Pengaruh Puasa Intermiten Terhadap Kesehatan Kardiovaskular

Authors

  • Rita Hamdani Universitas Andalas
  • Indra Fahlevi Universitas Andalas

DOI:

https://doi.org/10.56260/sciena.v4i3.223

Keywords:

puasa intermiten, kesehatan kardiovaskular, metabolisme lipid, autofagi

Abstract

Puasa intermiten (IF) berpotensi memberikan manfaat bagi kesehatan metabolik dan kardiovaskular dengan meningkatkan fleksibilitas metabolik, mengoptimalkan penggunaan energi, dan mengurangi stres oksidatif. Penelitian menunjukkan bahwa IF dapat menurunkan berat badan, meningkatkan sensitivitas insulin, serta memperbaiki profil lipid. Selain itu, IF berkontribusi dalam mengatur ritme sirkadian, meningkatkan autofagi, dan mengurangi inflamasi kronis terkait aterosklerosis. Mekanisme utama melibatkan peningkatan produksi keton, perbaikan metabolisme lipid, regulasi mikrobiota usus, serta modulasi jalur molekuler seperti AMPK, mTOR, dan SIRT1. Dengan demikian, IF berpotensi memperbaiki kesehatan sistem kardiovaskular melalui mekanisme metabolik, inflamasi, dan molekuler yang kompleks, namun efektivitasnya bergantung pada metode yang digunakan dan kondisi individu.

Author Biographies

Rita Hamdani , Universitas Andalas

Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran

Indra Fahlevi, Universitas Andalas

Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran

References

. World Health Organization. Cardiovascular diseases [Internet]. [cited 2024 Oct 30]. Available from: https://www.who.int/healthtopics/cardiovascular- diseases/#tab=tab_1

. Malinowski B, Zalewska K, Węsierska A, Sokołowska MM, Socha M, Liczner G, et al. Intermittent fasting in cardiovascular disorders—an overview. Nutrients. 2019 Mar 1;11(3):1–18.

. Johnstone A. Fasting for weight loss: An effective strategy or latest dietin trend¿.Vol. 39, International Journal of Obesity. Nature Publishing Group; 2015. p. 727–33.

. Dong TA, Sandesara PB, Dhindsa DS, Mehta A, Arneson LC, Dollar AL, et al. Intermittent Fasting: A Heart Healthy Dietary Pattern? American Journal of Medicine. 2020 Aug 1;133(8):901–7.

. Harris L, Hamilton S, Azevedo LB, Olajide J, De Brún C, Waller G, et al. Intermittent fasting interventions for treatment of overweight and obesity in adults: a systematic review and meta-analysis. JBI Database System Rev Implement Rep. 2018 Feb 1;16(2):507–47.

. Allaf M, Elghazaly H, Mohamed OG, Fareen MFK, Zaman S, Salmasi AM, et al. Intermittent fasting for the prevention of cardiovascular disease. Cochrane Database of Systematic Reviews. 2021 Jan 29;(1).

. Diab R, Dimachkie L, Zein O, Dakroub A, Eid AH. Intermittent Fasting Regulates Metabolic Homeostasis and Improves Cardiovascular Health. Cell Biochem Biophys. 2024 Sep;82(3):1583-1597.

. Kazmirczak F, Hartweck LM, Vogel NT, Mendelson JB, Park AK, Raveendran RM, et al. Intermittent Fasting Activates AMP-Kinase to Restructure Right Ventricular Lipid Metabolism and Microtubules. JACC Basic Transl Sci. 2023 Mar 1;8(3):239–54.

. Naous E, Achkar A, Mitri J. Intermittent Fasting and Its Effects on Weight, Glycemia, Lipids, and Blood Pressure: A Narrative Review. Nutrients. 2023 Aug 1;15(16).

. Surugiu R, Iancu MA, Vintilescu Ștefănița B, Stepan MD, Burdusel D, Genunche- Dumitrescu AV, et al. Molecular Mechanisms of Healthy Aging: The Role of Caloric Restriction, Intermittent Fasting, Mediterranean Diet, and Ketogenic Diet—A Scoping Review. Nutrients . 2024 Sep 1;16(17).

. Moro T, Tinsley G, Pacelli FQ, Marcolin G, Bianco A, Paoli A. Twelve Months of Time-restricted Eating and Resistance Training Improves Inflammatory Markers and Cardiometabolic Risk Factors. Med Sci Sports Exerc. 2021 Dec 1;53(12):2577–85.

. Moro T, Tinsley G, Bianco A, Marcolin G, Pacelli QF, Battaglia G, et al. Effects of eight weeks of time-restricted feeding (16/8) on basal metabolism, maximal strength, body composition, inflammation, and cardiovascular risk factors in resistance-trained males. J Transl Med. 2016 Oct 13;14(1).

. Varady KA, Cienfuegos S, Ezpeleta M, Gabel K. Cardiometabolic Benefits of Intermittent Fasting. Annu Rev Nutr. 2021;41:333–61.

. Jane L, Atkinson G, Jaime V, Hamilton S, Waller G, Harrison S. Intermittent fasting interventions for the treatment of overweight and obesity in adults aged 18 years and over: a systematic review protocol. JBI Database System Rev Implement Rep. 2015 Oct 1;13(10):60–8.

. Harvie M, Howell A. Potential benefits and harms of intermittent energy restriction and intermittent fasting amongst obese, overweight and normal weight subjects-A narrative review of human and animal evidence. Vol. 7, Behavioral Sciences. MDPI Multidisciplinary Digital Publishing Institute; 2017.

. Heilbronn LK, Smith SR, Martin CK, Anton SD, Ravussin E. Alternate-day fasting in nonobese subjects: effects on body weight, body composition, and energy metabolism. Am J Clin Nutr. 2005;81:69–73.

. Barnosky AR, Hoddy KK, Unterman TG, Varady KA. Intermittent fasting vs daily calorie restriction for type 2 diabetes prevention: A review of human findings. Translational Research. 2014 Oct 1;164(4):302–11.

. Longo VD, Mattson MP. Fasting: Molecular mechanisms and clinical applications. Cell Metab. 2014 Feb 4;19(2):181–92.

. Ozcan M, Abdellatif M, Javaheri A, Sedej S. Risks and Benefits of Intermittent Fasting for the Aging Cardiovascular System. Canadian Journal of Cardiology. 2024 Aug 1;40(8):1445–57.

. Johnson JB, Summer W, Cutler RG, Martin B, Hyun DH, Dixit VD, et al. Alternate Day Calorie Restriction Improves Clinical Findings and Reduces Markers of Oxidative Stress and Inflammation in Overweight Adults with Moderate Asthma. Free Radic Biol Med. 2007 Mar;42(5):665–74.

. Scheer FAJL, Hilton MF, Mantzoros CS, Shea SA. Adverse metabolic and cardiovascular consequences of circadian misalignment. PNAS. 2009 Mar;106(11):4453–8.

. Park JE, Miller M, Rhyne J, Wang Z, Hazen SL. Differential effect of short-term popular diets on TMAO and other cardio-metabolic risk markers. Nutrition, Metabolism and Cardiovascular Diseases. 2019 May 1;29(5):513–7.

. Mattson MP, Longo VD, Harvie M. Impact of intermittent fasting on health and disease processes. Ageing Res Rev. 2017 Oct 1;39:46–58.

. Bhutani S, Klempel MC, Kroeger CM, Trepanowski JF, Varady KA. Alternate day fasting and endurance exercise combine to reduce body weight and favorably alter plasma lipids in obese humans. Obesity. 2013 Jul;21(7):1370–9.

. Mattson MP, Moehl K, Ghena N, Schmaedick M, Cheng A. Intermittent metabolic switching, neuroplasticity and brain health. Nat Rev Neurosci. 2018 Jan 11;19(2):63–80.

. Santos HO, Macedo RCO. Impact of intermittent fasting on the lipid profile: Assessment associated with diet and weight loss. Clin Nutr ESPEN. 2018 Apr 1;24:14–21.

. Shibata N, Jishage K, Arita M, Watanabe M, Kawase Y, Nishikawa K, et al. Regulation of hepatic cholesterol synthesis by a novel protein (SPF) that accelerates cholesterol biosynthesis. The FASEB Journal. 2006 Dec;20(14):2642–4.

. Aksungar FB, Topkaya AE, Akyildiz M. Interleukin-6, C-reactive protein and biochemical parameters during prolonged intermittent fasting. Ann Nutr Metab. 2007 Apr;51(1):88–95.

. Cambuli VM, Musiu MC, Incani M, Paderi M, Serpe R, Marras V, et al. Assessment of intervention in overweight and obese children. Journal of Clinical Endocrinology and Metabolism. 2008;93(8):3051–7.

. Sattar N, Wannamethee G, Sarwar N, Chernova J, Lawlor DA, Kelly A, et al. Leptin and Coronary Heart Disease. Prospective Study and Systematic Review. J Am Coll Cardiol. 2009 Jan 13;53(2):167–75.

. Bhutani S, Klempel MC, Berger RA, Varady KA. Improvements in coronary heart disease risk indicators by alternate-day fasting involve adipose tissue modulations. Obesity. 2010 Nov;18(11):2152–9.

. Mager DE, Wan R, Brown M, Cheng A, Wareski P, Abernethy DR, et al. Caloric restriction and intermittent fasting alter spectral measures of heart rate and blood pressure variability in rats. The FASEB Journal. 2006 Apr;20(6):631–7.

. De Toledo FW, Grundler F, Bergouignan A, Drinda S, Michalsen A. Safety, health improvement and well-being during a 4 to 21-day fasting period in an observational study including 1422 subjects. PLoS One. 2019 Jan 1;14(1):1–17.

. Wan R, Weigand LA, Bateman R,Griffioen K, Mendelowitz D, Mattson MP. Evidence that BDNF regulates heart rate by a mechanism involving increased brainstem parasympathetic neuron excitability. J Neurochem. 2014;129(4):573–80.

. Liu S, Zeng M, Wan W, Huang M, Li X, Xie Z, et al. The Health-Promoting Effects and the Mechanism of Intermittent Fasting. J Diabetes Res. 2023 Mar;2023.

. Wu Y, Xu H, Tu X, Gao Z. The Role of Short-Chain Fatty Acids of Gut Microbiota Origin in Hypertension. Front Microbiol. 2021 Sep 28;12.

. Xu J, Moore BN, Pluznick JL. Short-Chain Fatty Acid Receptors and Blood Pressure Regulation: Council on Hypertension Mid-Career Award for Research Excellence 2021. Hypertension. 2022 Oct 1;79(10):2127–37.

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Published

2025-05-05

How to Cite

Hamdani, R. ., & Fahlevi, I. (2025). Pengaruh Puasa Intermiten Terhadap Kesehatan Kardiovaskular. Scientific Journal, 4(3), 181–192. https://doi.org/10.56260/sciena.v4i3.223

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Section

Systematic Literature Review