Arthritis, Cardiovascular Diseases, Chronic Pain, Fibromyalgia, Gastrointestinal Diseases, Gout, Headache, Inflammatory Bowel Disease, Irritable Bowel Syndrome, Rheumatoid Arthritis
Conditions
Brief summary
The study aims to investigate * if a 7 day therapeutic fasting regimen will affect self-efficacy of patients with chronic diseases * the effects of fasting on physical and mental well-being, quality of life and body awareness/image * the association between patients characteristics and the perceived health benefit after fasting * the association between Diagnosis according to traditional Chinese medicine and physical and mental well-being during the course of fasting * experiences and perceptions of patients during fasting therapy
Detailed description
see above
Interventions
Fasting therapy was adapted from Buchinger, including a fasting period of 7 days. After 2 prefasting days with 800kcal per day from vegetables and rice/potatoes, fasting starts with the ingestion of an oral laxative. During fasting patients receive small quantities of juice and herbal teas, and a vegetable broth for lunch, altogether no more than 350kcal per day. At the end, fasting is broken by an apple or cooked potato, and for the following 3 days nutrition returns to normocaloric diet.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years or older * eligible for fasting, i.e. normal weight (no anorexia, no nutritional deficiency, no BMI\<18 or \>35, no eating disorder)
Exclusion criteria
* psychiatric disorder * type 1 diabetes * hepatitis * severe somatic disorder (oncological disease, hepatological or nephrological) * pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bodily self-efficacy | up to 6 months | Bodily self-efficacy (Schützler and Witt, 2013) |
| Self efficacy questionnaire | up to 6 months | Self efficacy questionnaire (SWE) by Schwarzer and Jerusalem, 1999 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Easiness of life | 2 weeks, 6 months | Questionnaire on emotional and physical reactions |
| Health-related quality of life | 2 weeks, 6 months | Short Form (36) Health Survey |
| Body responsiveness | 2 weeks, 6 months | Body Responsiveness Scale (BRS)(Daubenmier 2005) |
| Body awareness and dissociation | 2 weeks, 6 months | Scale of Body Connection (SBC) (Price and Thompson 2007) |
| Ability and will to change | 2 weeks, 6 months | Ability and will to change (Büssing, 2008) |
| Symptoms | 2 weeks, 6 months | MYMOP questionnaire (Paterson) |
| Depression | 2 weeks, 6 months | Becks Depression Inventory (BDI) |
| Safety | 2 weeks | Any adverse effect during the study period |
| Body Awareness | 2 weeks, 6 months | Body Awareness Questionnaire (BAQ) (Shields 1989) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Well-being | 2 weeks | Daily log, visual analogue scales (VAS) on positive or negative physical or psychological states, side effects, daily rating |
| Experiences | 2 weeks | gathered by qualitative interviews |
| Diagnosis according to traditional Chinese medicine | day 1 | Assessment of traditional Chinese medicine type will be used for correlational analysis |
Countries
Germany