Impact of Fasting on Cardiovascular Outcomes in Patients With Hypertension

Hammoud, Sabah; Kurdi, Mazen; Bemt, Bart J F van den

doi:10.1097/fjc.0000000000001097

Cited by 7 publications

(3 citation statements)

References 48 publications

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“…However, in a large clinical trial comparing intermittent fasting with reduced caloric intake versus a general calorie-restricted diet, both strategies were associated with reduced weight and BP, but there was no significant difference between the groups [ 206 ]. In a meta-analysis of 33 studies ( n = 3213), fasting was associated with lower BP at end of Ramadan compared with before Ramadan, among those with diabetes, normotension and hypertension but no change in BP in those with chronic kidney disease [ 207 ]. Further, there was no statistically significant increase in worsening renal outcomes associated with fasting [ 208 , 209 ].…”

Section: Intermittent Fastingmentioning

confidence: 99%

Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Charchar,

Prestes,

Mills

et al. 2023

Journal of Hypertension

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Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools.

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Section: Intermittent Fastingmentioning

confidence: 99%

Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Charchar,

Prestes,

Mills

et al. 2023

Journal of Hypertension

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“…The effect of fasting on cardiovascular outcomes in hypertensive patients was reviewed in several major databases. 17 The review included studies assessing Ramadan, intermittent, and water-only fasting. Water-only fasting reduces body weight, BP, and lipolytic activity of fasting hypertensive patients without affecting the average heart rate.…”

Section: Impact Of Rf On Cardiovascular Disease and Risk Factorsmentioning

confidence: 99%

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Hassan-Beck

Hafidh

Badi³

et al. 2022

Ibnosina Journal of Medicine and Biomedical Sciences

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Introduction: The literature on the health aspects of Ramadan fasting (RF) is widely spread in many journals. Materials and Methods: This is a narrative review of data obtained from the PubMed database (National Library of Medicine, Bethesda, Maryland, United States). We used the search term “Ramadan fasting,” and relevant records were examined. The publications are narrated thematically. Results: The publications spanned fundamental, clinical, professional, cultural, and advocacy facets. The publications crossed conventional disciplinary lines and geographical locations and appeared in journals with different access systems. The contents are presented under the themes that emerged depending on the retrieved literature. This year basic coverage included changes in physiology and nutrition during Ramadan. However, the clinical issues included a wide range of topics. These included the impact of RF on nonalcoholic fatty liver disease and adjustments needed in endocrine replacement therapy for hypothyroidism and adrenal insufficiency. Coverage also included chronic kidney disease. The impact on maternal health, fetal well-being, and long-term effects of RF exposures were addressed in several studies. Studies in cardiovascular medicine focused on blood pressure and cardiovascular risk factors. Sports medicine and athletes' well-being received somewhat prominent coverage. The impact on renal function, particularly in patients with chronic kidney disease, was investigated by a few authors. Several groups addressed the eyes' structure and function, neurological conditions, especially headache disorders, and hematological and oncological conditions. Finally, the impact of RF on several aspects of mental health and well-being was addressed by various groups. Conclusions: Health aspects of RF received a sustained academic interest with a broad spectrum in 2021. This narration provides an overview of the year's scholarly health-related literature on various aspects of health and disease. It should help researchers and clinicians catch up quickly with the health concerns during Ramadan.

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“…Despite the potential short-term benefits that accrue to the fasting person with hypertension, the evidence is weak when considering the long-term benefits on cardiovascular health, and consequently, there can be no claims to long-term cardio-protection. 19 We could find no reports of adverse effects of anti-hypertensive medications in individuals who were fasting. This was surprisingly true even when diuretics were assessed during the fasting period, though the single observational study that evaluated and reported on this had a relatively small sample size.…”

Section: Hypertensionmentioning

confidence: 97%

Ramadhan fasting for people living with chronic illness: A narrative literature review

Ras,

Holdman,

Matthews

2024

South African Family Practice

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Muslims constitute approximately 20% of the world’s population. In South Africa, Muslims constitute just under 2% of the total population. Fasting is one of the mandatory activities of adherents of the Islamic faith, where all healthy adult Muslims abstain from food, drink, and sexual activities between dawn and dusk during the month of Ramadhan. Medical doctors are frequently required to provide advice to their Muslim patients about the safety or other health impacts of this type of fasting. This narrative review provides an overview of research conducted on Muslim populations during the fasting period, with special reference to non-communicable diseases (NCDs) that are prevalent in the Muslim community. In the absence of evidence-based clinical guidelines, this article summarises the latest published research on this topic, providing a resource for clinicians and researchers. This paper provides an evidence summary to clinicians when engaging with their patients who may be engaging in Ramadhan fasting, while also identifying gaps in the body of evidence that could inform future research.

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Impact of Fasting on Cardiovascular Outcomes in Patients With Hypertension

Cited by 7 publications

References 48 publications

Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Ramadhan fasting for people living with chronic illness: A narrative literature review

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