Long-term fasting-induced parasympathetic and sympathetic autonomic nervous system modulation in a subgroup of the GENESIS study

Int J Obes (Lond)Published Exploratory analysis of a subgroup of the GENESIS trial

Authors' conclusion

These findings highlight fasting's potential for autonomic regulation and stress resilience, with implications for clinical applications in stress-related disorders.

Study context

Population
Participants from the GENESIS trial following the Buchinger fasting protocol
Participants
16 participants
Comparison
During fasting vs before fasting
  • Buchinger fastingn = 16
Primary endpoint
Daily heart rate variability (HRV) (Polar H10) as reflection of autonomic nervous system balance
Follow-up
Daily 7 days before, during and 7 days after fasting
Methodological detailssingle-group pre-post
  • Single-group pre-post

Primary result

As reported in the abstract

HRV with fasting

Root mean square of successive differences (RMSSD) (parasympathetic activity) rose, p < 0.001

27.16 ± 10.5 to 32.92 ± 17.65 ms

Sympathetic activity decreased, p < 0.001

0.39 ± 0.83 to 0 ± 1.05

Further findings

Day-by-day sympathetic activation · early fasting phase

Initial rise in sympathetic activation, p < 0.05

Mental well-being and sleep quality

Mental well-being improved significantly, p < 0.05
Sleep quality remained unchanged

Original publication

Long-term fasting-induced parasympathetic and sympathetic autonomic nervous system modulation in a subgroup of the GENESIS study. Int J Obes (Lond). Published 9 July 2025. doi:10.1038/s41366-025-01843-0

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