Authors

Daniela A. Koppold, Charité – Universitätsmedizin Berlin
Carolin Breinlinger, Charité – Universitätsmedizin Berlin
Etienne Hanslian, Charité – Universitätsmedizin Berlin
Christian Kessler, Charité – Universitätsmedizin Berlin
Holger Cramer, Universitätsklinikum und Medizinische Fakultät Tübingen
Anika Rajput Khokhar, Charité – Universitätsmedizin Berlin
Courtney M. Peterson, The University of Alabama at Birmingham
Grant Tinsley, Texas Tech University
Claudio Vernieri, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan
Richard J. Bloomer, University of Memphis
Michael Boschmann, Max Delbruck Center for Molecular Medicine
Nicola L. Bragazzi, York University
Sebastian Brandhorst, University of Southern California
Kelsey Gabel, University of Illinois at Chicago
Alan C. Goldhamer, TrueNorth Health Center
Martin M. Grajower, Albert Einstein College of Medicine
Michelle Harvie, Manchester University NHS Foundation Trust
Leonie Heilbronn, Adelaide Medical School
Benjamin D. Horne, Intermountain Medical Center
Spyridon N. Karras, School of Medicine
Jost Langhorst, Sozialstiftung Bamberg Hospital
Eva Lischka, Buchinger Wilhelmi Clinic
Frank Madeo, BioTechMed-Graz
Sarah J. Mitchell, Princeton University
Ioannis Eleemon Papagiannopoulos-Vatopaidinos, Vatopaidi Monastery Hospital
Maria Papagiannopoulou, Medical Office for Fasting Therapy
Hanno Pijl, Leids Universitair Medisch Centrum
Eric Ravussin, Pennington Biomedical Research Center
Martha Ritzmann-Widderich, Praxis für Ernährungsmedizin und Prävention in Rottweil
Krista Varady, University of Illinois at Chicago
Lilian Adamidou, University General Hospital of Thessaloniki "AHEPA"
Melika Chihaoui, Hôpital la Rabta
Rafael de Cabo, National Institute on Aging (NIA)
Mohamed Hassanein, Dubai Hospital

Document Type

Article

Publication Date

8-6-2024

Abstract

Although fasting is increasingly applied for disease prevention and treatment, consensus on terminology is lacking. Using Delphi methodology, an international, multidisciplinary panel of researchers and clinicians standardized definitions of various fasting approaches in humans. Five online surveys and a live online conference were conducted with 38 experts, 25 of whom completed all 5 surveys. Consensus was achieved for the following terms: “fasting” (voluntary abstinence from some or all foods or foods and beverages), “modified fasting” (restriction of energy intake to max. 25% of energy needs), “fluid-only fasting,” “alternate-day fasting,” “short-term fasting” (lasting 2–3 days), “prolonged fasting” (≥4 consecutive days), and “religious fasting.” “Intermittent fasting” (repetitive fasting periods lasting ≤48 h), “time-restricted eating,” and “fasting-mimicking diet” were discussed most. This study provides expert recommendations on fasting terminology for future research and clinical applications, facilitating communication and cross-referencing in the field.

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