Should You Fast When You Have COVID-19?

Fasting involves abstaining from food for a period. During illness, people often consider dietary adjustments, raising questions about fasting’s role in recovery. When facing an active infection like COVID-19, informed nutrition decisions are important. This article explores how fasting impacts the body during illness and specific considerations for COVID-19 recovery.

How Fasting Affects the Body During Illness

The body’s energy demands increase significantly when fighting an illness. Immune system activity, fever, and tissue repair all require substantial energy. For instance, a fever can raise the metabolic rate by approximately 10-12.5% for each degree Celsius increase in body temperature, necessitating more calories. Immune cells, such as T cells and macrophages, need considerable energy, primarily from glucose, to function effectively. The immune system can consume about 20% of the body’s total energy, increasing to around 30% during an active infection.

When food intake is restricted, such as during fasting, the body initially uses stored glucose (glycogen), which depletes within 18 to 24 hours. The body then shifts to burning fats and, if necessary, body proteins for energy. Relying on protein as an energy source is problematic during illness, as the body needs protein for rebuilding and repairing tissues. Limited fluid intake, sometimes associated with fasting, can also lead to dehydration and electrolyte imbalances, compromising recovery.

Considerations for COVID-19 Recovery

COVID-19 often presents with symptoms that can exacerbate the challenges posed by fasting. Common symptoms include fever, fatigue, loss of appetite, nausea, vomiting, and diarrhea. Fever leads to increased fluid loss through sweating and elevates the body’s metabolic demands. Vomiting and diarrhea can cause rapid depletion of essential fluids and electrolytes, making adequate hydration important.

The immune response to SARS-CoV-2 is an energy-intensive process requiring a continuous supply of nutrients. Protein is important for producing immune cells like white blood cells, antibodies, and cytokines, which fight infection and repair tissues. Insufficient protein intake can impair immune function, increasing vulnerability to the virus and slowing recovery. Energy restriction, such as fasting, negatively affects the immune response to viral infections. Therefore, restricting food intake during COVID-19 could hinder the body’s ability to mount an effective immune defense and prolong recovery by depriving it of necessary fuel and building blocks.

Prioritizing Nutrition for Recovery

Maintaining proper nutrition and hydration is important for recovering from COVID-19. Focus on consuming plenty of fluids, including water, clear broths, and oral rehydration solutions. These solutions are more effective than high-sugar beverages for replenishing lost fluids and electrolytes, which are important for bodily functions and transporting immune cells and nutrients. Aim for approximately 3 liters (around 3 quarts) of fluid daily to support hydration during illness.

Prioritize small, frequent, and nutrient-dense meals that are easy to digest. Incorporate lean proteins such as chicken, fish, eggs, dairy, and beans, which are important for immune cell production and tissue repair. Easily digestible foods like bananas, rice, applesauce, toast, chicken soup, and oatmeal can be helpful, especially if experiencing gastrointestinal symptoms.

Ensuring adequate calorie intake (typically 2000-2500 calories per day) and sufficient protein (around 75-100 grams daily) is important to prevent muscle loss and support healing. This period is not suitable for restrictive diets; focus on providing your body with the sustenance it needs to recover. For personalized dietary advice, especially with underlying health conditions, consult healthcare professionals.