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The Balance Between Fasting (OMAD) and Muscle health: A Practical Guide to Sustainable Health

  • J. Patrick Adair
  • Dec 29, 2024
  • 4 min read

Hey there,If you’ve been hearing a lot of buzz about OMAD (One Meal A Day) fasting lately, you’re not alone. As your wellness consultant, I want to help you navigate this trend and focus on what really matters for your goals: finding the right balance between longevity and muscle preservation. Leading experts have been revisiting their views on extreme fasting, and their research suggests there’s a smarter, more sustainable way to approach your health journey.


Why Muscle is the Key to Longevity


Muscle isn’t just about looking good or staying strong—it’s one of the best indicators of long-term health. Strong, healthy muscles help regulate your metabolism, keep you independent as you age, and play a huge role in how well your body functions over time. After the age of 35 we start to lose 1-3 % of our muscle mass per year. Putting that into perspective, at the age of 65 that is approximately 30 % of your muscle health diminished. Simply put, if your goal is to age well and stay active, taking care of your muscles is essential.


Clock on a white plate, placed between a fork and knife on a wooden table. Vintage style, no visible text, evokes a sense of limited window for meals.

The Fasting Challenge


Fasting has become a hot topic in the health world, and for good reason. Research shows fasting can stimulate autophagy (your body’s natural cellular cleanup process), improve insulin sensitivity, and support metabolic flexibility—your body’s ability to switch between burning carbs and fat for energy. These benefits make fasting an appealing strategy for improving health and longevity.But like most health trends, context matters.


Extreme fasting approaches, like OMAD (One Meal a Day), can come with significant downsides, especially for those of us focused on preserving muscle mass or maintaining a balanced lifestyle.Here’s the challenge: while fasting has its perks, aggressive protocols can shift your body into a prolonged calorie deficit, which may cause your body to break down muscle tissue for energy. This is particularly problematic for older ( read middle age) adults or anyone aiming to maintain strength and vitality long-term. Additionally, extended fasting can disrupt hormonal balance, leading to issues like fatigue, poor recovery, and even a slowed metabolism over time.


For many, fasting extremes can also increase stress levels—both physically and mentally. Restricting meals to one per day can make it harder to meet your body’s nutritional needs, potentially leading to deficiencies in key nutrients like protein, vitamins, and minerals. On top of that, the social and emotional toll of rigid fasting schedules can make it difficult to sustain, especially when life events or social gatherings come into play.


Finding a Better Way


Instead of jumping into extreme fasting protocols, consider a well-rounded approach that nurtures your muscles while still delivering the benefits of time-restricted eating. Here’s what that looks like:


1. Time-Restricted Eating (8-10 hours)

  • Supports your body’s natural rhythms

  • Helps preserve muscle while improving metabolic health

  • Is easy to stick to and fits into your lifestyle


2. Protein Prioritization

  • Eat 3-4 protein-rich meals daily

  • Aim for 1.6-2.2g of protein per kg of body weight (ideally one pound per body weight in pounds)

  • Choose high-quality protein sources rich in leucine (like eggs, lean meats, or legumes) Shy away from Red meat.

  • Balance plant-based and animal-based sources for variety

  • Red meat can cause inflammation, which fasting helps limit.


Woman flexes muscles in gym, wearing red sports top. Dark background highlights toned physique, creating a powerful, confident mood.

3. Effective Exercise

  • Strength train 3-4 times per week to build and maintain muscle

  • Focus on progressive overload to keep challenging your body

  • Incorporate functional movements to stay agile and strong

  • Time your workouts to align with your eating window for better recovery


Why This Approach Works Better Than OMAD


This balanced method offers the best of both worlds:

  • Protects your muscle mass, which is critical for longevity

  • Maximizes your strength and energy

  • Helps you stay flexible with your social life (so you can enjoy meals with loved ones)

  • Avoids hormonal imbalances that can come with extreme fasting


Tracking Your Progress


The best way to know you’re on the right track is to keep an eye on these markers:

  • Strength improvements (are your workouts getting easier or more effective?)

  • Positive changes in body composition

  • Consistent energy levels throughout the day

  • Better sleep and faster recovery after exercise


What the Experts Say


Experts agree: muscle is one of the most important factors in healthy aging. Instead of chasing extreme fasting protocols, focus on sustainable habits like:

  • Regular strength training

  • Eating enough high-quality protein

  • Prioritizing sleep and managing stress

  • Structuring meals to support your health and lifestyle



Variety of protein-rich foods on a wooden board: salmon, pork, cheese, eggs, beans, lentils, soybeans, and bowls of grains. Bright setting.

Making This Work for You


The key to long-term success is flexibility, not perfection. Here’s how to make this approach fit seamlessly into your life:

  • Social Flexibility: Enjoy meals with friends or family without guilt. Health shouldn’t feel restrictive.

  • Progress Tracking: Celebrate your wins—whether it’s lifting more weight, feeling more energetic, or simply staying consistent with your habits.

  • Adaptability: Use strategies that work for your lifestyle, whether you’re at home, traveling, or balancing work and family obligations.


The Bottom Line


While OMAD may seem like a quick fix, the evidence shows that a balanced approach is far more effective for preserving your muscles, supporting your metabolism, and achieving long-term health. This method helps you:

  • Build and maintain muscle mass

  • Support your metabolic health

  • Stay flexible with your routine and social life

  • Create results that last


Your Next Steps


Here’s how to start putting this into action today:

  1. Assess your current strength and fitness levels.

  2. Take a closer look at how much protein you’re eating each day.

  3. Plan an eating window that feels realistic for your schedule (8-10 hours is a great starting point).

  4. Commit to regular strength training or refine your current routine.

  5. Track your progress by monitoring key markers like strength, energy, and recovery

  6. Prioritize PROTEIN


Remember, health isn’t about extremes. It’s about building habits you can stick to for the long haul, a lifestyle. Protecting your muscles and finding balance is the foundation of a strong, vibrant future.If you’re ready to take the next step, let’s talk about how we can tailor these strategies to fit your unique goals and lifestyle. Your success is my priority, and I’m here to guide you every step of the way.

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James adair, pa-c owner of wellaged.net
J. Patrick Adair, MPAS, PA-C      Pensacola, Florida

Well Aged is an educational site dedicated to promoting health and wellness through expert knowledge and practical advice. With over two decades of experience as a physician assistant in sports medicine and orthopedics, As a personal fitness trainer for over 10 years, my mission is to inspire and empower others to prioritize their health and well-being. Join me on this journey of longevity and healthy aging, where medical expertise meets the vibrancy of life.

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