The OMAD (One Meal A Day) diet involves consuming all daily calories in a single meal. While it can lead to significant weight loss, particularly in the short term, it's not without its drawbacks.
The article suggests that weight loss on the OMAD diet depends on starting weight and caloric intake. An average woman might lose 2kg in a month, while an average man might lose 4kg, but this can slow over time as metabolism adapts. Rapid weight loss is possible with smaller meals, but the NHS recommends a safe rate of 0.5-1kg per week to avoid health problems.
The article notes that the body switches to burning fat for fuel during fasting periods and the process of autophagy can help clear out old cells. Some studies show improved cognitive function and brain health associated with fasting.
The article highlights the risk of nutrient deficiency due to limited food intake, the potential for lean muscle loss (affecting metabolism and long-term health), fatigue, potential for disordered eating patterns and disruptions to the endocrine system (especially in women). The article also mentions that the metabolism can slow down over time leading to reduced weight loss.
The OMAD diet may suit middle-aged men struggling with weight loss and those with pre-diabetes or early-stage diabetes under medical supervision. However, it's not advisable for everyone, especially those with pre-existing health conditions or older individuals.
If following the OMAD diet, the article recommends a balanced meal comprising lean protein, complex carbohydrates, non-starchy vegetables and healthy fats.
It is possible to exercise on the OMAD diet, âbut I absolutely wouldnât recommend any strenuous exercise like strength training, as you will put strain on your muscles and not be able to recover properly afterwards, meaning youâll do more damage than good,â says Morgan. Gentle exercise like walking, swimming, yoga and Pilates are all safe to carry out.
While Morgan recommends eating your meal after any exercise, âto refuel and nourish,â Hope believes it would be better eaten before any exercise âto give you the energy you needâ. In either case, exercising will be tricky, âas youâll expend more energy, meaning that you really need more food than you otherwise would have,â Hope says. âThis is one reason why I donât recommend this diet â it can inhibit the other factors that make up a healthy lifestyleâ.
âThe amount of weight you lose on this diet depends on the weight youâre starting at, and how much youâre eating in each of your meals,â says Hope. Though there is some evidence to support fasting as a more impactful weight loss method, âyouâre unlikely to lose any weight if you eat a meal that contains the amount of calories that you need to eat each day to maintain your weightâ.
Losing a kilogram requires a deficit of 7,700 calories. To lose this much weight over the course of a week would mean eating 1,100 fewer calories than you need each day. The average British woman â at 11st 6lbs and 5ft 4in â could therefore expect to lose half a kilogram each week by eating one meal a day, containing no less than 1,200 calories. The average British man, meanwhile, weighing 13.5st and being 5ft 9in tall, might expect to lose around a kilogram.
Over the course of a month, this means that the average woman could lose 2kg, while the average man might lose 4kg. After three months, each might have lost 6kg and 12kg respectively.
A smaller meal would result in more rapid weight loss, but with the safe rate of weight loss being 0.5-1kg per week, according to the NHS, âitâs important not to cut your calories dramatically,â says Hope.
While fasting can prompt your body to burn fat, eating in such a restricted way can also lead to lean muscle mass loss. This might not affect someone who is overweight to begin with, but someone who eats one meal a day at a healthy weight could notice loss of muscle mass. Research into the likelihood of this while doing the OMAD diet is lacking, but one study has found that several months of intermittent fasting can cause people to lose 1-2kg of muscle.
It might not sound like much, but this kind of change in your body composition can lead to a less toned look, even after losing fat. Eating an extremely small meal once a day would likely lead to more muscle loss than this.
Some of the benefits of the OMAD diet include:
âWhen you fast for between 12 and 17 hours, the body starts burning fat as fuel rather than sugar. After the 17-hour mark, your body goes into autophagy, a process in which old cells get âcleaned outâ the body and new cells are produced,â says Morgan. This can make OMAD more powerful than intermittent fasting, which has longer eating windows of six to eight hours and typically involves skipping breakfast and eating your last meal of the day before 8pm.
Then there are the impacts of fasting on our brains. âLots of people report that they can think more clearly and more efficiently while fasting,â Morgan says, an experience also well-represented in scientific studies. Some research indicates that fasting improves cognitive function, boosts neuroplasticity (the brainâs ability to adapt) and even protects the brain against injury and disease.
âFasting can also improve your gut health, as it gives your gut time to rest and repair. When your gut lining is compromised this can lead to bloating, gas, burping and irregular bowel movements,â Morgan adds. âI often recommend eating one meal a day a few times a month to clients who have gastrointestinal problems, as it can help to relieve pain and bloating and promote healing.â
There are some people who benefit more from the OMAD diet than others. âMiddle-aged men might find this diet helpful, as they can often struggle the most to lose weight,â says Hope.
Some people who are put on highly restricted diets by their doctors might prefer to eat only once a day. âPatients who are prediabetic or in the early stages of diabetes might eat once a day, because doing so reduces the frequency of insulin spikes, making their blood glucose levels easier to keep under control, although these individuals should always seek personalised professional advice when changing their diet,â explains Hope.
These are some of the risks associated with the OMAD diet:
âIf youâre eating just once a day, itâs very difficult to consume all the nutrients you need,â says Hope. âThis can lead to nutrient deficiencies and symptoms like muscle weakness, irritability, brittle nails and hair and fatigue.â
While fasting can promote rapid fat loss, it can also lead to the loss of lean muscle mass if carried out too frequently. This can have a number of detrimental effects on your health as âyour muscle mass is really the metabolic organ for your whole body, and dictates a lot of your hormonal activity,â Morgan explains. Muscle mass naturally decreases with age, making this particularly troublesome for older people. A lack of muscle mass causes frailty, falls and increased risk of an earlier death.
âFasting for long periods can also be very disruptive to womenâs endocrine systems, which can increase stress and actually lead to weight gain in the long term,â says Hope. âFor this reason Iâd be especially cautious about recommending the OMAD diet to perimenopausal or menopausal women.â
Whatâs more, âyour body will adapt to the plan over time and start to conserve more energy, meaning that you likely wonât lose as much weight and you might find it hard to lose weight in the future, as your metabolism wonât work in the same way,â Hope says.
One study, involving 32 people split into two groups, found that the metabolisms of those who ate 1,114 calories per day slowed over twice as much as those in the other group, who ate 1,462 calories each day â yet both experienced similar weight loss. Such an effect âis one reason why I suggest that people âcycleâ on the OMAD diet, following it for only a few days a month,â says Morgan.
âIf youâre going to eat one meal a day, at least a quarter of your plate should be made up of lean protein like chicken, salmon or tofu,â says Hope. âAnother quarter should be complex carbohydrates such as quinoa, sweet potatoes or brown rice. A quarter should be non-starchy vegetables like broccoli or cauliflower, and the last quarter should be a healthy fat, like nut butter, avocado, hummus or cream cheese. Focusing on whole foods is crucial, as this will give you the highest possible amount of nutrients.â
By April Morgan
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