Research

Hormonal

Prolonged calorie restriction and starvation suppress immune function against infection by reducing proinflammatory adipokines (specifically leptin) and increasing anti-inflammatory adipokines, leading to increased susceptibility to infectious disease.

If you are restricting calories significantly or fasting, be aware that your body actively suppresses its immune defense mechanisms to conserve energy. This makes you more vulnerable to infections like the flu. While this state improves metabolic markers, it comes at the cost of infection resistance. Ensure you are not exposing yourself to high infection risks while in a caloric deficit, and consider that refeeding can restore immune function.

GoodSupportsHIGH confidence
In calorie restriction and starvation, proinflammatory adipokines decline and anti-inflammatory adipokines increase, which informs the host of energy deficits and contributes to the suppression of immune function.
Peter Mancuso · ImmunoTargets and Therapy · 2016

Why this rating

The paper is a comprehensive review citing numerous primary studies (mouse models, human clinical observations) establishing the link between adipokine levels, energy status, and immune outcomes.

Source

The role of adipokines in chronic inflammation

Peter Mancuso · ImmunoTargets and Therapy · 2016

DOI 10.2147/itt.s73223

narrative_reviewCited 366×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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