Impact of Ramadan fasting on lipid profile and cardiovascular risk factors in patients with stable coronary artery disease

Ahmed, Habib Ben; Allouche, E.; Bouzid, K.; Zrelli, Sabrine; Hmaidi, W.; Molahedh, Y.; Ouechtati, Wejdane; Bezdah, L.

doi:10.1016/j.ancard.2020.11.001

Cited by 9 publications

(6 citation statements)

References 17 publications

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“…These results are in agreement with the findings of a recent study that demonstrated that fasting during Ramadan was associated with improved cardiometabolic risk factors by significantly reducing serum TC ( P < 0·0001) and TG ( P = 0·0003) levels while significantly increasing HDL-C ( P = 0.0001) after 25 days of fasting 36 . Furthermore, our findings are also supported by a previous study, which reported that TC, LDL-C, TG, and apoprotein A were significantly improved after Ramadan fasting in 84 patients with stable ischemic heart disease 37 . Papazoglou et al also demonstrated that Ramadan fasting imposed significant reductions in LDL-C and TG levels in 30 patients with dyslipidemia 38 .…”

Section: Discussionsupporting

confidence: 91%

Ramadan intermittent fasting is associated with ameliorated inflammatory markers and improved plasma sphingolipids/ceramides in subjects with obesity: lipidomics analysis

Madkour,

Islam,

Tippetts

et al. 2023

Sci Rep

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Intermittent fasting (IF) is associated with enormous metabolic alterations that underpin its diverse health effects. Changes in lipid metabolism, particularly ceramides, and other sphingolipids, are among the most notable of these alterations. This study investigated the lipidomic alterations associated with 29–30 days of Ramadan diurnal intermittent fasting (RIF) in metabolically healthy overweight and obese subjects. A prospective cohort of 57 overweight and obese adults (70% males, 38.4 ± 11.2 years), with an age range of 18–58 years was observed prior to and at the conclusion of Ramadan. At both time points, anthropometric, biochemical (lipid profile, glycemic, and inflammatory markers), and dietary intake measurements were taken. Using liquid chromatography-mass spectrometry, a lipidomic analysis of ceramides and other sphingolipids was conducted. Using paired sample t-tests, pre- and post-Ramadan anthropometric, biochemical, and dietary values were compared. RIF was associated with improved levels of lipid profile compartments and inflammatory markers. In addition, RIF was associated with a decrease in plasma sphingosine and sphinganine, which was accompanied by a decrease in sphingosine 1-phosphate and sphinganine 1-phosphate. In addition, RIF was associated with decreased C17, C22, and C24 sphingomyelin, but not C14, C16, C18, C20, and C24:1 sphingomyelin, as well as C20, C22, C24, and C24:1 dihydrosphingomyelin, but not C16 and C18 dihydrosphingomyelin. This study demonstrates that RIF is associated with improvements in plasma sphingosine, sphinganine sphingomyelin, and dihydrosphingomyelin lipid species, as well as improved lipid profile and inflammatory markers, which may confer short-term protection against cardiometabolic problems in patients with overweight/obesity.

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Section: Discussionsupporting

confidence: 91%

Ramadan intermittent fasting is associated with ameliorated inflammatory markers and improved plasma sphingolipids/ceramides in subjects with obesity: lipidomics analysis

Madkour,

Islam,

Tippetts

et al. 2023

Sci Rep

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“…The impact of RF on lipid profile and cardiovascular risk factors in patients with stable coronary heart disease was examined in a prospective observational study in Tunisia (2020). 20 Eighty-four patients with stable ischemic heart disease who intended to fast were enrolled. They included 79 males and had a mean age of 57 years.…”

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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“…Ben Ahmed et al 26 evaluated the impact of RF on cardiovascular risk factors and lipid profiles in patients with stable coronary heart disease. A prospective observational study was carried out in Tunisia.…”

Section: Resultsmentioning

confidence: 99%

“…In 2022, seven original research articles addressed various aspects of cardiovascular disease (CVD) [23][24][25] and risk factors [26][27][28][29] associated with RF: four on cardiac events and three on risk factors. Four other articles provided practical guidelines and management recommendations for people with CVD during RF.…”

Section: Cardiovascular Disease and Risk Factorsmentioning

confidence: 99%

Review of the Literature on Ramadan Fasting and Health in 2022

Hafidh

Khan

Shaikh

et al. 2023

Ibnosina Journal of Medicine and Biomedical Sciences

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Objectives The literature on health and disease during Ramadan fasting (RF) is widely spread in many journals making it not readily accessible to those interested in the subject. Here, we provide an overview of the research on the interplay of RF with various aspects of well-being published in 2022. Materials and Methods A narrative, nonsystematic review of the international literature from a single major medical online database, PubMed, in one calendar year (2022) was conducted. The search term “Ramadan fasting” was used to retrieve the appropriate records. The relevant literature with substantial data-based content was presented in a concise thematic account, excluding those concerned with diabetes. Results Themes that emerged from the review included the pathophysiology of metabolic changes during RF, nutritional aspects including body composition and energy metabolism, cardiovascular disease and risk factors, renal function and structure, endocrinology (mainly thyroid), neurological disorders, mental health, pregnancy and fetal life, and infections (including COVID). Some miscellaneous clinical themes were identified, such as patients' and professional perspectives. Conclusions In 2022, the medical interest in RF was again widely spread across specialties. Cardiovascular disease and risk factors attract the most interest in terms of original articles and professional guidelines. We hope with this review to present a concise summary of the scholarly work on the subject in this year.

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Impact of Ramadan fasting on lipid profile and cardiovascular risk factors in patients with stable coronary artery disease

Cited by 9 publications

References 17 publications

Ramadan intermittent fasting is associated with ameliorated inflammatory markers and improved plasma sphingolipids/ceramides in subjects with obesity: lipidomics analysis

Ramadan intermittent fasting is associated with ameliorated inflammatory markers and improved plasma sphingolipids/ceramides in subjects with obesity: lipidomics analysis

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

Review of the Literature on Ramadan Fasting and Health in 2022

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