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Fasting is the act of refraining from , and sometimes . However, from a purely context, "fasting" may refer to the status of a person who has not eaten overnight (before ""), or to the metabolic state achieved after complete and of a meal. Metabolic changes in the fasting state begin after absorption of a meal (typically 3–5 hours after eating).

A refers to prolonged fasting from 1–100 hours (depending on age), conducted under observation, to facilitate the investigation of a health complication (usually ). Many people may also fast as part of a medical procedure or a , such as preceding a or , or before certain medical tests. Intermittent fasting is a technique sometimes used for or other health benefits that incorporates regular fasting into a person's schedule. Fasting may also be part of a religious ritual, often associated with specific scheduled fast days, as determined by the religion, or be applied as a public demonstration for a given cause, in a practice known as a .


Health effects
Alternate-day fasting (alternating between a 24-hour "fast day" when the person eats less than 25% of usual energy needs, followed by a 24-hour non-fasting "feast day" period) has been shown to improve cardiovascular and metabolic similarly to a calorie restriction diet in people who are , obese or have metabolic syndrome.

A 2021 review found that moderate alternate-day fasting for two to six months was associated with reductions of body weight, body mass index, and cardiometabolic risk factors in overweight or obese adults.


Medical application
Fasting is almost always practiced prior to surgery or other procedures that require general anesthesia because of the risk of pulmonary aspiration of gastric contents after induction of anesthesia (i.e., vomiting and inhaling the vomit, causing life-threatening aspiration pneumonia). Additionally, certain medical tests, such as testing () or certain measurements require fasting for several hours so that a baseline can be established.


Mental health
In one review, fasting improved , mood, and subjective feelings of well-being, possibly improving overall symptoms of depression, and boosting cognitive performance.


Weight loss

Intermittent fasting
There is little evidence to suggest that intermittent fasting for periods shorter than 24 hours is effective for sustained in obese adults.
(2025). 9781133587521, Cengage Learning. .


Prolonged fasting
Prolonged fasting (also called extended fasting or water fasting) involves periods of fasting above 24 hours, typically in the range of 5–20 days. In early fasting, the body operates under a relatively high level of , though this eventually decreases as the body's metabolism switches into , causing to replace as the primary energy source in the central nervous system. As prolonged fasting continues, drastic decreases in , , , and other are noted, which can lead to . In some diet systems, these losses are offset with non-caloric supplements, such as electrolyte beverages. Typical observed weight loss under prolonged fasting averages at 0.9 kg per day during the first week and 0.3 kg per day by the third week. In early fasting, during periods of high gluconeogenesis, roughly two-thirds of weight lost is lean muscle mass as opposed to fat. After the gluconeogenic phase, however, the ratio of body fat lost to lean tissue lost becomes roughly 7:6.


Longevity
There is no sound clinical evidence that fasting can promote in humans.


Adverse effects

Refeeding syndrome
Refeeding syndrome is a disturbance which occurs as a result of reinstitution of nutrition in people and animals who are , severely , or metabolically stressed because of severe illness. When too much food or liquid nutrition supplement is eaten during the initial four to seven days following a event, the production of , and in cells may cause low serum concentrations of , magnesium and . The electrolyte imbalance may cause neurologic, pulmonary, cardiac, neuromuscular, and hematologic symptoms—many of which, if severe enough, may result in death.

Refeeding syndrome can occur when someone does not eat for several days at a time usually beginning after 4–5 days with no food.


Gallstones
Fasting can increase the risk of developing gallstones for some people. This is thought to occur due to decreased gallbladder movement with no food to be digested, which can cause the bile to become over-concentrated with cholesterol, combined with the liver secreting extra cholesterol into bile as the body metabolizes fat during rapid weight loss, further exacerbating the situation.


Political application
Fasting is often used to make a political statement, to , or to bring awareness to a cause. A is a method of non-violent resistance in which participants fast as an act of political protest, or to provoke feelings of guilt, or to achieve a goal such as a policy change. A spiritual fast incorporates personal spiritual beliefs with the desire to express personal principles, sometimes in the context of social injustice.Garcia, M. (2007) The Gospel of Cesar Chavez: My Faith in Action Sheed & Ward Publishing p. 103

The political leader undertook several long fasts as political and social protests. Gandhi's fasts had a significant impact on the and the Indian population generally.

In Northern Ireland in 1981, a prisoner, , was part of the 1981 Irish hunger strike, protesting for better rights in prison. ON THIS DAY 1981: Violence erupts at Irish hunger strike protest , Sands had just been elected to the British Parliament and died after 66 days of not eating. 100,000 people attended his funeral, and the strike ended only after nine other men died. In all, ten men survived without food for 46 to 73 days.

The American civil rights activist César Chávez undertook several spiritual fasts, including a 25-day fast in 1968 promoting the principle of nonviolence and a fast of 'thanksgiving and hope' to prepare for pre-arranged civil disobedience by farm workers.Shaw, R. (2008) Beyond the Fields: Cesar Chavez, the UFW, and the struggle for justice in the 21st century University of California Press, p.92 Chávez regarded a spiritual fast as "a personal spiritual transformation".Espinosa, G. Garcia, M Mexican American Religions:Spirituality activism and culture(2008) Duke University Press, p 108 Other progressive campaigns have adopted the tactic.Shaw, R. (2008) Beyond the Fields: Cesar Chavez, the UFW, and the struggle for justice in the 21st century University of California Press, p.93


Religious views
Fasting is practiced in various religions, and details of fasting practices differ.

, Tisha B'av, Fast of Esther, Tzom Gedalia, the Seventeenth of Tamuz, the Tenth of Tevet, and Fast of the Firstborn are examples of fasting in . Yom Kippur and Tisha B'Av are 25-hour fasts in which observers abstain from consuming any food or liquid from sunset until nightfall the next day and include other restrictions. The fasts of Esther, Gedalia, Tamuz, and Tevet all last from dawn until nightfall and therefore length varies depending on the time of the year. The Fast of the Firstborn is not biblically mandated and can therefore be ended early in the case of a .

is a common period of fasting in . In the Catholic Church, the current practice of fast and abstinence is regulated by Canons 1250–1253 of the 1983 code. They specify that all Fridays throughout the year, and the time of Lent are penitential times throughout the entire Church. All persons who have completed their fourteenth year are bound by the law of abstinence on all Fridays unless they are solemnities, and again on Ash Wednesday and Good Friday. Fasting must be observed by those who have attained their majority, until the beginning of their sixtieth year. The precept to both fast and abstinence must be observed on and . In addition to the fasts mentioned above, Catholics must also observe the Eucharistic Fast, which in the Latin Church involves taking nothing but water or medicine into the body for one hour before receiving the .

Eastern Orthodox Christians fast during specified fasting seasons of the year, which include not only the better-known , but also fasts on every Wednesday and Friday (except on special holidays), together with extended fasting periods before Christmas (the ), after Easter (the Apostles' Fast) and in early August (the ).

Members of the Church of Jesus Christ of Latter-day Saints generally abstain from food and drink for two consecutive meals in a 24-hour period, on the first Sunday of each month, and members are invited to donate the money they would have used for those meals to assist others in need (called a ).

fast during the month of each year. The fast includes refraining from consuming any food or liquid from dawn until sunset. It is a religious obligation for all Muslims unless they are children or are physically unable to fast.

Fasting is a feature of traditions in religions such as and .

traditions that follow the Brahma's Net Sutra may recommend that the laity fast "during the six days of fasting each month and the three months of fasting each year".Brahma's Net Sutra, minor precept 30

Members of the Baháʼí Faith observe a Nineteen Day Fast from sunrise to sunset during March each year.


In alternative medicine
Although practitioners of alternative medicine promote "cleansing the body" through fasting,
(2008). 9780786722396, Basic Books. .
(as though it were a diagnostic fast) the concept of "detoxification“ is a marketing myth with little scientific basis for its rationale or efficacy.

During the early 20th century, fasting was promoted by alternative health writers such as Hereward Carrington, Edward H. Dewey, Bernarr Macfadden, Frank McCoy, Edward Earle Purinton, and .Griffith, R. Marie. (2000). Apostles of Abstinence: Fasting and Masculinity during the Progressive Era. American Quarterly 52 (4): 599-638. All of these writers were either involved in the or movement. 's pseudoscientific Mucusless Diet Healing System espoused fasting.Kuske, Terrence T. (1983). Quackery and Fad Diets . In Elaine B. Feldman. Nutrition in the Middle and Later Years. John Wright & Sons. pp. 291-303.

, put her patients on such strict fasts that some of them died of . She was responsible for the death of more than 40 patients under her care.Hall, Harriett. (2016). "Natural Medicine, Starvation, and Murder: The Story of Linda Hazzard" . Science-Based Medicine. Retrieved 1 May 2019. "Linda Hazzard: The “Starvation Doctor”" . Retrieved 1 May 2019.

In 1911, authored The Fasting Cure, which made sensational claims of fasting curing practically all diseases, including and .Upton Sinclair, The Fasting Cure (New York: Mitchell Kennerley, 1911), p. 44. Sinclair states he recommended fasting for all diseases except .Sinclair, The Fasting Cure, p. 44. Sinclair has been described as "the most credulous of faddists. In 1932, physician listed fasting as a and commented that "prolonged fasting is never necessary and invariably does harm".Fishbein, Morris. (1932). Fads and Quackery in Healing: An Analysis of the Foibles of the Healing Cults. New York: Covici Friede. p. 253


Types of fasting

Type by religion


Type by method
  • Electrolyte supplemented water fasting
  • Dry fasting
  • Water fasting
  • Snake diet


Type by schedule
Source:

  • Alternate day
  • Eat: stop: eat
  • Intermittent fasting
  • One Meal A Day (OMAD)/Warrior diet
  • Prolonged fasting
  • The 16/8 or 14/10
  • The 40-days and 40-nights
  • The 5:2


Type by motivation


See also


Sources
  • .


Further reading
  • Francis Gano Benedict. (1915). A Study of Prolonged Fasting. Carnegie Institution of Washington.
  • Joan Jacobs Brumberg. (1988). Fasting Girls: The Emergence of Anorexia Nervosa As a Modern Disease. Harvard University Press.
  • Caroline Walker Bynum. (1987). Holy Feast and Holy Fast: The Religious Significance of Food to Medieval Women. University of California Press.
  • John Arthur Glaze. (1928). Psychological Effects of Fasting. American Journal of Psychology 40 (2): 236–253.
  • A. M. Johnstone. (2007). Fasting – the ultimate diet?. 8 (3): 211–222.
  • Walter Vandereycken, Ron Van Deth. (2001). From Fasting Saints to Anorexic Girls: The History of Self-Starvation. Bloomsbury Academic.


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