drift away from diets involving consistent discipline find that they can comply on an intermittent schedule. \u00a0Experiment with different schedules, because individual response varies widely.<\/em><\/p>\n<p dir=\"ltr\">The link between restricted diet and longer life goes back at least to Benjamin Franklin: \u00a0\u201cTo lengthen thy life, lessen thy meals,\u201d said Poor Richard. \u00a0Formal experiments on mice established the benefits of calorie restriction <a href=\"http:\/\/en.wikipedia.org\/wiki\/Clive_McCay\">in the 1930s<\/a>. \u00a0But calorie restriction remained a backwater of research, unknown to most biologists, let alone the public. \u00a0Beginning in <a href=\"http:\/\/www.citeulike.org\/group\/3530\/article\/2290627\">1946<\/a>, intermittent fasting was introduced as an alternative lab regimen that required less measuring and monitoring. \u00a0These early experiments suggested great promise for cancer prevention and life extension by restricting access to food on various schedules. \u00a0This was exploratory work, and the experimenters were not keeping proper controls, or varying just one factor at a time, so it&#8217;s hard for us now to fit those results into the base of later experiments.<\/p>\n<p>In the 1980s, caloric restriction was already well-established as a robust way to extend life span, and alternate-day feeding and fasting was re-discovered. \u00a0\u00a0In <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7117847\">the best outcome<\/a>, rats lived 83% longer when fed every other day. \u00a0Looking back from today, we would want to ask: \u00a0how much of that benefit came from lower consumption overall, and how much from the schedule and periods of fasting? \u00a0Did they eat much less overall? \u00a0Or did they gorge themselves on the in-between days and make up for lost time? \u00a0Though no records were kept of the animals\u2019 food consumption, the results seemed to be too good to be due to reduced calories alone. \u00a0The schedule seemed to be at least a contributing factor in the success of the diet.<\/p>\n<p>Some species are adapted to graze continuously, while others have a much greater capacity to store food and digest it slowly. \u00a0\u00a0Even within the same species, different varieties may react very differently to alternate-day diets. \u00a0A study by Goodrick (<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/2402168\">1990<\/a>)\u00a0highlighted the different responses of two strains of mice. \u00a0Both were put on the same every-other-day regimen. \u00a0Both maintained their body weights, with no significant differences from control animals fed <em>ad libitum<\/em>. \u00a0But one strain enjoyed consistent life extension, and the other suffered a slight decrease in life span from EOD feeding.<\/p>\n<p><strong>Experience with people<\/strong><\/p>\n<p>People have a hard time adapting to no food at all every other day, so the four regimens that have been suggested for humans are<\/p>\n<ul>\n<li>Concentrating food intake in a portion of each waking day, or eating one meal a day, or fasting every day for 12-16 hours<\/li>\n<li>Fasting or eating lightly on alternate days<\/li>\n<li>Fasting one day a week<\/li>\n<li>Longer fasts of several days, less frequently.<\/li>\n<\/ul>\n<p dir=\"ltr\">Long-term human studies of EOD fasting and longevity are not available. \u00a0(People don&#8217;t like to live in cages, or eat the same thing as other subjects for years on end.) \u00a0So instead we look for hints in the short-term metabolic response to intermittent fasting. \u00a0The metabolic connection of diet to aging is mediated through the insulin metabolism, so it is logical to ask what are the effects on insulin levels, insulin sensitivity, and blood glucose. \u00a0EOD fasting shows benefits comparable to CR for\u00a0<a href=\"http:\/\/ajcn.nutrition.org\/content\/86\/1\/7.full\">some but not all of these<\/a>. \u00a0Higher levels of HDL (\u201cgood cholesterol\u201d) have been reported for humans and animals, and there is good support for lowering of cancer risk in animal studies, but no data yet for humans. \u00a0In the most pessimistic study, combining calories of 3 meals into one big meal in the evening had a \u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2121099\/?tool=pubmed\">negative effect on the insulin metabolism<\/a>.<\/p>\n<p><strong>Protecting the Aging Brain<\/strong><\/p>\n<p dir=\"ltr\">An intriguing benefit of the EOD regimen seems to be an increase in BDNF (brain-derived neurotropic factor). \u00a0This is a hormone that promotes new nerve growth in the brain, and presumably is related to the ability to learn. \u00a0BDNF levels <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15585351\">decline with age<\/a>. \u00a0There is good evidence that some of the benefits of EOD fasting and of CR generally are not direct effects on the metabolism, but are mediated through the nervous system. \u00a0Maybe you have to feel hungry to receive the health benefits. \u00a0The BDNF connection supports that idea.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Weight loss &#8211; a good indicator<\/strong><\/p>\n<p dir=\"ltr\">For some people, losing weight is an end in itself, and a primary goal. \u00a0But even if your focus is on other benefits (life extension or long-term health), weight loss is a good sign that the diet is working for you. \u00a0If you are not losing weight, there still might be benefits from intermittent fasting, but it is harder to know.<\/p>\n<p>For most people, <a href=\"http:\/\/motivatedandfit.com\/wp-content\/uploads\/2010\/03\/Diets_dont_work.pdf\">trying to eat less via willpower is counterproductive<\/a>. \u00a0A large majority of people who stay on a diet using discipline find that they regain more weight than they lost after their resolve runs out. \u00a0Such statistics, of course, always apply to other people, and each of us knows we can do better. \u00a0And some of us are right.<\/p>\n<p><strong>Advice<\/strong><\/p>\n<p>Experiment with a chosen fasting schedule. \u00a0Stick with it at least a month to give yourself time to adapt, and to average over varying life circumstances. \u00a0The right diet for you is the one you can live with. \u00a0When you find a schedule that is right for you, you will enjoy lightness and alertness; you \u00a0won\u2019t feel deprived or resentful; there will be satisfaction in caring for yourself well, and sensing it.<\/p>\n<p dir=\"ltr\"><a href=\"https:\/\/news.uic.edu\/krista-varady-weighs-in-on-how-to-drop-pounds-fast\" target=\"_blank\">Krista Varady<\/a> of Univ of Illinois has a research program helping people with every-other-day diets with 7 years of experience. \u00a0Varady reports good success using a schedule of alternate day dieting, in which subjects eat one meal on the in-between days, a normal lunch of 400-600 calories depending on body size. \u00a0On the eating days, she says subjects average 10% more than their usual diet, but do not pig out regularly, once they get used to the routine. \u00a0Some subjects drop out of the program, but for &gt;80% compliance is good. \u00a0She says many people are able to stick with this EOD schedule long-term, to lose weight quickly and keep it off.<\/p>\n<p>In summary, intermittent fasting is likely to work, but not for everyone. \u00a0Only personal experimentation can tell you if you\u2019re able to accommodate to fasting, if it can fit into the demands of your life, if you tend to overeat before and after.<\/p>\n<p dir=\"ltr\"><span style=\"font-size: small\"><strong>Personal note:<\/strong>\u00a0 I\u2019ve found I can live with a complete fast one day a week (usually on Thursday). \u00a0I also try to extend my overnight fast at least 12 hours. \u00a0I don\u2019t think I eat less overall, because I actually gained a couple of pounds when I started doing this in 1997. \u00a0But weekly fasting offers a kind of sabbath that feels right to me, makes me a little less focused, less verbal, less patient but more introspective.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Eating less is the best-tested and surest way to a younger body and an increased life span. \u00a0But it\u2019s a hard discipline to maintain, and many of us would welcome an easier alternative. \u00a0Perhaps we can realize some of the benefits applying a more temporary exercise of willpower, with intermittent fasting. \u00a0It\u2019s counter-intuitive, but seems &#8230; <a title=\"Fasting on a schedule\" class=\"read-more\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/04\/30\/99\/\" aria-label=\"Read more about Fasting on a schedule\">Read more<\/a><\/p>\n","protected":false},"author":65,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1],"tags":[],"class_list":["post-99","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Fasting on a schedule - Josh Mitteldorf<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/04\/30\/99\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fasting on a schedule\" \/>\n<meta property=\"og:description\" content=\"Eating less is the best-tested and surest way to a younger body and an increased life span. \u00a0But it\u2019s a hard discipline to maintain, and many of us would welcome an easier alternative. \u00a0Perhaps we can realize some of the benefits applying a more temporary exercise of willpower, with intermittent fasting. \u00a0It\u2019s counter-intuitive, but seems ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/04\/30\/99\/\" \/>\n<meta property=\"og:site_name\" content=\"Josh Mitteldorf\" \/>\n<meta property=\"article:published_time\" content=\"2013-04-30T21:00:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2013-05-04T14:48:49+00:00\" \/>\n<meta name=\"author\" content=\"Josh Mitteldorf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Josh Mitteldorf\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/04\\\/30\\\/99\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/04\\\/30\\\/99\\\/\"},\"author\":{\"name\":\"Josh Mitteldorf\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#\\\/schema\\\/person\\\/214c5d1dad9f15c48f03128d5cfccdb1\"},\"headline\":\"Fasting on a schedule\",\"datePublished\":\"2013-04-30T21:00:43+00:00\",\"dateModified\":\"2013-05-04T14:48:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/04\\\/30\\\/99\\\/\"},\"wordCount\":1233,\"commentCount\":9,\"publisher\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/#organization\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/04\\\/30\\\/99\\\/#respond\"]}],\"copyrightYear\":\"2013\",\"copyrightHolder\":{\"@id\":\"https:\\\/\\\/scienceblog.com\\\/#organization\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/04\\\/30\\\/99\\\/\",\"url\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/2013\\\/04\\\/30\\\/99\\\/\",\"name\":\"Fasting on a schedule - 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The surprising fact that our bodies are genetically programmed to age and to die offers an enormous opportunity for medical intervention. It may be that therapies to slow the progress of aging need not repair or regenerate anything, but only need to interfere with an existing program of self-destruction. Mitteldorf has taught a weekly yoga class for thirty years. He is an advocate for vigorous self care, including exercise, meditation and caloric restriction. After earning a PhD in astrophysicist, Mitteldorf moved to evolutionary biology as a primary field in 1996. He has taught at Harvard, Berkeley, Bryn Mawr, LaSalle and Temple University. He is presently affiliated with MIT as a visiting scholar. In private life, Mitteldorf is an advocate for election integrity as well as public health. He is an avid amateur musician, playing piano in chamber groups, French horn in community orchestras. His two daughters are among the first children adopted from China in the mid-1980s. Much to the surprise of evolutionary biologists, genetic experiments indicate that aging has been selected as an adaptation for its own sake. This poses a conundrum: the impact of aging on individual fitness is wholly negative, so aging must be regarded as a kind of evolutionary altruism. Unlike other forms of evolutionary altruism, aging offers benefits to the community that are weak, and not well focussed on near kin of the altruist. This makes the mechanism challenging to understand and to model. more at http:\\\/\\\/mathforum.org\\\/~josh\",\"sameAs\":[\"http:\\\/\\\/AgingAdvice.org\"],\"url\":\"https:\\\/\\\/scienceblog.com\\\/joshmitteldorf\\\/author\\\/joshmitteldorf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Fasting on a schedule - Josh Mitteldorf","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/scienceblog.com\/joshmitteldorf\/2013\/04\/30\/99\/","og_locale":"en_US","og_type":"article","og_title":"Fasting on a schedule","og_description":"Eating less is the best-tested and surest way to a younger body and an increased life span. \u00a0But it\u2019s a hard discipline to maintain, and many of us would welcome an easier alternative. \u00a0Perhaps we can realize some of the benefits applying a more temporary exercise of willpower, with intermittent fasting. \u00a0It\u2019s counter-intuitive, but seems ... 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The surprising fact that our bodies are genetically programmed to age and to die offers an enormous opportunity for medical intervention. It may be that therapies to slow the progress of aging need not repair or regenerate anything, but only need to interfere with an existing program of self-destruction. Mitteldorf has taught a weekly yoga class for thirty years. He is an advocate for vigorous self care, including exercise, meditation and caloric restriction. After earning a PhD in astrophysicist, Mitteldorf moved to evolutionary biology as a primary field in 1996. He has taught at Harvard, Berkeley, Bryn Mawr, LaSalle and Temple University. He is presently affiliated with MIT as a visiting scholar. In private life, Mitteldorf is an advocate for election integrity as well as public health. He is an avid amateur musician, playing piano in chamber groups, French horn in community orchestras. His two daughters are among the first children adopted from China in the mid-1980s. Much to the surprise of evolutionary biologists, genetic experiments indicate that aging has been selected as an adaptation for its own sake. This poses a conundrum: the impact of aging on individual fitness is wholly negative, so aging must be regarded as a kind of evolutionary altruism. Unlike other forms of evolutionary altruism, aging offers benefits to the community that are weak, and not well focussed on near kin of the altruist. This makes the mechanism challenging to understand and to model. more at http:\/\/mathforum.org\/~josh","sameAs":["http:\/\/AgingAdvice.org"],"url":"https:\/\/scienceblog.com\/joshmitteldorf\/author\/joshmitteldorf\/"}]}},"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/sgtN8h-99","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/99","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/users\/65"}],"replies":[{"embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/comments?post=99"}],"version-history":[{"count":0,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/posts\/99\/revisions"}],"wp:attachment":[{"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/media?parent=99"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/categories?post=99"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scienceblog.com\/joshmitteldorf\/wp-json\/wp\/v2\/tags?post=99"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}