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PreprintCited by 19Dietary Effects on HealthPlatelet Disorders and TreatmentsBlood Coagulation and Thrombosis Mechanisms

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Supervised beego, a traditional Chinese water-only fasting, ends up with reduced thrombosis risk without compromising hemostasis capacity

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Fang, Yixuan, Gu, Yue, Zhao, Chen, Lv, Yaqi, Qian, Jiawei, Zhu, Lingjiang, Yuan, Na, Zhang, Suping, Wang, Li, Li, Mengli, Zhang, Qing, Xu, Li, Wei, Wen, Li, Lei, Ji, Li, Gao, Xueqin, Zhang, Jingyi, Shen, Yueping, Chen, Zixing, Wang, Guanghui, Dai, Kesheng, Wang, Jianrong·2020·BMJ Nutrition Prevention & Health
DOI 10.1101/2020.07.31.20166215PMC PMC8258074

Preprint — published as 10.1136/bmjnph-2020-000183 · Paper page

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Abstract

Summary: Beego is a traditional Chinese complete water-only fasting practice initially developed for spiritual purposes, later extending to physical fitness purposes. Beego notably includes a psychological induction component that includes meditation and abdominal breathing, light body exercise, and ends with a specific gradual refeeding program before returning to a normal diet. Beego has regained its popularity in recent decades in China as a strategy for helping people in subhealthy conditions or with metabolic syndrome, but we are unaware of any studies examining the biological effects of this practice. To address this, we here performed a longitudinal study of beego comprising fasting (7 and 14 day cohorts) and a 7-day programmed refeeding phase. In addition to detecting improvements in cardiovascular physiology and selective reduction of blood pressure in hypertensive subjects, we observed that beego decreased blood triacylglycerol (TG) selectively in TG-high subjects and increased cholesterol in all subjects during fasting; however, the cholesterol levels were normalized after completion of the refeeding program. Strikingly, beego reduced platelet formation, activation, aggregation, and degranulation, resulting in an alleviated thrombosis risk, yet maintained hemostasis by sustaining levels of coagulation factors and other hemostatic proteins. Mechanistically, we speculate that downregulation of G6B and MYL9 may influence the observed beego-mediated reduction in platelets. Fundamentally, our study supports that supervised beego reduces thrombosis risk without compromising hemostasis capacity. Moreover, our results support that beego under medical supervision can be implemented as noninvasive intervention for reducing thrombosis risk, and suggest several lines of intriguing inquiry for future studies about this fasting practice ( http://www.chictr.org.cn/index.aspx , number, ChiCTR1900027451).

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Metadata

Authors
Fang, Y., Gu, Y., Zhao, C., Lv, Y., Qian, J., Zhu, L., Yuan, N., Zhang, S., Wang, L., Li, M., Zhang, Q., Xu, L., Wei, W., Li, L., Ji, L., Gao, X., Zhang, J., Shen, Y., Chen, Z., Wang, G., Dai, K., & Wang, J.
Affiliations
  • Soochow University (TW)
  • Soochow University (CN)
Corresponding author
Wang, Jianrong
ORCID
Venue
BMJ Nutrition Prevention & Health
Publisher
openRxiv
Published
2020-08-04
Volume
4
Issue
1
Pages
4-17
ISSN
2516-5542 (ISSN-L)
DOI
10.1101/2020.07.31.20166215
PMC
PMC8258074
OpenAlex
W3120029455
Cited by
19
References
1
Citations by year
2026: 5 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 1
FWCI
2.04
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • BMJ Nutrition Prevention & Health (publishedVersion, cc-by-nc)
  • medRxiv (acceptedVersion)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (91649113, 82000117, 31771640)
  • Government of Jiangsu Province
  • Natural Science Foundation of Jiangsu Province
  • Soochow University (H190443)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Dietary Effects on Health
  • Health Sciences › Medicine › Hematology › Platelet Disorders and Treatments
  • Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
Keywords
water-only fasting, thrombosis risk, hemostasis, platelet activation, platelet aggregation, platelet secretion, refeeding, triglycerides, cholesterol, blood pressure, hypertension, MYL9, coagulation factors, metabolic syndrome, sub-health

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