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dieta 5:2

A dieta 5:2 é uma dieta com restrição calórica que consiste em comer 'normalmente' por cinco dias da semana e fazer 'jejum' nos outros dois dias. Os efeitos de saúde propostos da dieta 5:2 incluem perda de peso, melhora na expectativa de vida, proteção contra certos tipos de câncer e proteção contra demência. No entanto, as evidências que apoiam a dieta 5:2 atualmente são limitadas. São necessárias mais pesquisas para avaliar os riscos e benefícios a longo prazo.

Em resumo

  • A dieta 5:2 envolve comer normalmente por cinco dias e restringir calorias em dois dias não consecutivos.

  • Nos dias de jejum, as mulheres consomem 500 calorias e os homens consomem 600 calorias.

  • Os defensores sugerem benefícios como perda de peso, aumento da expectativa de vida e proteção contra certas doenças.

  • A evidência para a dieta é limitada, com estudos frequentemente de curto prazo ou com um pequeno número de participantes.

  • Efeitos colaterais possíveis incluem insônia, dores de cabeça, irritabilidade e constipação.

  • Certos grupos, como mulheres grávidas ou pessoas com diabetes, não devem seguir esta dieta.

  • Sempre consulte seu médico antes de iniciar qualquer nova dieta, especialmente se você tiver uma doença crônica.

What is the 5:2 diet?

The 5:2 diet is also known as 'The 5:2 Fast Diet™', or 'The Fast Diet', or 'Intermittent Fasting Diet'. It is based on the underlying principle of eating 'normally' for five days a week (not being particularly conscious of calories and not avoiding certain foods) and then 'fasting' (calorie restriction) on the other two days out of seven.

But 'fasting' does not mean that you eat nothing at all. In the 5:2 diet, it means eating around a quarter of your recommended calorie intake. A woman on the 5:2 diet should eat around 500 calories in total on a fasting day and a man should eat around 600 calories. You can use our calorie calculator to estimate your usual daily calorie needs.

The 500 or 600 calories can be eaten throughout the day as snacks, or as one or two meals. And the two days of fasting do not have to be consecutive - they could, for example, be a Tuesday and a Friday.

You should try not to compensate for the lower calorie intake on the 2 days by overeating on the other 5 days. This will mean you do not lose weight, and may even put weight on. It can be difficult to suddenly only eat 500 or 600 calories, and it might be easier if you gradually lower your calories on those days over a number of weeks.

Supporters of the 5:2 diet

There are a number of people who support and promote the 5:2 diet. They include Michael Mosley who originally trained as a medical doctor and then became a producer and presenter for the BBC.

Mr Mosley famously first followed the 5:2 diet whilst making a BBC Horizon programme in 2012. He has since teamed up with journalist Mimi Spencer and together they have written a book about 'The Fast Diet' and launched a website.

The diet may be popular because of the simplicity; you do not need meal plans or measured portions. In addition there are no foods that are prohibited.

What are the health benefits of the 5:2 diet?

Supporters of the 5:2 diet propose that there are numerous health benefits including:

  • Perda de peso.

  • Increased life expectancy.

  • Protection against certain cancers.

  • Protection against demência.

The theory is that the fasting days lower the levels of a certain chemical in the body known as insulin-like growth factor 1 (IGF-1). It is thought that high levels of IGF-1 in the body accelerate the ageing process and also make ageing-related diseases such as cancer and diabetes tipo 2 more likely. Low levels of IGF-1 are thought to have reverse effects.

Supporters of the diet also suggest that because you are only fasting for two days out of seven, this means that there is never a long period when you feel like you are depriving yourself of tasty foods. They argue that this makes you more likely to stick to the diet and therefore have successful weight loss.

Does the 5:2 diet work?

The evidence supporting the 5:2 diet is limited when compared with some of the other types, or ways, of dieting. Most of the research carried out so far has been around fasting on one or more days of the week (intermittent fasting) rather than the 5:2 diet model exactly.

The other problem with much of the research is that studies have not been carried out long-term. They also tend to have involved small numbers of study participants, or have been based on animals rather than on humans.

A wide-ranging review in 2017 showed that the 5:2 diet helped people to lose weight over a six-month period but was no more effective than diets in which energy was restricted every day. A 2021 study followed up participants for a year. Although they lost more weight in the first 6 weeks following the 5:2 diet, by 12 months the weight loss between different methods was equal.

When looking at the more general benefits for cardiometabolic health, it seems intermittent fasting generally improves body composition and lowers risks, particularly for those who are unhealthy and at-risk of cardiac or metabolic problems.

What should I eat on the 5:2 diet?

During the 'fasting' days, calorie intake should be no more than 500 calories for women and 600 for men. The 500 or 600 calories can be eaten throughout the day as snacks, or as one or two meals. It is recommended that good foods to eat on a 'fasting' day are foods high in protein and fibra which tend to fill you up more - so things like fish, meat and vegetables.

  • Whole-grains are fibre-rich. They include whole wheat bread and pasta, brown rice and quinoa.

  • Green leafy vegetables like kale and spinach and full of vitamins and minerals.

  • Other high fibre foods include legumes, lentils, oatmeal and beans.

  • Healthy fats from nuts, seeds, olive oil, avocados and oily fish.

  • Lean protein includes chicken, turkey, eggs and fish.

Recommended drinks for the fasting days include water, black coffee and herbal teas.

Are there any drawbacks to following the 5:2 diet?

Supporters of the 5:2 diet may experience side-effects including:

Drinking plenty of water can help to reduce the chances of most of these side-effects. It should also be noted that eating 'normally' for five days out of seven does not mean that you should not eat healthily and stay physically active.

Who should not follow the 5:2 diet?

There are certain groups of people who should not follow the 5:2 diet or carry out intermittent fasting. They include:

  • Children and teenagers.

  • People who have diabetes and who are being treated with insulin.

  • People who experience a regular drop in their blood sugar levels.

  • People who are already underweight.

  • Pregnant or breast-feeding women.

  • People with a history of transtornos alimentares.

  • People who are otherwise feeling unwell.

It is recommended that anyone with a chronic illness or anyone taking regular medications (especially the medicine varfarina) should check with their doctor first before starting any kind of diet that involves fasting.

What other options are there to lose weight?

Other types of diet are available - for example:

There are other ways of changing your diet and altering your lifestyle to help you lose weight, such as increasing your atividade física.

You may find other leaflets in this series helpful, including:

Perguntas frequentes

Quem são algumas das principais pessoas por trás da dieta 5:2?

A dieta 5:2 é notavelmente apoiada e promovida por Michael Mosley, originalmente um médico e agora produtor e apresentador da BBC. Ele seguiu a dieta pela primeira vez para um programa da BBC Horizon em 2012. Mais tarde, colaborou com a jornalista Mimi Spencer para escrever um livro sobre 'A Dieta do Jejum' e lançou um site dedicado.

Qual é a teoria científica por trás dos benefícios à saúde propostos pela dieta 5:2?

A teoria sugere que os dias de jejum reduzem os níveis do fator de crescimento semelhante à insulina 1 (IGF-1) no corpo. Acredita-se que altos níveis de IGF-1 acelerem o processo de envelhecimento e aumentem o risco de doenças relacionadas à idade, como câncer e diabetes tipo 2. Reduzir os níveis de IGF-1 é considerado ter efeitos benéficos e reversos.

O que especificamente devo beber nos dias de jejum da dieta 5:2?

Nos dias de jejum, as bebidas recomendadas incluem água, café preto e chás de ervas. Essas bebidas ajudam a mantê-lo hidratado sem adicionar calorias.

Existem outras dietas de perda de peso semelhantes à dieta 5:2?

Embora o artigo se concentre principalmente na dieta 5:2, menciona que outras dietas estão disponíveis para perda de peso, incluindo a Dieta Dukan, Dieta Atkins e a Dieta Paleolítica (Dieta Paleo). Além disso, mudanças no estilo de vida, como aumentar a atividade física, também são sugeridas para o controle de peso.

Leitura adicional e referências

  • Headland M, Clifton PM, Carter S, et al; Weight-Loss Outcomes: A Systematic Review and Meta-Analysis of Intermittent Energy Restriction Trials Lasting a Minimum of 6 Months. Nutrients. 2016 Jun 8;8(6). pii: nu8060354. doi: 10.3390/nu8060354.
  • Hajek P, Przulj D, Pesola F, et al; A randomised controlled trial of the 5:2 diet. PLoS One. 2021 Nov 17;16(11):e0258853. doi: 10.1371/journal.pone.0258853. eCollection 2021.
  • Schubel R, Nattenmuller J, Sookthai D, et al; Effects of intermittent and continuous calorie restriction on body weight and metabolism over 50 wk: a randomized controlled trial. Am J Clin Nutr. 2018 Nov 1;108(5):933-945. doi: 10.1093/ajcn/nqy196.
  • Dote-Montero M, Sanchez-Delgado G, Ravussin E; Effects of Intermittent Fasting on Cardiometabolic Health: An Energy Metabolism Perspective. Nutrients. 2022 Jan 23;14(3):489. doi: 10.3390/nu14030489.
  • Elortegui Pascual P, Rolands MR, Eldridge AL, et al; A meta-analysis comparing the effectiveness of alternate day fasting, the 5:2 diet, and time-restricted eating for weight loss. Obesity (Silver Spring). 2023 Feb;31 Suppl 1:9-21. doi: 10.1002/oby.23568. Epub 2022 Nov 8.

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Dr Jacqueline Payne, FRCGP

Médico Generalista, Autor Médico

MB, BS, DFFP, DRCOG, FRCGP

Jacqueline foi médica de clínica geral em Kendal, Cumbria, por 25 anos, onde treinou jovens médicos de clínica geral para o RCGP e foi Médica Instrutora para o FSRH.

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Dra. Toni Hazell, MRCGP

MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)

A Dra. Toni Hazell se formou na Escola de Medicina do Hospital St. Mary e fez seu VTS no Hospital Northwick Park.

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