Understanding the Metabolic Shift
When you only eat one meal a day (OMAD) and fast for the remaining 23 hours, your body undergoes significant metabolic changes. During this prolonged fast, your insulin levels drop, which encourages your body to use stored fat for energy. This process, often referred to as becoming "fat-adapted" or entering ketosis, is a primary reason why many people use OMAD for weight loss. However, the metabolic state during the fasting period is fundamentally different from a fed state, which has major implications for physical activity.
Glycogen Depletion and Energy Availability
For high-intensity workouts, your body relies on glycogen—the stored form of glucose—for quick energy. When you're in a fasted state for an extended period, your glycogen stores are likely depleted. This can lead to a noticeable drop in performance during intense exercise, causing you to fatigue more quickly and feel weak. While a fasted workout may increase fat oxidation, it can hinder the performance needed for activities like heavy lifting or high-intensity interval training (HIIT).
Impact on Performance and Muscle
For those looking to build or maintain muscle, combining OMAD with an intense workout schedule is particularly challenging. Muscle protein synthesis, the process of repairing and building muscle tissue, is most effective when protein is consumed periodically throughout the day. Cramming a day's worth of protein into a single meal may not provide the body with the consistent amino acid supply needed to maximize muscle repair and growth.
Workout Timing and Recovery
Timing your workout is crucial on an OMAD schedule.
- Fasted training: Some individuals prefer to work out during their fasted window, often in the morning, to maximize fat-burning potential. This works better for low-intensity cardio but can lead to dizziness or exhaustion during high-intensity training.
 - Working out near your meal: Many experts suggest exercising immediately before or shortly after your one meal to replenish energy stores and kickstart the recovery process. This allows you to fuel your workout and then immediately provide your body with the nutrients needed for muscle repair.
 
After a workout, your body needs carbohydrates and protein to repair muscle tissue and replenish glycogen. A long fasting window post-exercise can impair this crucial recovery process, potentially leading to slower gains or even muscle loss over time.
Potential Risks and Drawbacks
Engaging in OMAD, especially with exercise, is not suitable for everyone and comes with a list of potential risks.
- Nutrient Deficiencies: It is extremely difficult to consume a sufficient variety of nutrients, including all essential vitamins and minerals, in a single meal, which can lead to deficiencies.
 - Fatigue and Irritability: Unstable blood sugar levels can cause fatigue, dizziness, weakness, and mood changes throughout the day.
 - Muscle Loss: Without a consistent supply of amino acids from protein, the body may break down lean muscle tissue for energy, especially during extended fasts.
 - Digestive Issues: Eating a large, calorie-dense meal in one sitting can put a strain on your digestive system, leading to bloating, discomfort, and indigestion.
 - Increased Cholesterol: Some studies have indicated that eating one large meal a day can increase total and LDL ('bad') cholesterol levels.
 - Disordered Eating Patterns: For some individuals, the highly restrictive nature of OMAD can contribute to or exacerbate disordered eating behaviors, such as bingeing during the eating window.
 
Comparison: OMAD vs. Multiple Meals
| Feature | OMAD + Workout | Multiple Meals + Workout | 
|---|---|---|
| Energy Source | Primarily stored fat during fasting; requires careful timing for workouts. | Consistent glucose from regular meals; easily fuels high-intensity exercise. | 
| Performance | Potential for impaired high-intensity performance due to depleted glycogen. | Steady energy supply supports consistent performance across various activities. | 
| Muscle Growth | Challenging due to difficulty meeting daily protein needs and consistent protein synthesis. | Optimal for muscle building by spacing protein intake throughout the day. | 
| Recovery | Potential for impaired muscle repair and glycogen replenishment post-workout. | Enhanced recovery with timely intake of protein and carbohydrates post-workout. | 
| Nutrient Intake | Risk of nutrient deficiencies from trying to fit all needs into one meal. | Easier to achieve comprehensive nutrient intake across multiple meals. | 
Is It Worth the Risk?
For most people, especially those engaging in high-intensity training or seeking to build muscle mass, the risks of combining OMAD with working out generally outweigh the benefits. While the simplicity and potential for fat loss can be appealing, the potential for muscle loss, performance impairment, and nutrient deficiencies are significant concerns. For those who insist on trying, a well-planned, nutrient-dense single meal is vital, along with careful consideration of workout intensity and timing. Consulting a healthcare professional or registered dietitian is strongly recommended before starting such a restrictive regimen, particularly if you have any pre-existing health conditions like diabetes.
Conclusion
Combining a one-meal-a-day diet with exercise can trigger significant metabolic shifts, favoring fat oxidation but risking muscle loss and performance deficits. The regimen can lead to side effects like fatigue, dizziness, and nutrient deficiencies if not carefully managed. While some lean individuals have seen body composition improvements in short-term studies, the sustainability and long-term effects remain uncertain, and experts generally recommend less restrictive eating patterns for better health outcomes and exercise performance. Listen closely to your body and prioritize nutrient adequacy to stay safe and healthy. For more detailed nutritional advice on fueling athletic performance, refer to resources from reputable institutions such as Johns Hopkins Medicine.