Guest guest Posted February 1, 2005 Report Share Posted February 1, 2005 Fasting Every Other Day Cuts Weight, Ups Crankiness By Amy Norton NEW YORK (Reuters Health) - Shunning food every other day may be a feasible way to slash calories -- if you and those around you don't mind the crankiness that comes with it, according to researchers. Their study of 16 nonobese men and women looked at the effects of alternate-day fasting, an eating plan that interspersed fasting days with " feasting " days that allowed participants to eat as much as they wanted. The researchers were interested in whether food deprivation every second day would be easier on people than counting calories on a daily basis, lead author Dr. Ravussin told Reuters Health. They found that the diet plan was indeed " feasible, " at least for the duration of the 3-week study. Overall, the men and women lost an average of 5 pounds, while shedding some body fat. On the other hand, Ravussin said, " most people were not happy " -- a major problem being the crankiness that erupted on the fasting days and did not abate over the 3 weeks. Ravussin and his colleagues at the Pennington Biomedical Research Center in Baton Rouge, Louisiana, report the findings in the American Journal of Clinical Nutrition (news - web sites). Uncovering the most tolerable ways for people to cut calories is not just a matter of trimming waistlines. A number of studies, Ravussin explained, have now shown that calorie restriction can extend the lives of everything from yeast and worms to rodents and, possibly, monkeys. There are a number of theories on why limiting food might make for a longer, healthier life. One idea, Ravussin noted, is that slowing the rate of metabolism reduces the generation of oxygen free radicals, potentially cell-damaging molecules that are a normal byproduct of the metabolic process. No one knows if calorie counting can extend human life as it does for some animals. Ravussin and his colleagues are currently conducting a trial, sponsored by the National Institutes of Health (news - web sites), which is examining how long-term dietary restriction affects people's health and longevity. Studying dietary restriction in people is, of course, far more complicated than studying it in lab rats. The ongoing trial is investigating how calorie cutting affects " biomarkers of longevity " in people, such as levels of blood sugar and insulin, a hormone key in regulating blood sugar. The trial is testing several methods of dietary restriction -- from pure calorie cutting to burning extra calories through exercise -- to see which are most viable. In the current study, Ravussin's team evaluated the effects of alternate-day fasting, an approach not included in that trial. They wanted to see if the eating plan was feasible and whether it influenced biomarkers of longevity, as well as participants' weight and metabolism. As mentioned, every other day for 3 weeks the men and women subsisted on calorie-free beverages and sugarless gum. On the days in between, they ate whatever they wanted. According to Ravussin, participants were not able to " make up " for what they didn't eat on fasting days, and consequently, they generally lost a few pounds and some fat mass. In addition, their insulin levels declined by an average of about 57 percent. However, the researchers also found that many participants said they were irritable on food-free days, and they did not appear to get used to having an empty stomach every other day. Calorie restriction, Ravussin noted, is the only behavior that has so far been shown to prolong life. " There is a ton of data suggesting that this is the only way to the 'fountain of youth', if you want, " he said. If the current findings are any indication, the researcher added, alternate-day fasting may not be the easiest path to that fountain. SOURCE: American Journal of Clinical Nutrition, January 2005. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2005 Report Share Posted February 2, 2005 Hi All, It seems that the below indicates that eating every other day ad lib reduces the calories that we eat and has all the ear- marks of CR. For Figure 2, ß-hydroxybutyrate was approximately 10-fold higher. Insulin was 3-fold lower and free fatty acids were approximately 4-fold lower. Nutritional status, dietary intake, and body composition: Leonie K Heilbronn, R , Corby K , D Anton, and Ravussin Alternate-day fasting in nonobese subjects: effects on body weight, body composition, and energy metabolism Am J Clin Nutr 2005 81: 69-73. Background: Prolonged dietary restriction increases the life span in rodents. Some evidence suggests that alternate-day fasting may also prolong the life span. Objective: Our goal was to determine whether alternate-day fasting is a feasible method of dietary restriction in nonobese humans and whether it improves known biomarkers of longevity. Design: Nonobese subjects (8 men and 8 women) fasted every other day for 22 d. Body weight, body composition, resting metabolic rate (RMR), respiratory quotient (RQ), temperature, fasting serum glucose, insulin, free fatty acids, and ghrelin were assessed at baseline and after 21 d (12-h fast) and 22 d (36-h fast) of alternate-day fasting. Visual analogue scales were used to assess hunger weekly. Results: Subjects lost 2.5 ± 0.5% of their initial body weight (P < 0.001) and 4 ± 1% of their initial fat mass (P < 0.001). Hunger increased on the first day of fasting and remained elevated (P < 0.001). RMR and RQ did not change significantly from baseline to day 21, but RQ decreased on day 22 (P < 0.001), which resulted in an average daily increase in fat oxidation of 15 g. Glucose and ghrelin did not change significantly from baseline with alternate-day fasting, whereas fasting insulin decreased 57 ± 4% (P < 0.001). Conclusions: Alternate-day fasting was feasible in nonobese subjects, and fat oxidation increased. However, hunger on fasting days did not decrease, perhaps indicating the unlikelihood of continuing this diet for extended periods of time. Adding one small meal on a fasting day may make this approach to dietary restriction more acceptable. Key Words: Resting metabolic rate • fat oxidation • insulin • glucose • biomarkers of longevity INTRODUCTION Prolonged dietary restriction (DR) is the only proven method of increasing the life span in rodents, flies, yeast, and worms (1). The mechanism or mechanisms by which DR increases life span are unclear, but the effects of DR include reduced metabolic rate, reduced oxidative damage, altered neuroendocrine signaling, and improved insulin sensitivity (2). The effect of prolonged DR on the life span in nonhuman primates is currently being investigated (3-5). Although conclusive results are years away, many improvements in biomarkers of longevity, including reduced core temperature, resting metabolic rate (RMR), dehydroepiandrosterone sulfate, glucose, and insulin, have already been observed. Prolonged DR also alters the expression of many genes from skeletal muscle, brain, and liver, including genes encoding heat shock proteins and uncoupling proteins and genes involved in oxidative damage (6-8). Recent microarray results in mouse liver indicate that there is significant overlap of genes that are up-regulated by short-term starvation and by prolonged DR (9). Alternate-day fasting may therefore be an alternative to prolonged DR as a method of increasing maximal life span. Goodrick et al (10) found that alternate-day fasting increased median and maximal life span in C57Bl/6 mice when it was introduced at 1.5 and 6 mo of age and increased maximal, but not median, life span in A/J mice. Recently, Anson et al (11) observed that mice fed every other day consumed the same total energy as did ad libitum fed animals and had similar body weights but had reduced glucose and insulin concentrations and increased resistance to endotoxic stress (11). A pilot study testing the feasibility and effects of long-term DR on biomarkers of longevity in nonobese humans is currently under investigation. This randomized clinical trial named CALERIE (sponsored by the National Institute of Aging) is testing numerous behavioral strategies and diets (ranging from liquid energy to 20–30% DR to increased energy expenditure by physical activity) to determine which of these will prove the most viable in today's " obesogenic " environment. However, the feasibility and efficacy of alternate-day fasting is not being investigated. Given the difficulty that individuals have in estimating energy intake (12-14), alternate-day fasting may prove to be a less complicated method than prolonged DR in humans. Indeed, one study investigated the effects of alternate- day DR for 3 y (15). In that study, the subjects were allowed 1 L of milk and 2–3 pieces of fruit on their energy-restricted day and 9600 kJ/d on the other day. The control group was fed 9600 kJ/d every day. The subjects randomly assigned to alternate-day DR spent less time in the infirmary and had a lower death rate than in the control group (6 versus 13; NS) (16). The present study was undertaken to determine the feasibility of alternate-day fasting in nonobese subjects. In addition, the effects of alternate-day fasting on body weight, RMR, fat oxidation, and biomarkers of longevity were investigated. Subjects Healthy, nonobese [body mass index (in kg/m2) range: 20.0–30.0] men (n = 8) and women (n = 8) aged between 23 and 53 y were recruited (Table 1). The subjects had different levels of physical activity: 7 were sedentary, 3 were moderately active (exercised 1–2 times/wk), and 6 were quite active (exercised 4–5 times/wk). Competitive athletes and subjects with type 2 diabetes were excluded. .... Study design The subjects attended the clinical research center on 2 consecutive days at baseline (days –2 and –1) and on 2 consecutive days after 3 wk of alternate-day fasting following a " feast " day (day 21) and following a " fast " day (day 22). The subjects had therefore fasted 12 h (overnight) on days –2, –1, and 21 and 36 h on day 22. The subjects were instructed to avoid exercise, alcohol, and coffee for 24 h before each visit. ... At baseline and on days 1, 7, 15, and 21 (fasting days), the subjects completed visual analogue scales (VASs) at 1000, 1200, 1400, and 1600 to assess their feelings of hunger, fullness, desire to eat, satisfaction, and prospective food consumption (17). ... the subjects also completed the Eating Inventory questionnaire, which assessed dietary restraint (the intent and ability to restrict caloric intake), disinhibition (the tendency to overeat), and hunger (18). The subjects also completed a nine-item self-report questionnaire, which was developed for this study, to assess eating attitudes and behaviors with the use of an 8-point scale. This questionnaire (Eating Behaviors Questionnaire) assessed whether the subjects consider themselves " dieters " who watch what they eat or " big eaters " who tend to eat 1 or 2 large meals per day. After baseline testing was completed, the subjects fasted from midnight to the subsequent midnight on alternating days for 22 d. On each fasting day, the subjects were allowed to consume energy-free beverages, tea, coffee, and sugar-free gum and were instructed to keep their water intake high. On each feasting day, the subjects were instructed to eat whatever they wished and were informed that double their usual food intake would be required to maintain their usual body weight. The subjects were provided with calibrated digital scales (Tanita, Arlington Heights, IL) to record their morning fasting body weight, urinary sticks to test for the presence of ketones, and a diet diary to record anything that was consumed on the fasting day. On day 20, the subjects were required to fast from 1900 so that a 12-h overnight fast would be completed before testing began the following morning at 0700. They did not break this fast until after their clinic visit on day 22. ... RESULTS The subjects' characteristics by sex are given in Table 1. On the basis of their self-recorded diet diaries and weight logs (Figure 1), the subjects complied with the protocol. Urinary ketones were not useful as a measure of compliance because they were not consistently detected in all subjects (data not shown). On the basis of daily regressed body weights, the subjects lost 2.5 ± 0.5% of their initial body weight. This self-reported weight loss was confirmed by weights measured in the clinic at baseline and on days 21 and 22 (P < 0.001). Significant reductions were observed in fat mass (P < 0.001) and fat- free mass (P < 0.05) after the intervention (Figure 1). On average, the men considered themselves " big eaters, " and the women reported that they " watched what they ate. " Percentage weight loss did not differ significantly between the men and the women, but weight loss correlated negatively with considering oneself a big eater after adjustment for sex (r = –0.63, P = 0.04). The dietary restraint and disinhibition scales of the Eating Inventory questionnaire did not significantly predict weight loss. VASs were completed for all days by only 8 of 16 subjects. First, baseline results were compared with the first day of fasting. As expected, a significant increase was found in feelings of hunger (from 37 ± 5 to 56 ± 4 mm; P < 0.001), and a significant decrease was noted in feelings of fullness (from 43 ± 3 to 23 ± 4 mm; P < 0.001). However, repeated-measures analysis over time (days 1, 7, 15, and 21) showed no significant changes in the subjects' perception of hunger, thirst, desire to eat, or feelings of satisfaction, although feelings of fullness increased slightly over time (P < 0.05). Temperature (data not shown) and absolute and relative resting metabolic rate (adjusted for fat-free mass and fat mass) were not significantly different from baseline (Table 2). Respiratory quotient (RQ) was also not significantly different from baseline at day 21; however, RQ was lower on day 22 (P < 0.001; Table 2). More specifically, fat oxidation increased from 64 g/24 h at baseline to 101 g/24 h, and carbohydrate oxidation decreased from 175 to 81 g/24 h. The change in RQ from baseline to day 21 was related to weight loss (r = –0.76, P < 0.001). The women had significantly lower glucose, insulin, free fatty acid, triacylglycerol, and LDL-cholesterol concentrations and significantly higher HDL-cholesterol and ghrelin concentrations than did the men (P < 0.05). Fasting glucose was not significantly changed from baseline in the men or the women (Figure 2). Fasting insulin was lower on day 22 in both the men and the women (P < 0.001), and fasting ß-hydroxybutyrate and free fatty acid concentrations were higher on day 22 in both the men and the women (Figure 2; P < 0.001). Fasting ghrelin was not significantly altered from baseline on day 21 (results not shown) or day 22 (from 1019 ± 128 to 1063 ± 158 pg/mL in the men and from 1403 ± 63 to 1493 ± 139 pg/mL in the women). Systolic and diastolic blood pressure were not significantly altered by the intervention (data not shown). HDL was elevated from baseline in the women only (P < 0.001; data not shown), and triacylglycerol was significantly reduced from baseline in the men only (P < 0.05; data not shown). DISCUSSION Alternate-day fasting may be an alternative to prolonged DR for increasing the life span (11). In the present study, we report that alternate-day fasting is feasible for short time periods in nonobese subjects. One participant reported feeling lightheaded once, and 4 subjects reported constipation. No subjects withdrew during the study, but many reported feeling irritable on their fasting days, perhaps indicating the unlikelihood of continuing this diet for extended periods of time. The results from the VASs suggest that feelings of fullness may have increased from the first fasting day over the course of the study, but other subjective states related to food intake motivation did not habituate, including hunger. This result contrasts with the results of studies using liquid-based, very- low-energy diets where hunger diminishes despite a marked energy deficit (19). Overall, these results suggest that a prolonged schedule of fasting and feasting would be marred by aversive subjective states (eg, hunger and irritability), which would likely limit the ability of most individuals to sustain this eating pattern. This is the first study, to our knowledge, to test the effects of alternate-day fasting on body weight and other metabolic variables in humans. Body weight was clearly reduced from baseline after 3 wk of alternate-day fasting, indicating that the subjects were unable to consume enough food on the feasting days to maintain their weight. This is opposite the results observed in rodents, where mice fed every other day maintained their body weight and consumed roughly the same amount of food in 1 d that ad libitum–fed animals consumed over 2 d (11). We hypothesized that the subjects with a self-reported ability to overeat or eat large amounts of food would maintain their body weight, and this hypothesis was supported: considering oneself a " big eater " was negatively associated with weight loss when sex was controlled for by partial correlation. Whether alternate-day fasting would lead to weight loss in obese participants remains unclear. The negative subjective states associated with the study cast doubt on the ability of individuals to voluntarily engage in alternate-day fasting for prolonged periods of time. Altering the clock time that the subjects are asked to fast (eg, from 1900 to 1900) or adding a small meal (10–20% of caloric needs) to the fasting day may make alternate-day fasting more acceptable in all populations. Ghrelin is a peptide secreted in the gut that is reduced on feeding and has been implicated in the regulation of feeding behavior and energy balance. Obese subjects have lower fasting ghrelin concentrations than do lean subjects (20) but have impaired suppression of plasma ghrelin in response to a meal (21). Furthermore, ghrelin is increased after weight loss in obese subjects (22, 23), perhaps driving the common phenomenon of weight regain after weight loss. In the present study, the women had significantly higher ghrelin concentrations than did the men. This has been reported previously (24) but is not consistently observed (25) and may be related to central adiposity. In contrast with the large increases in reported hunger, plasma ghrelin was unchanged in both the men and the women, even after 36 h of fasting. Studies in rodents have found that 24-h fasts increase plasma ghrelin (26). However, fasting for 72 h did not change plasma ghrelin in lean men (24). The results of these fasting studies in humans call into question the role of ghrelin in the hunger drive and highlight the need for further research in this area. A hallmark of rodent studies of longevity is reduced fasting glucose and insulin concentrations and increased insulin sensitivity in dietary-restricted animals (27). Reduced fasting insulin has also been associated with increased longevity in humans (27). In the present study, insulin was reduced after a fast day, suggesting improved insulin sensitivity. However, plasma free fatty acids were also elevated after fasting; these elevated concentrations may impair insulin-mediated glucose disposal and the suppression of hepatic glucose production (28). We also found that alternate-day fasting did not significantly change fasting glucose or insulin from baseline after a 12-h fast. This is in contrast with results in mice, in which glucose and insulin concentrations were lower after 14-h fasts than in ad libitum fed–mice or mice fed energy-restricted diets. Thus, humans may need to fast for longer than 12 h for this effect to be observed. Alternatively, this could be due to the already low glucose concentrations of our population or that 3 wk of alternate-day fasting was insufficient to produce this response. The study design may also have affected these results, because the subjects anecdotally reported eating even more than usual on day 20 (knowing they were about to enter a longer than usual fast day). RMR was not significantly changed after 3 wk of alternate-day fasting. The effects of 36-h fasts on RMR have not been previously reported. Horton and Hill (29) observed no differences in metabolic rate (measured for 12 h in a metabolic chamber after a mixed meal) between overnight or 3-d fasts. We did observe that subjects oxidized more fat on day 22 as evidenced by a reduction in RQ from 0.85 to 0.79. However, RQ was not altered on day 21. This suggests that there were no sustained increases in fat oxidation on fed days. Caution must be exercised when interpreting this result, because the subjects did not consume standardized diets and RQ is heavily dependent on fat intake and energy balance. However, it is more likely that we underestimated fat oxidation, because the subjects were coming out of positive energy balance and because overall fat oxidation was increased by an average of 15 g/d. Furthermore, because weight loss is positively correlated with increased fat oxidation, the results suggest that the subjects with a greater ability to oxidize fat lost more weight. Alternatively, it could be argued that the subjects who had a greater caloric deficit had increased fat oxidation. In conclusion, alternate-day fasting is feasible in nonobese subjects for short time periods, although unlike rodents, the subjects were unable to maintain their body weight. Furthermore, fat oxidation was increased and translated into fat mass loss. Hunger on fasting days did not habituate over the course of the study, which perhaps indicates the unlikelihood of subjects continuing on this diet for extended periods of time. Whether alternate-day fasting would promote weight loss in an obese population is uncertain. REFERENCES Weindruch R, Walford RL. The retardation of aging and disease by dietary restriction. Springfield, IL: C Publisher, 1988. Heilbronn LK, Ravussin E. Calorie restriction and aging: review of the literature and implications for studies in humans. Am J Clin Nutr 2003;78:361–9.[Abstract/Free Full Text] Ingram DK, Cutler RG, Weindruch R, et al. Dietary restriction and aging: the initiation of a primate study. J Gerontol 1990;45:B148–63. [Medline] Kemnitz JW, Weindruch R, Roecker EB, Crawford K, Kaufman PL, Ershler WB. Dietary restriction of adult male rhesus monkeys: design, methodology, and preliminary findings from the first year of study. J Gerontol 1993;48:B17–26.[Medline] Hansen BC, Bodkin NL, Ortmeyer HK. Calorie restriction in nonhuman primates: mechanisms of reduced morbidity and mortality. Toxicol Sci 1999;52:56–60.[Abstract] Lee CK, Klopp RG, Weindruch R, Prolla TA. Gene expression profile of aging and its retardation by caloric restriction. Science 1999;285:1390–3.[Abstract/Free Full Text] Lee CK, Weindruch R, Prolla TA. Gene-expression profile of the ageing brain in mice. Nat Genet 2000;25:294–7.[Medline] Cao SX, Dhahbi JM, Mote PL, Spindler SR. Genomic profiling of short- and long-term caloric restriction effects in the liver of aging mice. Proc Natl Acad Sci U S A 2001;98:10630–5.[Abstract/Free Full Text] Bauer M, Hamm AC, Bonaus M, et al. Starvation response in mouse liver shows strong correlation with lifespan prolonging processes. Physiol Genomics 2004;17:230–4.[Abstract/Free Full Text] Goodrick CL, Ingram DK, Reynolds MA, Freeman JR, Cider N. Effects of intermittent feeding upon body weight and lifespan in inbred mice: interaction of genotype and age. 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New York: Academic Press, 1976:253–84. Flint A, Raben A, Blundell JE, Astrup A. Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord 2000;24:38–48.[Medline] Stunkard AJ, Messick S. Eating inventory manual (The Psychological Corporation). San , TX: Harcourt Brace & Company, 1998. Wadden TA, Stunkard AJ, Day SC, Gould RA, Rubin CJ. Less food, less hunger: reports of appetite and symptoms in a controlled study of a protein-sparing modified fast. Int J Obes 1987;11:239–49.[Medline] Tschöp M, Weyer C, Tataranni PA, Devanarayan V, Ravussin E, Heiman ML. Circulating ghrelin levels are decreased in human obesity. Diabetes 2001;50:707–9.[Abstract/Free Full Text] English PJ, Ghatei MA, Malik IA, Bloom SR, Wilding JPH. Food fails to suppress ghrelin levels in obese humans. J Clin Endocrinol Metab 2002;87:2984.[Abstract/Free Full Text] Cummings DE, Weigle DS, Frayo RS, et al. Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med 2002;346:1623–30.[Abstract/Free Full Text] Hansen TK, Dall R, Hosoda H, et al. Weight loss increases circulating levels of ghrelin in human obesity. Clin Endocrinol (Oxf) 2002;56:203– 6.[Medline] Chan JL, Bullen J, Lee JH, Yiannakouris N, Mantzoros CS. Ghrelin levels are not regulated by recombinant leptin administration and/or three days of fasting in healthy subjects. J Clin Endocrinol Metab 2004;89:335–43.[Abstract/Free Full Text] Purnell JQ, Weigle DS, Breen P, Cummings DE. Ghrelin levels correlate with insulin levels, insulin resistance, and high-density lipoprotein cholesterol, but not with gender, menopausal status, or cortisol levels in humans. J Clin Endocrinol Metab 2003;88:5747–52. [Abstract/Free Full Text] Beck B, Richy S, Stricker-Krongrad A. Ghrelin and body weight regulation in the obese Zucker rat in relation to feeding state and dark/light cycle. Exp Biol Med (Maywood) 2003;228:1124–31. [Abstract/Free Full Text] Roth GS, Lane MA, Ingram DK, et al. Biomarkers of caloric restriction may predict longevity in humans. Science 2002;297:811.[Free Full Text] Homko CJ, Cheung P, Boden G. Effects of free fatty acids on glucose uptake and utilization in healthy women. Diabetes 2003;52:487–91. [Abstract/Free Full Text] Horton TJ, Hill JO. Prolonged fasting significantly changes nutrient oxidation and glucose tolerance after a normal mixed meal. J Appl Physiol 2001;90:155–63. TABLE 1 Baseline characteristics of the participants by sex1 Men (n = 8) Women (n = 8) ------------------------------- Age (y) 34 ± 3 30 ± 1 Weight (kg) 80.6 ± 4.4 59.7 ± 1.72 BMI (kg/m2) 25.2 ± 1.1 22.6 ± 0.6 Fat mass (%) 22 ± 2 25 ± 1 Cholesterol (mmol/L) 4.9 ± 0.4 4.7 ± 0.2 HDL (mmol/L) 1.0 ± 0.1 1.8 ± 0.12 Triacylglycerols (mmol/L) 2.5 ± 0.6 1.1 ± 0.12 Systolic blood pressure (mm Hg) 116 ± 2 104 ± 32 Diastolic blood pressure (mm Hg) 75 ± 3 68 ± 2 1 All values are ± SEM. 2 Significantly different from men, P < 0.01 (one-factor ANOVA). TABLE 2 Resting metabolic rate (RMR), respiratory quotient (RQ), and fat and carbohydrate oxidation measured at baseline and after a fed day (day 21) and a fast day (day 22)1 Baseline Day 21 Day 22 -------------------------------------------------- RMR (kJ/d) 6675 ± 283 6292 ± 268 6329 ± 260 RQ 0.85 ± 0.01 0.86 ± 0.02 0.79 ± 0.012 Fat oxidation (g/24 h)3 64 ± 8 54 ± 10 101 ± 92 Carbohydrate oxidation (g/24 h)3 175 ± 17 184 ± 24 81 ± 162 1 All values are ± SEM. Two consecutive days at baseline were averaged for analysis. 2 Significantly different from baseline, P < 0.001 (one-factor repeated-measures ANOVA). 3 Calculated by assuming that protein oxidation was 15% of RMR. Cheers, Al Pater. --- In , " Jeff Novick " <jnovick@p...> wrote: > Fasting Every Other Day Cuts Weight, Ups Crankiness > > > By Amy Norton > > NEW YORK (Reuters Health) - Shunning food every other day may be a feasible way to slash calories -- if you and those around you don't mind the crankiness that comes with it, according to researchers. > > Their study of 16 nonobese men and women looked at the effects of alternate-day fasting, an eating plan that interspersed fasting days with " feasting " days that allowed participants to eat as much as they wanted. > > The researchers were interested in whether food deprivation every second day would be easier on people than counting calories on a daily basis, lead author Dr. Ravussin told Reuters Health. > > They found that the diet plan was indeed " feasible, " at least for the duration of the 3-week study. Overall, the men and women lost an average of 5 pounds, while shedding some body fat. > > On the other hand, Ravussin said, " most people were not happy " -- a major problem being the crankiness that erupted on the fasting days and did not abate over the 3 weeks. > > Ravussin and his colleagues at the Pennington Biomedical Research Center in Baton Rouge, Louisiana, report the findings in the American Journal of Clinical Nutrition (news - web sites). > > Uncovering the most tolerable ways for people to cut calories is not just a matter of trimming waistlines. A number of studies, Ravussin explained, have now shown that calorie restriction can extend the lives of everything from yeast and worms to rodents and, possibly, monkeys. > > There are a number of theories on why limiting food might make for a longer, healthier life. One idea, Ravussin noted, is that slowing the rate of metabolism reduces the generation of oxygen free radicals, potentially cell-damaging molecules that are a normal byproduct of the metabolic process. > > No one knows if calorie counting can extend human life as it does for some animals. Ravussin and his colleagues are currently conducting a trial, sponsored by the National Institutes of Health (news - web sites), which is examining how long-term dietary restriction affects people's health and longevity. > > Studying dietary restriction in people is, of course, far more complicated than studying it in lab rats. The ongoing trial is investigating how calorie cutting affects " biomarkers of longevity " in people, such as levels of blood sugar and insulin, a hormone key in regulating blood sugar. > > The trial is testing several methods of dietary restriction -- from pure calorie cutting to burning extra calories through exercise -- to see which are most viable. > > In the current study, Ravussin's team evaluated the effects of alternate-day fasting, an approach not included in that trial. They wanted to see if the eating plan was feasible and whether it influenced biomarkers of longevity, as well as participants' weight and metabolism. > > As mentioned, every other day for 3 weeks the men and women subsisted on calorie-free beverages and sugarless gum. On the days in between, they ate whatever they wanted. > > According to Ravussin, participants were not able to " make up " for what they didn't eat on fasting days, and consequently, they generally lost a few pounds and some fat mass. In addition, their insulin levels declined by an average of about 57 percent. > > However, the researchers also found that many participants said they were irritable on food-free days, and they did not appear to get used to having an empty stomach every other day. > > Calorie restriction, Ravussin noted, is the only behavior that has so far been shown to prolong life. " There is a ton of data suggesting that this is the only way to the 'fountain of youth', if you want, " he said. If the current findings are any indication, the researcher added, alternate-day fasting may not be the easiest path to that fountain. > > SOURCE: American Journal of Clinical Nutrition, January 2005. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2005 Report Share Posted February 2, 2005 Hi Al: Gosh those women were a lot healthier than the males! Much lower BMI; much better lipids; and BP of 104/68? All BEFORE the study started. It will be interesting to compare these results with those of Mattson's study due out later in the year looking at people eating one meal only each day, in the early evening. Finally, we are beginning to see studies that are looking at meal frequency. It would be nicer, of course, if they were done on people who were already calorically restricted. Since the benefits of restriction are now beyond dispute, if we wish to determine the way to prolong maximal lifespan the most, logically the control groups should be restricted individuals, and the experimental groups some variation in the method of implementation of restriction, imo. Rodney. > > Fasting Every Other Day Cuts Weight, Ups Crankiness > > > > > > By Amy Norton > > > > NEW YORK (Reuters Health) - Shunning food every other day may be a > feasible way to slash calories -- if you and those around you don't > mind the crankiness that comes with it, according to researchers. > > > > Their study of 16 nonobese men and women looked at the effects of > alternate-day fasting, an eating plan that interspersed fasting days > with " feasting " days that allowed participants to eat as much as they > wanted. > > SOURCE: American Journal of Clinical Nutrition, January 2005. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2005 Report Share Posted February 2, 2005 Hi Al: I doubt that eating every other day will not be a widely successful method of restriction. My reason is that eating huge meals every other day will prevent any shrinkage in stomach capacity. Whereas eating small amounts daily may well result in a smaller stomach size. I have no evidence of this beyond my own experience. Shrinkage in stomach capacity is simply the best explanation I can come up with to explain why I find restriction a lot easier after a couple of months of efforts. As previously explained. Rodney. > > > Fasting Every Other Day Cuts Weight, Ups Crankiness > > > > > > > > > By Amy Norton > > > > > > NEW YORK (Reuters Health) - Shunning food every other day may be > a > > feasible way to slash calories -- if you and those around you don't > > mind the crankiness that comes with it, according to researchers. > > > > > > Their study of 16 nonobese men and women looked at the effects of > > alternate-day fasting, an eating plan that interspersed fasting > days > > with " feasting " days that allowed participants to eat as much as > they > > wanted. > > > > SOURCE: American Journal of Clinical Nutrition, January 2005. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2005 Report Share Posted February 2, 2005 Corrected .................... (a 'not' deleted) > Hi Al: > > I doubt that eating every other day will be a widely successful > method of restriction. My reason is that eating huge meals every > other day will prevent any shrinkage in stomach capacity. Whereas > eating small amounts daily may well result in a smaller stomach size. > > I have no evidence of this beyond my own experience. Shrinkage in > stomach capacity is simply the best explanation I can come up with to > explain why I find restriction a lot easier after a couple of months > of efforts. As previously explained. > > Rodney. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2005 Report Share Posted February 2, 2005 Dude, stomachs don't really shrink.... On Wed, 02 Feb 2005 20:56:36 -0000, Rodney <perspect1111@...> wrote: > > > Corrected .................... (a 'not' deleted) > > > Hi Al: > > > > I doubt that eating every other day will be a widely successful > > method of restriction. My reason is that eating huge meals every > > other day will prevent any shrinkage in stomach capacity. Whereas > > eating small amounts daily may well result in a smaller stomach > size. > > > > I have no evidence of this beyond my own experience. Shrinkage in > > stomach capacity is simply the best explanation I can come up with > to > > explain why I find restriction a lot easier after a couple of > months > > of efforts. As previously explained. > > > > Rodney. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2005 Report Share Posted February 3, 2005 Hi : Well you ought to know. But I am really surprised to hear that. So many other parts of the body adapt to accomodate the workload put on them - muscles, brain (function, probably not size), lungs, heart, skeleton even, why would the stomach be different? Endurance athletes especially experience an upward adjustment as a result of training - muscles, lungs, heart. Body builders are probably the best example of the way muscle adapts to workload. And as soon as they stop the workload the extra muscle disappears pretty quickly. Many sources I have seen claim exercise prompts the skeleton to maintain bone mass, usually this is noted as a way to prevent bone loss in osteoporosis. Obese people, it is said, never get osteoporosis because of the large loads the bones have to carry, and accordingly adapt to. I have even seen bone grow on the end of a metal orthopaedic rod because it somehow figured it needed to be there - more than an inch from the nearest other bone mass! Amazing adaptation, to me. In terms of downward adjustment I have very recently been told that the muscles in my right arm, not being used the next few weeks, will atrophy to the extent they will need months of physiotherapy to get them back into half decent shape. Astronauts have similar atrophy problems with both muscle and bone, because of reduced demands on them in weightlessness. Is the stomach different in not adapting to shifts in demand? I am thinking of the people who eat such huge quantities daily that they are able to maintain, and even increase, their weight above 1000 pounds in a few cases. How could a regular-sized stomach handle such volumes of food? Is the stomach the only part of our LBM that does not get trimmed down in size as people who are transitioning to CRON lose LBM as well as fat? If you are sure about this then there must be some other reason why I have noticed many times over the years that my appetite diminishes appreciably only after a couple of months trying to restrict but having difficulty because of hunger. Interesting issue, either way. Rodney. > Dude, stomachs don't really shrink.... > > > On Wed, 02 Feb 2005 20:56:36 -0000, Rodney <perspect1111@y...> wrote: > > > > > > Corrected .................... (a 'not' deleted) > > > > > Hi Al: > > > > > > I doubt that eating every other day will be a widely successful > > > method of restriction. My reason is that eating huge meals every > > > other day will prevent any shrinkage in stomach capacity. Whereas > > > eating small amounts daily may well result in a smaller stomach > > size. > > > > > > I have no evidence of this beyond my own experience. Shrinkage in > > > stomach capacity is simply the best explanation I can come up with > > to > > > explain why I find restriction a lot easier after a couple of > > months > > > of efforts. As previously explained. > > > > > > Rodney. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2005 Report Share Posted February 3, 2005 Just did the calculation for calories expended by a male, aged 45, weighing 1000 pounds, spending 10 hours resting, 10 hours 'very light' activity and 4 hours 'light' activity. In very round numbers we are talking about 10,000 calories a day. Hmmmmm. Rodney. > > > > > > > > > Corrected .................... (a 'not' deleted) > > > > > > > Hi Al: > > > > > > > > I doubt that eating every other day will be a widely successful > > > > method of restriction. My reason is that eating huge meals > every > > > > other day will prevent any shrinkage in stomach capacity. > Whereas > > > > eating small amounts daily may well result in a smaller stomach > > > size. > > > > > > > > I have no evidence of this beyond my own experience. Shrinkage > in > > > > stomach capacity is simply the best explanation I can come up > with > > > to > > > > explain why I find restriction a lot easier after a couple of > > > months > > > > of efforts. As previously explained. > > > > > > > > Rodney. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2005 Report Share Posted February 3, 2005 Well, your stomach size and length of intestines are pretty static, regardless of " exercise " or caloric or volumetric intake: Nutr Rev. 1994 Jan;52(1):1-10. Related Articles, Links The role of the gut in regulating food intake in man. Read N, French S, Cunningham K. Center for Human Nutrition, Northern General Hospital, Sheffield, UK. In addition to various psychosocial and metabolic factors, food intake is also influenced by gastrointestinal mechanisms that trigger both the initiation and termination of eating behaviors. Although gastric distension is one of the most obvious signs of " fullness " and clearly plays a role in controlling food intake, its effects are only temporary and are distinct from the feelings of satiety generally associated with a meal. Such postprandial sensations appear to be related to the activation of intestinal chemoreceptors. Other evidence indicates that the release of cholecystokinin and perhaps other transmitters as well may contribute to satiety. Although the stomach probably does not expand or shrink in response to different levels of food intake, nutrient receptors in the small intestine probably do adapt to changes in food intake. Intestinal adaptation also occurs in response to thyroid hormone, insulin, and cortisol as well as to obesity, pregnancy, and illness, which all may have an important bearing on changes in eating behavior in these situations. Publication Types: * Review * Review, Tutorial PMID: 8139794 [PubMed - indexed for MEDLINE] On Thu, 03 Feb 2005 00:58:31 -0000, Rodney <perspect1111@...> wrote: > > > Hi : > > Well you ought to know. But I am really surprised to hear that. So > many other parts of the body adapt to accomodate the workload put on > them - muscles, brain (function, probably not size), lungs, heart, > skeleton even, why would the stomach be different? > > Endurance athletes especially experience an upward adjustment as a > result of training - muscles, lungs, heart. Body builders are > probably the best example of the way muscle adapts to workload. And > as soon as they stop the workload the extra muscle disappears pretty > quickly. Many sources I have seen claim exercise prompts the > skeleton to maintain bone mass, usually this is noted as a way to > prevent bone loss in osteoporosis. Obese people, it is said, never > get osteoporosis because of the large loads the bones have to carry, > and accordingly adapt to. I have even seen bone grow on the end of a > metal orthopaedic rod because it somehow figured it needed to be > there - more than an inch from the nearest other bone mass! Amazing > adaptation, to me. > > In terms of downward adjustment I have very recently been told that > the muscles in my right arm, not being used the next few weeks, will > atrophy to the extent they will need months of physiotherapy to get > them back into half decent shape. Astronauts have similar atrophy > problems with both muscle and bone, because of reduced demands on > them in weightlessness. > > Is the stomach different in not adapting to shifts in demand? I am > thinking of the people who eat such huge quantities daily that they > are able to maintain, and even increase, their weight above 1000 > pounds in a few cases. How could a regular-sized stomach handle such > volumes of food? Is the stomach the only part of our LBM that does > not get trimmed down in size as people who are transitioning to CRON > lose LBM as well as fat? > > If you are sure about this then there must be some other reason why I > have noticed many times over the years that my appetite diminishes > appreciably only after a couple of months trying to restrict but > having difficulty because of hunger. > > Interesting issue, either way. > > Rodney. > > > > > > > > > > > Corrected .................... (a 'not' deleted) > > > > > > > Hi Al: > > > > > > > > I doubt that eating every other day will be a widely successful > > > > method of restriction. My reason is that eating huge meals > every > > > > other day will prevent any shrinkage in stomach capacity. > Whereas > > > > eating small amounts daily may well result in a smaller stomach > > > size. > > > > > > > > I have no evidence of this beyond my own experience. Shrinkage > in > > > > stomach capacity is simply the best explanation I can come up > with > > > to > > > > explain why I find restriction a lot easier after a couple of > > > months > > > > of efforts. As previously explained. > > > > > > > > Rodney. > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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