L'appellation ''jeûne thérapeutique'' est-elle fondée ou usurpée ? : éléments de réponse d'après une revue de bibliographie chez l'animal et chez l'homme

Abstract : Fasting is an old practice, closely linked to fluctuations in food availability or motivated by traditional, religious, political purposes. In a therapeutic setting, fasting as a practice beneficial to health is controversial. The aim of this literature review was to determine whether the designation ''therapeutic fasting'' was based or usurped, with the help of animal models, religious fasts and hunger strike excluded. Fasting has taken an important place under various forms in the history of therapeutic prescription. Advances in medical knowledge, in which it participated to some extent, have limited its use. Few examples are keeping legitimacy in conventional medicine, in specific diseases and with caution. Inside alternative therapies, some prolonged fasting called therapeutic, with different sensitivities, have in common to address many chronic diseases. Their contraindications are rare and their mechanisms of action remain hypothetical. Only few indications have been assessed specifically and published. In terms of level of proof, these assessments remain insufficient and would need to be more rigorous in order to determine the real usefulness and the well-founded of these practices. By considering intention-to-treat principle, the study of fasting is however accompanied by significant methodological difficulties. Therefore, although the answer to the question may not be unique, the major part of ''therapeutic fasting'' can be considered as a belief not scientifically proven.
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Master Thesis
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Jérôme Lemar. L'appellation ''jeûne thérapeutique'' est-elle fondée ou usurpée ? : éléments de réponse d'après une revue de bibliographie chez l'animal et chez l'homme. Médecine humaine et pathologie. 2011. ⟨dumas-00651422⟩

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