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Paper ID:IJSREM66250

Intermittent Fasting for Population-Level Non-Communicable Diseases Prevention in Bangladesh: Bridging Global Evidence and Local Practice

Stream/Area:

-

Subject:

-

Paper ID:

IJSREM66250

Volume:

10 |

7 |

Jul 2026

Pages:

1-18

Publication Frequency:

Monthly (12 issues per year)

DOI
Digital Object Identifier
10.55041/IJSREM66250

License:International Journal of Scientific Research in Engineering and Management follows the Creative Commons Attribution 4.0 (CC BY 4.0) License, allowing free use and distribution with proper attribution.

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Authors

Kallol Debnath

Kallol Debnath

Department of Pharmacy, Faculty of Life Sciences

University of Development Alternative

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AA

Al Amin

Department of Pharmacy

University of Development Alternative

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JN

Jannatul Nayeem

Department of Pharmacy

Stamford University Bangladesh

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AK

Arifa Khanam

Department of Pharmaceutical Chemistry

University of Dhaka

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NS

Nurtaj Sikder

Department of Clinical Pharmacy & Pharmacology

University of Dhaka

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AHD

Anannya Hrishin Debnath

Department of Electrical and Electronic Engineering

Bangladesh University of Engineering and Technology

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SA

Shamima Akter

Department of Pharmacy

Stamford University Bangladesh

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KD

Kallol Debnath

Department of Pharmacy, Faculty of Life Sciences

University of Development Alternative

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Abstract

Intermittent fasting (IF) is an increasingly popular dietary approach involving cycles of eating and fasting that is recognized for its potential to improve metabolic health. Non-communicable diseases (NCDs), including cardiovascular diseases (CVDs), diabetes, cancer, and chronic respiratory diseases, caused ~43 million deaths in 2021, accounting for 75% of all non-pandemic-related deaths globally (World Health Organization [WHO]). According to the WHO, ~19.8 million people died from CVDs in 2022, while ~10 million died from cancer in 2020 worldwide. The WHO also reports that >2.5 billion adults are overweight, >1 billion are living with obesity, and >830 million have diabetes globally. In addition, ~545 million people were living with chronic respiratory diseases in 2017 (the Lancet). In Bangladesh, NCDs account for ~71% of all deaths, with nearly half occurring prematurely (WHO, 2026). This burden is driven by rapid urbanization, sedentary lifestyles, unhealthy dietary habits, and increasing metabolic risk factors such as obesity, hypertension, and dyslipidemia. Evidence indicates that IF improves metabolic health through metabolic switching, enhanced insulin sensitivity, improved lipid metabolism, increased autophagy, and reduced inflammation and oxidative stress, thereby lowering major NCDs risk factors, including obesity, hyperglycemia, dyslipidemia, and hypertension. As a low-cost, non-pharmacological intervention with strong cultural acceptability, IF represents a feasible and evidence-based strategy for NCDs prevention. Integrating IF into Public health policy and practice may contribute to reducing Bangladesh's growing NCDs burden and improving population health.

KEYWORDS

Intermittent Fasting Non-Communicable Diseases Primary Prevention Public Health Bangladesh.

Cite This Article

Kallol Debnath, Al Amin, Jannatul Nayeem, Arifa Khanam, Nurtaj Sikder, Anannya Hrishin Debnath, Shamima Akter, Kallol Debnath, "Intermittent Fasting for Population-Level Non-Communicable Diseases Prevention in Bangladesh: Bridging Global Evidence and Local Practice," International Journal of Scientific Research in Engineering and Management, vol. 10, no. 7, pp. 1-18, Jul 2026. https://doi.org/10.55041/IJSREM66250

Full Article/Conclusion

Intermittent fasting is a promising, low-cost strategy for reducing NCDs risk, with evidence supporting improvements in insulin sensitivity, blood pressure, lipid profiles, and body weight. Its cultural acceptability and affordability make it particularly relevant for Bangladesh, where Ramadan fasting is widespread and the NCDs burden is increasing. However, IF is not superior to conventional CR, evidence for some long-term outcomes remains limited, and it may pose risks for vulnerable groups.   Overall, IF should be viewed as a complementary component of comprehensive NCDs prevention rather than a standalone solution. Its successful implementation requires integration into primary healthcare, culturally appropriate national guidelines, balanced nutrition, individualized medical screening, and continued research to strengthen the evidence base.

References

·        De Cabo, R., & Mattson, M. P. (2019). Effects of Intermittent Fasting on Health, Aging, and Disease. New England Journal of Medicine, 381(26), 2541–2551. https://doi.org/10.1056/NEJMra1905136 ·        Mattson, M. P., Moehl, K., Ghena, N., Schmaedick, M., & Cheng, A. (2018). Intermittent metabolic switching, neuroplasticity and brain health. Nature Reviews Neuroscience, 19, 81–94. https://doi.org/10.1038/nrn.2017.156 ·        Mattson, M. P. (2025). The cyclic metabolic switching theory of intermittent fasting. Nature Metabolism, 7, 665–678. https://doi.org/10.1038/s42255-025-01254-5 ·        Visioli, F., Mucignat-Caretta, C., Anile, F., & Panaite, S.-A. (2022). Traditional and Medical Applications of Fasting. Nutrients, 14(3), 433. https://doi.org/10.3390/nu14030433 ·        Longo, V. D., & Mattson, M. P. (2014). Fasting: Molecular mechanisms and clinical applications. Cell Metabolism, 19(2), 181–192. https://doi.org/10.1016/j.cmet.2013.12.008 ·        Patterson, R. E., & Sears, D. D. (2017). Metabolic Effects of Intermittent Fasting. Annual Review of Nutrition, 37, 371–393. https://doi.org/10.1146/annurev-nutr-071816-064634 ·        Anton, S. D., Moehl, K., Donahoo, W. T., Marosi, K., Lee, S. A., Mainous, A. G., Leeuwenburgh, C., & Mattson, M. P. (2018). Flipping the Metabolic Switch: Understanding and Applying the Health Benefits of Fasting. Obesity (Silver Spring), 26(2), 254–268. https://doi.org/10.1002/oby.22065 ·        Gabel, K., & Varady, K. A. (2022). Current research: effect of time restricted eating on weight and cardiometabolic health. The Journal of physiology, 600(6), 1313–1326. https://doi.org/10.1113/JP280542 ·        Derron, N., et al. (2025). Alternate-day fasting elicits larger changes in fat mass than time-restricted eating in adults without obesity - a randomized clinical trial. Clinical Nutrition. Available at: https://www.clinicalnutritionjournal.com/article/S0261-5614(25)00247-X/fulltext

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7/20/2026

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