During the last years, the intermittent fasting has gone from being something exceptional to becoming a nutritional strategy that there is more and more talk and that it has more followers behind it. And it is no wonder, since the promise is quite seductive as it does not focus on what you eat, but on when you eat, activating different metabolic switches to accelerate fat burning. Although there are also detractors behind.
New data. The Cochrane library, considered a great world reference, published a few days ago a great review about intermittent fasting that acts as a bucket of cold water, since it suggests that this diet does not offer superior benefits to conventional weight loss diets.
The backup. We are not talking about a small study whose validity can be questioned, but in this case the Cochrane researchers analyzed 22 randomized controlled trials that added up to a total of 1,995 participants. overweight or obesity.
The objective here was to compare different fasting modalities, such as going 16 hours without being able to eat with eight hours of eating, fasting on alternate days or 5:2 diet compared to classic calorie restriction or inaction. What they found is that, when pitting intermittent fasting against regular dietary advice, the difference in weight loss is virtually zero.
The data. Getting into the matter, when intermittent fasting was compared With standard calorie-restricted diets, the mean difference in weight change was a minuscule -0.33%. This difference can translate into that intermittent fasting may result in little to no difference in weight loss with the traditional method.
Regarding quality of life, such as the feeling of energy, no difference was seen and, regarding the levels of total cholesterol, HDL cholesterol and triglycerides, fasting did not prove to be a panacea either, yielding results of “little or no difference” compared to the control diets.
The small print. One of the most critical points of the Cochrane review is the certainty of the evidence, which they rated mostly as “low” or “very low.” This does not mean that the studies are poorly done, but rather that there are important limitations, such as risk bias, inconsistency in results, and lack of precision.
But there is one fact that should worry anyone who decides to opt for this diet independently, without medical advice, since, although the evidence is uncertain, some studies pointed to associated side effects specifically to fasting. These include headaches, nausea, cold intolerance or even insomnia and lack of concentration.
What is not yet known. Perhaps it is the most revealing thing about this scientific study, since there are still many unknowns surrounding intermittent fasting that invite further research. In this case, none of the 22 studies included data on “patient satisfaction,” which is important because we don’t know if people prefer to go hungry for a few hours in exchange for eating more later, or if they hate the process. And being comfortable with a diet is essential so that you don’t abandon it halfway through.
In addition to this, none of the studies pointed to the relationship that may exist in chronic diseases that require significant dietary control, such as diabetes, and which is very common in the population. But one of the big problems in science today is duration, since most studies lasted less than 12 months. We don’t know if fasting is sustainable or safe beyond a year.
It is not a miracle diet. What we do know is that intermittent fasting works, but the key point is that It is not superior to the tools we already had as a calorie restriction accompanied by a balanced diet and exercise.
For the average patient, this is actually good news: it means that the The best diet is the one you can stick to. If someone finds it easier to skip breakfast with a 16:8 fast than to count calories at each meal, fasting is a valid tool. But if fasting causes headaches, you’re not missing out on any “magic” metabolic benefits from eating three times a day.
Although in this process the most important thing is always to be advised by personnel who are qualified in nutrition to be able to have the best dietary plan, to have real objectives and, above all, not to get frustrated along the way.
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