FASTING AND DIETARY THERAPY AS A TOOL FOR BIOCHEMICAL REGULATION OF THE BODY: PREVENTIVE, CLINICAL AND ANTI-AGING EFFECTS
DOI:
https://doi.org/10.11603/mcch.2410-681X.2025.i4.15929Keywords:
fasting and dietary therapy; therapeutic fasting; metabolic detoxification; autophagy; anti-aging; restoration of homeostasis; metabolism.Abstract
Introduction. The article presents a scientific and practical analysis of fasting and dietary therapy as a component of modern preventive, therapeutic and anti-aging approaches in medicine. The Aim of the Study. The purpose of the study is to systematize data on the effectiveness of the RDT method, show the mechanisms of action, application methods and clinical results in patients of various profiles. Research Methods. The work is an analytical review of modern scientific sources devoted to the study of biochemical, clinical and anti-aging effects of fasting and dietary therapy. The information base of the study was publications in the scientific databases PubMed, Scopus, Web of Science, Google Scholar, as well as in domestic professional medical publications. Results and Discussion. The mechanisms of the influence of temporary food restriction on metabolic processes, detoxification systems, cell regeneration and epigenetic changes that underlie the slowing down of aging processes are considered. Clinical observations and results of scientific studies are summarized, confirming the effectiveness of the method in many pathologies of internal organs and systems. The significance of fasting-dietary therapy as a method that causes systemic metabolic adaptation, accompanied by optimization of energy metabolism, reduction of anabolic load and activation of intracellular recovery mechanisms is outlined. These changes are associated with a decrease in metabolic and oxidative stress, normalization of lipid and carbohydrate metabolism and the formation of long-term preventive, therapeutic and anti-aging effects. Conclusions. Fasting and dietary therapy is a natural and effective way to stimulate the body’s endogenous recovery, which has not only a clinical but also a deep metabolic basis, which is confirmed by modern biochemical and biological research.
References
Розвантажувально-дієтична терапія у клініці внутрішніх захворювань : матеріали Міжнародного наукового симпозіуму, 25–26 жовтня 2001 р. Тернопіль, 2001.
Кузів О. Є., Радецька Л. В., Смачило І. В., Бойко Т. В., Хоміцька А. І., Мандзій З. П., Миколенко А. З., Лихацька Г. В. Розвантажувально-дієтична терапія: клініко-лабораторні та морфологічні аспекти механізму дії при патології органів травлення. Здобутки клінічної і експериментальної медицини. 2024. № 4. С. 112–115.
Ohsumi Y. Molecular mechanisms of autophagy in yeast : Nobel Lecture. Nobel Prize in Physiology or Medicine 2016. 2016.
Bagherniya M., Butler A. E., Barreto G. E., Sahebkar A. The effect of fasting or calorie restriction on autophagy induction: a review of the literature. Ageing Research Reviews. 2018. Vol. 47. P. 183–197. DOI: https://doi.org/10.1016/j.arr.2018.08.004
Takagi A., Kume S., Kondo M., Nakazawa J., Chin-Kanasaki M., Araki H. et al. Mammalian autophagy is essential for hepatic and renal ketogenesis during starvation. Scientific Reports. 2016. Vol. 6. Art. 18944. DOI: https://doi.org/10.1038/srep18944.
Grundler F., Mesnage R., Ruppert P. M. M., Kouretas D., Wilhelmi de Toledo F. Long-term fastinginduced ketosis in 1610 subjects: metabolic regulation and safety. Nutrients. 2024. Vol. 16. № 12. Art. 1849. DOI: https://doi.org/10.3390/nu16121849
Shabkhizan R., Haiaty S., Moslehian M. S., Bazmani A., Sadeghsoltani F., Saghaei Bagheri H. et al. The beneficial and adverse effects of autophagic response to caloric restriction and fasting. Advances in Nutrition. 2023. Vol. 14. № 5. P. 1211–1225. DOI: https://doi.org/ 10.1016/j.advnut.2023.07.006
Levine B., Klionsky D. J. Autophagy wins the 2016 Nobel Prize in Physiology or Medicine: breakthroughs in baker’s yeast fuel advances in biomedical research. Proceedings of the National Academy of Sciences of the USA. 2017. Vol. 114. № 2. P. 201–205. DOI: https://doi.org/ 10.1073/pnas.1619876114
Cozzo A. J. et al. Dietary energy modulation and autophagy: exploiting metabolic pathways. Frontiers in Cell and Developmental Biology. 2020. Vol. 8. Art. 590192. DOI: https://doi.org/10.3389/fcell.2020.590192
Срібна В. О. Біомедична значимість тера- певтичного використання аутофагії (огляд літе- ратури). Теоретична і експериментальна меди- цина. 2024. Т. 93. № 1. DOI: https://doi.org/10.35339/ ekm.2024.93.1.svo
Mehrabani S., Bagherniya M., Askari G., Read M. I., Sahebkar A. The effect of fasting or calorie restriction on mitophagy induction: a literature review. Journal of Cachexia, Sarcopenia and Muscle. 2020. Vol. 11. № 6. P. 1447–1458. DOI: https://doi.org/ 10.1002/jcsm.12611
Longo V. D., Mattson M. P. Fasting: molecular mechanisms and clinical applications. Cell Metabolism. 2014. Vol. 19. № 2. P. 181–192. DOI: https://doi.org/ 10.1016/j.cmet.2014.01.009
Parvaresh H., Paczek K., Al-Bari M. A. A., Eid N. Mechanistic insights into fasting-induced autophagy in the aging heart. World Journal of Cardiology. 2024. Vol. 16. № 3. P. 109–117. DOI: https://doi.org/10.4330/wjc.v16. i3.109
Kazemi A., Mohammadi A., Saedisomeolia A., Shab-Bidar S. Effect of calorie restriction or protein intake on circulating levels of insulin-like growth factor I in humans: a systematic review and meta-analysis. Clinical Nutrition. 2020. Vol. 39. № 10. P. 2975–2984 DOI: https://doi.org/10.1016/j.clnu.2019.07.030
Fontana L., Weiss E. P., Villareal D. T. et al. Effects of 2-year calorie restriction on circulating levels of IGF-1, IGF binding proteins and cortisol in nonobese men and women: a randomized clinical trial. Aging Cell. 2016. Vol. 15. № 5. P. 824–834. DOI: https://doi.org/ 10.1111/acel.12486
Puchalska P., Crawford P. A. Multidimensional roles of ketone bodies in fuel metabolism, signaling, and therapeutics. Cell Metabolism. 2017. Vol. 25. № 2. P. 262–284. DOI: https://doi.org/ 10.1016/j.cmet.2016.12.022
Adafer R., Messaadi W., Meddahi M., Patey A., Haderbache A., Bayen S., Messaadi N. Food timing, circadian rhythm and chrononutrition: a systematic review of time-restricted eating’s effects on human health. Nutrients. 2020. Vol. 12. № 12. Art. 3770. DOI: https://doi.org/ 10.3390/nu12123770
Mattson M. P., Longo V. D., Harvie M. Impact of intermittent fasting on health and disease processes. Ageing Research Reviews. 2017. Vol. 39. P. 46–58. DOI: https://doi.org/10.1016/j.arr.2016.10.005
Anton S. D., Moehl K., Donahoo W. T. et al. Flipping the metabolic switch: understanding and applying the health benefits of fasting. Obesity (Silver Spring). 2018. Vol. 26. № 2. P. 254–268. DOI: https://doi.org/ 10.1002/oby.22065
Madeo F., Eisenberg T., Pietrocola F., Kroemer G. Autophagy for the avoidance of neurodegeneration and cancer. Nature Reviews Molecular Cell Biology. 2019. Vol. 20. № 12. P. 729–743. DOI: https://doi.org/10.1038/s41580-019-0190-2
De Cabo R., Mattson M. P. Effects of intermittent fasting on health, aging, and disease. New England Journal of Medicine. 2019. Vol. 381. № 26. P. 2541–2551. DOI: https://doi.org/10.1056/NEJMra1905136
Martel J., Ojcius D. M., Ko Y. F. et al. Hormetic effects of fasting and caloric restriction on human health. Ageing Research Reviews. 2021. Vol. 67. Art. 101272. DOI: https://doi.org/10.1016/j.arr.2021.101272
Newman J. C., Verdin E. Ketone bodies as signaling metabolites. Trends in Endocrinology and Metabolism. 2020. Vol. 31. № 3. P. 227–240. DOI: https://doi.org/ 10.1016/j.tem.2020.01.006
Ohsumi Y. Autophagy: from cellular recycling to human health. Cell Research. 2024. Vol. 34. № 1. P. 5–18. DOI: https://doi.org/10.1038/s41422-023-00820-x
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Medical and Clinical Chemistry

This work is licensed under a Creative Commons Attribution 4.0 International License.