Beneficial effect on serum apo AI, apo B and Lp AI levels of Ramadan fasting

Adlouni, A.; Ghalim, Noreddine; Saı̈le, Rachid; Hda, Nezha; Parra, Henri‐Joseph; Benslimane, A.

doi:10.1016/s0009-8981(97)00245-3

Cited by 67 publications

(64 citation statements)

References 33 publications

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“…Husain et al (1987), however, produced contrary results in studies on 21 adult Malaysian muslims undergoing Ramadan fasting, in that there was a postRamadan reduction in body weight consequent on a reduced daily caloric intake. Other studies (Finch et al, 1998;Adlouni et al, 1998) variously demonstrated reduced serum apo B, TC, TG and increased apo A1 and HDL levels with unchangedareduced body weight despite increased caloric intake during Ramadan. In one of these studies, these biochemical changes were maintained for up to a month after Ramadan (Adlouni et al, 1998).…”

Section: Discussionmentioning

confidence: 94%

“…Other studies (Finch et al, 1998;Adlouni et al, 1998) variously demonstrated reduced serum apo B, TC, TG and increased apo A1 and HDL levels with unchangedareduced body weight despite increased caloric intake during Ramadan. In one of these studies, these biochemical changes were maintained for up to a month after Ramadan (Adlouni et al, 1998). Indeed, Maislos et al (1993Maislos et al ( , 1998 suggested that the Ramadan model was similar to food gorging, in which a single large evening meal is consumed rather than the more usual pattern of consuming ®ve or six meals at intervals spread over the daylight hours.…”

Section: Discussionmentioning

confidence: 94%

“…Most of the reports (Frost & Pirani, 1987;Husain et al, 1987;Finch et al, 1998;Adlouni et al, 1997Adlouni et al, , 1998Maislos et al, 1993Maislos et al, , 1998el Ati et al, 1995) on the in¯uence of Ramadan fasting on blood lipid and lipoprotein levels have been on healthy volunteers. In studies performed on Ramadan fasting individuals, Frost and Pirani (1987) indicated that a signi®cant increase in caloric, fat, carbohydrate and protein intake during Ramadan resulted in a mean weight gain of about 2 kg.…”

Section: Discussionmentioning

confidence: 99%

“…There have been many reports on metabolic changes during and after Ramadan in healthy subjects (Frost & Pirani, 1987;Husain et al, 1987;Finch et al, 1998;Adlouni et al, 1997Adlouni et al, , 1998Maislos et al, 1993Maislos et al, , 1998el Ati et al, 1995) and in patients with diabetes (Laajam, 1990;Mafauzy et al, 1990;Belkhadir et al, 1993). In diabetes, assessing such changes is particularly important, since the quantity, quality and timing of meals constitute a most important component of any diabetes management strategy.…”

Section: Introductionmentioning

confidence: 99%

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Beneficial changes in serum apo A-1 and its ratio to apo B and HDL in stable hyperlipidaemic subjects after Ramadan fasting in Kuwait

2000

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Background: In patients with metabolic and nutritional disorders such as diabetes and hyperlipidaemia, where strict compliance to advice on timing and composition of food intake is important, the prolonged daylight fasting during the month of Ramadan could produce undesirable biochemical consequences. Aim: The study aimed to compare pre-and post-Ramadan lipid and lipoprotein pro®les in stable Kuwaiti hyperlipidaemic subjects attending a Lipid Clinic. Subjects and methods: The study population comprised 64 adult Kuwaitis (33 M, 31 F) who had been attending a Lipid Clinic for at least 12 months and were considered stable, without any acute systemic illness. At each clinic visit, the following parameters were measured: weight, total cholesterol (TC), triglycerides (TG), HDL, LDL, apo A-1, apo B, glucose and uric acid. These biochemical parameters were measured by routine automated analyzer techniques. The pre-Ramadan values comprised the means of two measurements taken at about 3 month and 1 month before commencement of Ramadan. Post-Ramadan values were obtained within 1 month of the end of the Ramadan fast. The parameters so obtained were compared in the whole group, and then according to gender, glycaemic status and modality of treatment (diet alone or with a ®brate or statin). Results and discussion: In the nondiabetic subjects, apo A-1 and apo A-1aapo B and apo A-1aHDL ratios were increased post-Ramadan (P`0.001). Weight did not change and the other lipid parameters Ð TC, TG, LDL, apo B Ð did not worsen. These observations, more consistent in the men than in the women, and in subjects treated with a ®brate or a statin rather than on diet alone, indicate a favorable coronary heart disease (CHD) risk pro®le. In the diabetic patients, these changes in the apo A-1 level and its ratio to HDL and apo B were also present, but TC and apo B levels increased, the latter signi®cantly (P`0.05). These divergent effects in diabetic patients could variably in¯uence CHD risk liability. Serum uric acid levels were also simultaneously reduced postRamadan in the non-diabetic subjects and those on statin treatment. Conclusion: When pre-and post-Ramadan lipid and lipoprotein pro®les were compared in stable hyperlipidaemic subjects attending a Lipid Clinic in Kuwait, the most consistent changes post-Ramadan were increased levels of apo A-1 and apo A-1aapo B and apo A-1aHDL ratios and reduced uric acid levels. Body weight remained essentially unchanged and the other lipoprotein and lipid parameters were not worsened. These results suggest that Ramadan fasting in hyperlipidaemic subjects might favorably in¯uence CHD risk.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Beneficial changes in serum apo A-1 and its ratio to apo B and HDL in stable hyperlipidaemic subjects after Ramadan fasting in Kuwait

2000

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“…Furthermore, many individuals reduce their physical activity during the month of Ramadan (Hallak and Nomani 1988). As a result, total body metabolism is affected and lipid metabolism and blood lipid levels change during this month (Husain et al 1987;Hallak and Nomani 1988;Sweileh et al 1992;El Ati et al 1995;Adlouni et al 1998;Ramadan et al 1999).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Fasting Month of Ramadan on the Abdominal Fat Distribution: Assessment by Computed Tomography

Yücel

Değirmenci

Açar

et al. 2004

Tohoku J. Exp. Med.

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The aim of this study was to evaluate the changes in abdominal fat distribution in the fasting month of Ramadan. Thirty-eight healthy volunteers (17 women and 21 men) who fasted in the month of Ramadan in 2002 were included in this prospective study. Waist, hip and thigh circumferences, weight and height of all subjects were measured. Waist-to-hip ratio (WHR), waist-to-thigh ratio (WTR) and body mass index (BMI) were calculated for each subject. For assessing the fat distribution in the abdomen, computed tomography (CT) was performed. Both subcutaneous and visceral fat areas were calculated by the CT scanning technique. All of the calculations were done before (first measurement) and after (second measurement) Ramadan fasting and the changes were evaluated. No statistically significant differences were found in all subjects between the first and second measurements, which include total, subcutaneous and visceral fat areas, waist, hip and thigh circumferences, weight, BMI, WHR, and WTR (p > 0.05). In females and the individuals in their twenties, there was a significant decrease in visceral fat area (p < 0.05). Despite of the general opinion that supposes the change of weight during the fasting month of Ramadan, there were no significant differences in weight and abdominal fat distribution. However in female and young individuals, there was a reduction in visceral fat compartment. This could be due to fat redistribution, because they have more physical activity than males and older individuals. computed tomography; fat; abdomen

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