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How Important is Breakfast Really?

9/14/2013

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As I mentioned a few weeks ago, a recent OPB special sparked my interest in Intermittent Fasting for health and I've been experimenting with it and learning more about it.  In the special, Michael Mosely ended up fasting 2x/week, and by fasting I mean eating only one meal a day, and derived and maintained some amazing health benefits.  I'm still in the trial phase myself and once I get a little further along with my journey, I'll report in about it - I promise.

My continued research brought me to some great articles by Dr. Mercola - hence the YouTube video presentation above.  Dr. Mercola has done a great job gathering recent research on Intermittent Fasting and putting it together in an easy to understand collection in the article linked to this presentation.

Intermittent Fasting - a great tool for overall health

Intermittent Fasting involves not eating on a regular or alternating basis for anywhere from 6-36 hours at a stretch.  Different types of intermittent fasting are better for different people and different lifestyles.  The Michael Mosely OPB special examined two different types of intermittent fasting - prolonged fasting for 3-4 days on a monthly basis and alternate day fasting where you eat one meal a day every other day, or 1-2x/week.  Dr. Mercola's site gives research based evidence for 4 different types of fasting as listed here:
Variations of Fasting
In his blog on marksdailyapple.com, Mark Sisson delves into four different variations of fasting, and how to implement them. The variations he includes are:

  1. LeanGains (a fasting protocol by Martin Berkhan vii )—A daily 14-16 hour fast, during which time you consume nothing, with the exception of non-caloric fluids. Sleeping time is included in this time-frame, leaving an 8-10 hour window during the day when you're allowed to eat.
  2. This protocol is designed with regular exercise in mind, with specific nutrient ratios for workout days and rest days, and is geared for those who want to shed excess fat and gain muscle mass. Hence, it's best suited for those who are actually exercising and lifting weights each week and can tolerate working out in a fasted state.

  3. Eat Stop Eat (created by Brad Pilon viii)—In this protocol, you fast for a full 24 hours once or twice a week. Your fast should be broken with a regular-sized meal (i.e. avoid gorging when coming off your fast), and you can maintain a regular exercise program without any special diet recommendations for workout days.
  4. Fasting for 24 hours can be tough for some people, but I would agree with Mark's advice that eating a high-fat, low-carb diet can make 24-hour fasting easier, as a higher fat diet will tend to normalize your hunger hormones and provide improved satiety for longer periods of time.

  5. The Warrior Diet (by Ori Hofmekler)—This is another protocol designed to improve your fitness by exercising in a fasted state. I've interviewed Ori and posted detailed articles on this in the past. His plan calls for 20 hours of fasting, and four hours of "feasting." You exercise during the day in a fasted state. Raw vegetables are allowed during your fast, but no protein, which is reserved for "feasting" or post-exercise recovery meals.
  6. To learn more about the Warrior Diet, please see this previous interview with Ori.

  7. Alternate Day Fasting—This fasting protocol is exactly as it sounds: one day off, one day on. When you include sleeping time, the fast can end up being as long as 32-36 hours.
  8. As Mark notes, this may be the most difficult of all types of fasting, as it will require you to go to bed with an empty stomach a few times a week. It's definitely not for everyone.

The above information is quoted directly from Dr. Mercola's website HERE.

The simplest method I think most people could incorporate into their lives with ease is probably the LeanGains method which basically involves (on the eating side alone, not the exercise piece of course) skipping breakfast.  Stop eating at 8pm and don't eat again until noon or later and voila - you've participated in intermittent fasting.

Recent research on intermittent fasting is extremely compelling.  Take for example the study by Dr. Mark Mattson, Senior Investigator for the National Institute on Aging published in the International Journal of Obesity in 2011 which found that intermittent fasting was just as effective as regular caloric restriction for weight loss and slightly better than regular caloric restriction for reducing insulin resistance (i.e. reducing likelihood of developing Diabetes).

In summary, the participants in this study showed improvements in
  • Normalizing insulin sensitivity, which is key for optimal health as insulin resistance (which is what you get when your insulin sensitivity plummets) is a primary contributing factor to nearly all chronic disease, from diabetes to heart disease and even cancer
  • Normalizing ghrelin levels, also known as "the hunger hormone"
  • Promoting human growth hormone (HGH) production, which plays an important part in health, fitness and slowing the aging process
  • Lowering triglyceride levels
  • Reducing inflammation and lessening free radical damage

All of these are pretty compelling reasons to skip breakfast, but skipping breakfast goes against all previous medical and nutritional guidelines.  I mean who hasn't heard that "breakfast is the most important meal of the day" before?

Well, according to this research, that may not be the case.  In fact, skipping breakfast could be one of the simplest things you can do to improve your overall health and longevity.  Who knew?

Of course you don't have to skip breakfast to participate in intermittent fasting - as listed above there are many different ways to do it, and even the "skipping breakfast" LeanGains method essentially involves only eating for an 8 hour stretch, and it can be any 8 hour stretch including or not including breakfast.  

If you're curious about trying it I recommend you review the information on Dr. Mercola's site as well as Mark Sisson's website which probably has the most detailed information about how to actually go about it.  If you have Diabetes, Hypo or Hyperglycemia or are nursing or Pregnant, it may not be the time to investigate this type of lifestyle choice, but it never hurts to read up and learn more or consult a health professional if you are interested.

I'll be reporting in about my personal experiment in a few more weeks here, so stay tuned for more information on an Acupuncturists Journey into Intermittent Fasting for Health and Longevity coming soon!

Until next time,
~Rebecca
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Eat, Fast & Live Longer - I think I'll try it

8/9/2013

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Watch Eat, Fast and Live Longer with Michael Mosley - Preview on PBS. See more from Michael Mosley.

So I wasn't intending to watch Michael Mosley's documentary about fasting for health and wellness on OPB Wednesday night, but I found myself zonked out on the couch at just the right time.  Despite my intention to catch up on So You Think You Can Dance (I'm mildly addicted, just mildly...) I was mesmerized and just had to check it out.

Let me start by saying that fasting is not a traditional part of Acupuncture and Chinese Medicine.  It is a relatively common naturopathic technique, and can be part of an elimination diet, however, beyond being something gaining popularity for general health.  It is not something to be undertaken without supervision if you have chronic health concerns, especially if you are diabetic, and is not appropriate while pregnant or nursing. 

That said, theoretically being overly hungry is a bad thing from an energetic perspective.  Hunger is a sign that your Spleen and Stomach Qi are waning and if they wane too far, your body pulls energy from the Kidney - your foundation and energetic reserve - to continue normal (energetic) body processes.  Intermittent fasting involves shorter fasting times at more regular intervals, and I believe that this is more in line with Traditional Chinese Medicine theory since you don't go for such long periods of intense hunger. 

When it comes to longevity, modern research is also clearly showing that calorie restricted diets can contribute to long life.  Even more interesting is the recent research - which this documentary reviews and explores - about intermittent fasting for helping to regulate insulin levels (in non-diabetics), decrease cholesterol, control weight and improve health.

To clarify again, intermittent fasting is short term regular fasting - meaning not eating for 6-8 hours anywhere from two to four days a week on an alternating pattern i.e. "feed" one day and "fast" another.  Seemingly, this has a similar effect as semi regular long-term fasting (meaning a 4 day fast every few months) and has comparable health effects to a daily calorie restricted diet.

If you think about it from a hunter-gatherer past perspective, it kind of makes sense that intermittent fasting would be somewhat natural to our bodies.  If you follow the seasons and the herds, you are constantly going between periods of feast and famine - indeed, our body stores fat to prepare for leaner times - but in modern life, the average American with a home and job doesn't have times so lean that they are forced to go without, even for a 6-8 hour period, unless they are just too busy to eat.  Fast food and the carb+meat+dairy heavy modern American diet is also very calorically dense - again not lending itself to "famine" like conditions even for a short while, without making a conscious effort to achieve them.

One of the statistics in this documentary that really caught me by surprise was about lifespan during the Great Depression.  Did you know that life expectancy during the Great Depression increased by 6.2 years?  Yeah, leaner times, longer lives.  Who knew?

Another proponent of intermittent fasting is Walter Willett, MD, the Harvard Researcher and author of "Eat, Drink and Be Healthy" which has long been one of my favorite books about general healthy eating.  This book advocates for a diet of 1600 calories a day on average, but if you have a hard time maintaining that he recommends fasting one day a week to keep your weekly calories to a minimum.  Not a bad plan, and definitely in line with this recent research.

All this said, however, the benefits of intermittent fasting do not mean that if you fast intermittently you can eat whatever you want and not exercise - this method is a technique to help you reach and maintain your health goals, not a way to avoid eating right, supplementing right and exercising.  Indeed, regular fasting means your nutritional needs become that much more focused on the days that you do eat full meals, and make supplementation for health that much more important to help you ensure that you are getting the nutrients you need for a long and healthy life.

What I like best about the idea of intermittent fasting is that it feels moderate to me.  You aren't doing anything extreme for any prolonged period of time - you're just taking a break from eating for a short duration - so there's a focused time delimited period of cravings that I think most anyone can overcome.  Again, it doesn't mean you can eat whatever you want on "feed" days, but it does help balance out an extra piece of cake here and there, so that you don't feel like you have to maintain a "perfect" diet every day to be well; you just have to do the best you can do and indulge consciously. 

For me?  Intermittent fasting is the newest addition to my personal repertoire of activities for good health.  Exercise is tough at the moment as a mom of two little ones, but I get just enough not to feel insane.  Supplementation is a given and I participate in the same All Ways Wellness program I promote for my patients taking regular multivitamin, fish oil, green food, B vitamins and probiotic supplements and get acupuncture regularly to stay on track.  Considering that ALL my grandparents who died of natural causes died of heart attack or stroke, to say heart disease is risk factor for me is an understatement.  With a congenital heart murmur to boot, I can't afford to mess around with my heart health if I want to be here to see my children grow up some day, so if intermittent fasting can help give me a leg up on keeping my cholesterol down I'm all in.

My plan is to start with once a week for the next 4-6 weeks with a goal to increase to twice a week after that.  More than twice a week would be difficult for me between the kids and work (my son won't eat if I'm not sitting at the table eating myself at this stage...), but evidence suggests that even two days a week can have a significant impact on your long term health, so here goes!

I'll check in here about my progress around the 6 week mark, so if you're interested be on the lookout for a "Rebecca Fasting Experiment Update" to come.  Yesterday was my first day - I figured fasting at work when I'm busy would be easier than fasting at home - and it went great.  Plenty of tea and water later, I felt like I sailed through the day and was almost hyper-productive.  Wish me luck for next week folks!

Until next time,
~Rebecca
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    Rebecca M H Kitzerow is a Licensed Acupuncturist practicing in La Center, Washington. With over a decade of experience she has won 10 Nattie consumer choice awards from Natural Awakenings Magazine since 2014.

    Rebecca practices a variety of Acupuncture and Traditional Chinese Medicine techniques including Tan Acupuncture, Kiiko style Japanese Acupuncture, Traditional Chinese Herbal Remedies, Cosmetic Acupuncture, Foot Reflexology, Cupping and Gua Sha. Rebecca strives to help people Be Well and Stay Well in every way.

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