revalidation

Fasting and gut health: Does fasting help digestion?

Aside from being a beneficial practice for weight management, fasting can also directly impact your digestive system's health. But it is important to fast the right away because if done wrong, the impacts could go from positive to negative.

Picture of a book about fasting

Key takeaways

  • Fasting benefits gut health by reducing inflammation, promoting healing, and balancing blood sugar levels. Fasting can also help digestion by improving the gut microbiome.
  • To minimize the health risks associated with fasting, start slowly, stay hydrated, focus on nutrient-rich foods during non-fasting periods, and listen to your body's signals throughout the fast.
  • Potential risks of fasting include nutrient deficiencies, low blood sugar levels, dehydration, and electrolyte imbalances, so it's essential to approach fasting cautiously.
  • Different fasting methods, such as intermittent or modified fasting, can be tailored to individual needs and goals. Consult a healthcare professional before fasting to ensure it aligns with your health conditions.

Imagine giving your hardworking digestive system a well-deserved vacation. That's essentially what fasting is all about—pausing your usual food intake and calories for a set period of time.

Fasting has been around for ages, serving cultural, religious, and health purposes. In recent years, it has gained attention for its potential benefits to digestive health.

This article will explore how fasting can impact your digestive health, from promoting gut healing and reducing inflammation to fostering a thriving gut microbiome.

What is fasting?

Fasting is a practice where you consciously choose to give your body a break from eating. During a fast, you abstain from consuming solid food and drinks that contain calories, although water, tea, or coffee are typically allowed to keep you hydrated.

There are different ways to approach fasting, e.g., intermittent fasting, where you limit your eating to specific time windows, and prolonged fasting, which involves long periods without food that can stretch over several days.

The duration and style of fasting can vary depending on your preferences, health goals, and circumstances. It's a unique way to give your body and digestive system a timeout from the eating routine.

Does fasting help improve gut health?

Absolutely, fasting can be a powerful tool for improving gut health. When you give your digestive system a break from processing food, it can work on healing and repairing itself.

Fasting has been shown to reduce gut inflammation, a common culprit behind digestive issues. It also supports the growth and diversity of beneficial bacteria in your gut microbiome while suppressing harmful ones.

Several studies also refer to the tendency of mammals to reduce their food intake following acute systemic infection or chronic inflammation. This phenomenon, known as “infection-induced anorexia” is considered the most common defense mechanism against acute inflammation, where individuals experience a loss of appetite and decrease their food consumption when sick. This indicates that even the body’s natural defense mechanism supports taking a break from food for the gut to heal.

Benefits of fasting for the digestive system

Fasting can offer several benefits to gut health, including:

1. Reduced inflammation

When your gut gets a rest from processing food, it can calm down the inflammation that may be causing digestive issues and discomfort. By tackling inflammation, fasting can help create a more harmonious environment within your gut, promoting better digestive health overall.

Fasting can also help with many health conditions, including diabetes, cancer, and renal diseases, and improve cardiovascular health by reducing oxidative stress and chronic inflammation.

2. Enhanced gut healing

By allowing your digestive system to rest, fasting creates the perfect condition for damaged tissues and cells in the gut to undergo healing and recovery. This can be especially beneficial for conditions like leaky gut syndrome. In this condition, the gut lining is weakened, thus allowing toxins, partially digested foods, and pathogens to enter the bloodstream.

If untreated, leaky gut syndrome may trigger inflammatory processes like endotoxemia, which pose a risk of obesity, insulin resistance, and overall decreased immunity.

3. Improved gut microbiome

Fasting is important for maintaining a healthy microbial community in the gut. When you fast, it alters the composition of the gut microbiome.

This alteration leads to increased remodeling and microbial diversity, favoring the growth of Lachnospiraceae, a family of anaerobic bacteria responsible for a process known as butyrogenesis in the gut, which has positive effects on metabolism and may even contribute to anti-aging benefits.

4. Regulation of digestive function

Fasting acts as a reset button for the digestive system, promoting healthy intestinal motility and improving efficiency. By taking a break from eating, your digestive process goes into a kind of "housekeeping" mode through a system called the Migrating Motor Complex, or MMC, busying itself with the vital clean-up operation required to keep the gut functioning optimally.

This "housekeeper" allows the gut to maintain a rhythmic flow to clear out any remaining waste, undigested food particles, enzymes, and unwanted bacteria. As a result, you may notice a reduction in common discomforts like bloating, gas, and indigestion.

Fasting also empowers your digestive system to become a master at nutrient absorption, maximizing the nutritional benefit you derive from the food you consume during non-fasting periods.

5. Weight management

Fasting can indirectly support weight management. When fasting, the body exhausts its sugar stores—its primary energy source—and switches to burning stored fat for energy instead. This process, along with eating fewer calories, can lead to weight loss.

6. Balanced Blood Sugar Levels

Fasting can help regulate blood sugar levels by improving insulin sensitivity, the hormone responsible for regulating blood sugar.

When you fast, your body becomes more sensitive to insulin and readily taps into stored glucose for energy, which can help stabilize blood sugar levels. This can benefit individuals with conditions like prediabetes or type 2 diabetes, where maintaining stable blood sugar levels is crucial.

What is the ideal way to fast for healthier gut health?

When fasting for healthier gut health, finding an approach that works best for you is important. Here are some guidelines to consider:

Start Slowly: Begin with shorter fasting periods, such as 12–16 hours overnight, and gradually increase the duration as your body adjusts.

Choose an intermittent fasting method. This can be done in different ways:

  • Time-restricted feeding: This method restricts your feeding to a certain number of hours each day, fasting the rest of the time. Popular methods include the 16/8 method (16 hours of fasting, 8-hour eating window), 14/10, and 20/4.
  • Weekly intermittent Fasting: This fasting method restricts what you eat on two to three nonconsecutive days per week. 5:2 method. (5 days of regular eating, two nonconsecutive days of restricted calorie intake of not more than 500–800 calories). 
  • Alternate-day Fasting: This fasting method is similar to 5:2, but instead of fasting consecutively on two set days of the week, you alternate between normal eating days and days where you reduce your food intake.

Dangers or risks of fasting

While fasting can benefit gut health, it's important to be aware of possible dangers and side effects. Here are some to keep in mind:

1. Nutritional deficiencies

Fasting for a long time without guidance or supervision can be risky. You might lack important nutrients and electrolytes if you don't drink enough water or eat balanced meals during the eating period. It’s a good idea to consult a healthcare professional or nutrition expert first.

2. Blood sugar imbalances

Fasting can affect your blood sugar levels, especially if you are taking insulin or medications such as sulfonylureas. This risk also minimally applies to those taking other diabetes medications. 

3. Dehydration

20–30% of the fluid your body needs is obtained from food, so it's quite easy to get dehydrated during fasting. Dehydration can also result in fatigue, a dry mouth, thirst, and headaches. So, it's important to drink enough fluid—eight 8-ounce glasses, or just under 2 liters (L) in total—to stay hydrated.

4. Eating disorders

For individuals with a history of eating disorders or those who are susceptible to developing an unhealthy relationship with food, irregular eating habits can be a concern, as fasting can potentially trigger or worsen these habits.

Some individuals may also binge eat after fasting periods, consuming more calories to compensate for their fast. This can result in weight gain because they are consuming more calories than they are burning, even if they have a calorie deficit during the fasting period.

Tips for minimizing health risks when fasting

  • Start slow: If you're new to fasting, start slowly and gradually increase the duration. This allows your body to adapt and minimizes the risk of potential side effects.
  • Stay hydrated: It is vital to stay hydrated throughout the day by drinking plenty of water, especially during fasting. Herbal teas or infused water can be refreshing alternatives as well.
  • Eat balanced meals: When you do eat, eat balanced meals that provide essential vitamins and minerals. Your diet should include vegetables, fruits, lean proteins, whole grains, and healthy fats to support your overall health.
  • Be mindful of physical activity: Engage in light to moderate exercise during fasting periods if it feels comfortable. However, avoid intense or strenuous activities that may lead to excessive fatigue or discomfort.
  • Listen to your body: Pay attention to how you feel during fasting. If you experience severe dizziness, weakness, or other concerning symptoms, it may be necessary to break your fast and consult with a healthcare professional.
  • Seek professional guidance: Consult with a healthcare professional, such as a doctor or a registered dietitian, before fasting, especially if you are pregnant, breastfeeding, on medications, or have any underlying health conditions. They can provide personalized guidance and ensure it aligns with your specific needs.

Benefits of a healthy gut

A healthy gut is like a strong foundation for your overall well-being. The benefits of maintaining a healthy gut include:

Improved digestion: A healthy gut promotes smooth digestion, allowing your body to break down and absorb nutrients from food more efficiently. This can help prevent issues like bloating, gas, and indigestion.

Enhanced immune function: Your gut is crucial to supporting your immune system. A healthy gut microbiome helps defend against harmful bacteria and viruses, reducing the risk of infections and illnesses.

Better nutrient absorption: A well-functioning gut absorbs nutrients effectively, ensuring you get the most out of your food. This can support overall health, energy levels, and various bodily functions.

Reduced inflammation: A healthy gut is associated with lower levels of chronic inflammation linked to various health conditions, including autoimmune diseases, obesity, and certain cancers.

Weight maintenance and improved metabolism: A healthy gut microbiome is linked to healthy weight and metabolism. It can help regulate appetite, manage weight, and prevent weight-related issues like obesity and metabolic syndrome.

References

  1. Remely M, Hippe B, et al. (2015). Increased gut microbiota diversity and abundance of Faecalibacterium prausnitzii and Akkermansia after fasting: a pilot study.
  2. Junhong Su, Yueying Wang, et al. (2021). Remodelling of the gut microbiome during Ramadan-associated Intermittent Fasting 
  3. F. A. Graef, J. Lau, et al. (2018). A8 PROLONGED FASTING ALTERS THE GUT MICROBIOME AND PROTECTS AGAINST SALMONELLA -INDUCED GUT INFLAMMATION.
  4. Stefan Jordan, Navpreet Tung, et Al. (2019) Dietary Intake Regulates the Circulating Inflammatory Monocyte Pool
  5. Aftab Ahmed, Farhan Saeed, et al. (2018) Impact of intermittent Fasting on human health: an extended review of metabolic cascades
  6. Zhang X, Zou Q, et al. (2020) Effects of alternate-day Fasting, time-restricted fasting, and intermittent energy restriction DSS-induced on colitis and behavioral disorders. 
  7. Deloose E, Janssen P, et al. (2012) The migrating motor complex: control mechanisms and its role in health and disease. 
  8. Chanthawat Patikorn, PharmD, et al. (2021) Intermittent Fasting and Obesity-Related Health Outcomes
  9. Michael Albosta & Jesse Bakke (2021) Intermittent Fasting: is there a role in the treatment of diabetes? A Review of the Literature and guide for primary care physicians
  10. Elizabeth F. Sutton, Robbie Beyl, et al. (2018) Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even Without Weight Loss in Men with Prediabetes.
  11. John M. Jackson, David Blaine et Al.(2006) Macro- and micronutrient losses and nutritional status resulting from 44 days of total fasting in a non-obese man
  12. Zhongquan Dai, Hongyu Zhang et al. (2022). Effects of 10-Day Complete Fasting on Physiological Homeostasis, Nutrition and Health Markers in Male Adults
  13. B. T. Corley, R. W. Carroll, et al. (2018) Intermittent fasting in Type 2 diabetes mellitus and the risk of hypoglycemia: a randomized controlled trial
  14. Kyle T. Ganson, Kelly Cuccolo (2022) Intermittent Fasting: Describing engagement and associations with eating disorder behaviors and psychopathology among Canadian adolescents and young adults