Fasting two days a week could stop dementia

Fasting two days a week could prevent your brain shrinking with age, suggests new research.

Fasting was a common medical treatment in the past, but now new research suggests there may be good reason for it to make a comeback. This is because it seems to trigger all sorts of healthy hormonal and metabolic changes.

Researchers have long known that cutting back animals’ calories over an extended period can make them live up to 50% longer – it’s been harder to prove benefits in humans because few people can stick to this restrictive regimen.

But there’s now emerging evidence to show occasional fasting – which is much more manageable – also carries benefits. Fasting days involve eating between 500 and 800 calories (the usual daily intake for a woman is 2,000 calories, for a man, 2,500).

This intake appears to cause a drop in levels of growth-factor, a hormone linked with cancer and diabetes, as well as a reduction in “bad” LDL cholesterol and triglycerides (fats) in the blood.

Meanwhile, free radicals – the damaging molecules linked to disease – are dampened down. Studies also suggest that levels of inflammation can fall. And now there is the suggestion that fasting protects the brain, too.

“Suddenly dropping your food intake dramatically – cutting it by at least half for a day or so – triggers protective processes in the brain,” explains Professor Mark Mattson, head of neuroscience at the U.S. National Institute On Ageing.

“It is similar to the beneficial effect you get from exercise.”

This could help protect the brain against degenerative diseases such as Alzheimer’s and Parkinson’s.

Prof. Mark Mattson is one of the pioneers of research into fasting – a few years ago he made a breakthrough when he found rats could get nearly all the benefits of calorie restriction if the scientists only cut back their calories every other day. On the next day the rats could eat as much as they liked and yet they showed the same benefits as rats on a low-calorie regimen all the time.

Suddenly it looked as if humans could benefit from a form of calorie restriction regimen that, unlike daily restriction, is feasible to follow. Now results of other trials are revealing the benefits.

In one study, reported last year in the International Journal of Obesity, a group of obese and overweight women was put on a diet of 1,500 calories a day while another group was put on a very low 500-calorie diet for two days, then 2,000 calories a day for the rest of the week.

Both groups were eating a healthy Mediterranean-style diet.

“We found that both lost about the same amount of weight and both saw a similar drop in biomarkers that increase your risk of cancer,” says Dr. Michelle Harvie, a dietitian at Manchester University who led the research.

“The aim was to find which was the most effective and we found that the women in the fasting group actually had a bigger improvement in sensitivity to insulin.” Improved insulin sensitivity means better control of blood sugar levels.

Last year researchers at Newcastle University reported that they had reversed diabetes in a small number of overweight people by putting them on an 800-calorie diet for eight weeks.

It’s possible that eating small amounts of calories every other day, as Dr. Michelle Harvie’s study allowed, is not only more bearable, but may be particularly effective at getting diabetics’ blood sugar under control.

Now, Prof. Mark Mattson has been investigating the benefits of various fasting regimens on the health of our brain cells.

According to an article that will be appearing in the leading science journal Nature Neuroscience next month, calorie restriction can protect the cells from damage and make them more resistant to stress.

“Part of this effect is due to what cutting calories does to appetite hormones such as ghrelin and leptin,” Prof. Mark Mattson explains.

“When you are not overweight, these hormones encourage growth of new brain cells, especially in the hippocampus.”

This is the area of the brain which is involved in laying down memories. If you start putting on weight, levels of ghrelin drop and brain cell replacement slows.

 “The effect is particularly damaging in your 40’s and 50’s, for reasons that aren’t clear yet,” he says.

“Obesity at that age is a marker for cognitive problems later.”

The good news is that this brain-cell damage can be reversed by the two-day fasting regime, although so far Prof. Mark Mattson has shown this only in rats. A human trial is starting soon. There is reason to think it should work. Fasting every other day had a striking effect on people with asthma in a small study he ran a few years ago.

“After eight weeks they had lost eight per cent of their body weight, but they also benefited from the ability of calorie restriction to reduce inflammation. Tests showed that levels of inflammation markers had dropped by 90%.”

“As levels came down, their breathing became much easier,” says Prof. Mark Mattson.

However, Prof. MarK Mattson cautions that patients have to stick to the diet, as symptoms began to return two weeks after giving it up.

Not everyone will find fasting intermittently is something they can manage.

In Dr. Michelle Harvie’s recent study of overweight women, more patients in the continuous dieting group (who had to stick to 1,500 calories a day) wanted to continue with it than those on the two-day fasting regimen.

“It’s going to suit some people more than others,” Dr. Michelle Harvie says.

“For some, being able to cut out 3,000-4,000 calories in two days and then eat normally for the rest of the time is much more attractive than cutting back a little every day; for others it’s too drastic. It gives us another option. My experience is men seem to adapt better to it than women.”

But Prof. Mark Mattson believes these new fasting regimes could help tackle our failure to live more healthily.

“This research shows that successful brain ageing is possible for most individuals if they maintain healthy diets and lifestyles throughout their adult life,” he says.

The trouble is that our diets are too high in calories and we don’t do enough exercise, which is why, he says, brain diseases such as Alzheimer’s are on the rise.

So is there any harm in trying a little intermittent fasting ourselves? As a result of his research, Prof. Mark Mattson now keeps his own calorie intake down.

“I aim for about 1,800 calories a day, nothing drastic,” he says.

“During the week I don’t have any breakfast or lunch but I have a good evening meal. I know it’s not what most dietitians would recommend but it works very well for me.”