Effect of Ramadan Fasting on Moslem Kidney Transplant Recipients

Abdalla, Abdallah H.; Shaheen, F; Rassoul, Zalmai; Owda, Ali; Popovich, William; Mousa, Dujanah; Al-Hawas, Fahad; Al-Sulaiman, M. H.; Al-Khader, Abdullah A

doi:10.1159/000013316

Cited by 40 publications

(37 citation statements)

References 4 publications

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“…The long-term dietary restrictions can lead to alteration in hematocrit and electrolyte imbalance. 1 Additionally increased incidence of central retinal vein occlusion during religious fasting has been reported. 2 To the best of our knowledge, there is only one study in the literature on fasting and IOP, which concluded that fasting in healthy adults did not alter the diurnal intraocular pressure in healthy adults.…”

Section: Introductionmentioning

confidence: 99%

Effect of religious fasting on intra-ocular pressure

Dadeya

Kamlesh

Shibal

et al. 2002

Eye

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Aim The objective of this study was to find out the effect of religious fasting on intraocular pressure. Methods Intra-ocular pressure by applanation tonometer was measured four times a day in 38 healthy young adult male patients. The mean age of patients was 29 years. Body weight was measured to assess the extent of dehydration caused by fasting. Results There was a statistically significant difference between the intra-ocular pressure during fasting and the non-fasting period (P Ͻ 0.001). There was weight loss ranging from 0.4 to 1.5 kg. Conclusion Fasting alters the diurnal intraocular pressure in the study population, ie young males 22-38 years.

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Section: Introductionmentioning

confidence: 99%

Effect of religious fasting on intra-ocular pressure

Dadeya

Kamlesh

Shibal

et al. 2002

Eye

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“…[1][2][3][4][5][6][7][8][9] We also noted no change in eGFR after fasting for 3 consecutive Ramadans, even after adjusting for age, presence of diabetes mellitus, baseline GFR, proteinuria, or time after transplant. There were no significant differences between fasters and nonfasters regarding changes in GFR, mean arterial pressure (MAP), and urinary protein excretion between baseline and the third Ramadan.…”

Section: Discussionmentioning

confidence: 88%

“…Many reports have focused on its effect on kidney graft recipients; however, all the previous reports have dealt with fasting during months other than August. [1][2][3][4][5][6][7][8][9] This study is different in that it was performed during Ramadan of 2011, which occurred during August in Riyadh, Saudi Arabia, which has one of the hottest climates in the world. 10 …”

Section: Introductionmentioning

confidence: 99%

Effect of Fasting for Ramadan on Kidney Graft Function During the Hottest Month of the Year (August) in Riyadh, Saudi Arabia

Qurashi

Tamimi²,

Jaradat³

et al. 2012

Exp Clin Transplant

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Objectives: To assess the effect of fasting Ramadan during the hottest month of the year in Riyadh, Saudi Arabia. Materials and Methods: This prospective cohort study was performed at the King Fahd National Guard Hospital in Riyadh, Saudi Arabia. We used the Modification of Diet in Renal Disease formula to estimate the glomerular filtration rate in renal transplant patients who fasted and did not fast before and after Ramadan. Results: There were 43 fasters and 37 nonfasters of comparable ages, with fasters having longer posttransplant times compared with nonfasters (P = .0001). The 2 groups had similar mean estimated glomerular filtration rates before Ramadan: 75.6 ± 29.2 and 65.9 ± 25.9 mL/min (P = .1) and similar mean estimated glomerular filtration rates 6 months after Ramadan: 77.2 ± 29.7 and 64.1 ± 29 mL/min (P = .21). Mean changes in the estimated glomerular filtration rate were similar in the 2 groups: -1.5 ± 10.9 and -2.8 ± 19.3 (P = .7) as was the percentage change (-0.2.2 ± 13.4 and 1.8 ± 15.9; P = .4). In the fasting group, serum creatinine and estimated glomerular filtration rate were similar before and 6 months after Ramadan: 105.1 ± 55 and 105.14 ± 61 µmol/L (P = 1.0) and 75.6 ± 29 and 72.2 ± 29.7 mL/min (P = .36). No significant changes were observed in the nonfasting group. No significant differences were detected regarding fasting in the estimated glomerular filtration rate before and 6 months after Ramadan in the 3 groups with the low, moderate, and high glomerular filtration rates at baseline. Conclusions: Fasting for Ramadan in August does not adversely affect graft function at a mean followup of 7.6 ± 1.3 months.

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“…Muslims observing the fast must not only abstain from eating and drinking, but also from taking oral medications, smoking, as well as receiving intravenous fluids and nutrients. [1] The quantity of fluid and food intake also changes during Ramadan. Volume deficit and dehydration can occur, especially in the long summer days.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] Accordingly, some publications reported that there are adverse affects of fasting during Ramadan on the electrolyte balance and hematocrit level. [1] In our study, we compared the metabolic state of known epilepsy patients who suffered a seizure during Ramadan or during a non-fasting period (the control group).…”

Section: Introductionmentioning

confidence: 99%

Metabolic Changes in Epileptic Patients Experiencing Seizure During Fasting in the Ramadan

et al. 2012

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ÖZET Amaç Ramazan ayında oruç tutmak, elektrolit imbalansında ve hematokrit dengesinde değişikliklere neden olabilir. Bu çalışmamızda bilinen epilepsisi olup, Ramazan ayında oruç tutan ve epileptik nöbet geçiren hastalarla, bilinen epilepsisi olan acil servise nöbet geçirme nedeniyle gelen ancak oruç tutmayan hastaların metabolik durumlarını karşılaştırmayı amaçladık. Gereç ve Yöntem SUMMARY ObjectivesFasting during the month of Ramadan can lead to changes in the electrolyte balance and hematocrit. We compared the metabolic states of epilepsy patients who presented to the emergency department following a seizure, either when fasting during the month of Ramadan or during non-fasting periods. MethodsThe study included 20 consecutive patients who experienced an epileptic seizure while fasting during the month of Ramadan in 2010 and 20 additional patients who experienced a seizure while not fasting. All patients were seen at the emergency room in the Ankara Training and Research Hospital. Venous blood gas, complete blood count, kidney function tests, sodium, potassium, chloride, blood glucose and a full urinalysis were measured in all patients. The patients were followed for approximately 12 hours. ResultsNo statistically significant differences were observed between the fasting group and control group in terms of the average age of the patients and gender distribution. No significant differences were observed in the blood pH, anion gap, osmolarity or base deficit (p>0.05). The ketone level was significantly higher in the urine of the fasting group (p<0.047). ConclusionsThere was no significant difference found in metabolic state of fasting epilepsy patients and the control group. The only significant difference was the higher level of ketones in fasting epilepsy patients compared to the control group.

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Effect of Ramadan Fasting on Moslem Kidney Transplant Recipients

Cited by 40 publications

References 4 publications

Effect of religious fasting on intra-ocular pressure

Effect of religious fasting on intra-ocular pressure

Effect of Fasting for Ramadan on Kidney Graft Function During the Hottest Month of the Year (August) in Riyadh, Saudi Arabia

Metabolic Changes in Epileptic Patients Experiencing Seizure During Fasting in the Ramadan

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