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What will happen if I only eat once?

4 min read

According to a 2023 study published in the Journal of the Academy of Nutrition and Dietetics, adults eating only one meal per day face a higher risk of all-cause and cardiovascular disease mortality. While the One Meal A Day (OMAD) diet has gained traction as a simple weight-loss method, understanding the full scope of what will happen if I only eat once is crucial for your health. This eating pattern can induce both short-term metabolic shifts and long-term health consequences that extend beyond weight management.

Quick Summary

Eating one meal a day (OMAD) can lead to weight loss, improved fat burning, and cellular repair (autophagy). However, it also presents significant risks, including nutrient deficiencies, fatigue, mood swings, increased cholesterol and blood pressure, and a higher mortality risk.

Key Points

  • Nutrient Deficiency: Meeting all daily nutritional needs in one meal is extremely challenging, leading to potential deficiencies.

  • Metabolic Slowdown: Prolonged fasting can cause the body to conserve energy by slowing metabolism, making weight loss difficult long-term.

  • Cardiovascular Risks: Research indicates that OMAD can increase LDL ('bad') cholesterol and blood pressure, raising the risk of heart disease.

  • Hormonal Imbalances: Extended fasting can disrupt hormonal regulation, particularly affecting women's endocrine systems.

  • Increased Hunger and Cravings: Most people experience intense hunger, cravings, and irritability during adaptation, which can be unsustainable.

  • Mental and Social Impact: OMAD can trigger binge eating behaviors and isolate individuals due to restrictive eating patterns.

  • Fat Burning: While OMAD can promote fat burning through ketosis, this effect can also be achieved with safer, less restrictive intermittent fasting.

  • Consult a Professional: Due to significant risks, it is essential to consult a healthcare provider or dietitian before attempting OMAD.

In This Article

Short-Term Effects of Eating One Meal a Day

When you first adopt a One Meal A Day (OMAD) pattern, your body undergoes immediate changes as it adapts to the new, restricted feeding schedule. The first few days or weeks can be the most challenging as your body adjusts to longer fasting periods. Here's a closer look at the initial impacts:

  • Increased Fat Burning: With fewer meals, your body depletes its readily available glucose (sugar) stores. This forces it to switch to burning stored fat for energy, a metabolic state known as ketosis. This fat-burning effect is one of the main reasons OMAD is adopted for weight loss.
  • Intense Hunger and Cravings: It's natural to experience heightened hunger and strong cravings, especially during the hours you would typically eat. The hormone ghrelin, which stimulates appetite, may increase temporarily. For some, this intense hunger is a major barrier to sustaining the diet.
  • Fatigue and Irritability: The initial drop in blood sugar can cause a temporary feeling of sluggishness, dizziness, and irritability. This can impact concentration and overall energy levels. However, some individuals report experiencing enhanced mental clarity and focus once their body has adapted to using fat for fuel.
  • Digestive Disruption: A sudden change in eating frequency can disrupt your digestive system. Some people experience initial bloating, gas, or constipation, while others might notice improved gut health after their digestive system gets a regular rest period.

Long-Term Health Risks and Benefits

While the initial phase of eating one meal a day focuses on adaptation, the long-term consequences are more complex and potentially more serious. Long-term studies on OMAD specifically are limited, and much of the evidence is drawn from broader intermittent fasting research.

Potential Benefits (With Caveats)

  • Weight Management: OMAD can naturally lead to a calorie deficit, promoting weight loss and reduced body fat.
  • Cellular Repair (Autophagy): Extended fasting periods trigger autophagy, a process where the body cleans out old and damaged cells, potentially slowing aging and protecting against certain diseases.
  • Improved Insulin Sensitivity: By reducing the frequency of insulin spikes, OMAD may improve the body's response to insulin, which is beneficial for blood sugar control.

Significant Health Risks

  • Nutrient Deficiencies: Meeting all your daily vitamin, mineral, and protein needs in one meal is extremely difficult and can lead to serious deficiencies over time, impacting bone density and muscle mass.
  • Increased Cardiovascular Risk: Some research indicates that consuming one meal a day can increase total and LDL ('bad') cholesterol, as well as blood pressure, elevating the risk of heart disease.
  • Disordered Eating Patterns: The restrictive nature of OMAD can trigger or exacerbate disordered eating behaviors, such as binge eating, in susceptible individuals.
  • Metabolic Slowdown: Over time, the body may adapt to a low calorie intake by slowing down its metabolism to conserve energy, which can make future weight loss more difficult.
  • Hormonal Imbalances: Extended fasting can be particularly disruptive for women's endocrine systems, potentially leading to menstrual irregularities and fertility issues.

Comparison: OMAD vs. Less Restrictive Intermittent Fasting

Feature OMAD (23:1) 16:8 Method Notes
Eating Window 1 hour 8 hours Allows for multiple meals, making it easier to meet nutritional needs.
Calorie Intake Restricted to one large meal Spread across a longer eating window Less risk of overeating or nutritional gaps.
Metabolic Impact Can cause a significant slowdown over time Generally more sustainable and gentler on metabolism Extreme restriction can backfire.
Sustainability Very difficult for most people long-term More manageable and sustainable for many Social and lifestyle factors make OMAD challenging.
Nutrient Sufficiency High risk of deficiencies without careful planning Easier to achieve a balanced, nutrient-dense diet Variety is key for overall health.
Risk of Bingeing Higher risk due to extreme hunger and restriction Lower risk of extreme hunger and compulsive overeating The less restrictive approach is psychologically safer.

Conclusion

While the concept of eating one meal a day may appeal due to its simplicity and potential for rapid weight loss, the science shows that the risks often outweigh the benefits, especially in the long term. The potential for nutrient deficiencies, metabolic damage, heart disease, and disordered eating makes it a dangerous approach for many. Sustainable weight loss and long-term health are better achieved through less extreme methods, such as less restrictive intermittent fasting or a balanced, nutrient-dense diet, as advocated by most healthcare professionals. Any significant change to your diet should be discussed with a doctor or registered dietitian to ensure it is safe and appropriate for your individual health needs. For those interested in exploring fasting, beginning with a more moderate approach, like the 16:8 method, can be a much safer starting point.

Frequently Asked Questions

Most health professionals advise against eating one meal a day (OMAD) as a long-term weight loss strategy. While it can cause weight loss initially by reducing calorie intake, the risks—such as nutrient deficiencies, metabolic slowdown, and heart health issues—often outweigh the benefits.

Common side effects include intense hunger, fatigue, irritability, dizziness, and headaches. Some may also experience nausea, constipation, or other digestive issues.

Yes, eating all of your calories and nutrients in a single meal makes it extremely difficult to meet the body's full nutritional requirements. This can lead to deficiencies in essential vitamins, minerals, and protein, potentially affecting bone density and muscle mass.

Long-term adherence to OMAD can slow down your metabolism. The body may adapt to chronic low calorie intake by reducing its metabolic rate to conserve energy, making it harder to lose weight over time.

OMAD is not suitable for everyone. Individuals who are pregnant or breastfeeding, children, older adults, and people with a history of eating disorders, diabetes, or cardiovascular issues should avoid this diet.

Research suggests that less restrictive intermittent fasting methods, like the 16:8 approach (fasting for 16 hours and eating during an 8-hour window), offer similar health benefits with fewer risks. The extreme nature of OMAD is often unsustainable and carries a higher risk of adverse health effects.

Exercising on the OMAD diet can be difficult due to low energy levels. While gentle exercise like walking or yoga is possible, strenuous activity is often not recommended as it can put excessive strain on muscles and inhibit recovery.

References

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Medical Disclaimer

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