Fasting may protect against disease; some say it may even be good for the brain

Washington Post Illustration - New research on fasting suggests it might reduce the risk of developing cancer, dementia and other diseases.

For people who are overweight, any kind of intermittent fasting diet will probably help reduce the risk of diabetes and cardiovascular problems, Mattson says. In 2007, he found another benefit, too. He put 10 overweight people with asthma on an alternate-day incomplete fast and found that their asthma symptoms improved after just a few weeks. Blood markers of inflammation, including C-reactive protein, also decreased, suggesting that the fast was helping to moderate their overactive immune system.

Whether fasting would benefit normal-weight people with asthma or other conditions associated with an overactive immune response remains to be seen. There is some evidence that alternate-day fasting can lower their levels of blood fat. However, Mattson suspects that with diabetes and cardiovascular disease, fasting may not be as beneficial for people of normal weight as it is for people who are overweight, simply because they are already likely to be in pretty good shape, metabolically speaking.

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How the brain reacts

Mattson has, however, identified another effect of fasting that he believes can benefit everyone: It is good for the brain. “If you look at an animal that’s gone without food for an entire day, it becomes more active,” he says. “Fasting is a mild stressor that motivates the animal to increase activity in the brain.” From an evolutionary perspective, this makes sense, because if you are deprived of food, your brain needs to work harder to help you find something to eat.

His studies suggest that alternate-day fasting, with a single meal of about 600 calories on the fast day, can boost the production of a protein called brain-derived neurotrophic factor by 50 to 400 percent, depending on the brain region. This protein is involved in the generation of new brain cells and plays a role in learning and memory. It can also protect brain cells from the changes associated with Alzheimer’s and Parkinson’s. In mice engineered to develop Alzheimer’s-like symptoms, alternate-day fasting begun in middle age delayed the onset of memory problems by about six months. “This is a large effect,” Mattson says, perhaps equivalent to 20 years in humans.

So, what about the common advice to start the day with a good breakfast? Mattson believes it is flawed, pointing out that the studies supporting this idea were based on schoolchildren who usually ate breakfast; a decline in their academic performance might simply be due to the ill effects that occur when people begin fasting.

Mattson skips breakfast and lunch five days a week, then has dinner and normal weekend meals with his family. Varady has tried alternate-day fasting, but she likes to eat dinner with her 18-month-old child and husband, so she does all her eating within an eight-hour period each day.

Harvie sounds a cautious note for anyone thinking of giving fasting a go. “We still don’t know exactly who should be fasting, how often or how many days a week,” she says. Also, it may not be without risks. One study in rats, for example, found that an alternate-day fast for six months reduced the heart’s ability to pump blood.

There is also the fact that fasting is difficult. Varady finds that 10 to 20 percent of people who enroll in her studies drop out, unable to stick to the regime. This may be less of a problem in the future, though. Some researchers are investigating the possibility that you can get some of the health benefits of fasting simply by reducing protein intake.

As I count down the minutes to the end of my fast, I can’t help but wish them success.

This story was produced by New Scientist magazine and can be read in full at www.newscientist.com.

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