Puasa dan Penuaan: Perspektif Fisiologi Molekuler hingga Adaptasi Sistemik
Keywords:
Kesehatan metabolik dan obesitas, penuaan, puasa, nutrient sensing, metabolisme energiSynopsis
Puasa merupakan salah satu intervensi nutrisi yang dalam beberapa dekade terakhir semakin banyak diteliti karena potensinya dalam memodulasi metabolisme dan memengaruhi proses penuaan biologis. Buku ini menyajikan kajian komprehensif mengenai puasa dari perspektif fisiologi dan biomedik, dengan menekankan mekanisme biologis yang mendasari hubungan antara restriksi asupan energi, regulasi metabolik, dan proses penuaan. Berbagai bentuk puasa, termasuk intermittent fasting dan time-restricted feeding, telah dilaporkan mampu memengaruhi jalur molekuler utama yang berperan dalam pengaturan metabolisme seluler dan respons adaptif terhadap stres metabolik.
Secara khusus, buku ini membahas peran jalur nutrient-sensing seperti insulin–IGF-1, mTOR, AMPK, dan sirtuin dalam mengintegrasikan sinyal nutrisi dengan proses perbaikan sel, homeostasis energi, dan regulasi inflamasi. Aktivasi jalur-jalur tersebut selama kondisi puasa dapat meningkatkan proses autofagi, memperbaiki efisiensi metabolisme, serta menurunkan stres oksidatif dan inflamasi kronis tingkat rendah yang diketahui berkontribusi terhadap percepatan penuaan dan perkembangan penyakit metabolik. Selain itu, buku ini juga mengulas temuan-temuan penelitian eksperimental dan klinis terkini yang mengevaluasi dampak puasa terhadap biomarker metabolik, kesehatan kardiometabolik, serta potensi peningkatan healthspan.
Di samping aspek mekanistik, buku ini juga membahas implikasi klinis puasa, termasuk populasi yang memerlukan perhatian khusus, potensi efek samping, serta tantangan dalam penerapan puasa pada praktik kesehatan. Dengan mengintegrasikan konsep fisiologi dasar, bukti penelitian modern, dan perspektif klinis, buku ini diharapkan dapat memberikan pemahaman ilmiah yang lebih mendalam mengenai peran puasa sebagai salah satu strategi gaya hidup yang berpotensi mendukung kesehatan metabolik dan proses penuaan yang lebih sehat.
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Al Zein, M., Zein, O., Diab, R., Dimachkie, L., Sahebkar, A., Al-Asmakh, M., Kobeissy, F., & Eid, A. H. (2023). Intermittent fasting favorably modulates adipokines and potentially attenuates atherosclerosis. In Biochemical Pharmacology (Vol. 218). Elsevier Inc. https://doi.org/10.1016/j.bcp.2023.115876
Amin, T., & Mercer, J. G. (2016). Hunger and Satiety Mechanisms and Their Potential Exploitation in the Regulation of Food Intake. Current Obesity Reports, 5(1), 106–112. https://doi.org/10.1007/s13679-015-0184-5
Anton, S. D., Moehl, K., Donahoo, W. T., Marosi, K., Lee, S. A., Mainous, A. G., Leeuwenburgh, C., & Mattson, M. P. (2018a). Flipping the Metabolic Switch: Understanding and Applying the Health Benefits of Fasting. In Obesity (Vol. 26, Number 2, pp. 254–268). Blackwell Publishing Inc. https://doi.org/10.1002/oby.22065
Anton, S. D., Moehl, K., Donahoo, W. T., Marosi, K., Lee, S. A., Mainous, A. G., Leeuwenburgh, C., & Mattson, M. P. (2018b). Flipping the Metabolic Switch: Understanding and Applying the Health Benefits of Fasting. In Obesity (Vol. 26, Number 2, pp. 254–268). Blackwell Publishing Inc. https://doi.org/10.1002/oby.22065
Arencibia-Albite, F. (2022). The energy balance theory is an inconsistent paradigm. Journal of Theoretical Biology, 550(August), 111240. https://doi.org/10.1016/j.jtbi.2022.111240
BaHammam, A. S., & Almeneessier, A. S. (2020). Recent Evidence on the Impact of Ramadan Diurnal Intermittent Fasting, Mealtime, and Circadian Rhythm on Cardiometabolic Risk: A Review. In Frontiers in Nutrition (Vol. 7). Frontiers Media S.A. https://doi.org/10.3389/fnut.2020.00028
Bean, A. (2022). The complete guide to sports nutrition (Nine editi). Bloomsburry Sport.
Blasco, M. A., Partridge, L., Serrano, M., Kroemer, G., & Lo, C. (2023a). Hallmarks of aging : An expanding universe. https://doi.org/10.1016/j.cell.2022.11.001
Blasco, M. A., Partridge, L., Serrano, M., Kroemer, G., & Lo, C. (2023b). Hallmarks of aging : An expanding universe. https://doi.org/10.1016/j.cell.2022.11.001
Blundell, J., de Graaf, C., Hulshof, T., Jebb, S., Livingstone, B., Lluch, A., Mela, D., Salah, S., Schuring, E., van der Knaap, H., & Westerterp, M. (2010). Appetite control: methodological aspects of the evaluation of foods. Obesity Reviews : An Official Journal of the International Association for the Study of Obesity, 11(3), 251–270. https://doi.org/10.1111/j.1467-789X.2010.00714.x
Booth, D. A. (1972). Postabsorptively induced suppression of appetite and the energostatic control of feeding. Physiology & Behavior, 9(2), 199–202. https://doi.org/https://doi.org/10.1016/0031-9384(72)90235-1
Booth, G., & Strang, J. M. (1936). Changes in Temperature of The Skin Following The Ingestion of Food. Archives of Internal Medicine, 57(3), 533–543. https://doi.org/10.1001/archinte.1936.00170070058005
Bosy-Westphal, A., Jensen, B., Braun, W., Pourhassan, M., Gallagher, D., & Müller, M. J. (2017). Quantification of whole-body and segmental skeletal muscle mass using phase-sensitive 8-electrode medical bioelectrical impedance devices. European Journal of Clinical Nutrition, 71(9), 1061–1067. https://doi.org/10.1038/ejcn.2017.27
Brandhorst, S., Choi, I. Y., Wei, M., Cheng, C. W., Sedrakyan, S., Navarrete, G., Dubeau, L., Yap, L. P., Park, R., Vinciguerra, M., Di Biase, S., Mirzaei, H., Mirisola, M. G., Childress, P., Ji, L., Groshen, S., Penna, F., Odetti, P., Perin, L., … Longo, V. D. (2015). A Periodic Diet that Mimics Fasting Promotes Multi-System Regeneration, Enhanced Cognitive Performance, and Healthspan. Cell Metabolism, 22(1), 86–99. https://doi.org/10.1016/j.cmet.2015.05.012
Cantó, C., Gerhart-Hines, Z., Feige, J. N., Lagouge, M., Noriega, L., Milne, J. C., Elliott, P. J., Puigserver, P., & Auwerx, J. (2009). AMPK regulates energy expenditure by modulating NAD+ metabolism and SIRT1 activity. Nature, 458(7241), 1056–1060. https://doi.org/10.1038/nature07813
Carter, S., Clifton, P. M., & Keogh, J. B. (2018). Effect of Intermittent Compared With Continuous Energy Restricted Diet on Glycemic Control in Patients With Type 2 Diabetes: A Randomized Noninferiority Trial. JAMA Network Open, 1(3), e180756–e180756. https://doi.org/10.1001/jamanetworkopen.2018.0756
Chen, Y., & Zhou, X. (2020). Research progress of mTOR inhibitors. In European Journal of Medicinal Chemistry (Vol. 208). Elsevier Masson s.r.l. https://doi.org/10.1016/j.ejmech.2020.112820
Cummings, D. E., Purnell, J. Q., Frayo, R. S., Schmidova, K., Wisse, B. E., & Weigle, D. S. (2001). A preprandial rise in plasma ghrelin levels suggests a role in meal initiation in humans. Diabetes, 50(8), 1714–1719. https://doi.org/10.2337/diabetes.50.8.1714
de Cabo, R., & Mattson, M. P. (2019). Effects of Intermittent Fasting on Health, Aging, and Disease. The New England Journal of Medicine, 381(26), 2541–2551. https://doi.org/10.1056/NEJMra1905136
de Castro, J. M., Bellisle, F., Dalix, A. M., & Pearcey, S. M. (2000). Palatability and intake relationships in free-living humans. characterization and independence of influence in North Americans. Physiology & Behavior, 70(3–4), 343–350. https://doi.org/10.1016/s0031-9384(00)00264-x
Di Francesco, A., Deighan, A. G., Litichevskiy, L., Chen, Z., Luciano, A., Robinson, L., Garland, G., Donato, H., Vincent, M., Schott, W., Wright, K. M., Raj, A., Prateek, G. V, Mullis, M., Hill, W. G., Zeidel, M. L., Peters, L. L., Harding, F., Botstein, D., … Churchill, G. A. (2024). Dietary restriction impacts health and lifespan of genetically diverse mice. Nature, 634(8034), 684–692. https://doi.org/10.1038/s41586-024-08026-3
Dorling, J. L., Martin, C. K., & Redman, L. M. (2020). Calorie restriction for enhanced longevity: The role of novel dietary strategies in the present obesogenic environment. In Ageing Research Reviews (Vol. 64). Elsevier Ireland Ltd. https://doi.org/10.1016/j.arr.2020.101038
Dwaib, H. S., AlZaim, I., Eid, A. H., Obeid, O., & El-Yazbi, A. F. (2021). Modulatory Effect of Intermittent Fasting on Adipose Tissue Inflammation: Amelioration of Cardiovascular Dysfunction in Early Metabolic Impairment. In Frontiers in Pharmacology (Vol. 12). Frontiers Media S.A. https://doi.org/10.3389/fphar.2021.626313
Fontana, L., & Partridge, L. (2015). Promoting Health and Longevity through Diet: From Model Organisms to Humans. Cell, 161(1), 106–118. https://doi.org/10.1016/j.cell.2015.02.020
Franceschi, C., Garagnani, P., Parini, P., Giuliani, C., & Santoro, A. (2018a). Inflammaging: a new immune–metabolic viewpoint for age-related diseases. Nature Reviews Endocrinology, 14(10), 576–590. https://doi.org/10.1038/s41574-018-0059-4
Franceschi, C., Garagnani, P., Parini, P., Giuliani, C., & Santoro, A. (2018b). Inflammaging: a new immune–metabolic viewpoint for age-related diseases. Nature Reviews Endocrinology, 14(10), 576–590. https://doi.org/10.1038/s41574-018-0059-4
George, F. C. (2006). Fuel metabolism in starvation. Annual Review of Nutrition, 26, 1–22. https://doi.org/10.1146/annurev.nutr.26.061505.111258
Green, C. L., Lamming, D. W., & Fontana, L. (2022a). Molecular mechanisms of dietary restriction promoting health and longevity. In Nature Reviews Molecular Cell Biology (Vol. 23, Number 1, pp. 56–73). Nature Research. https://doi.org/10.1038/s41580-021-00411-4
Green, C. L., Lamming, D. W., & Fontana, L. (2022b). Molecular mechanisms of dietary restriction promoting health and longevity. In Nature Reviews Molecular Cell Biology (Vol. 23, Number 1, pp. 56–73). Nature Research. https://doi.org/10.1038/s41580-021-00411-4
Grima-Reyes, M., Martinez-Turtos, A., Abramovich, I., Gottlieb, E., Chiche, J., & Ricci, J.-E. (2021). Physiological impact of in vivo stable isotope tracing on cancer metabolism. Molecular Metabolism, 53, 101294. https://doi.org/10.1016/j.molmet.2021.101294
Gruber, H.-J., Semeraro, M. D., Renner, W., & Herrmann, M. (2021). Telomeres and Age-Related Diseases. Biomedicines, 9(10). https://doi.org/10.3390/biomedicines9101335
Gurevich-Panigrahi, T., Panigrahi, S., Wiechec, E., & Los, M. (2009). Obesity: pathophysiology and clinical management. Current Medicinal Chemistry, 16(4), 506–521. https://doi.org/10.2174/092986709787315568
Hafekost, K., Lawrence, D., Mitrou, F., O’Sullivan, T. A., & Zubrick, S. R. (2013). Tackling overweight and obesity: Does the public health message match the science? BMC Medicine, 11(1). https://doi.org/10.1186/1741-7015-11-41
Hall, J. E. (2025). Guyton and Hall Textbook of Medical Physiology (15th ed.). Elsevier.
Hall, K. D., Heymsfield, S. B., Kemnitz, J. W., Klein, S., Schoeller, D. A., & Speakman, J. R. (2012). Energy balance and its components: implications for body weight regulation. The American Journal of Clinical Nutrition, 95(4), 989–994. https://doi.org/10.3945/ajcn.112.036350
Harney, D. J., Cielesh, M., Chu, R., Cooke, K. C., James, D. E., Stöckli, J., & Larance, M. (2021). Proteomics analysis of adipose depots after intermittent fasting reveals visceral fat preservation mechanisms. Cell Reports, 34(9), 108804. https://doi.org/https://doi.org/10.1016/j.celrep.2021.108804
Harris, J. J., Jolivet, R., & Attwell, D. (2012). Synaptic Energy Use and Supply. Neuron, 75(5), 762–777. https://doi.org/10.1016/j.neuron.2012.08.019
Herz, D., Haupt, S., Zimmer, R., Wachsmuth, N., Schierbauer, J., Paul Zimmermann, Priv.-Doz. Dr. Med. Dr. P., Voit, T., Thurm, U., Rilstone, S., & Moser, O. (2023). Efficacy of Fasting in Type 1 and Type 2 Diabetes Mellitus: A Narrative Review. Nutrients, 15. https://doi.org/10.3390/nu15163525
Hill, J. O., Wyatt, H. R., & Peters, J. C. (2012). Energy balance and obesity. Circulation, 126(1), 126–132. https://doi.org/10.1161/CIRCULATIONAHA.111.087213
Hill, J. O., Wyatt, H. R., & Peters, J. C. (2013). The importance of energy balance. European Endocrinology, 9(2), 111–115. https://doi.org/10.17925/ee.2013.09.02.111
Hofer, S. J., Carmona‐Gutierrez, D., Mueller, M. I., & Madeo, F. (2022). The ups and downs of caloric restriction and fasting: from molecular effects to clinical application. EMBO Molecular Medicine, 14(1), 1–20. https://doi.org/10.15252/emmm.202114418
Ibrahim, M., Davies, M. J., Ahmad, E., Annabi, F. A., Eckel, R. H., Ba-Essa, E. M., El Sayed, N. A., Hess Fischl, A., Houeiss, P., Iraqi, H., Khochtali, I., Khunti, K., Masood, S. N., Mimouni-Zerguini, S., Shera, S., Tuomilehto, J., & Umpierrez, G. E. (2020). Recommendations for management of diabetes during Ramadan: update 2020, applying the principles of the ADA/EASD consensus. BMJ Open Diabetes Research & Care, 8(1), e001248. https://doi.org/10.1136/bmjdrc-2020-001248
Imai, S., & Guarente, L. (2014). NAD+ and sirtuins in aging and disease. Trends in Cell Biology, 24(8), 464–471. https://doi.org/10.1016/j.tcb.2014.04.002
James, D. L., Hawley, N. A., Mohr, A. E., Hermer, J., Ofori, E., Yu, F., & Sears, D. D. (2024). Impact of Intermittent Fasting and/or Caloric Restriction on Aging-Related Outcomes in Adults: A Scoping Review of Randomized Controlled Trials. Nutrients, 16(2). https://doi.org/10.3390/nu16020316
Jia, W., & Liu, F. (2021). Obesity: Causes, consequences, treatments, and challenges. In Journal of Molecular Cell Biology (Vol. 13, Number 7, pp. 463–465). Oxford University Press. https://doi.org/10.1093/jmcb/mjab056
Johnson, S. C., Rabinovitch, P. S., & Kaeberlein, M. (2013a). mTOR is a key modulator of ageing and age-related disease. Nature, 493(7432), 338–345. https://doi.org/10.1038/nature11861
Johnson, S. C., Rabinovitch, P. S., & Kaeberlein, M. (2013b). mTOR is a key modulator of ageing and age-related disease. Nature, 493(7432), 338–345. https://doi.org/10.1038/nature11861
Kennedy, G. C. (1953). The role of depot fat in the hypothalamic control of food intake in the rat. Proceedings of the Royal Society of London. Series B, Biological Sciences, 140(901), 578–596. https://doi.org/10.1098/rspb.1953.0009
Kenyon, C. J. (2010). The genetics of ageing. Nature, 464(7288), 504–512. https://doi.org/10.1038/nature08980
Kim, J., Kundu, M., Viollet, B., & Guan, K.-L. (2011). AMPK and mTOR regulate autophagy through direct phosphorylation of Ulk1. Nature Cell Biology, 13(2), 132–141. https://doi.org/10.1038/ncb2152
Koppold, D. A., Breinlinger, C., Hanslian, E., Kessler, C., Cramer, H., Khokhar, A. R., Peterson, C. M., Tinsley, G., Vernieri, C., Bloomer, R. J., Boschmann, M., Bragazzi, N. L., Brandhorst, S., Gabel, K., Goldhamer, A. C., Grajower, M. M., Harvie, M., Heilbronn, L., Horne, B. D., … Michalsen, A. (2024). International consensus on fasting terminology. Cell Metabolism, 36(8), 1779-1794.e4. https://doi.org/10.1016/j.cmet.2024.06.013
Lafontan, M., & Langin, D. (2009). Lipolysis and lipid mobilization in human adipose tissue. Progress in Lipid Research, 48(5), 275–297. https://doi.org/10.1016/j.plipres.2009.05.001
Laplante, M., & Sabatini, D. M. (2012). mTOR Signaling in Growth Control and Disease. Cell, 149(2), 274–293. https://doi.org/https://doi.org/10.1016/j.cell.2012.03.017
Lee, J., Seroogy, K. B., & Mattson, M. P. (2002). Dietary restriction enhances neurotrophin expression and neurogenesis in the hippocampus of adult mice. Journal of Neurochemistry, 80(3), 539–547. https://doi.org/10.1046/j.0022-3042.2001.00747.x
Li, K., Wang, C., Wang, Y., Fu, L., & Zhang, N. (2023). Future foods, dietary factors and healthspan. In Journal of Future Foods (Vol. 3, Number 2, pp. 75–98). Beijing Academy of Food Sciences. https://doi.org/10.1016/j.jfutfo.2022.12.001
Liu, G. Y., & Sabatini, D. M. (2020). mTOR at the nexus of nutrition, growth, ageing and disease. Nature Reviews Molecular Cell Biology, 21(4), 183–203. https://doi.org/10.1038/s41580-019-0199-y
Lobstein, T., Powis, J., & Jackson-Leach, R. (2024). World Obesity Atlas 2024.
Longo, V. D., & Mattson, M. P. (2014a). Fasting: Molecular mechanisms and clinical applications. In Cell Metabolism (Vol. 19, Number 2, pp. 181–192). https://doi.org/10.1016/j.cmet.2013.12.008
Longo, V. D., & Mattson, M. P. (2014b). Fasting: Molecular mechanisms and clinical applications. In Cell Metabolism (Vol. 19, Number 2, pp. 181–192). https://doi.org/10.1016/j.cmet.2013.12.008
Longo, V. D., & Panda, S. (2016a). Fasting, Circadian Rhythms, and Time-Restricted Feeding in Healthy Lifespan. In Cell Metabolism (Vol. 23, Number 6, pp. 1048–1059). Cell Press. https://doi.org/10.1016/j.cmet.2016.06.001
Longo, V. D., & Panda, S. (2016b). Fasting, Circadian Rhythms, and Time-Restricted Feeding in Healthy Lifespan. In Cell Metabolism (Vol. 23, Number 6, pp. 1048–1059). Cell Press. https://doi.org/10.1016/j.cmet.2016.06.001
López-Lluch, G., & Navas, P. (2016). Calorie restriction as an intervention in ageing. In Journal of Physiology (Vol. 594, Number 8, pp. 2043–2060). Blackwell Publishing Ltd. https://doi.org/10.1113/JP270543
López-Otín, C., Blasco, M. A., Partridge, L., Serrano, M., & Kroemer, G. (2013). The hallmarks of aging. Cell, 153(6), 1194–1217. https://doi.org/10.1016/j.cell.2013.05.039
Lowe, D. A., Wu, N., Rohdin-Bibby, L., Moore, A. H., Kelly, N., Liu, Y. E., Philip, E., Vittinghoff, E., Heymsfield, S. B., Olgin, J. E., Shepherd, J. A., & Weiss, E. J. (2020). Effects of Time-Restricted Eating on Weight Loss and Other Metabolic Parameters in Women and Men With Overweight and Obesity: The TREAT Randomized Clinical Trial. JAMA Internal Medicine, 180(11), 1491–1499. https://doi.org/10.1001/jamainternmed.2020.4153
Madeo, F., Zimmermann, A., Maiuri, M. C., & Kroemer, G. (2015). Essential role for autophagy in life span extension. The Journal of Clinical Investigation, 125(1), 85–93. https://doi.org/10.1172/JCI73946
Majid, A., Osama, M., Noman, M., Nisa, U., & Haider, I. (2023). Effect of Ramadan Fasting on Body Weight and Body Mass Index (BMI) in Public Sector Undergraduate Medical Students of Peshawar. Pakistan Journal of Medical Sciences, 39(3), 662–666. https://doi.org/10.12669/pjms.39.3.7017
Mattson, M. P., Longo, V. D., & Harvie, M. (2017a). Impact of intermittent fasting on health and disease processes. In Ageing Research Reviews (Vol. 39, pp. 46–58). Elsevier Ireland Ltd. https://doi.org/10.1016/j.arr.2016.10.005
Mattson, M. P., Longo, V. D., & Harvie, M. (2017b). Impact of intermittent fasting on health and disease processes. In Ageing Research Reviews (Vol. 39, pp. 46–58). Elsevier Ireland Ltd. https://doi.org/10.1016/j.arr.2016.10.005
Mattson, M. P., Longo, V. D., & Harvie, M. (2017c). Impact of intermittent fasting on health and disease processes. Ageing Research Reviews, 39, 46–58. https://doi.org/10.1016/j.arr.2016.10.005
Mayer, J. (1953). Glucostatic mechanism of regulation of food intake. The New England Journal of Medicine, 249(1), 13–16. https://doi.org/10.1056/NEJM195307022490104
Mellinkoff, S. M., Frankland, M., Boyle, D., & Greipel, M. (1956). Relationship Between Serum Amino Acid Concentration and Fluctuations in Appetite. Journal of Applied Physiology, 8(5), 535–538. https://doi.org/10.1152/jappl.1956.8.5.535
Mizushima, N., & Komatsu, M. (2011). Autophagy: renovation of cells and tissues. Cell, 147(4), 728–741. https://doi.org/10.1016/j.cell.2011.10.026
Muhammad, H. F. L. (2017). Obesitas translasional: Aspek klinis dan molekuler dari kejadian obesitasTitle (Edisi Pert). Gadjah Mada University Press.
Neels, J. G., & Olefsky, J. M. (2006). Inflamed fat: what starts the fire? The Journal of Clinical Investigation, 116(1), 33–35. https://doi.org/10.1172/JCI27280
Nurwanti, E., Hadi, H., Chang, J.-S., Chao, J. C.-J., Paramashanti, B. A., Gittelsohn, J., & Bai, C.-H. (2019). Rural–Urban Differences in Dietary Behavior and Obesity: Results of the Riskesdas Study in 10–18-Year-Old Indonesian Children and Adolescents. Nutrients, 11(2813), 1–14.
Ortiz, V. E., & Kwo, J. (2015). Obesity: physiologic changes and implications for preoperative management. BMC Anesthesiology, 15, 97. https://doi.org/10.1186/s12871-015-0079-8
Ozcan, M., Abdellatif, M., Javaheri, A., & Sedej, S. (2024a). Risks and Benefits of Intermittent Fasting for the Aging Cardiovascular System. In Canadian Journal of Cardiology (Vol. 40, Number 8, pp. 1445–1457). Elsevier Inc. https://doi.org/10.1016/j.cjca.2024.02.004
Ozcan, M., Abdellatif, M., Javaheri, A., & Sedej, S. (2024b). Risks and Benefits of Intermittent Fasting for the Aging Cardiovascular System. In Canadian Journal of Cardiology (Vol. 40, Number 8, pp. 1445–1457). Elsevier Inc. https://doi.org/10.1016/j.cjca.2024.02.004
Panuganti, K. K., Nguyen, M., Kshirsagar, R. K., & Doerr, C. (2025). Obesity (Nursing).
Paoli, A., Tinsley, G. M., Mattson, M. P., De Vivo, I., Dhawan, R., & Moro, T. (2024). Common and divergent molecular mechanisms of fasting and ketogenic diets. In Trends in Endocrinology and Metabolism (Vol. 35, Number 2, pp. 125–141). Elsevier Inc. https://doi.org/10.1016/j.tem.2023.10.001
Papadopoli, D., Boulay, K., Kazak, L., Pollak, M., Mallette, F. A., Topisirovic, I., & Hulea, L. (2019). mTOR as a central regulator of lifespan and aging. F1000Research, 8. https://doi.org/10.12688/f1000research.17196.1
Parvaresh, A., Razavi, R., Abbasi, B., Yaghoobloo, K., Hassanzadeh, A., Mohammadifard, N., Safavi, S. M., Hadi, A., & Clark, C. C. T. (2019). Modified alternate-day fasting vs. calorie restriction in the treatment of patients with metabolic syndrome: A randomized clinical trial. Complementary Therapies in Medicine, 47. https://doi.org/10.1016/j.ctim.2019.08.021
Patterson, R. E., & Sears, D. D. (2017a). Metabolic Effects of Intermittent Fasting. https://doi.org/10.1146/annurev-nutr-071816
Patterson, R. E., & Sears, D. D. (2017b). Metabolic Effects of Intermittent Fasting. https://doi.org/10.1146/annurev-nutr-071816
Puchalska, P., & Crawford, P. A. (2017). Multi-dimensional Roles of Ketone Bodies in Fuel Metabolism, Signaling, and Therapeutics. Cell Metabolism, 25(2), 262–284. https://doi.org/10.1016/j.cmet.2016.12.022
Purnomo, S. P., Rejeki, P. S., Argarini, R., Halim, S., Rachmayanti, D. A., Permataputri, C. D. A., & Singgih, I. K. (2025a). Regulation of Metabolic Aging Through Adenosine Mono Phosphate-Activated Protein Kinase and Mammalian Target of Rapamycin: A Comparative Study of Intermittent Fasting Variations in Obese Young Women. Nutrients , 17(10). https://doi.org/10.3390/nu17101695
Purnomo, S. P., Rejeki, P. S., Argarini, R., Halim, S., Rachmayanti, D. A., Permataputri, C. D. A., & Singgih, I. K. (2025b). Regulation of Metabolic Aging Through Adenosine Mono Phosphate-Activated Protein Kinase and Mammalian Target of Rapamycin: A Comparative Study of Intermittent Fasting Variations in Obese Young Women. Nutrients , 17(10). https://doi.org/10.3390/nu17101695
Rahma Sari, A., Danendra Risdaryanto, R., Haidar Pradipta, M., Al Qorni, U., Sri Rejeki, P., Argarini, R., Halim, S., & Pranoto, A. (2024). Impact of Time-Resricted Feeding and Aerobic Exercise Combination on Promotes Myokine Levels and Improve Body Composition in Obese Women. Federación Española de Asociaciones de Docentes de Educación Física (FEADEF), 53, 1–10.
Rejeki, P. S., Pranoto, A., Widiatmaja, D. M., Utami, D. M., Izzatunnisa, N., Sugiharto, Lesmana, R., & Halim, S. (2024). Combined Aerobic Exercise with Intermittent Fasting Is Effective for Reducing mTOR and Bcl-2 Levels in Obese Females. Sports, 12(5). https://doi.org/10.3390/sports12050116
Revelo, X. S., Luck, H., Winer, S., & Winer, D. A. (2014). Morphological and inflammatory changes in visceral adipose tissue during obesity. Endocrine Pathology, 25(1), 93–101. https://doi.org/10.1007/s12022-013-9288-1
Ritchie, H., & Roser, M. (2024). Obesity When did obesity increase? How do rates vary across the world? What is the health impact? Our World in Data.
Ruderman, N. B., Xu, X. J., Nelson, L., Cacicedo, J. M., Saha, A. K., Lan, F., & Ido, Y. (2010). AMPK and SIRT1: a long-standing partnership? American Journal of Physiology. Endocrinology and Metabolism, 298(4), E751-60. https://doi.org/10.1152/ajpendo.00745.2009
Rui, L. (2014). Energy metabolism in the liver. Comprehensive Physiology, 4(1), 177–197. https://doi.org/10.1002/cphy.c130024
Salminen, A., & Kaarniranta, K. (2012a). AMP-activated protein kinase (AMPK) controls the aging process via an integrated signaling network. Ageing Research Reviews, 11(2), 230–241. https://doi.org/10.1016/j.arr.2011.12.005
Salminen, A., & Kaarniranta, K. (2012b). AMP-activated protein kinase (AMPK) controls the aging process via an integrated signaling network. Ageing Research Reviews, 11(2), 230–241. https://doi.org/10.1016/j.arr.2011.12.005
Santos, A. L., & Sinha, S. (2021). Obesity and aging: Molecular mechanisms and therapeutic approaches. In Ageing Research Reviews (Vol. 67). Elsevier Ireland Ltd. https://doi.org/10.1016/j.arr.2021.101268
Sengupta, S., Peterson, T. R., & Sabatini, D. M. (2010). Regulation of the mTOR Complex 1 Pathway by Nutrients, Growth Factors, and Stress. In Molecular Cell (Vol. 40, Number 2, pp. 310–322). https://doi.org/10.1016/j.molcel.2010.09.026
Sherwood, L. (2016). Human physiology: From cells to systems (9th editio). Cengage Learning.
Shimazu, T., Hirschey, M. D., Newman, J., He, W., Shirakawa, K., Le Moan, N., Grueter, C. A., Lim, H., Saunders, L. R., Stevens, R. D., Newgard, C. B., Farese, R. V. J., de Cabo, R., Ulrich, S., Akassoglou, K., & Verdin, E. (2013). Suppression of oxidative stress by β-hydroxybutyrate, an endogenous histone deacetylase inhibitor. Science (New York, N.Y.), 339(6116), 211–214. https://doi.org/10.1126/science.1227166
Smith, N. K., & Grueter, B. A. (2021). Hunger‐driven adaptive prioritization of behavior. The FEBS Journal, 289(2022), 922–936.
Strilbytska, O., Klishch, S., Storey, K. B., Koliada, A., & Lushchak, O. (2024). Intermittent fasting and longevity: From animal models to implication for humans. In Ageing Research Reviews (Vol. 96). Elsevier Ireland Ltd. https://doi.org/10.1016/j.arr.2024.102274
Sun, N., Youle, R. J., & Finkel, T. (2016). The Mitochondrial Basis of Aging. Molecular Cell, 61(5), 654–666. https://doi.org/10.1016/j.molcel.2016.01.028
Sutton, E. F., Beyl, R., Early, K. S., Cefalu, W. T., Ravussin, E., & Peterson, C. M. (2018). Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes. Cell Metabolism, 27(6), 1212-1221.e3. https://doi.org/10.1016/j.cmet.2018.04.010
Tang, B. L. (2016). Sirt1 and the Mitochondria. Molecules and Cells, 39(2), 87–95. https://doi.org/10.14348/molcells.2016.2318
UNICEF. (2019). Landscape Analysis of Overweight and Obesity in Indonesia A comprehensive overview of overweight and obesity in Indonesia. https://www.unicef.org/indonesia/reports/landscape-analysis-overweight-and-obesity-indonesia
Van Kleef, E., Van Trijp, J. C. M., Van Den Borne, J. J. G. C., & Zondervan, C. (2012). Successful development of satiety enhancing food products: towards a multidisciplinary agenda of research challenges. Critical Reviews in Food Science and Nutrition, 52(7), 611–628. https://doi.org/10.1080/10408398.2010.504901
Varady, K. A., Bhutani, S., Church, E. C., & Klempel, M. C. (2009). Short-term modified alternate-day fasting: A novel dietary strategy for weight loss and cardioprotection in obese adults. American Journal of Clinical Nutrition, 90(5), 1138–1143. https://doi.org/10.3945/ajcn.2009.28380
Vettor, R., Di Vincenzo, A., Maffei, P., & Rossato, M. (2020). Regulation of energy intake and mechanisms of metabolic adaptation or maladaptation after caloric restriction. Reviews in Endocrine and Metabolic Disorders, 21(3), 399–409. https://doi.org/10.1007/s11154-020-09565-6
Villareal, D. T., Aguirre, L., Gurney, A. B., Waters, D. L., Sinacore, D. R., Colombo, E., Armamento-Villareal, R., & Qualls, C. (2017). Aerobic or Resistance Exercise, or Both, in Dieting Obese Older Adults. The New England Journal of Medicine, 376(20), 1943–1955. https://doi.org/10.1056/NEJMoa1616338
Weichhart, T. (2018). mTOR as Regulator of Lifespan, Aging, and Cellular Senescence: A Mini-Review. Gerontology, 64(2), 127–134. https://doi.org/10.1159/000484629
WHO. (2021). Indonesia : Obesity rates among adults double over past two decades. https://www.who.int/indonesia/news/detail/04-03-2021-indonesia-obesity-rates-among-adults-double-over-past-two-decades
WHO. (2024). Obesity and Overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Youm, Y.-H., Nguyen, K. Y., Grant, R. W., Goldberg, E. L., Bodogai, M., Kim, D., D’Agostino, D., Planavsky, N., Lupfer, C., Kanneganti, T. D., Kang, S., Horvath, T. L., Fahmy, T. M., Crawford, P. A., Biragyn, A., Alnemri, E., & Dixit, V. D. (2015). The ketone metabolite β-hydroxybutyrate blocks NLRP3 inflammasome-mediated inflammatory disease. Nature Medicine, 21(3), 263–269. https://doi.org/10.1038/nm.3804
Yuliyanasari, N., Rejeki, P. S., Hidayati, H. B., Subsomwong, P., & Miftahussurur, M. (2024). The effect of intermittent fasting on preventing obesity-related early aging from a molecular and cellular perspective. Journal of Medicine and Life, 17(3), 261–272. https://doi.org/10.25122/jml-2023-0370
Yuliyanasari, N., Zamri, E. N., & Miftahussurur, M. (2025). Safety , health improvement , and expression of aging-related genes during 10-day periodic fasting in overweight and obesity. 8(April), 4616–4624. https://doi.org/10.53894/ijirss.v8i3.7573
Yuliyanasari, N., Zamri, E. N., Rejeki, P. S., & Miftahussurur, M. (2024). The Impact of Ten Days of Periodic Fasting on the Modulation of the Longevity Gene in Overweight and Obese Individuals: A Quasi-Experimental Study. Nutrients , 16(18). https://doi.org/10.3390/nu16183112
Zong, Y., Zhang, C. S., Li, M., Wang, W., Wang, Z., Hawley, S. A., Ma, T., Feng, J. W., Tian, X., Qi, Q., Wu, Y. Q., Zhang, C., Ye, Z., Lin, S. Y., Piao, H. L., Hardie, D. G., & Lin, S. C. (2019). Hierarchical activation of compartmentalized pools of AMPK depends on severity of nutrient or energy stress. Cell Research, 29(6), 460–473. https://doi.org/10.1038/s41422-019-0163-6
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