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Should a 20 year old do intermittent fasting? The Risks and Benefits

4 min read

According to a 2021 study, fasting is a common behavior among college students, with nearly one in five men and over one in four women reporting some form of fasting. This has many young adults wondering, should a 20 year old do intermittent fasting, and is it a safe and effective dietary choice for their age group?

Quick Summary

Intermittent fasting for a 20-year-old presents potential metabolic benefits but also carries significant risks, including hormonal disruption, negative mental health effects, and a heightened risk of developing disordered eating patterns. Expert medical guidance is crucial for this age group.

Key Points

  • Risks for Young Adults: Intermittent fasting poses specific risks for young adults, including hormonal disruption, increased eating disorder risk, and compromised social well-being.

  • Hormonal Impact: Studies suggest IF can alter sex hormone levels, potentially affecting menstrual regularity in women and testosterone in men.

  • Mental Health Concerns: Research has linked fasting behaviors in college students to higher rates of anxiety, depression, and eating disorder symptoms.

  • Consult a Professional: It is highly recommended that any 20-year-old considering IF first consults with a doctor or registered dietitian to assess individual risk and safety.

  • Start Slowly and Gently: For those who proceed, starting with mild, time-restricted eating (e.g., a 12-hour fast) is a safer approach than more extreme methods.

  • Focus on Nutrition: Consuming nutrient-dense foods during the eating window is crucial for avoiding deficiencies and balancing metabolism.

In This Article

Intermittent Fasting Explained: The Basics

Intermittent fasting (IF) is not a diet but rather an eating pattern that cycles between periods of eating and fasting. Instead of focusing on what to eat, it dictates when you eat. There are several common methods, each with a different timing structure:

  • 16/8 Method: Involves fasting for 16 hours and restricting your daily eating window to 8 hours. Many people skip breakfast to align with this schedule.
  • 5:2 Method: You eat normally for five days a week and restrict calorie intake to around 500-600 on two non-consecutive days.
  • Eat-Stop-Eat: This method involves a 24-hour fast, once or twice per week.

The popularity of IF among young adults stems from its purported benefits, such as weight loss and improved insulin sensitivity. However, for a 20-year-old, whose body is still developing, the decision requires careful consideration of both the benefits and unique risks.

The Potential Benefits for Young Adults

For many healthy adults, intermittent fasting can offer several positive outcomes. These benefits often manifest through a process called metabolic switching, where the body shifts from burning sugar for fuel to burning stored fat.

  • Weight Management: By naturally reducing overall calorie intake, IF can lead to weight loss, though studies show it is comparable to traditional calorie restriction.
  • Improved Insulin Sensitivity: Short-term fasting can lower insulin levels, potentially reducing the risk of type 2 diabetes.
  • Enhanced Brain Function: Some research suggests IF can boost working memory and neuroplasticity in adults, which may lead to improved concentration and clearer thinking.
  • Cellular Repair: Fasting triggers a cellular waste removal process known as autophagy, which may protect against disease.

The Significant Risks for Young Adults

While benefits exist, the risks of intermittent fasting, especially for those in their early 20s, should not be overlooked. The period of young adulthood is a time of continued physical and hormonal development, and restrictive eating can interfere with these processes.

  • Hormonal Disruption: Limited but concerning research indicates that IF can affect hormone levels in both young men and women. In young men, testosterone levels may decrease, while in premenopausal women, fasting could lead to irregular periods.
  • Increased Risk of Eating Disorders: Fasting is a restrictive eating pattern that can be a slippery slope towards disordered eating. The emphasis on timing and rules can override the body's natural hunger cues, which is directly contrary to recovery from an eating disorder. Studies have found a strong association between fasting behaviors in college students and a higher risk for eating disorder symptoms.
  • Impact on Social Life: Social plans often revolve around food. A rigid eating schedule can create social friction and isolation for a college-aged individual, a critical period for social development.
  • Physical and Mental Side Effects: Common side effects include fatigue, irritability, headaches, dizziness, and mood changes, especially during the initial adjustment period. For young adults balancing academics, a social life, and potentially a job, these side effects can be highly disruptive.
  • Lean Mass Loss: Some weight loss from IF can come from a reduction in lean muscle mass, especially if paired with a calorie deficit and a lack of weight training. For physically active individuals, this is a significant drawback.

Comparison: Risks vs. Benefits for the 20 Year Old

Feature Potential Benefits Potential Risks
Hormonal Health Potential improvements for specific conditions (e.g., PCOS). Disrupts menstrual cycles in young women; lowers testosterone in young men.
Weight Management Can lead to weight loss, similar to traditional calorie restriction. High risk of muscle mass loss without proper exercise and nutrition.
Mental Health Some report improved focus and mental clarity. Associated with poor mental health symptoms and eating disorder risk in college students.
Sustainability Can be a straightforward, less restrictive lifestyle for some healthy adults. High dropout rates in studies suggest it is unsustainable for many.
Social Impact Can simplify meal planning for some. Can lead to social isolation due to rigid eating windows.

Cautious Steps for a 20-Year-Old Considering IF

For a young adult, the decision to start intermittent fasting should be approached with caution and professional guidance. It is not suitable for everyone, especially those with a history of disordered eating or certain medical conditions.

  1. Consult a Doctor First: This is the most crucial step. A healthcare professional can assess your overall health, nutritional needs, and any potential risks before you begin.
  2. Start with Gentle Methods: If cleared by a doctor, begin with a less restrictive approach like the 12-hour fast (e.g., 8 p.m. to 8 a.m.) to see how your body responds. Avoid more extreme methods like 24-hour fasts.
  3. Focus on Nutrient-Dense Foods: During your eating window, prioritize whole foods like fruits, vegetables, lean protein, and whole grains. Avoid overeating or bingeing on processed junk food.
  4. Listen to Your Body: Pay close attention to hunger cues, mood, and energy levels. Side effects like extreme hunger, fatigue, or irritability that do not subside within a month are signs that IF may not be right for you.
  5. Maintain Regular Exercise: Combine IF with regular physical activity, including strength training, to help maintain muscle mass and enhance fat loss.
  6. Prioritize Sleep and Stress Management: High cortisol levels from stress can increase cravings and disrupt IF. Ensure you are getting adequate sleep, as it is foundational to metabolic health.

Conclusion: Making an Informed Decision

Ultimately, whether a 20-year-old should do intermittent fasting is a complex question with no single right answer. While some of the metabolic benefits are promising, the risks—particularly regarding hormonal health, mental well-being, and the potential for developing disordered eating—are significant for this age group, which is still in a key developmental phase. Before starting, it is vital to consult with a healthcare provider and take a slow, cautious approach. A balanced diet and consistent exercise remain fundamental cornerstones of health that don't carry the same risks as a restrictive eating pattern like IF.

For more information on the mechanisms and health impacts, refer to reputable sources like this overview from Johns Hopkins Medicine: Intermittent Fasting: What is it, and how does it work?.

Frequently Asked Questions

Intermittent fasting is not universally safe for all 20-year-olds. While some may experience benefits, the risks are significant and should be carefully considered with a healthcare professional, especially concerning hormonal and mental health.

Yes, research indicates that IF can affect hormone levels in young adults. Studies have shown potential decreases in testosterone in men and disruptions to the menstrual cycle in women.

While IF is not an eating disorder, its restrictive nature can exacerbate or trigger disordered eating patterns, especially in susceptible individuals. Studies show an association between fasting behaviors and a higher risk for eating disorder symptoms in college students.

Common side effects include headaches, fatigue, irritability, and hunger, particularly when first starting. Persistent or severe symptoms are a sign to stop and consult a doctor.

IF is often better for fat loss than for muscle gain. It can be more difficult to consume enough calories and protein to support muscle growth in a compressed eating window. Pairing IF with strength training is necessary to help preserve muscle mass.

Athletes rely on consistent nutrient intake for performance and recovery. Combining intense training with restrictive eating may impair performance, and a doctor should be consulted for proper fueling strategies.

Before starting, a 20-year-old should consult with a doctor or a registered dietitian. It's also important to begin with a mild fasting schedule, prioritize nutrient-dense food during eating periods, and listen to the body's signals.

There is no single method that is universally recommended. Health experts often suggest starting with a gentler form, like a 12-hour fast, and gradually increasing the fasting window if appropriate. The 16/8 method is popular but not suitable for everyone.

References

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Medical Disclaimer

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