Clinical Problems During Fast of Ramadan

Rashed, AwadH.; Siddiqui, SarfrazA.; Romeh, SalehH. Abu; Hayden, CarlT.; Garcia‐Buñuel, Luis; Tang, C.; Rolfe, M.

doi:10.1016/s0140-6736(89)92848-1

Cited by 15 publications

(9 citation statements)

References 2 publications

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“…A group of 43 renal transplant patients, whose kidney function was assessed as being stable, demonstrated excellent concentration ability after a daylong Ramadan fast. A mean (range) urine osmolality of 826 (729-1000), mosm/kg at the end of the fast was similar to the mean 873 mosm/kg urine osmolality produced by a group of healthy, age-matched controls who had fasted for the same time (Rashed et al, 1989). In a similar study carried out in Saudi Arabia, 17 kidney transplant patients with normal functional ability and six with impaired but stable renal function were examined 1 week before, weekly during, and 1 week after the Ramadan fast (Abdalla et al, 1998).…”

Section: Renal Transplant Patientssupporting

confidence: 60%

Effects on health of fluid restriction during fasting in Ramadan

2003

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During the 9th month (Ramadan) of the Islamic calendar (Hijra) many millions of adult Muslims all over the world fast during the daylight hours. Since Hijra is a lunar calendar, Ramadan occurs at different times in the seasonal year over a 33-year cycle. Fasting during Ramadan is partial because the abstention from food, fluid, tobacco and caffeine is from sunrise to sunset. Several categories of people are exempt or can postpone the Ramadan fast. The effect on health and well being of the month-long intermittent fast and fluid restriction has been studied in various potentially vulnerable groups in addition to normal healthy individuals in many countries. The majority of the studies have found significant metabolic changes, but few health problems arising from the fast. A reduction in drug compliance was an inherent negative aspect of the fast. Common findings of the studies reviewed were increased irritability and incidences of headaches with sleep deprivation and lassitude prevalent. A small body mass loss is a frequent, but not universal, outcome of Ramadan. During the daylight hours of Ramadan fasting, practising Muslims are undoubtedly dehydrating, but it is not clear whether they are chronically hypohydrated during the month of Ramadan. No detrimental effects on health have as yet been directly attributed to negative water balance at the levels that may be produced during Ramadan.

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Section: Renal Transplant Patientssupporting

confidence: 60%

Effects on health of fluid restriction during fasting in Ramadan

2003

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“…It is often said that the beneficial effects of fasting during Ramadan will only occur in patients who maintain their appropriate diets [43] . During Ramadan, many diabetics fast without medical guidance and more often than not end up developing acute complications and metabolic disorders, such as hypoglycaemia and blood lipid imbalance [44,45].…”

Section: Resultsmentioning

confidence: 99%

Ramadan Fasting Diet Entailed a Lipid Metabolic Disorder Among Type 2 Diabetic Obese Women

Khaled¹

2009

American Journal of Applied Sciences

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Abstract:We designed this study to assess the effect of diet during Ramadan fasting on body weight and on serum lipid components in type 2 diabetic obese women. During Ramadan of 2005, 89 diabetic women receiving oral treatment (BMI = 33.20±3.01 kg m −2 ), aged 52 (±5 years), were selected. The study was carried out over 3 periods-, before (T1: pre-fasting), during (T2: fasting), and after (T3: post-fasting) Ramadan-in Sidi-bel-Abbes city. The daily food intake during the course of 3 days was recorded, and then weight, height, waist and hip circumferences, Body Mass Index (BMI) and Waist to Hip Ratio (WHR) were measured. Blood samples were analyzed for total cholesterol (TC), low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), apolipoprotein A1 (apoA-I), apolipoprotein B (apoB), triglycerides (TGs), fasting serum glucose (FSG), and glycated haemoglobin (HbA1c) and results were compared using Student's t-test. The dietary fat consumption increased during Ramadan, especially for the saturated one and as a result induced a major lipid unbalance, marked by a disorder observed in nearly all of the serum lipid components. There was a significant weight loss in diabetic women (-2.56 kg, p<0.05) during T2, correlated with a decrease in meal frequency (r 2 = 0.313, p<0.01). As well, the level of glucose decreased significantly during T2 (8.23±0.75 mmol L −1 ) compared to T1 (9.23±1.08 mmol L −1 ). Our study showed a significant weight loss during Ramadan period and an improvement of glucose homeostasis. However, the lipid metabolism was imbalanced and was strongly linked to the Ramadan diet and to the eating habits modification.

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“…Renal transplant recipients with normal allograft function and intact renal concentrating ability should experience no harmful effects from fasting. 17 Little is known with any certainty about the clinical problems during the fast of Ramadan. As perhaps 400 million people will be fasting this year during Ramadan the topic deserves more thorough scientific attention.…”

mentioning

confidence: 99%

The fast of Ramadan.

Rashed¹

1992

BMJ

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Clinical Problems During Fast of Ramadan

Cited by 15 publications

References 2 publications

Effects on health of fluid restriction during fasting in Ramadan

Effects on health of fluid restriction during fasting in Ramadan

Ramadan Fasting Diet Entailed a Lipid Metabolic Disorder Among Type 2 Diabetic Obese Women

The fast of Ramadan.

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