Part 5 of “What Six
Months of Soup Can Teach Me”
I had a couple of
weeks off from posting updates here related to conference travel. As it is hard to impossible to do the 2 days
a week of the program during travel, add to that a hurricane power outage and that
became a couple of weeks off. First,
that’s OK. A short interruption around
life’s requirements won’t undo the benefits.
It will, however, if “life’s requirements” become a frequent norm rather
than the exception.
The another
observation over that time has been that some of the goals of the modified
fasting program have become incorporated into my eating the other days. These include less grains and lower
carbohydrate consumption. What the
modified fasting helped my brain appreciate is that the benefits are many, and
the “hardships” of doing so really aren’t hardships or difficult. This is kind of like all of the worry about
jumping into cold water that proves not to be that cold after all once we get
in.
To summarize up to
this point, modified intermittent fasting consists of only consuming a low
carbohydrate, “paleo like” soup two non-consecutive days each week. The first serving is eaten within 30 minutes
of getting up. The second is eaten 12
hours later. This would create a low energy meal at say 6 AM followed by 12
hours of fasting, a second low energy meal at 6 PM followed by another 12-hour
fast until the next morning. Normal
eating occurs on the other 5 days.
The fasting intervals
move us from the fed mode where we build fat to the fasting mode where we burn
fat for energy. The important changes,
however, are that in this fasting mode, blood sugar, insulin, inflammatory
signaling and blood lipid profiles all occur.
With time these factors permanently shift from the disease causing
pattern to a disease improving/preventing pattern.
We left off in the 4th
post talking about the metabolic effects of this 2 day each week program, and
they are many including changes that lower the risk of diabetes, heart disease
and about all of the other common chronic metabolic related diseases that are
all too prevalent. While it may be
easier to see how eating a very small amount of carbohydrate 2 days per week
would help improve blood sugar levels as well as blood lipids such as
cholesterol and triglycerides, it may be a little harder to understand how it
may help the risk of many cancers and of degenerative brain diseases such as
dementia and Alzheimer’s Disease.
Many of the positive
effects of modified fasting do relate to spending time with lower energy
intake, particularly of carbohydrates.
This moves us from the metabolic pattern of converting excess
carbs/sugars to fat which is the American dietary induced norm and to one where
we begin to covert stored fat back into energy.
Another very important one is that it upregulates our production of
internal antioxidants which has broad benefit to reducing the risks of many
types of disease.
We humans produce
potentially harmful molecules called free radicals. These are molecules that are generated by
metabolism and can damage our own tissue if they are left active too long.
They are notable in that they are missing one electron in the outer portion.
They are notable in that they are missing one electron in the outer portion.
Electrons have to be
paired in even numbers to be stable. The
molecule in the left side of the diagram has 6 electrons in the outer
ring. Notice that each one has a paired
electron opposite it. The free radical
on the left is simply one that has lost one electron and is unstable. This loss could have been triggered by normal
metabolism which makes a few mistakes or some stress exposure such as radiation
or toxins.
The problem with a
free radical is that it will aggressively seek to steal an electron form a
molecule close to it to become stable.
Two locations that this may occur with important consequences are
stealing a molecule from our cell DNA or from the cell membrane. That area of the DNA is then damaged or
mutated and often becomes a potent disease generator from heart disease to
cancer.
The cell membrane is
how the cell protects its inner components such as the DNA and also how the
cell communicates with the environment outside the cell. If the membrane becomes damaged, its
communication is impaired. For example,
if insulin is trying to tell cells to take in glucose that may be impaired. This process is termed “insulin resistance”,
and it is an important early step in the development of diabetes.
As we would expect
there is a potent system to neutralize free radicals, the antioxidant
system. Antioxidants can donate an
electron to a free radical making it neutral and preventing it from damaging
cell components to find this electron.
While dietary antioxidants help to neutralize
the free radicals that we generate continually, they are often sporadically
supplied and are inadequate at fully neutralizing the average daily production
of free radicals. The majority of
antioxidants are plant based in fruits and some vegetables that were
sporadically available only during certain seasons.
So how did humans
survive for 5-6 million years with erratic availability of food based
antioxidants? We have another internal
system of antioxidant enzymes. The
dominant members of this family include glutathione (GSH), super oxide
dismutase (SOD), and catalase (CT).
These enzymes account for about 80% of the total antioxidant capacity on
the body on any given day.
On days where we have
good food based antioxidant exposure we are at 100% antioxidant capacity. If the dietary component is weak, we still
have 80% of our total capacity. This is
why the majority of large longitudinal studies have failed to find strong links
between dietary antioxidant supplements and strong disease preventative
effect. In contrast, studies that have
looked at our internal levels of antioxidant enzymes and disease find that
there is a strong correlation with protective effect.
This understanding
brings up the important question, what increases our internal antioxidant
enzyme production? The first clues came
from studies on ongoing caloric restriction.
Ongoing reductions of caloric intake of 40-50% have been associated with
extensions of healthy lifespan (disease free) of about 20%. The next step was to explore how sustained
caloric restriction does that. A major
factor was that it causes a marked increase in the production of these
protective antioxidant enzymes.
That’s where the
difficulty came in. Few adults will
adhere to this daily dietary pattern from mid-life on. This modified intermittent dietary pattern
demonstrated many of the other benefits of caloric restriction including
lowering blood glucose, insulin and improving blood lipid patterns. Given this similar pattern of improvements to
daily caloric restriction, the impact was then examined on antioxidant enzyme
production. Sure enough it also causes
increases in these important disease preventing enzymes. As modified intermittent fasting is much
easier for most to follow compared to ongoing, heavy caloric restriction, it is
a viable alternative to reap these benefits.
This relationship between modified
intermittent fasting and improvement in internal antioxidant enzyme levels
opens up understandings of how this pattern of dietary behavior may produce
benefits such as cancer protection and anti-aging benefits rather than just fat
loss.
One of the most fascinating beneficial effects
of modified intermittent fasting and disease prevention/modification is its ability to improve brain function. Given the emerging epidemic of degenerative
brain diseases such as dementia and Alzheimer’s Disease, the implications are
immense. We will discuss this area in
the next post.