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Is intermittent fasting for you and what does the research say?

Is intermittent fasting for you and what does the research say?

Intermittent fasting has taken the health and wellness world by storm, promising benefits from enhanced weight loss to improved blood markers associated with chronic diseases. However, as a nutritionist, it’s crucial to dive deeper into these claims, understand the nuances of fasting, and address recent concerns raised by emerging research.

Understanding Intermittent Fasting and Its Popularity

Intermittent fasting isn’t just a diet trend; it’s a lifestyle choice that involves cycling between periods of eating and fasting. The 16:8 method, where individuals fast for 16 hours and eat within an 8-hour window, is among the most popular due to its simplicity and the freedom it offers in choosing an eating window. Proponents have experienced short-term improvements in blood pressure, blood glucose, and cholesterol levels, pointing to a decreased risk of heart and vascular diseases.

The Controversial Study: A Closer Look

A study presented at a U.S. conference has stirred debate by suggesting that restricting eating to less than eight hours a day could nearly double the risk of death from heart and circulatory diseases. For those with pre-existing conditions, the risk reportedly increased by 66%. It’s important to note that this study, which observed participants over an average of eight years, is yet to undergo peer review and was based on self-reported eating habits over just two days.

Analysing the Study’s Findings

This research raises critical questions about the long-term safety of intermittent fasting, especially with stricter eating windows. However, several factors warrant consideration before drawing conclusions:

  • Observational Nature: The study can only suggest associations, not cause and effect.
  • Short Data Collection Period: Reliance on two days of dietary recall doesn’t guarantee accuracy over the long term.
  • Need for Peer Review: The findings have not been scrutinized by the wider scientific community, which is crucial for validating research.

Who Should Consider Intermittent Fasting?

Intermittent fasting can suit various lifestyles, from the busy parent who naturally skips breakfast to the office worker who prefers a structured eating schedule. Yet, it’s not a one-size-fits-all solution. The most potential benefits are weight loss and improved insulin sensitivity but research has suggested other areas such as reduced oxidative stress, and potentially lower risk for neurodegenerative diseases which make it appealing to some. However, the approach requires thoughtful meal planning during eating windows to ensure nutritional adequacy.

 Who Should Avoid Fasting?

Certain individuals should proceed with caution or avoid intermittent fasting altogether:

  • Pregnant or Breastfeeding Women: Nutritional needs are higher during these periods.
  • Children and teenagers: These groups have need to ensure good nutritional intake for growth and some are more susceptible to disordered eating.
  • Individuals with a History of Eating Disorders: Fasting can potentially trigger or exacerbate disordered eating patterns.
  • Those with Certain Medical Conditions: People with diabetes, low blood pressure, or those taking medications that require food intake should consult healthcare providers.

Psychological Considerations

The psychological impact of fasting is an area of growing interest. Fasting can influence our relationship with food, potentially leading to an “all or nothing” mentality. Personality types that thrive on routine may find success with fasting, whereas those prone to anxiety or disordered eating patterns should approach with caution. Consulting with a mental health professional can provide additional insights into whether fasting is a suitable approach.

Best Practices for Fasting

For those who find intermittent fasting aligns with their health goals and lifestyle, here are some best practices:

  • Listen to Your Body: Adjust fasting schedules based on personal health, performance, and well-being.
  • Focus on Nutrition: Prioritize a balanced diet rich in nutrients during eating periods.
  • Hydrate: Ensure adequate fluid intake, especially during fasting windows.
  • Moderate Exercise: Align training intensity with energy levels, considering lighter workouts during fasting periods.

While intermittent fasting offers potential health benefits, it’s not without its caveats. The recent study underscores the importance of further research to fully understand the long-term impacts. As always, individual experiences with fasting will vary, underscoring the need for personalized guidance from healthcare and nutrition professionals.

Can you cure a hangover?

Can you cure a hangover?

Can you cure a hangover?

So, it’s that time of year again when all good intentions go to pot as we succumb to the excitement of the festive season and even the most ardent ambassadors of sobriety get swept up in the moment.  This time of year is synonymous with overindulgence and to be honest, why not enjoy yourself.  However, the fun times can come at a cost as we are left nursing the effects of a hangover the following day. For those with a more engaging social diary the whirlwind of events can start to take their toll as the festive season unfolds and heavy drinking over a long period can cause problems further down the line.

Research shows that we tend to drink more during the festive season and according to a survey commissioned by Cancer Research UK, young adults consume an average of 63 units in the run up to Christmas, which is the equivalent of 30 glasses of wine or 22 pints of beer.  As well as causing hangovers, this excess of booze can also affect our waistlines as these units contribute an extra 4000 calories (1).

What is a hangover?

The effects of drinking too much include headaches, dehydration, nausea and stomach ache as well as that non-descript feeling of anxiety experienced by some people and the lack of good quality sleep.  Alcohol is broken down in the liver and produces a compound called acetaldehyde, which is responsible for the unwanted side-effects of alcohol consumption. These effects become worse as you drink more, which leads to greater the build-up of acetaldehyde.

Whats the cure?

Everyone has their own take on the ultimate hangover cure but according to a large systematic review published by the British Medical Journal, researchers concluded that there was no convincing evidence for any conventional or complimentary interventions to prevent or treat them (2).  However, getting the basics right such as keeping hydrated, eating before drinking and choosing or avoiding certain foods and drinks may go some way to ease your pain.

Never drink on an empty stomach

Drinking on an empty stomach can be a recipe for disaster as this allows alcohol to be absorbed into the bloodstream more quickly.  According to the survey carried out by Cancer Research UK, a third of Brits aged 25-34-year olds said they skipped a meal to account for the extra calories (1).   The approach of avoiding food is seriously misguided as it not only increases the effect of alcohol but makes you more likely to nibble on bar snacks, buffets or visit the kebab house on the way home by stimulating the appetite.

Try to eat something before you go out even if it’s a sandwich on the way to the pub and choose something substantial with a good source of protein and healthy fats such as tuna sandwich, which will have more impact than a light salad.

Avoid dark coloured drinks

Dark coloured drinks such as brown spirits and red wine are rich in compounds called congeners.  These are impurities produced during the fermentation process, which add to the taste, aroma and appearance of dark coloured drinks.  The higher the concentration of congeners the more intense the hangover is likely to be the following day.

Hydrate!!!!

Few of us appreciate the impact of dehydration on the body, which can leave you feeling lightheaded, tired, confused and irritable. The body can survive for some time without food but not without water, which is why the effects of dehydration are felt more quickly.  Dehydration is a key driver for hangovers, especially as alcohol inhibits the production of anti-diuretic hormone, which is used by the body to re-absorb water.  Falling ill from drinking and vomiting only adds to the impact of dehydration.

To keep hydrated throughout the evening, alternate your alcoholic drinks with water and increase the length of your drinks with soda water or low-calorie mixers.  Drink plenty of fluids before bed and the following day and adding in electrolyte sachets can help to rebalance your system and replace nutrients commonly depleted by alcohol such as magnesium, potassium, calcium and B vitamins.

Avoid the greasy fry-up

The greasy fry-up is ubiquitous with hangovers but can actually leave you feeling much worse.   Fatty foods such as fried eggs, fried bread, sausages and bacon can put a strain on your digestive system as they take longer to break down and may encourage indigestion as well as leaving you feeling sluggish during the day.

Try something lighter such as boiled, poached or scrambled eggs on toast.  Eggs are nutritional powerhouses and contain a good source of the amino acid cysteine, which helps the liver to breakdown acetaldehyde.  Low blood sugar also contributes to the hungover feeling so team your breakfast with a glass of fresh fruit juice as a natural source of sugar as well as vitamin  C.

Think twice before reaching for the coffee

Coffee is a great pick-me-up but caffeine can leave you feeling jittery and upset sensitive tummies. Not everyone is as sensitive to the effects of caffeine so it’s a matter of personal choice.  Herbal teas are a good way to hydrate and ingredients such as ginger can help with nausea as well as providing an invigorating zingy flavour.  Ginger can be enjoyed as a tea by adding 1-2 tsp of ginger powder, ½ a lemon and 2 tsp of honey to a teapot, topping with hot water and leaving to brew for five minutes before serving.  The addition of a little honey can provide a gentle way to rebalance blood sugar levels.

Avoid energy drinks

Don’t be tempted by energy drinks as they are often high in sugar.  Some brands contain as much as 45g or 9 tsp of sugar per 500ml can, which will cause a serious sugar rush followed by a major crash, especially if drunk on an empty stomach.  These drinks, even if sugar- free are also loaded with high amounts of caffeine and other stimulants that can leave you feeling jittery and increase bowel spasms, especially in sensitive hungover guts.

Artichoke supplements may help

This supplement stimulates bile production and can help to relieve bloating and other symptoms of indigestion associated with alcohol consumption.  If you know you have a hectic month of over-indulgence ahead of you then try taking this supplement daily.

Foods that may help to promote good liver function

Certain foods may encourage greater bile flow through the liver, which helps to remove toxins more efficiently.   These include bitter and dark green vegetables (rocket, cabbage, kale and cabbage) and  globe artichokes.  Beetroot has also been traditionally associated with liver health by way of a plant compound called betaine.  All vegetables are hugely beneficial to health so the message here is just to eat more of them in general!!

I hate to be the bearer of bad news, but the reality is that there is no miracle cure when it comes to hangovers and how rough you feel is largely dependent on how much you have drunk.  Whilst there are plenty of useful tips such as those above to help you feel a little less shabby the following day, it’s important to always drink sensibly.

 

References 

  1. Cancer Research UK Dryathlon 
  2. https://www.bmj.com/content/331/7531/1515