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Is it healthy to not eat once a week? Weighing the benefits and risks of a 24-hour fast

5 min read

According to Johns Hopkins neuroscientist Mark Mattson, the human body is evolved to handle periods without food. This capability has led to modern dietary practices like intermittent fasting, which includes regimens where one may choose not to eat once a week. But is it healthy to not eat once a week, and what does the science say about this practice?

Quick Summary

A weekly 24-hour fast, a form of intermittent fasting, can offer benefits like weight management and cellular repair, but it also carries risks such as fatigue and dehydration. Preparation and careful adherence are crucial, and it is not suitable for everyone.

Key Points

  • Metabolic Switch: A 24-hour fast prompts the body to switch from burning glucose to burning fat for energy, a process known as ketosis.

  • Cellular Cleanup: Fasting activates autophagy, a cellular process that removes damaged components and promotes cellular renewal, potentially reducing inflammation.

  • Important Caveats: A weekly fast is not suitable for everyone and carries risks like hunger, fatigue, dehydration, and potential nutrient deficiencies if not managed properly.

  • Safety First: Always consult a healthcare professional before starting any fasting regimen, especially if you have pre-existing health conditions or are on medication.

  • Nutrition is Key: On non-fasting days, prioritize nutrient-dense foods to prevent malnutrition and ensure your body has the energy it needs.

  • Listen to Your Body: Pay close attention to how you feel during and after the fast, and do not push through severe discomfort.

In This Article

The Science Behind a Weekly Fast

The practice of fasting for a 24-hour period, often referred to as a "weekly fast," falls under the umbrella of intermittent fasting (IF). It involves deliberately abstaining from food for a full 24 hours, typically from dinner to dinner or lunch to lunch, with only water and other non-caloric beverages permitted. This differs from other IF methods, such as the 5:2 diet (restricting calories to 500-600 for two days a week) or time-restricted eating (eating only within a specific window each day). The core physiological principle relies on metabolic switching, where the body, after using its stored glucose for energy, switches to burning stored fat.

Potential Benefits of Fasting Once a Week

Research has linked this form of intermittent fasting to several potential health benefits. However, it's important to note that many studies are still emerging, and more long-term data is needed.

  • Promotes Weight Management: A weekly fast can help reduce overall calorie intake, which may contribute to weight loss. After about 8 hours of not eating, the body uses its glycogen stores, and after 18-24 hours, it begins to use fat for fuel, a process called ketosis. Some studies show that fasting can be as effective for short-term weight loss as traditional low-calorie diets.
  • Enhances Metabolic Health: Regular fasting may help improve insulin sensitivity and regulate blood sugar levels, reducing the risk of type 2 diabetes. It can also have a positive effect on cardiovascular risk factors by improving blood pressure and cholesterol levels.
  • Triggers Autophagy and Cellular Repair: Fasting activates autophagy, a process where cells break down and recycle damaged components, promoting cellular renewal and potentially contributing to longevity. This "cellular housekeeping" helps clear out waste and can reduce inflammation.
  • Supports Brain Health: Some studies suggest that intermittent fasting may have neuroprotective effects, potentially enhancing brain function and memory. During fasting, the brain can increase the production of a protein called BDNF, which supports neuron growth and cognitive function.

Risks and Side Effects of Weekly Fasting

While potential benefits exist, a 24-hour fast is not without its risks, and it can be physically and mentally challenging, especially for beginners.

  • Initial Side Effects: Many people experience side effects in the beginning, including hunger, fatigue, headaches, irritability, and low energy. For some, these symptoms subside as their body adapts.
  • Risk of Dehydration and Nutrient Deficiency: During a fast, the body may release large amounts of water and salt through urine. If not properly hydrated with water and electrolytes, a person can become dehydrated. Furthermore, if one does not eat a nutritionally dense diet on the other six days, a weekly fast could lead to malnutrition over time.
  • Mental and Behavioral Impact: While some people report improved mood, others experience irritability and mood disturbances, particularly due to low blood sugar. For individuals with a history of disordered eating, any form of restrictive eating can be triggering and potentially lead to unhealthy behaviors.
  • Potential for Rebound Eating: Some individuals may overeat or binge after the fasting period, which can negate the calorie-reducing effects and undermine weight management goals.

Fasting Once a Week vs. Other Methods

Feature Weekly 24-Hour Fast (e.g., Eat-Stop-Eat) 5:2 Diet 16:8 Method (Time-Restricted Eating)
Frequency Once or twice a week Two non-consecutive days a week Daily
Fasting Period A full 24 hours of no food Calorie restriction (500-600 calories) on fasting days Fasting for 16 hours daily, with an 8-hour eating window
Intensity High, can cause extreme hunger and fatigue Moderate, allows for some food intake on fasting days Low, most fasting occurs during sleep
Sustainability Can be difficult to sustain long-term for some individuals due to side effects Often easier to follow than a full 24-hour fast Widely considered the easiest and most sustainable for beginners
Effect on Weight Loss Potentially effective, but risk of overeating is higher Can lead to steady weight loss when done correctly May aid in weight loss and help manage calorie intake

How to Fast Safely

If you are considering a weekly 24-hour fast, it is crucial to do so safely and under medical supervision, especially if you have existing health conditions.

  • Consult a Healthcare Provider: Always speak with a doctor or registered dietitian before starting any new fasting regimen to ensure it is appropriate for you.
  • Stay Hydrated: Drink plenty of water throughout the fasting period. Calorie-free beverages like black coffee and unsweetened tea are also acceptable and can help curb hunger. Electrolyte supplementation may be necessary to prevent dehydration and imbalance.
  • Prioritize Nutrient-Dense Foods: On your eating days, focus on a healthy, balanced diet rich in whole foods, lean protein, fiber, and healthy fats. This helps ensure you get all the necessary nutrients to prevent deficiencies.
  • Break Your Fast Gently: Do not break your fast with a large, heavy meal, as this can overwhelm your digestive system and cause discomfort. Start with a light meal and ease back into regular eating.
  • Avoid Strenuous Exercise: On your fasting day, avoid high-intensity workouts and opt for lighter activities like walking or stretching.

Who Should Avoid Fasting?

A weekly fast is not suitable for everyone. Certain individuals should avoid this practice entirely to prevent serious health complications. These include:

  • Children and Adolescents under 18: Still in a critical period of growth and development, they have higher energy needs.
  • Pregnant or Breastfeeding Women: These individuals have significantly increased nutritional and energy requirements.
  • Individuals with a History of Eating Disorders: Intentional food restriction can be a serious trigger for a relapse.
  • People with Diabetes (especially Type 1): Fasting can cause dangerously low blood sugar levels (hypoglycemia).
  • Individuals with Chronic Diseases: Anyone with a chronic disease should seek medical advice before fasting.
  • People on Certain Medications: Some medications must be taken with food, and fasting can affect their absorption and effectiveness.
  • Underweight Individuals: Fasting can further contribute to nutritional deficiencies.

Conclusion

For many healthy adults, choosing not to eat once a week, as part of an intermittent fasting regimen, can be a safe and effective way to manage weight, improve metabolic health, and promote cellular repair. The body is equipped to handle short periods without food, leveraging fat stores for energy. However, this practice is not a cure-all and comes with potential side effects such as hunger, fatigue, and mood changes. A successful fast depends heavily on proper hydration and balanced, nutrient-dense eating during non-fasting periods. It is critical to approach this practice mindfully and, most importantly, with guidance from a healthcare professional, especially for individuals with underlying health conditions or a history of disordered eating. For those who choose to proceed, starting with less restrictive methods and listening to your body is a prudent approach to determine if it is a healthy fit for your lifestyle.

Frequently Asked Questions

A 24-hour fast is a form of intermittent fasting where you abstain from consuming any food for a continuous 24-hour period, typically from one meal to the same meal the next day.

No, a weekly fast is not safe for everyone. People who are pregnant or breastfeeding, have a history of eating disorders, have diabetes, or are under 18 should avoid it unless under strict medical supervision.

During a 24-hour fast, you can drink water, black coffee, and unsweetened tea, as these contain no calories. It is important to stay well-hydrated to prevent dehydration.

Any initial weight loss from a short-term fast is often primarily water weight, which is regained once you resume eating. Sustainable weight loss depends on your overall dietary habits and calorie intake over the entire week.

A single 24-hour fast is unlikely to cause significant muscle loss, especially if you maintain an adequate protein intake on your eating days. Long-term, frequent fasting without adequate protein could potentially lead to lean mass reduction.

When breaking a 24-hour fast, start with a light, balanced meal to avoid overwhelming your digestive system. A mix of lean protein, fiber, and healthy fats is recommended.

Drinking plenty of fluids like water, black coffee, or herbal tea can help manage hunger. Many of the side effects, such as headaches and irritability, tend to subside as your body adapts to the fasting routine.

There is no definitive evidence that intermittent fasting is superior to daily calorie restriction for weight loss, as effectiveness often depends on individual adherence and sustainability. Some people find the structure of fasting easier to stick to.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.