Skip to main content
SpringerLink
Log in

Fasten als Therapie – Indikationen und klinische Ergebnisse

  • Chapter
  • First Online:
Ernährung und Fasten als Therapie

  • 12k Accesses

Zusammenfassung

In Deutschland hat das Fasten eine lange Tradition. Viele der Pioniere des therapeutischen Fastens kommen aus dem deutschsprachigen Raum. In der Medizin wurde das therapeutische Fasten lange Zeit unterschätzt und daher als nebenwirkungsfreie Maßnahme vernachlässigt. Die derzeitig vorliegenden wissenschaftlichen Daten lassen erkennen, dass therapeutisches Fasten als eine effektive und kostengünstige Alternative bei einer Vielzahl von Beschwerden öfter zur Anwendung kommen sollte. Der Wunsch der Patienten nach natürlichen Behandlungsmethoden kommt diesem Anspruch entgegen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Literatur

  • Ahmet I, Wan R, Mattson MP et al.: Chronic alternate-day fasting results in reduced diastolic compliance and diminished systolic reserve in rats. J Card Fail 16: 843–853 (2010)

    Article  Google Scholar 

  • Brandhorst S, Wei M, Hwang S, Morgan TE, Longo VD: Short-term calorie and protein restriction provide partial protection from chemotoxicity but do not delay glioma progression. Exp Gerontol 48: 1120–1128 (2013)

    Article  CAS  Google Scholar 

  • Darlington LG, Ramsey NW, Mansfield JR: Placebo- controlled, blind study of dietary manipulation therapy in rheumatoid arthritis. Lancet 1: 236–238 (1986)

    Article  CAS  Google Scholar 

  • Dessi-Fulgheri P, Sarzani R, Serenelli M et al.: Low calorie diet enhances renal, hemodynamic, and humoral effects of exogenous atrial natriuretic peptide in obese hypertensives. Hypertension 33: 658–662 (1999)

    Article  CAS  Google Scholar 

  • Goehler L, Hahnemann T, Michael N et al.: Reduction of plasma catecholamines in humans during clinically controlled severe underfeeding. Prev Med 30: 95–102 (2000)

    Article  Google Scholar 

  • Goldhamer AC: Initial cost of care results in medically supervised water-only fasting for treating high blood pressure and diabetes. J Altern Complement Med 8: 696–697 (2002)

    Article  Google Scholar 

  • Goldhamer AC, Lisle D, Parpia B, Anderson SV, Campbell TC: Medically supervised water-only fasting in the treatment of hypertension. J Manipulative Physiol Ther 24: 335–339 (2001)

    Article  CAS  Google Scholar 

  • Goldhamer AC, Lisle DJ, Sultana P et al.: Medically supervised water-only fasting in the treatment of borderline hypertension. J Altern Complement Med 8: 643–650 (2002)

    Article  Google Scholar 

  • Hafstrom I, Ringertz B, Gyllenhammar H et al.: Effects of fasting on disease activity, neutrophil function, fatty acid composition, and leukotriene biosynthesis in patients with rheumatoid arthritis. Arthritis Rheum 31: 585–592 (1988)

    Article  CAS  Google Scholar 

  • Hargraves WA, Hentall ID: Analgesic effects of dietary caloric restriction in adult mice. Pain 114: 455–461 (2005)

    Article  Google Scholar 

  • Horne BD, May HT, Anderson JL et al.: Intermountain Heart Collaborative Study: Usefulness of routine periodic fasting to lower risk of coronary artery disease in patients undergoing coronary angiography. Am J Cardiol 102: 814–819 (2008)

    Article  Google Scholar 

  • Hussin NM, Shahar S, Teng NI, Ngah WZ, Das SK: Efficacy of fasting and calorie restriction (FCR) on mood and depression among ageing men. J Nutr Health Aging 17: 674–680 (2013)

    Article  CAS  Google Scholar 

  • Kanazawa M, Fukudo S: Effects of fasting therapy on irritable bowel syndrome. Int J Behav Med 13: 214–220 (2006)

    Article  Google Scholar 

  • Kjeldsen-Kragh J, Haugen M, Borchgrevink CF et al.: Controlled trial of fasting and one-year vegetarian diet in rheumatoid arthritis. Lancet 338: 899–902 (1991)

    Article  CAS  Google Scholar 

  • Lee C, Longo VD: Fasting vs dietary restriction in cellular protection and cancer treatment: from model organisms to patients. Oncogene 30: 3305–3316 (2011)

    Article  CAS  Google Scholar 

  • Lee C, Raffaghello L, Brandhorst S et al.: Fasting cycles retard growth of tumors and sensitize a range of cancer cell types to chemo therapy. Sci Transl Med 4: 124ra127 (2012)

    Article  CAS  Google Scholar 

  • Lim EL, Hollingsworth KG, Aribisala BS et al.: Reversal of type 2 diabetes: normalisation of beta cell function in association with decreased pancreas and liver triacylglycerol. Diabetologia 54: 2506–2514 (2011)

    Article  CAS  Google Scholar 

  • Lipecki R: Klinische Studie zur Effizienz einer kombinierten Heilfastenbehandlung als Migränetherapie. Dissertation, Medizinische Fakultät der Universität Würzburg, Würzburg, S. 1–53 (1990)

    Google Scholar 

  • Maoz E, Shamiss A, Peleg E et al.: The role of atrial natriuretic peptide in natriuresis of fasting. J Hypertens 10: 1041–1044 (1992)

    Article  CAS  Google Scholar 

  • Lützner H: Stellenwert der einzelnen Therapien im Rehabilitationsplan einer Stoffwechselklinik. In: Beck M, Eissenhauer W, Löffler H (Herg.), Rehabilitation heute. Die Reha-Studie Baden. Karlsruhe: Braun, S.115–124 (1982)

    Google Scholar 

  • Lützner H: Erlebnisbetonte Impulse zur Veränderung des Konsumverhaltens in der diätetischen Behandlung des metabolischen Syndroms. Akt Ernähr Med 20: 232–235 (1995)

    Google Scholar 

  • Michalsen A: Stressed patients, stressed physicians and the need for mind-body medicine. Forsch Komplementmed 17: 237–239 (2010)

    Article  Google Scholar 

  • Michalsen A, Weidenhammer W, Melchart D et al.: Short-term therapeutic fasting in the treatment of chronic pain and fatigue syndromes – well-being and side effects with and without mineral supplements. Forsch Komplementarmed Klass Naturheilkd 9: 221–227 (2002)

    CAS  PubMed  Google Scholar 

  • Michalsen A, Schneider S, Rodenbeck A et al.: The short-term effects of fasting on the neuroendocrine system in patients with chronic pain syndromes. Nutr Neurosci 6: 11–18 (2003)

    Article  CAS  Google Scholar 

  • Michalsen A, Hoffmann B, Moebus et al.: Incorporation of fasting therapy in an integrative medicine ward: evaluation of outcome, safety, and effects on lifestyle adherence in a large prospective cohort study. J Altern Complement Med 11: 601–607 (2005a)

    Article  Google Scholar 

  • Michalsen A, Riegert M, Ludtke et al.: Mediterranean diet or extended fasting’s influence on changing the intestinal microflora, immunoglobulin A secretion and clinical outcome in patients with rheumatoid arthritis and fibromyalgia: an observational study. BMC Complement Altern Med 5: 22 (2005b)

    Article  Google Scholar 

  • Michalsen A, Kuhlmann MK, Lüdtke R, et al.: Prolonged fasting in patients with chronic pain syndromes leads to late mood-enhancement not related to weight loss and fasting-induced leptin depletion. Nutr Neurosci 9: 195–200 (2006)

    Article  CAS  Google Scholar 

  • Michalsen A, Frey UH, Merse S, Siffert W, Dobos GJ: Hunger and mood during extended fasting are dependent on the GNB3 C825T polymorphism. Ann Nutr Metab 54: 184–188 (2009)

    Article  CAS  Google Scholar 

  • Michalsen A, Li C, Kaiser K, Ludtke R et al.: In-patient treatment of fibromyalgia: a controlled nonrandomized comparison of conventional medicine versus integrative medicine including fasting therapy. Evid Based Complement Alternat Med 2013: 908610 (2013)

    Google Scholar 

  • Müller H, Wilhelmi de Toledo F, Schuck P, Resch KL: Blutdrucksenkung durch Fasten bei adipösen und nichtadipösen Hypertonikern. Perfusion 14: 108–112 (2001a)

    Google Scholar 

  • Müller H, Wilhelmi de Toledo F, Resch KL: Fasting followed by vegetarian diet in patients with rheumatoid arthritis: a systematic review. Scand J Rheumatol 30: 1–10 (2001b)

    Google Scholar 

  • Raffaghello L, Lee C, Safdie FM et al.: Starvation-dependent differential stress resistance protects normal but not cancer cells against high-dose chemotherapy. Proc Natl Acad Sci USA 105: 8215–8220 (2008)

    Article  CAS  Google Scholar 

  • Remely M, Hippe B, Geretschlaeger I et al.: Increased gut microbiota diversity and abundance of Faecalibacterium prausnitzii and Akkermansia after fasting: a pilot study. Wien Klin Wochenschr 127: 394–398 (2015)

    Article  Google Scholar 

  • Roky R, Houti I, Moussamih S, Qotbi S, Aadil N: Physiological and chronobiological changes during Ramadan intermittent fasting. Ann Nutr Metab 48: 296–303 (2004)

    Article  CAS  Google Scholar 

  • Safdie FM, Dorff T, Quinn D et al.: Fasting and cancer treatment in humans: a case series report. Aging 1: 988–1007 (2009)

    Article  Google Scholar 

  • de los Santos-Arteaga M, Sierra-Dominguez SA, Fontanella GH et al.: Analgesia induced by dietary restriction is mediated by the kappa-opioid system. J Neurosci 23: 11120–11126 (2003)

    Article  Google Scholar 

  • Schmidt S, Stange R, Lischka E et al.: Uncontrolled clinical study of the efficacy of ambulant fasting in patients with osteoarthritis. Forsch Komplementmed 17: 87–94 (2010)

    Article  Google Scholar 

  • Schubmann R, Graban I, Holz G, Zwingmann C: Ergebnisqualität stationärer Rehabilitation bei Patienten mit Adipositas. Deutsche Rentenversicherung 9–10: 1–22 (1997)

    Google Scholar 

  • Skoldstam L, Larsson L, Lindstrom FD: Effect of fasting and lactovegetarian diet on rheumatoid arthritis. Scand J Rheumatol 8: 249–255 (1979)

    Article  CAS  Google Scholar 

  • Schwartz MW, Seeley RJ: Seminars in medicine of the Beth Israel Deaconess Medical Center. Neuroendocrine responses to starvation and weight loss. N Engl J Med 336: 1802–1811 (1997)

    Article  CAS  Google Scholar 

  • Spark RF, Arky RA, Boulter PR et al.: Renin, aldosterone and glucagon in the natriuresis of fasting. N Engl J Med 292: 1335–1340 (1975)

    Article  CAS  Google Scholar 

  • Stange R: Fasting therapy improves insulin resistance (HOMA-IR) in patients with the metabolic syndrome. In: Abstract: North American Research Conference on Complementary and Integrative Medicine. Edmonton, CA; 34 (2006)

    Google Scholar 

  • Uden AM, Trang L, Venizelos N, Palmblad J: Neutrophil functions and clinical performance after total fasting in patients with rheumatoid arthritis. Ann Rheum Dis 42: 45–51 (1983)

    Article  CAS  Google Scholar 

  • Varady KA, Hellerstein MK: Alternate-day fasting and chronic disease prevention: a review of human and animal trials. Am J Clin Nutr 86: 7–13 (2007)

    Article  CAS  Google Scholar 

  • Varela A, Marina Prendes MG, Testoni G et al.: Influence of fasting on the effects of ischemic preconditioning in the ischemic-reperfused rat heart. Arch Physiol Biochem 110: 189–196 (2002)

    Article  CAS  Google Scholar 

  • Watts NB, DiGirolamo M: Carbohydrate tolerance improves with fasting in obese subjects with noninsulin-dependent (type II) diabetes. Am J Med Sci 299: 250–256 (1990)

    Article  CAS  Google Scholar 

  • Wilhelmi de Toledo F, Buchinger A, Burggrabe H e al.: Leitlinien zur Fastentherapie. Forsch Komplementärmed Klass Naturheilkd 9: 189–198 (2002)

    Google Scholar 

  • Wilhelmi de Toledo F, Buchinger A, Burggrabe H et al.: Fasting therapy – an expert panel update of the 2002 consensus guidelines. Forsch Komplementärmed 20: 434–443 (2013)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik Buchinger am Bodensee GmbH, Wilhelm-Beck-Straße 27, D-88662, Überlingen, Deutschland

    Eva Lischka

  2. Klinik Buchinger am Bodensee GmbH, Wilhelm-Beck-Straße 27, D-88662, Überlingen, Deutschland

    Norbert Lischka

Authors
  1. Eva Lischka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Norbert Lischka
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Immanuel Krankenhaus Berlin , Berlin, Germany

    Rainer Stange

  2. Laubach, Germany

    Claus Leitzmann

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Lischka, E., Lischka, N. (2018). Fasten als Therapie – Indikationen und klinische Ergebnisse. In: Stange, R., Leitzmann, C. (eds) Ernährung und Fasten als Therapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54475-4_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-54475-4_15

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54474-7

  • Online ISBN: 978-3-662-54475-4

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation