"I've tried everything," says Maggie Bass, 52, who at 5 feet 1 inch tall topped out early this year at 197 pounds. "I can't stick to a diet. After a few weeks I start to – I guess the word is cheat." Over the years, Bass says, she has lost the same 14 pounds over and over and "put it right back on again." This time, by picking an approach that has long been a no-no – skipping meals – she has hurdled that 14-pound barrier and is still headed down.
Bass, of Peterborough, England, swears by a technique known as intermittent fasting that has become a craze in the U.K. thanks to a couple of new books there: "The FastDiet" by doctor and science journalist Michael Mosley and co-author Mimi Spencer, which hit American bookstores in February and was featured in a companion documentary on PBS, and "The 2-Day Diet" by British dietician Michelle Harvie and professor of medical oncology Tony Howell, which arrived here in June. Two days a week, Bass skips breakfast and lunch and has salmon with roasted vegetables for dinner. The other five days, she's free to eat without weighing the merits of every bite of food. "I'm eating less, and I'm eating healthier," she says. "I'm not constantly thinking about food."
[Get a free preview of the Best Hospitals 2014 guidebook.]
To be sure, the global obesity epidemic is stark proof that knowing the basics of good nutrition and obsessively accounting for every calorie don't do the job for 21st-century humans. Now, a few researchers are beginning to suggest that a dose of prehistoric feast and famine might be the better ticket to both weight loss and improved resistance to disease. Intermittent fasting requires spending two, perhaps three, days a week eating about a quarter of the calories of a normal diet: 500 for women, instead of the usual 2,000, and 600 for men instead of 2,500. The other days, you might be able to forget calorie counting, within reason.
Mosley, 56, is a year into intermittent fasting himself, and has dropped from 187 pounds to his goal weight of 166 pounds as his cholesterol and blood glucose levels have gone from troublesome to normal. And his tastes have changed. "I eat more vegetables and have less of an urge for chocolate-y things," he says. Now he fasts one day a week to maintain his weight.
Small studies by Harvie and Howell and others have suggested that regular intermittent fasting is effective at promoting weight loss and at lowering the body's resistance to insulin, important to avoiding diabetes. But there's still a lot of research to be done on people. Some recent research has linked skipping breakfast, at least, to elevated heart risks and insulin resistance (though proponents argue that the beneficial effects can take weeks to kick in). "We'll need huge, long-term studies before we can say that this is the way to go," says Kristin Kirkpatrick, a registered dietician and wellness manager for the Cleveland Clinic's Wellness Institute. In the meantime, experts are finding a case for the practice in evolutionary science, observations of modern periods of food scarcity and animal studies. Early man, the theory goes, had to eat when he could and, in frequent times of scarcity, went without while engaging his brain on finding a food supply. That ancient genome has remained pretty much unchanged. The stock market crash of 1929 hinted at the silver lining of having fewer calories available. In 2009, researchers from the University of Michigan who looked at health outcomes during times of plenty and lean years found that life expectancy rose to 63 in 1933 from 57 in 1929. Those who fast for religious reasons – Hindus, Buddhists, Muslims and Seventh-Day Adventists, for example – also provide evidence that going without periodically improves cardiovascular health markers and the body's sensitivity to insulin.