Intermittent fasting has fans in Jennifer Aniston, Chris Hemsworth – and it may lower type 2 diabetes risk; experts say when and what you eat matter, too | South China Morning Post

The study was published in the scientific journal Nature Medicine.

While participants on both diets experienced similar amounts of weight loss, those who fasted for three days during the week, only eating between 8am and 12pm on those days, showed a greater tolerance to glucose after six months than those on a daily, low-calorie diet, according to senior author, Professor Leonie Heilbronn from the University of Adelaide.

“Participants who followed the intermittent fasting diet were more sensitive to insulin and also experienced a greater reduction in blood lipids than those on the low-calorie diet,” she added.

Type 2 diabetes occurs when cells in the body’s muscles, fat and liver become resistant to insulin, resulting in insufficient uptake of glucose from the bloodstream and an increase in blood glucose levels, says dietitian Mia Holm, manager of the Lifestyle Management Centre at Hong Kong Adventist Hospital.

There is a hereditary component to type 2 diabetes, but family history is just one of several risk factors for the disease. Inactivity, being overweight or obese, and having excess body fat, particularly around the abdominal area, are also factors that make someone more prone to developing type 2 diabetes, Holm says.

While the differences between the two Australian study groups were lost after 18 months, the study sheds light on the benefits of a new dietary interventional approach, says Professor Alice Kong from the department of medicine and therapeutics at Chinese University of Hong Kong.

“It’s too early to say that this approach is much better than the traditional approach of calorie restriction (with regard to glucose tolerance). As you can see, the effects were gone at 18 months, and the long-term effects of IF and time-restricted diets have not been proven.
“It’s not just when or how often we eat, but also what and how much, and being consistent with these habits, that can help us maintain a healthy lifestyle and minimise our risk of developing type 2 diabetes.”

If you want to try IF, Holm says it is easier to start with a 12:12 fasting-eating pattern – fasting for 12 hours and eating for 12 hours. Once you are comfortable with this schedule, you may gradually increase it to 14:10 and then 16:8.

“According to various studies, skipping dinner is better than skipping breakfast, since eating breakfast supports a healthy circadian rhythm,” she adds.

“For those looking to align with their circadian rhythms, eating between 8am and 6pm might be the ideal schedule. If skipping dinner is not possible, I recommend consuming the majority of your calories during the day, having a lighter dinner and eating at least three to four hours before bedtime.”

She warns that IF is not suitable for children, teenagers, pregnant or breastfeeding women, and individuals who are physically fragile or have nutritional deficiencies.

IF is not a licence to consume unhealthy foods, such as sugar- and fat-laden cakes and pastries, soft drinks, deep-fried products that are high in saturated fat and salt, and ultra-processed or junk foods that offer zero nutrients. To reap the health benefits of IF, you should make wholesome food choices.

“If you consume unhealthy food during the feeding period, you are essentially putting poor-quality fuel into your body, and this can lead to increased inflammation, oxidative stress and an imbalance in your gut microbiome,” says Holm.

Studies have shown that people who consume high amounts of saturated fat – commonly found in meat – and animal fats have twice the risk of developing diabetes compared to those who consume lower amounts, Holm notes.

Kong adds that the overconsumption of foods with a high glycaemic index – carbohydrate-rich foods that cause our blood sugar levels to rise quickly, such as white bread, instant noodles and some breakfast cereals – and sugary beverages also increases our risk of diabetes.

For managing type 2 diabetes both the American Diabetic Association and its Canadian counterpart advocate having a whole food, plant-based diet. Made up of whole grains (such as brown rice and oats), green leafy vegetables, fruit, legumes, beans, seeds and nuts, this diet is rich in fibre and low in unhealthy fats, salt and sugar.

Holm says that hunger pangs should subside after 30 minutes if you feel hungry during the fasting period. Drinking zero-calorie fluids such as water or plain tea can help quell your hunger.

She adds that this is why it is crucial to eat adequately and nutritiously during the feeding period, particularly if you are physically active. Because they are high in fibre and nutrients, plant-based foods will satisfy you more than refined and processed ones.

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This content was originally published here.

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