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Il digiuno intermittente è un modo salutare per perdere peso?

Il digiuno intermittente è un piano alimentare a lungo termine in cui si astiene dal cibo per un certo numero di giorni o ore ogni settimana e si mangia normalmente il resto del tempo. È il principio alla base di diverse diete popolari, tra cui la 5:2 e l'8:16. Ma funziona per perdere peso? E è sicuro?

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Il Dieta 5:2 works around the principle that you eat a healthy balanced diet five days a week and then you fast for the remaining two days. You don't have to choose consecutive days.

On fasting days the calorie allowance is 500 for women and 600 for men, with recommended foods being lean sources of protein, verdure and juices.

The 8:16 plan works slightly differently in that you restrict your eating time to an eight-hour window - for example: from 9 am until 5 pm - and fast the rest of the time.

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Does it really work for weight loss?

Can it help you lose weight? The short answer is yes.

"There is evidence that is providing encouraging perdita di peso results from fasting," says dietician Dr Carrie Ruxton. "Fasting causes weight loss, as it reduces calorie consumption and improves metabolic health."

In a recent studio, 13 women followed a four-month intermittent fasting plan. This involved following a low-calorie diet for two days a week, with five remaining days of normal, healthy eating. Nine women in the group successfully lost 5% or more of their total body weight during this time.

Another piece of research found that those on the 5:2 diet lost weight more quickly than participants on a conventional diet where their daily calorie intake was restricted.

But a 2017 report concluded that the 5:2 diet helped people to lose weight over a six-month period but was no more effective than a conventional diet. However, many people do find intermittent fasting plans easier to stick to, which could make keeping the weight off in the long term more likely.

"Fasting diets are easier to follow as you can still eat what you like on certain days and don't have to give up favourite foods wholesale," points out Ruxton.

There is a limited supply of research on intermittent fasting and much of it is carried out across short-term, small studies. However, what has been found is promising in terms of overall health benefits.

Ricerca from the University of Southern California, for instance, suggests that fasting boosts the sistema immunitario and puts it in a youthful, regenerative state, which can help us to live longer and fight off disease.

Other studies suggest positive health effects of intermittent fasting might include: increased mental focus and improved metabolic health - including better fat-burning, and protection against heart disease, age-related diseases such as dementia, some cancers, including cancro al seno, and diabete di tipo 2.

A recent studio investigating Malattia di Alzheimer in mice found a link between intermittent fasting and a slower decline in cognitive function as we age, meaning that fasting could keep our brains healthier too.

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"Yes, for two reasons", says Ruxton. "Firstly, it’s an effective way of managing your weight and produces a moderate sustainable weight loss for those who are overweight.

"Secondly, there is evidence that constant snacking puts pressure on our metabolism, leading to an increased risk of diabete di tipo 2. Having periods of 12-16 hours when you give your digestive system a rest can be beneficial for glucose and insulin levels."

It's important to know as much as possible about fasting before you try it, and to follow a plan to avoid harming yourself, cautions nutritionist Ondrej Matej.

"Many of us are overeating and so giving your digestion a break is a very good idea," he says. "Fasting has been shown to help with obesity and illnesses and can be a great way to help you improve your health, increase your energy levels and focus."

The most common side effects of fasting are difficulty sleeping, dehydration, lethargy, anxiety, mood swings and alito cattivo. Fitting your fasting days around normal life can be a challenge at first, as you may feel hungry and have less energy.

Fasting sensibly is the key, says Matej. "You'll be missing some of the water you take in from food, so always drink more water when you are fasting. And if you are fasting in the winter, you may want to turn your heating on a bit more."

"You have to time your fasting days so that they don't clash with social occasions," says Ruxton. "However, a way of doing this is to follow the 8:16 diet instead of the 5:2. This is where you keep your eating within an 8-hour window - following a healthy balanced diet - and then fast for 16 hours. The advantage is that no portion control is required."

However, you do need to be aware that a 'normal' diet during your non-fasting period means a healthy, balanced diet, not a licence to overindulge. There is also some concern that it doesn't teach people to rethink their overall eating habits - so when they stop intermittent fasting, they may revert to the unhealthy habits which caused them to gain weight in the first place.

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There are certain groups of people who should avoid fasting due to their dietary needs or medical history. These include:

  • Children - or anyone who needs regular meals.

  • Pregnant or lactating women.

  • People with diabetes.

  • Underweight or highly active people.

  • Anziani.

  • Those with a history of disturbi alimentari.

People taking medication that needs to be consumed with food should also be cautious about intermittent fasting, advises Ruxton. Ask your doctor if you are unsure.

Hai bisogno di un trattamento per la perdita di peso?
Completa una semplice consultazione online tramite Patient.info, disponibile 24/7
Tutte le consultazioni sono esaminate da clinici registrati nel Regno Unito, supportati da Evaro - un servizio sanitario regolamentato nel Regno Unito che supporta oltre 2 milioni di pazienti. I trattamenti possono spesso essere consegnati il giorno successivo.

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What does 'intermittent fasting' actually mean?

Intermittent fasting is an eating pattern that cycles between periods of eating and voluntary fasting. The article describes two common types: the 5:2 diet, where you eat normally for five days and fast for two; and the 8:16 plan, where you restrict your eating to an eight-hour window each day and fast for the remaining 16 hours.

What kind of foods should I eat on fasting days during the 5:2 diet?

On fasting days for the 5:2 diet, women are allowed 500 calories and men 600 calories. The recommended foods are lean sources of protein, vegetables, and juices to help you meet your nutritional needs within the calorie limit.

Can intermittent fasting help with conditions other than weight loss?

Yes, the article suggests several potential health benefits beyond weight loss, though much of the research is short-term. These include boosting the immune system, improving metabolic health (such as better fat-burning), and offering protection against heart disease, age-related diseases like dementia, some cancers (including breast cancer), and type 2 diabetes. It may also increase mental focus and could help keep brains healthier by slowing the decline in cognitive function.

How can I manage common side effects like hunger or low energy when I start fasting?

When starting fasting, you might experience hunger or feel lethargic. It's important to drink more water than usual because you'll miss the water content from food. Also, a nutritionist advises sensible fasting, which includes timing your fasting days to avoid social clashes. If the 5:2 diet is too challenging, the 8:16 plan might be easier as it doesn't require portion control, allowing you to regulate your eating window instead.

Is it true that fasting can be easier to stick to than traditional diets?

Many people find intermittent fasting plans easier to maintain compared to conventional diets that restrict daily calorie intake. This is because you can still enjoy your favourite foods on non-fasting days, which can make it simpler to adhere to in the long term, potentially leading to more sustainable weight loss.

What does "normal, healthy eating" mean on non-fasting days?

On non-fasting days, whether you're following the 5:2 diet or the 8:16 plan, "normal" eating means consuming a healthy, balanced diet. It's crucial to understand that it's not an excuse to overindulge. The aim is to maintain good eating habits rather than reverting to unhealthy patterns that might have caused weight gain in the first place.

Does intermittent fasting help teach healthy eating habits for the long term?

There is some concern that intermittent fasting might not effectively teach people to rethink their overall eating habits. If individuals don't learn to eat a healthy, balanced diet during their non-fasting periods, they might revert to unhealthy habits once they stop intermittent fasting, potentially regaining any lost weight.

Are there any situations where I should be particularly cautious or avoid fasting altogether?

Yes, there are several groups who should avoid fasting, including children, pregnant or lactating women, people with diabetes, individuals who are underweight or highly active, and the elderly. Those with a history of eating disorders should also not fast. Additionally, if you take medication that needs to be consumed with food, you should be cautious. If you are unsure, it is advisable to consult your doctor.

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Ginny Weeks

Freelance Journalist

Ginny Weeks is a freelance copywriter, lifestyle editor and consultant with over 10 years experience working across many different platforms.

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Dr Sarah Jarvis

Responsabile SEO

MA (Cantab), BM, BCh (Oxon), DRCOG, FRCGP, MBE

Dopo aver completato la formazione in medicina a Cambridge e Oxford, la Dott.ssa Sarah Jarvis MBE è diventata un medico di base.

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