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evolutionary eating patterns
food scarcity and survival, behavioral, physiological, and metabolic adaptations to food scarcity
modern eating patterns
tradition, convince, ritual, obseogenic environment
intermittent fasting
eating patterns in which individuals go extended time periods (16–48h) with little or no energy intake, with intervening periods of normal food intake, on a recurring basis
traditional caloric restrictions
daily energy deficit of ~500 kcals, or a 30% restriction, associated with low adherence and limited effectiveness
metabolic adaptations during IF
depletion of glycogen stores (~24hrs), decrease blood glucose (low to normal range), decrease insulin, increase glucagon, gluconeogenesis, adipose breakdown, and ketone body production
increase in cellular AMP
increases AMP-activated protein kinase, catabolic/oxidative pathways, and mitochondrial function, decreases anabolic pathways
increase in fatty acid release
increases hepatic β-oxidation and ketone body production