Heart health benefits: Fasting-mimicking v Mediterranean diet

Evan Walker
Evan Walker TheMediTary.Com |
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A low-calorie, low-protein, high-fat plant-based diet may offer unique benefits for cardiovascular health. Image credit: Oscar Wong/Getty Images.
  • Eating a healthy diet is a known way to help keep a person’s heart healthy and lower their risk for cardiovascular disease.
  • There is already evidence that certain diets, such as the Mediterranean diet, can help protect heart health.
  • Researchers at the University of Southern California have now found that the fasting-mimicking diet provides some unique heart-healthy effects when compared to the Mediterranean diet.

Following a healthy diet is a known way to help keep the heart healthy and lower the risk of cardiovascular disease.

Previous research has shown that diets like the Mediterranean diet, Paleo diet, DASH diet, and plant-based diets may provide some cardiovascular benefits.

Now, a new study from researchers at the University of Southern California has found that the fasting-mimicking diet provides some unique heart-healthy effects when compared to the Mediterranean diet.

The study was recently published in the journal Npj Metabolic Health and Disease.

The study also showed that participants in the fasting-mimicking diet group sustained reductions in their biological age, heart age, and their Protein Unstable Lesion Signature (PULS) cardiac test scores, which evaluate a person’s 5-year risk of stroke, compared to the Mediterranean diet group.

Fasting-mimicking diet participants showed a marked decrease in trunk fat mass — fat collected around the abdomen — compared to the Mediterranean group.

Additionally, the fasting-mimicking group did not show a decline in Health">lean muscle mass at the end of the study’s follow-up period. Researchers found that those in the Mediterranean diet group experienced a loss of lean muscle mass.

“The significance is that fasting-mimicking diet cycles were able to decrease fat mass without reducing muscle mass and without requiring changes in the subjects’ preferred diet for 25 days a month,” Dr. Longo said. “In contrast, the everyday Mediterranean diet required [a] change in everyday dietary habits and was associated with a 5 [pounds] loss of muscle.”

After reviewing this study, Dr. Rigved Tadwalkar, a board-certified cardiologist at Providence Saint John’s Health Center in Santa Monica, CA, not involved in the research, told MNT he found the findings encouraging.

“When we look at different sorts of diets, we really want to get down to what sort of Health benefit they actually provide,” Dr. Tadwalkar explained.

“It was nice to see that both the fasting-mimicking diet and Mediterranean diet — which is almost like the mainstay of recommended diets right now — both led to weight loss and improvements in blood pressure, cholesterol, [and] blood sugar. These are all very important cardiometabolic parameters that lead to cardiovascular disease, so it’s nice to see that both are able to do so.”

– Dr. Rigved Tadwalkar

“What was interesting about the fasting-mimicking diet is that it had the added benefit of reducing abdominal fat, which was really important because that is a big reason why a lot of people diet,” he continued. “Not to mention it’s still important even from a medical standpoint because abdominal fat is a risk factor for cardiovascular disease.”

Dr. Tadwalkar also commented that just over the last few weeks, he has had many patients concerned about certain diets leading to lowered lean body mass.

“It looked like in the fasting-mimicking diet group versus the Mediterranean diet group they did not experience any loss of that lean body mass, which could be a concern for some other weight loss intervention,” he added.

However, Dr. Tadwalkar said while this study was able to delineate the short-term effects of the fasting-mimicking diet, having the longer-term effects observed over weeks, months, and years is required for better understanding.

“And how the fasting-mimicking diet really affects cardiovascular health in the long-term, and in delaying the onset of cardiovascular disease,” he added.

MNT also spoke with Monique Richard, a registered dietitian nutritionist, owner of Nutrition-In-Sight, and national media spokesperson for the Academy of Nutrition Dietetics, about this study.

Richard commented that this study adds to our knowledge that each individual’s needs are unique and that our body’s complex and intricate interaction with nutrients is multifactorial.

“Following a fasting-mimicking diet has been beneficial for many individuals but it is neither a ‘stand-alone’ solution nor a long-term alternative,” she continued. “Changing patterns, habits, and/or an accumulation of the consequences of [a] specific behavior or genetic predisposition is a process that cannot be reversed with one specific step. However, several intentional modifications can make significant changes over time.”

“Foods that are high in vitamins, minerals, and Health">phytochemicals will not only provide necessary nutrients but counter inflammation, interruption, and degradation of systems that support heart Health,” Richard added. “These foods include fruits, vegetables, legumes, nuts, seeds, plant fats, lean proteins, fermented foods, and whole grains. Understanding the ‘hows’ is key — how much, how to prepare, and how often.”

And while finding the best diet for losing weight and heart health can be overwhelming at times, Richard said finding a dietary pattern and lifestyle that is most conducive to a person’s unique needs is imperative.

“A registered dietitian nutritionist (RDN) is trained to understand the interplay among medical conditions, cardiometabolic markers, genetics, preferences, needs, lifestyle factors — activity, access, cultural traditions, etc. — cooking literacy, gut health, and more to be able to offer specific recommendations,” she advised. “Work with a professional to mitigate confusion and garner support in a health-seeking journey that works best for you.”

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