Understanding Intermittent Fasting: Intermittent fasting (IF) has surged in popularity as a method for weight loss and improved metabolic health. However, its effects on vital organs like the liver and heart often receive less attention. As many individuals consider adopting this eating pattern, it is crucial to understand both the potential benefits and risks involved.

The Basics of Intermittent Fasting
Understanding Intermittent Fasting: Intermittent fasting involves cycling between periods of eating and fasting. Common practices include fasting for 14 to 16 hours a day, which restricts eating to a specific window. While some advocates claim this method enhances metabolism, experts highlight potential drawbacks, particularly for liver and heart health.
Liver Health and Intermittent Fasting
Dr. Shiv Kumar Sarin, a gastroenterologist at the Institute of Liver and Biliary Sciences, expresses concerns about the implications of intermittent fasting. He states, “IF requires you to eat in a particular window and to fast for 14 or 16 hours. That’s not a great idea. In fact, it can increase your cardiac problems.”
The liver plays a crucial role in detoxification, metabolism, and digestion. A 2023 review published in Diabetes, Metabolic Syndrome and Obesity indicates that while some studies suggest potential benefits of IF for non-alcoholic fatty liver disease (NAFLD), the evidence remains limited and inconclusive. Read more Reality of Extreme Sleep Deprivation
Potential Risks for Heart Health
Dr. M. Sai Sudhakar, director and chief interventional cardiologist at Gleneagles Hospitals, warns that intermittent fasting can have adverse effects on heart health if not approached with caution. He points out that prolonged fasting periods may lead to electrolyte imbalances. “Electrolytes like potassium, magnesium, and sodium are crucial for maintaining proper heart function,” he notes.
The Stress Hormone Connection
Furthermore, Dr. Sudhakar emphasizes that fasting can elevate cortisol levels, the body’s primary stress hormone. Chronic high cortisol levels can increase blood pressure and heart rate, placing extra strain on the cardiovascular system. Over time, this may heighten the risk of heart disease.
Mixed Research Findings
While there is interest in the health benefits of intermittent fasting, research results remain mixed. Dr. Ranjan Modi, senior consultant and head of interventional cardiology at Sarvodaya Hospital, explains that short-term studies show greater weight loss with intermittent fasting compared to regular calorie reduction. However, longer studies—spanning six months to a year—do not consistently support this finding.
A study from the American Heart Association’s Epidemiology and Prevention noted that limiting eating to fewer than eight hours a day might correlate with a higher risk of dying from heart disease. Dr. Modi concludes, “More research is needed to see whether regular fasting can reduce the risk of heart disease.”
The Role of the Liver
Dr. Rajiv Kovil, head of diabetology at Zandra Healthcare, discusses the liver’s essential functions, including aiding digestion, regulating hormones, and storing nutrients. He states, “Non-alcoholic fatty liver disease occurs when fat accumulates around liver cells, slowing the process of breaking down fat.”
Potential Protective Effects
Dr. Chandan Kumar K.N., senior consultant hematologist at Gleneagles Hospitals, suggests that intermittent fasting does not typically harm the heart or liver in healthy individuals. He mentions, “Some studies suggest that IF may have protective effects on the liver by reducing fat accumulation, lowering inflammation, and improving insulin sensitivity.” This could be particularly beneficial for managing conditions like NAFLD.
Individual Considerations
Despite potential benefits, Dr. Kumar warns that individuals with pre-existing liver conditions, such as cirrhosis or advanced NAFLD, might experience stress on the liver from prolonged fasting. He explains, “Prolonged fasting periods might lead to a drop in blood sugar levels, forcing the liver to work harder to produce glucose, which could exacerbate existing liver issues.”
Consult a Healthcare Professional
Given the complex interactions between intermittent fasting and body health, particularly for the liver and heart, Dr. Kumar emphasizes the importance of consulting a healthcare professional before starting any fasting regimen. Personalized medical advice ensures that fasting practices are safe and tailored to individual health needs.
Conclusion
Understanding Intermittent Fasting: Intermittent fasting presents a compelling approach for those seeking weight loss and metabolic benefits. However, it is essential to weigh the potential risks, especially concerning liver and heart health. Consulting healthcare professionals can help individuals navigate these risks while making informed decisions about their dietary practices. Balancing the benefits and drawbacks will lead to healthier lifestyle choices and better overall well-being.
Source https://indianexpress.com/