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Observational studies

Adverse events in a supervised water-only fasting program

Is fasting safe? A chart review of adverse events during medically supervised, water-only fasting

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Fasting Free source summary: https://fastingfree.com/education/finnell-2018-water-only-safety/

PLAIN-LANGUAGE SUMMARY

What it found

Most recorded events were mild or moderate; two visits involved hospitalization, for dehydration and hyponatremia. A grade-3 event was the highest grade in 212 visits.

Keep these limits in view

Selected visits, incomplete laboratory data and retrospective records cannot establish safety at home. Report counts: the article’s printed 0.002% for 2 of 768 visits is inconsistent with the arithmetic (approximately 0.26%, calculated).

Understand the context

Evidence type
Retrospective observational chart review; no randomized comparison
Population or scope
Adults selected for a residential fasting program with clinical supervision
Sample or coverage
768 qualifying visits from 652 patients
Study duration or data period
Fasts ranged from 2–41 days; median 7 days; analysis included supervised refeeding
Comparison
Recorded events during qualifying visits, without a control group.
Measured outcomes
Adverse-event type and severity; hospitalizations.

Research terms in this source

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