Meal Timings & Intermittent Fasting: How Do They Impact Your Health?
It not only matters what you eat but also when.
Early hunter-gatherers faced long periods of fasting. Their
access to food relied on successful hunting, fishing, and the availability of
wild plants.
Over time, the development of modern agriculture and the transition to industrialized societies changed our regular eating patterns – shifting our dinner time to later in the day to accommodate work schedules.
Today,
with access to an abundance of food, we rarely experience prolonged periods of
fasting, except for weight loss or
religious practices.
It’s
now common to have four or more meals a day, with most calories being consumed
later in the day. Frequent snacking is
also common, over a window of around 15 hours.
However,
research increasingly shows our health is not only affected by what and how
much we eat, but also when we eat. So what
does this mean for meal scheduling?
And can intermittent fasting help?
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Our Body Clock Controls
More Than Our Sleep
Our
internal biological timekeeper, or the circadian clock,
regulates many aspects of our physiology and behavior. It tells us to be awake
and active during the day, and rest and sleep during the night. It can also
tell us the best time to eat.
Our
body is biologically prepared to have food during the day. Food digestion,
nutrient uptake and energy metabolism is optimized to occur when we’re supposed
to be active and eating.
Working
against this default stage, by regularly eating when we’re supposed to sleep
and fast, can compromise these processes and impact our health.
Erratic eating patterns, including late-night meals, have been
linked to weight gain and a greater risk of metabolic disease.
Shift-workers,
for example, and people who work on the evening, night, or rotating shifts,
have a higher risk of obesity, heart disease, and diabetes.
But
adopting an eating pattern that aligns with our circadian rhythm can reduce
these risks.
So Can Intermittent Fasting Help?
Nutritional
interventions are increasingly focused not only on “what” we eat but also
“when.” Intermittent fasting is
one way to restrict the timing, rather than the content, of what we eat.
There are several types of intermittent fasting, one of which is
time-restricted eating. This means eating all our calories in a consistent 8-12
hour, or even shorter, interval each day.
But is it backed by
evidence?
Most of what we know today about intermittent fasting and time-restricted eating is
from mouse studies, which demonstrate remarkable weight loss and overall health
benefits associated with these types of dietary interventions.
However,
some aspects of mouse physiology can be different to humans. Mice need to eat
more frequently than humans and even a short period of fasting has a more
significant physiological impact on mice.
One
day of fasting in mice leads to a 10 percent loss of body weight, whereas
humans would need to fast for 14 days to achieve similar results. This makes a
direct translation from mice to humans more complicated.
While
health benefits of intermittent fasting and time-restricted eating have also
been observed in humans, the findings in respect of weight loss are less clear.
Current data suggest only modest, if any, weight loss in human
participants who undergo these diet regimens when compared to calorie-restricted
diets.
Drawing
definitive conclusions in humans may be more difficult because of the small sample sizes and individual differences in metabolism, variations in study
design (such as the use of different protocols with varying times and duration of food restriction), and participants not complying with their instructions.
Health Benefits Could be
Due to Eating Fewer Calories
Most
studies describing the health benefits of time restricted eating or
intermittent fasting also found these diets were accompanied by calorie
restriction: reducing the time of food access implicitly leads people to eat
less.
Studies that controlled calorie intake did not detect any more benefits
of intermittent fasting than calorie restriction alone.
The
weight loss and health benefits observed with intermittent fasting is likely
attributed due to the resultant reduction in calorie intake.
Similar findings have been reported for time-restricted eating.
Benefit of Following Our
Body Clock
Nevertheless,
time-restricted eating offers additional health benefits in humans, such as
improved glucose metabolism and
blood pressure, even without differences in calorie intake, in particular when
restricted to the earlier part of the day (that is, when having a six-hour
eating window with dinner before 3 pm).
Restricting food intake to the daytime for shift-workers can alleviate
metabolic differences caused by shift-work, whereas this effect is not observed
when food intake is restricted to nighttime.
One idea is that consuming food early, in alignment with our
circadian rhythm, helps synchronise our circadian clock.
This
restores the rhythm of our autonomous nervous system,
which regulates essential functions such as breathing and heart rate, to keep
our physiology “tuned,” as it was shown in mice.
While
there’s still much to learn from research in this field, the evidence suggests
that to maintain a healthy weight and overall wellbeing, aim for regular,
nutritious meals during the day, while avoiding late-night eating and frequent
snacking.
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