Compliance and Drug Therapy in Fasting Moslem Patients

Aslam, M.; Healy, Michael A.

doi:10.1111/j.1365-2710.1986.tb00859.x

Cited by 27 publications

(28 citation statements)

References 1 publication

(1 reference statement)

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“…Religious obligations, such as fasting, would make control of diabetes more difficult. 32 Previous studies have shown that, when communication problems are overcome and people are approached in a culturally sensitive way, they are receptive to advice that advocates changes in lifestyle and the use of preventative services. 33 Although this may be difficult, especially for older females, for example, written information in a native language would not be appropriate for people who are illiterate, other methods, such as pictorial flashcards, have been used in other parts of the country.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Pardhan

Mahomed

2004

Eye

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Aims We carried out a survey of important nonclinical issues including awareness and self-management of diabetes on a group of South Asian and Caucasian patients attending diabetic clinics within a set period. Methods A structured questionnaire examined various issues including demographics, perceived knowledge and awareness of diabetes, perceived self-help/ support, and psycho-social factors. A total of 500 patients (268 South Asians and 232 Caucasian) took part. Results Univariate analysis showed significant differences (Po0.05) with various issues including a lower perceived awareness of diabetes and its complications in South Asians, and of the nutritional content of their diet. Asians also appeared to be less worried in the event of missed clinical appointments and if treatment was not strictly adhered to. Conclusions The study provides evidence of the inability of health information systems to convey the importance of diabetic control to the Asian population. In order that this important information reaches the required recipients, more assertive and perhaps more culturally acceptable methods need to be explored.

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Section: Discussionmentioning

confidence: 99%

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Pardhan

Mahomed

2004

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“…During Ramadan, 10 and 19% of these two respective groups stopped taking their drugs and did not regularly adhere to their diets. Of 81 Asian Muslim patients questioned, 37 were found to have changed their drug dosage pattern while fasting, 35 had missed doses, eight took their tablets at different times and four took all their medications as one single daily dose after breaking fast in the evening (Aslam & Healy, 1986).…”

Section: Drug Compliancementioning

confidence: 99%

“…The interaction of these variables involved in the intermittent fast during Ramadan has led to a complex picture, which has led to concern regarding the possibility of an exacerbation of health problems (Prentice et al, 1983;Aslam & Healy, 1986;Schmahl et al, 1988;Karaagaoglu & Yucecan, 2000;Qaisi, 2001). The observed signs and symptoms may be the result of fasting or dehydration or both.…”

Section: Introductionmentioning

confidence: 99%

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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“…The daily routines are markedly changed resulting from complete fasting, changes in sleep pattern and level of physical activities. Fasting has a significant impact on compliance with medication (Aslam and Healy, 1986;Aadil et al, 2004). Moreover changes in pharmacokinetics can result from alterations in pattern of drug intake, for example, taking tablets on an empty stomach.…”

Section: Introductionmentioning

confidence: 99%

Effect of fasting during Ramadan on serum lithium level and mental state in bipolar affective disorder

Farooq

Nazar

Akhter

et al. 2010

International Clinical Psychopharmacology

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The Muslims fast every year during the month of Ramadan. A fasting day can last 12-17 h. The effects of fasting on serum lithium levels and the mood changes in patients suffering from bipolar affective disorder during Ramadan are not well studied. We aimed to compare the serum lithium levels, side effects, toxicity and mental state in patients suffering from bipolar affective disorder and on prophylactic lithium therapy before, during and after Ramadan. Sixty-two patients meeting the International Classification of Diseases, Tenth Revision, Research Diagnostic Criteria of bipolar affective disorder receiving lithium treatment for prophylaxis were recruited in a tertiary care teaching hospital in Peshawar, Pakistan. Serum lithium, electrolytes, Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS) were assessed at three points, 1 week before Ramadan, midRamadan and 1 week after Ramadan. The side effects and toxicity were measured by a symptoms and signs checklist. There was no significant difference in mean serum lithium levels at three time points (preRamadan=0.45±0.21, midRamadan=0.51±0.20 and postRamadan=0.44±0.23 milli equivalents/litre, P=0.116). The scores on HDRS and YMRS showed significant decrease during Ramadan (F=34.12, P=0.00, for HDRS and F=15.6, P=0.000 for YMRS). The side effects and toxicity also did not differ significantly at three points. In conclusion, the patients who have stable mental state and lithium levels before Ramadan can be maintained on lithium during Ramadan. Fasting in an average temperature of 28°C for up to 12 h per day did not result in elevated serum lithium levels or more side effects and did not have adverse effects on mental state of patients suffering from bipolar affective disorder.

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Compliance and Drug Therapy in Fasting Moslem Patients

Cited by 27 publications

References 1 publication

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Effects on health of fluid restriction during fasting in Ramadan

Effect of fasting during Ramadan on serum lithium level and mental state in bipolar affective disorder

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