Fasting and Alzheimer’s — A Promising Connection

Physiological alterations associated with fasting have profound implications for pathological mechanisms associated with dementias, particularly Alzheimer’s disease.

Alby Elias , Noushad Padinjakara , Nicola T Lautenschlager Nutrition Reviews, Volume 81, Issue 9, September 2023, Pages 1225–1233

4/12/20233 min read

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In the Nutrition Reviews article titled Effects of intermittent fasting on cognitive health and Alzheimer’s disease, the authors consolidate findings from animal studies to elucidate how intermittent fasting (IF) might counter Alzheimer’s pathology. Notably:

  • In rodent models, periods of caloric restriction or intermittent fasting led to synaptic adaptations in the hippocampus—a critical brain region for memory—while enhancing overall cognitive performance.

  • Studies also show that compared with freely eating animals, those on intermittent fasting exhibited reduced β-amyloid accumulation, the very protein at the heart of Alzheimer’s disease development.

  • Beyond that, intermittent fasting promoted vascular health, potentially mitigating cerebrovascular dysfunction, which contributes significantly to Alzheimer’s progression.
    Taken together, these findings support the hypothesis that sustained intermittent fasting might reverse or at least delay the pathological processes of Alzheimer’s disease. Oxford Academic

How Fasting Helps the Brain

Here’s how fasting could be working its magic:

1. Clears Harmful Proteins

Intermittent fasting seems to lower β-amyloid plaques—clumps implicated in neuron damage and cognitive decline. Oxford Academic National Institute on Aging

2. Resets the Body’s Clock

Time-restricted feeding (a form of IF) has been shown to restore circadian rhythms in Alzheimer’s-prone mice. This reset is linked to reduced brain inflammation, improved memory, and healthier gene activity. National Institute on Aging Medical News Today

3. Enhances Brain Structure and Connectivity

Fasting triggers synaptic changes in the hippocampus, boosting cognitive function and resilience. Oxford Academic Karger

4. Supports Blood Vessel Health

Improved cerebral blood flow from vascular health may slow Alzheimer’s progression, where vascular problems often play a role. Oxford Academic

5. Encourages Autophagy and Neuroprotection

Although not detailed in the Nutrition Reviews paper, broader research highlights how IF promotes autophagy—clearing out cellular debris—and supports growth factors like BDNF that protect brain cells. Medical News Today The Guardian

Supporting Evidence from Beyond the Review
  • Animal studies consistently demonstrate that time-restricted eating reduces amyloid buildup and restores cognitive function, even when calorie intake remains unchanged. National Institute on Aging, Medical News Today, News-Medical

  • Human relevance: While clinical trials in people are still emerging, a recent trial of a 5:2 IF regimen in Alzheimer’s patients showed notable improvements in memory and executive function, compared to controls. Nutrition Crown Publication

  • Narrative reviews suggest fasting-mimicking diets (periodic fasting cycles) may reduce disease symptoms, regenerate tissue, and promote metabolic resilience—even in Alzheimer’s and other conditions. Oxford Academic

  • Critical targeting: Some human studies on caloric restriction and fasting report modest cognitive gains (e.g. working memory, processing speed), although results vary depending on severity and duration. Oxford Academic

A Balanced View

Pros

  • Animal models show reduced amyloid, better memory, improved circadian and vascular markers.

  • Fasting is low-cost, flexible, and can fit budget-conscious lifestyles.

  • Popular IF methods (like 16:8 daily fasting or 5:2 weekly fasting) are easy to implement.

Cautions & Considerations

  • Human trials are limited—mostly early stage and small in scale.

  • Very strict or prolonged fasting may impair cognitive flexibility or psychomotor function in some cases.

  • Individuals with health conditions (e.g. diabetes, frailty) need personalised advice.

Practical Tips for Safe Fasting

  1. Start simple with a 12-hour overnight fast — easy on your wallet and lifestyle.

  2. Experiment with time-restricted eating — begin with 10-12 hour feeding windows (e.g., first meal at 11 am, stop eating by 6 pm).

  3. Keep it consistent — even small daily routines may yield better long-term effects.

  4. Stay nourished — focus on whole foods, hydration, and avoid rebound overeating.

  5. Consult your GP — especially if elderly, on medications, or managing health conditions.

  6. Track how you feel — cognitive clarity, energy levels, mood, and sleep are great barometers.

Final Thoughts

Animal studies and emerging human data suggest that intermittent fasting could potentially delay or partially reverse Alzheimer’s-related pathologies, via mechanisms like amyloid reduction, synaptic strengthening, circadian resetting, and vascular protection. While definitive human evidence is still pending, the approach has low cost and is adaptable to everyday life—especially for budget-minded readers keen on longevity and brain health.

A sensible, gradual adoption, paired with a balanced diet and supportive lifestyle, may offer meaningful returns—not just in healthspan, but in the clarity and vitality that make our golden years truly golden.