Eating 3 balanced meals throughout the day might be marginally better or worse for the pancreas, but neither of these dietary choices trigger the panic-level insulin responses (which ultimately lead to insulin resistance and diabetes) that snacking on large amounts of refined carbs and refined sugars are notorious for.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2121099/ This study found that although there was higher blood glucose and reduced glucose tolerance in the morning for the group eating 1 meal a day, surprisingly they had less insulin resistance than the group eating 3. Other indicators of dietary/hormonal health were the same between groups. Same caloric intake of glucose between groups, and the 1 meal a day group shared the same evening window just like OMAD. This was a pilot study with small sample size (irritatingly the actual number isn't listed from what I can see) as well as a high withdrawal rate, unsurprisingly.
I note with interest that we make reference to insulin "spikes".
Do I want to insulin spike more, or fewer, times per day ?
That seems odd, in a non-city context wouldn't eating and drinking be one of the riskiest things in terms of getting sick?
Edit: After thinking about it maybe it's related to not overreacting to everything we eat and causing allergies?
Either way I don't see how what you say is true. If I stop eating or drinking how does that make me catch the flu or something the immune response helps against?
It seems having it active when I eat would be the most useful, which is why I wondered why it worked how it does.
In that eating and drinking is essential, and for the primitive man, not guaranteed everyday...
>If I stop eating or drinking how does that make me catch the flu or something the immune response helps against?
It just makes you die in a couple months from not eating, and a week or so from not drinking :-)
I think the answer to your question is total time inflamed (for lack of a better term).
Eating and digesting appear to be an interrupt for many other processes, for obvious reasons. You divert a lot of resources and produce a lot of inflammation and depress a lot of immunity.
Do you want to be in that state for 14 hours per day or for 6 hours per day ?
My bro-science intuition tells me that, all else being equal, consuming the same number of calories in a tighter window is much less expensive.