Gastrointestinal health in Ramadan with special reference to diabetes (original) (raw)
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Erciyes Medical Journal, 2021
The aim of this study was to investigate the effects of Ramadan model intermittent fasting (IF) on acute pancreatitis, acute cholecystitis, and acute cholangitis, which is closely related to nutrition. Materials and Methods: This retrospective research study was conducted from 2014 to 2018. Patients over 18 years old with acute pancreatitis, acute cholecystitis, and acute cholangitis were included in the study. Patients with lipid metabolism disorders such as hyperlipidemia, pregnant women, malignancies, viral infections, hepatic insufficiency, and cirrhosis were excluded from the study. A total of 3940 patients were included in the study. Hospital applications in Ramadan were compared with the rest of the year. Results: One thousand eight hundred and sixteen male and 2124 female patients were included in the study. 1797 patients (45.6%) with pancreatitis, 1032 patients (26.2%) with cholangitis and 1015 patients (25.8%) with cholecystitis. Pancreatitis (46.4%), cholangitis (29.8%), and cholecystitis (19.3%) were the most frequently diagnosis in Ramadan. The monthly admission rates were calculated in a 5-year period. It was found that the admission rates were 26.6% more in Ramadan than other months. Ramadan fasting significantly increased acute pancreatitis and acute cholangitis. However, cholecystitis decreased. Both sexes were similarly affected from the Ramadan period. Conclusion: Ramadan model of IF induces an increase in the incidence of acute pancreatitis and acute cholangitis and a decrease in acute cholecystitis. Ramadan model may not be a suitable model for a healthy diet.
The Health Impacts of Fasting During Ramadan
JOURNAL OF NUTRITION FASTING AND HEALTH, 2019
Ramadan is the Holy month of fasting that is obligatory for all normal Muslims who reached at their puberty. Two meals are taken during Ramadan, one is taken before down to prepare themselves for fast is called “Sahur”, and second meal is taken at sunset is called “Iftar”. Fasting is not only a ritual and religious obligation while it has several medicinal significances specially against diet dependent diseases. Fasting significantly helped in the reduction of peptic and duodenal ulcers with the combination of H2-blocker drug, help in the improvement of lipid profile specially in TC and HDL and LDL levels that cause heart failure. During fasting the systolic and diastolic blood pressure improve at greater rate as compare to drugs like Indapamide and Perindopril, a strong evidence revealed that ischemic stroke and cancer can also be improved by intermitted fasting through multiple pathways and factors like BDNF, bFGF, GRP78, Hsp70, tyrosine kinase receptor B (TrkB), fibroblast growt...
Diabetes and Ramadan: Review of the literature
Diabetes Research and Clinical Practice, 2006
During the month of Ramadan, Muslims fast every day from dawn to sunset. In the healthy subject, this fasting does not have any harmful consequences on health. However, it can induce several complications for patients with diabetes. The aim of this review twofold: first, it seeks to give some clues about methodological aspect of research during Ramadan and to show the impact of various diabetes monitoring and treatment, including biochemical and clinical parameters, diet and caloric intake, drug intake when fasting. Second, it intends to determine whether or not Ramadan fasting induces complications in patients with types 1 and 2 diabetes and ultimately to elaborate some advice as to the management of fasting patients.
The Health Impacts of Ramadan Fasting
JOURNAL OF NUTRITION FASTING AND HEALTH, 2019
Ramadan is the holy month of obligatory fasting for all the healthy Muslims who have reached puberty. In Ramadan, fasting individuals consume two meals per day, the first of which is before down to prepare for fasting (Sahur), and second meal is at sunset (Iftar). Fasting is a ritual and religious obligation with numerous beneficial health effects, especially in patients with diet-dependent diseases. Fasting could significantly reduce peptic and duodenal ulcers in combination with H2 blockers and improve the lipid profile, especially through the regulation of total cholesterol, high-density lipoprotein, and lo-density lipoprotein, which may be involved in the incidence of heart failure. Furthermore, fasting could enhance the systolic and diastolic blood pressure more significantly compared to the use of drugs such as perindopril/indapamide. Evidence suggests that ischemic stroke and cancer could also be improved by intermitted fasting via multiple pathways and factors such as BDNF, bFGF, GRP78, Hsp70, tyrosine kinase receptor B (TrkB), fibroblast growth factor receptor 1 (FGFR1), and ketosis. The present study aimed to systematically review the published literature regarding the effects of Ramadan fasting on the mentioned diseases.
OF NUTRITION FASTING AND HEALTH The Health Impacts of Ramadan Fasting
2019
Article type: Short Communication Ramadan is the holy month of obligatory fasting for all the healthy Muslims who have reached puberty. In Ramadan, fasting individuals consume two meals per day, the first of which is before down to prepare for fasting (Sahur), and second meal is at sunset (Iftar). Fasting is a ritual and religious obligation with numerous beneficial health effects, especially in patients with dietdependent diseases. Fasting could significantly reduce peptic and duodenal ulcers in combination with H2 blockers and improve the lipid profile, especially through the regulation of total cholesterol, high-density lipoprotein, and lo-density lipoprotein, which may be involved in the incidence of heart failure. Furthermore, fasting could enhance the systolic and diastolic blood pressure more significantly compared to the use of drugs such as perindopril/indapamide. Evidence suggests that ischemic stroke and cancer could also be improved by intermitted fasting via multiple pa...
Effects of Ramadan fasting on peptic ulcer disease as diagnosed by upper gastrointestinal endoscopy
Arab Journal of Gastroenterology, 2012
Background and study aims: The diagnostic methods such as upper gastrointestinal endoscopy (UGE) have played an important role in the evaluation of peptic ulcer (PU). Every year, millions of Muslims fast in Ramadan month. The aim of this study was to evaluate the effect of fasting on PU via UGE. Patients and methods: A total of 321 patients in the period from 2009 to 2011, who underwent UGE as a diagnostic work-up mainly for epigastric pain, were analysed. Patients were divided into three groups: Patients who have been evaluated by UGE, in the month just before Ramadan (group I, n = 69), in Ramadan month (group II, n = 132) and in the month just after Ramadan (group III, n = 120). Continuous data were expressed as the mean ± SD, and were compared with one-way analysis of variance (ANOVA) test amongst groups. Categorical data were given as percentages and were compared with the chi-squared test. Results: Epigastric pain was the most common indication for referral in each group. Interestingly, the indication 'bleeding' was found to be the least in group II, but was far from statistical significance. The highest prevalence of duodenal ulcers and duodenitis was found in group II; the differences to the other groups were statistically significant. Conclusion: Duodenal ulcers and duodenitis were found more during Ramadan month. We recommend that, the patients with epigastric pain may fast by taking their medications.
The diabetic patient in Ramadan
Avicenna Journal of Medicine, 2014
During the month of Ramadan, all healthy, adult Muslims are required to fast from dawn to sunset. Fasting during Ramadan involves abstaining from food, water, beverages, smoking, oral drugs, and sexual intercourse. Although the Quran exempts chronically ill from fasting, many Muslims with diabetes still fast during Ramadan. Patients with diabetes who fast during the month of Ramadan can have acute complications. The risk of complications in fasting individuals with diabetes increases with longer periods of fasting. All patients with diabetes who wish to fast during Ramadan should be prepared by undergoing a medical assessment and engaging in a structured education program to undertake the fast as safely as possible. Although some guidelines do exist, there is an overwhelming need for better designed clinical trials which could provide us with evidence-based information and guidance in the management of patients with diabetes fasting Ramadan.
Effects of Ramadan Fasting on the Symptoms of Gastroesophageal Reflux Disease
2018
Introduction: The effects of Ramadan fasting on gastroesophageal reflux disease (GERD) remains unknown, and few studies have been conducted in this regard. The nutritional, physiological, psychological, and behavioral changes in fasting individuals during Ramadan may affect the status of GERD. The present study aimed to evaluate the effects of these changes on the symptoms of GERD using a meticulous method. Methods: This study was conducted on patients with clinically diagnosed GERD by a gastroenterologist, who was followed-up for three consecutive months (from one month before to after Ramadan). Data were collected using GERD health-related quality of life (GERD-HRQL).For ethical considerations; antisecretory drugs were prescribed for all the patients. After data collection, the subjects were divided into two groups of fasting and non-fasting. Data analysis and comparison were performed in SPSS. Results: total, 69 patients with GERD completed the follow-up, including 33 fasting and...
Annals of Nutrition and Metabolism, 2010
Background: Muslims fast from sunrise to sunset during the month of Ramadan, the 9th lunar month. The duration of fasting varies from 13 to 18 h/day. Fasting includes avoidance of drinking liquids and eating foods. The aim of this article is to review health-related aspects of Ramadan fasting. Methods: Related abstracts from 1960 to 2009 were obtained from Medline and local journals in Islamic countries. One hundred and thirteen articles meeting the criteria for paper selection were reviewed in depth to identify details of related materials. Results: During the fasting days of Ramadan glucose homeostasis is maintained by meals taken before dawn and by liver glycogen stores. Changes in serum lipids are variable and depend on the quality and quantity of food consumption and changes in weight. Compliant, well-controlled type 2 diabetics may observe Ramadan fasting, but fasting is not recommended for type 1, noncompliant, poorly controlled and pregnant diabetics. There are no adverse ef...