Skip to content
2000
Volume 11, Issue 4
  • ISSN: 2215-0838
  • E-ISSN: 2215-0846

Abstract

Introduction

Intermittent fasting (IF) is a popular topic in the medical and fitness fields because it helps reduce weight, improve metabolic health, and protect against diseases. In this short review, we summarized some of the current aspects of IF in relation to the gastrointestinal tract and highlighted the knowledge gap that may outline possible future research in this field.

Methods

The PubMed database was used to conduct narrative research of studies related to humans and mice regarding IF and its effect on five different aspects.

Results

First, the studies reported conflicting results; some supported the role of IF in promoting weight loss, while others concluded that the intervention, rather than IF itself, leads to weight reduction. Second, IF was shown to positively affect secretory immunoglobulin A, cell regeneration, and the gut microbiome. Third, IF was shown to improve the immune response. Fourth, IF was shown to promote stem cell-based regeneration; fifth, studies showed that IF has no effect on gastric or stool pH levels. We also mentioned normal gut motility and the migrating motor complex.

Conclusion

In conclusion, these results suggest that IF has a positive effect on these different aspects, even though there is a lack of human trials, which would be a fruitful area for further studies.

Loading

Article metrics loading...

/content/journals/ctm/10.2174/0122150838250827231025094519
2024-02-27
2025-11-06
Loading full text...

Full text loading...

References

  1. RonaAntoni,K.L.J. AdamL.Collins RobertsonM. Denise The effects of intermittent energy restriction on indices of cardiometabolic health.In: Research in Endocrinology20142014124
    [Google Scholar]
  2. MattsonM. WanR. Beneficial effects of intermittent fasting and caloric restriction on the cardiovascular and cerebrovascular systems.J. Nutr. Biochem.200516312913710.1016/j.jnutbio.2004.12.007 15741046
    [Google Scholar]
  3. LongoV.D. MattsonM.P. Fasting: Molecular mechanisms and clinical applications.Cell Metab.201419218119210.1016/j.cmet.2013.12.008 24440038
    [Google Scholar]
  4. MattsonM.P. LongoV.D. HarvieM. Impact of intermittent fasting on health and disease processes.Ageing Res. Rev.201739465810.1016/j.arr.2016.10.005 27810402
    [Google Scholar]
  5. StockmanM.C. ThomasD. BurkeJ. ApovianC.M. Intermittent fasting: Is the wait worth the weight?Curr. Obes. Rep.20187217218510.1007/s13679‑018‑0308‑9 29700718
    [Google Scholar]
  6. Lara-PadillaE. Godínez-VictoriaM. Drago-SerranoM.E. Reyna-GarfiasH. Arciniega-MartínezI.M. Abarca-RojanoE. Cruz-HernándezT.R. Campos-RodríguezR. Intermittent fasting modulates IgA levels in the small intestine under intense stress: A mouse model.J. Neuroimmunol.2015285223010.1016/j.jneuroim.2015.05.013 26198915
    [Google Scholar]
  7. MitchellSJ BernierM MattisonJA Daily fasting improves health and survival in male mice independent of diet composition and calories.Cell Metab.2019291221228. e810.1016/j.cmet.2018.08.011
    [Google Scholar]
  8. LamosE.M. MalekR. MunirK.M. Effects of intermittent fasting on health, aging, and disease.N. Engl. J. Med.2020382181771177410.1056/NEJMc2001176 32348661
    [Google Scholar]
  9. de CaboR. MattsonM.P. Effects of intermittent fasting on health, aging, and disease.N. Engl. J. Med.2019381262541255110.1056/NEJMra1905136 31881139
    [Google Scholar]
  10. ThissenJ.P. KetelslegersJ.M. UnderwoodL.E. Nutritional regulation of the insulin-like growth factors.Endocr. Rev.199415180101 8156941
    [Google Scholar]
  11. FontanaL. WeissE.P. VillarealD.T. KleinS. HolloszyJ.O. Long‐term effects of calorie or protein restriction on serum IGF‐1 and IGFBP‐3 concentration in humans.Aging Cell20087568168710.1111/j.1474‑9726.2008.00417.x 18843793
    [Google Scholar]
  12. HeilbronnL.K. CivitareseA.E. BogackaI. SmithS.R. HulverM. RavussinE. Glucose tolerance and skeletal muscle gene expression in response to alternate day fasting.Obes. Res.200513357458110.1038/oby.2005.61 15833943
    [Google Scholar]
  13. ChoiJ.H. ChoY.J. KimH.J. KoS.H. ChonS. KangJ.H. KimK.K. KimE.M. KimH.J. SongK.H. NamG.E. KimK.I. Effect of carbohydrate-restricted diets and intermittent fasting on obesity, type 2 diabetes mellitus, and hypertension management: consensus statement of the korean society for the study of obesity, Korean Diabetes Association, and Korean Society of Hypertension.Clin. Hypertens.20222812610.1186/s40885‑022‑00207‑4 35642007
    [Google Scholar]
  14. PellegriniM. CioffiI. EvangelistaA. PonzoV. GoitreI. CicconeG. GhigoE. BoS. Effects of time-restricted feeding on body weight and metabolism. A systematic review and meta-analysis.Rev. Endocr. Metab. Disord.2020211173310.1007/s11154‑019‑09524‑w 31808043
    [Google Scholar]
  15. CienfuegosS GabelK Kalam, F Effects of 4- and 6-h timerestricted feeding on weight and cardiometabolic health: A randomized controlled trial in adults with obesity. Cell Metab.,2020323366378. e3
    [Google Scholar]
  16. SuttonEF BeylR EarlyKS Early time-restricted feeding improves insulin sensitivity, blood pressure, and oxidative stress even without weight loss in men with prediabetes.Cell Metab.,201827612121221. e3
    [Google Scholar]
  17. RavussinE. BeylR.A. PoggiogalleE. HsiaD.S. PetersonC.M. Early time‐restricted feeding reduces appetite and increases fat oxidation but does not affect energy expenditure in humans.Obesity20192781244125410.1002/oby.22518 31339000
    [Google Scholar]
  18. GarauletM. Gómez-AbellánP. Alburquerque-BéjarJ.J. LeeY-C. OrdovásJ.M. ScheerF A J.L. Timing of food intake predicts weight loss effectiveness.Int. J. Obes.201337460461110.1038/ijo.2012.229 23357955
    [Google Scholar]
  19. MichalsenA. RiegertM. LüdtkeR. BäckerM. LanghorstJ. SchwickertM. DobosG.J. Mediterranean diet or extended fasting’s influence on changing the intestinal microflora, immunoglobulin A secretion and clinical outcome in patients with rheumatoid arthritis and fibromyalgia: An observational study.BMC Complement. Altern. Med.2005512210.1186/1472‑6882‑5‑22 16372904
    [Google Scholar]
  20. TrepanowskiJ.F. KroegerC.M. BarnoskyA. KlempelM.C. BhutaniS. HoddyK.K. GabelK. FreelsS. RigdonJ. RoodJ. RavussinE. VaradyK.A. Effect of alternate-day fasting on weight loss, weight maintenance, and cardioprotection among metabolically healthy obese adults.JAMA Intern. Med.2017177793093810.1001/jamainternmed.2017.0936 28459931
    [Google Scholar]
  21. CioffiI. EvangelistaA. PonzoV. CicconeG. SoldatiL. SantarpiaL. ContaldoF. PasanisiF. GhigoE. BoS. Intermittent versus continuous energy restriction on weight loss and cardiometabolic outcomes: A systematic review and meta-analysis of randomized controlled trials.J. Transl. Med.201816137110.1186/s12967‑018‑1748‑4 30583725
    [Google Scholar]
  22. HarrisL. HamiltonS. AzevedoL.B. OlajideJ. De BrúnC. WallerG. WhittakerV. SharpT. LeanM. HankeyC. EllsL. Intermittent fasting interventions for treatment of overweight and obesity in adults: A systematic review and meta-analysis.JBI Database Syst. Rev. Implement. Reports201816250754710.11124/JBISRIR‑2016‑003248 29419624
    [Google Scholar]
  23. RanganP ChoiI WeiM Fasting-mimicking diet modulates microbiota and promotes intestinal regeneration to reduce inflammatory bowel disease pathology.Cell Rep.,2019261027042719. e610.1016/j.celrep.2019.02.019
    [Google Scholar]
  24. BeliE. YanY. MoldovanL. VieiraC.P. GaoR. DuanY. PrasadR. BhatwadekarA. WhiteF.A. TownsendS.D. ChanL. RyanC.N. MortonD. MoldovanE.G. ChuF.I. OuditG.Y. DerendorfH. AdoriniL. WangX.X. Evans-MolinaC. MirmiraR.G. BoultonM.E. YoderM.C. LiQ. LeviM. BusikJ.V. GrantM.B. Restructuring of the gut microbiome by intermittent fasting prevents retinopathy and prolongs survival in db/db mice.Diabetes20186791867187910.2337/db18‑0158 29712667
    [Google Scholar]
  25. BajinkaO. TanY. AbdelhalimK.A. ÖzdemirG. QiuX. Extrinsic factors influencing gut microbes, the immediate consequences and restoring eubiosis.AMB Express202010113010.1186/s13568‑020‑01066‑8 32710186
    [Google Scholar]
  26. SuJ. WangY. ZhangX. MaM. XieZ. PanQ. MaZ. PeppelenboschM.P. Remodeling of the gut microbiome during Ramadan-associated intermittent fasting.Am. J. Clin. Nutr.202111351332134210.1093/ajcn/nqaa388 33842951
    [Google Scholar]
  27. LarrickJ.W. MendelsohnA.R. LarrickJ.W. Beneficial gut microbiome remodeled during intermittent fasting in humans.Rejuvenation Res.202124323423710.1089/rej.2021.0025 34039011
    [Google Scholar]
  28. BadalV.D. VaccarielloE.D. MurrayE.R. YuK.E. KnightR. JesteD.V. NguyenT.T. The gut microbiome, aging, and longevity: A systematic review.Nutrients20201212375910.3390/nu12123759 33297486
    [Google Scholar]
  29. DuncanS.H. BelenguerA. HoltropG. JohnstoneA.M. FlintH.J. LobleyG.E. Reduced dietary intake of carbohydrates by obese subjects results in decreased concentrations of butyrate and butyrate-producing bacteria in feces.Appl. Environ. Microbiol.20077341073107810.1128/AEM.02340‑06 17189447
    [Google Scholar]
  30. DavidL.A. MauriceC.F. CarmodyR.N. GootenbergD.B. ButtonJ.E. WolfeB.E. LingA.V. DevlinA.S. VarmaY. FischbachM.A. BiddingerS.B. DuttonR.J. TurnbaughP.J. Diet rapidly and reproducibly alters the human gut microbiome.Nature2014505748455956310.1038/nature12820 24336217
    [Google Scholar]
  31. Godínez-VictoriaM. Campos-RodriguezR. Rivera-AguilarV. Lara-PadillaE. Pacheco-YepezJ. Jarillo-LunaR.A. Drago-SerranoM.E. Intermittent fasting promotes bacterial clearance and intestinal IgA production in Salmonella typhimurium-infected mice.Scand. J. Immunol.201479531532410.1111/sji.12163 24612255
    [Google Scholar]
  32. Campos-RodríguezR. Godínez-VictoriaM. Reyna-GarfiasH. Arciniega-MartínezI.M. Reséndiz-AlborA.A. Abarca-RojanoE. Cruz-HernándezT.R. Drago-SerranoM.E. Intermittent fasting favored the resolution of Salmonella typhimurium infection in middle-aged BALB/c mice.Age20163811310.1007/s11357‑016‑9876‑3 26798034
    [Google Scholar]
  33. MichelsN. ZouiouichS. VanderbauwhedeB. VanackerJ. Indave RuizB.I. HuybrechtsI. Human microbiome and metabolic health: An overview of systematic reviews.Obes. Rev.2022234e1340910.1111/obr.13409 34978141
    [Google Scholar]
  34. MihaylovaMM ChengCW CaoAQ Fasting activates fatty acid oxidation to enhance intestinal stem cell function during homeostasis and aging.Cell Stem Cell.,2018225769778. e410.1016/j.stem.2018.04.001
    [Google Scholar]
  35. CattersonJH KherichaM DysonMC Short-term, intermittent fasting induces long-lasting gut health and TOR-independent lifespan extension. Curr Biol.,2018281117141724. e4
    [Google Scholar]
  36. ValoriR.M. KumarD. WingateD.L. Effects of different types of stress and of “prokinetic” drugs on the control of the fasting motor complex in humans.Gastroenterology19869061890190010.1016/0016‑5085(86)90258‑1 3699407
    [Google Scholar]
  37. MorrowN. GarrickT. Effects of intermittent tail shock or water avoidance on proximal colonic motor contractility in rats.Physiol. Behav.199762223323910.1016/S0031‑9384(97)00108‑X 9251963
    [Google Scholar]
  38. FarisM. JahramiH. AbdelrahimD. BragazziN. BaHammamA. The effects of Ramadan intermittent fasting on liver function in healthy adults: A systematic review, meta-analysis, and meta-regression.Diabetes Res. Clin. Pract.202117810895110.1016/j.diabres.2021.108951 34273453
    [Google Scholar]
  39. EzpeletaM. GabelK. CienfuegosS. KalamF. LinS. PavlouV. VaradyK.A. Alternate-day fasting combined with exercise: Effect on sleep in adults with obesity and nafld.Nutrients2023156139810.3390/nu15061398 36986128
    [Google Scholar]
  40. GeversD. KugathasanS. DensonL.A. Vázquez-BaezaY. Van TreurenW. RenB. SchwagerE. KnightsD. SongS.J. YassourM. MorganX.C. KosticA.D. LuoC. GonzálezA. McDonaldD. HabermanY. WaltersT. BakerS. RoshJ. StephensM. HeymanM. MarkowitzJ. BaldassanoR. GriffithsA. SylvesterF. MackD. KimS. CrandallW. HyamsJ. HuttenhowerC. KnightR. XavierR.J. The treatment-naive microbiome in new-onset Crohn’s disease.Cell Host Microbe201415338239210.1016/j.chom.2014.02.005 24629344
    [Google Scholar]
  41. FrankD.N. St AmandA.L. FeldmanR.A. BoedekerE.C. HarpazN. PaceN.R. Molecular-phylogenetic characterization of microbial community imbalances in human inflammatory bowel diseases.Proc. Natl. Acad. Sci. USA200710434137801378510.1073/pnas.0706625104 17699621
    [Google Scholar]
  42. VaccaM. CelanoG. CalabreseF.M. PortincasaP. GobbettiM. De AngelisM. The controversial role of human gut lachnospiraceae.Microorganisms20208457310.3390/microorganisms8040573 32326636
    [Google Scholar]
  43. NegmM. BahaaA. FarragA. LithyR.M. BadaryH.A. EssamM. KamelS. SakrM. Abd El AatyW. ShamkhM. BasionyA. DawoudI. ShehabH. Effect of ramadan intermittent fasting on inflammatory markers, disease severity, depression, and quality of life in patients with inflammatory bowel diseases: A prospective cohort study.BMC Gastroenterol.202222120310.1186/s12876‑022‑02272‑3 35462542
    [Google Scholar]
/content/journals/ctm/10.2174/0122150838250827231025094519
Loading
/content/journals/ctm/10.2174/0122150838250827231025094519
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test