Effect of Ramadan fasting on renal function in patients with type 2 diabetes

Abushady, Manal; Samy, Mohammed; Bekhet, Miram M.; Abdullah, Asnawi

doi:10.1016/j.diabres.2019.05.036

Cited by 14 publications

(8 citation statements)

References 23 publications

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“…It is dubious whether or not patients trust their doctors and whether they attach more importance to their religious God or their physical health. Generally, as shown in category 2, although Ramadan fasting is challenging, its well-being is evident, which concurs with the results from quantitative studies indicating improvements in glycemic control, sleep duration and physical activity [45,46]. Themes in the other three categories deserve special attention.…”

Section: Doctor-patient and Religion Relations (Health And Religion)supporting

confidence: 82%

Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Liao

Wang

et al. 2020

PLoS ONE

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Objectives To review and appraise the existing qualitative studies on Ramadan fasting in participants with diabetes and to integrate valuable qualitative evidence for optimizing diabetes management. Methods Twelve databases (PubMed, Embase, Cochrane Library, Science Direct, CINAHL, PsycINFO, JBI (Joanna Briggs institute), Web of Science, and four Chinese databases) were searched to identify qualitative studies on experiences and perspectives of Ramadan fasting in participants with diabetes. CASP (Critical Appraisal Skills Program) Qualitative Checklists were applied to appraise the included studies. A meta-synthesis approach was used to analyze the included studies. Through the strategy of inductive thematic synthesis and reciprocal interpretation, the findings and quotations of the included studies were integrated into new themes and categories. The CERQual (Confidence in the Evidence from Reviews of Qualitative Research) tool was used to grade the confidence of the new themes. Results A total of 11 qualitative studies were included, and 43 findings were isolated. Ten new themes were identified and synthesized from the findings. Finally, four new categories were integrated, including the knowledge and understanding of observing Ramadan fasting, well-being and challenges, self-efficacy, and needs and expectations of participants with diabetes during Ramadan. Conclusions Insulin-dependent individuals call for special concern during Ramadan fasting. Ramadan-focused education needs to be developed and generalized, and existing guidelines should be improved to optimize the management of diabetes. Professional HCPs contribute to weigh the health risks and mental satisfaction for their patients, partly, to balance health and religion. Participants’ psychological construction is another concern for religious scholars and psychologists.

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Section: Doctor-patient and Religion Relations (Health And Religion)supporting

confidence: 82%

Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Liao

Wang

et al. 2020

PLoS ONE

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“…Finally, in terms of renal function parameters, studies investigating the effect of Ramadan fasting show that there was a significant reduction in serum creatinine, estimated glomerular filtration rate (eGFR) and urinary albumin/creatinine ratio in healthy individuals, but the decline was within the normal range [ 20 ]. In Muslim patients with type 2 diabetes, there was also a significant decrease in eGFR after Ramadan fasting [ 21 ].…”

Section: Changes In Dietary Intakementioning

confidence: 99%

Effects of Time-Restricted Feeding during Ramadan on Dietary Intake, Body Composition and Metabolic Outcomes

Osman¹,

Haldar²,

Henry

2020

Nutrients

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Ramadan fasting is a form of time-restricted feeding which combines a fast and feast period daily for a duration of one month every year. During Ramadan, Muslims abstain from food and drink consumption from dawn till sunset and this change in the meal schedule and frequency results in significant changes to the composition of the diet, such as energy and nutrient intake. These changes in dietary habits and their corresponding effects on cardiometabolic disease risk are compiled in this review. Ramadan fasting shows limited benefits to body composition via reductions in body mass in both healthy and obese individuals, although the results are often found to be transient and heterogeneous. There is, however, a more consistent improvement in blood lipid profile during Ramadan fasting, which often lasts beyond the Ramadan period. The results for glucose homeostasis, on the contrary, are more conflicting and inconclusive. The heterogeneity in the findings from the various studies can be generally attributed to cultural variations in dietary habits, differences in the duration of fasting due to seasonal/climatic differences at various geographical locations, age, gender and socioeconomic status, as well as other health and lifestyle factors of the various study populations.

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“… 12 In the study of Abushady et al in diabetic patients, creatinine levels increased in the group with diabetic nephropathy when compared to those without diabetic nephropathy. 16 In contrast to these studies, another study found that fasting did not have a negative impact on creatinine levels. 17 In the present study, there was a significant decrease in creatinine levels compared to basal values, suggesting that there is an improvement in kidney function in fasting CKD patients.…”

Section: Discussionmentioning

confidence: 86%

The The effect of Fasting during Ramadan on the Kidney functions of Stage III-IV Chronic Kidney Disease Patients

et al. 2021

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Objectives: Examine the effect of fasting during Ramadan on kidney functions in patients with chronic kidney disease. Methods: The study was conducted on 130 patients with stage III-IV chronic kidney disease (CKD), who were admitted to the Ordu University nephrology polyclinic during the month before Ramadan and one month after Ramadan in 2019. Blood samples were taken in the morning after 12 hours of fasting. Results: There was a statistically significant difference between BUN in the fasting group before and after the month of Ramadan. The median BUN before Ramadan was 26.65 mg/dl, the median after Ramadan was 24.05 mg/dl (p=0.004).There was a statistically significant difference between the nonfasting groups before and after Ramadan with respect to creatinine level. Median creatinine before Ramadan was 1.69 mg/dl,and the median after Ramadan was 1.86 mg/dl (p <0.001).There was a statistically significant difference between the fasting groups before and after Ramadan with respect to creatinine levels. Fasting group ,the median before Ramadan was 1.5 mg/dl, and the median after Ramadan was 1.42 mg/dl (p = 0.038).The impact of independent variable of fasting, using linear regression was found to be statistically significant (ppost-<0.001). The eGFR was 14.826 points higher in those who fasted after Ramadan than in those who did not. Conclusion: Fasting during the month of Ramadan does not deteriorate kidney functions and even leads to a moderate improvement in kidney functions. Taking these results into consideration, fasting may be advised for patients with stage III-IV CKD who want to fast and remain in stable condition. doi: https://doi.org/10.12669/pjms.37.4.3661 How to cite this:Karatas A, Canakci E, Arici YK, Kaya M, Sayim B. The effect of Fasting during Ramadan on the Kidney functions of Stage III-IV Chronic Kidney Disease Patients. Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.3661 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Effect of Ramadan fasting on renal function in patients with type 2 diabetes

Cited by 14 publications

References 23 publications

Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Effects of Time-Restricted Feeding during Ramadan on Dietary Intake, Body Composition and Metabolic Outcomes

The The effect of Fasting during Ramadan on the Kidney functions of Stage III-IV Chronic Kidney Disease Patients

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