Ramadan fast in kidney transplant recipients: a prospective comparative study

Said, Tarek; Nampoory, M.R.N.; Haleem, Muhammad Abdul; Nair, Muraleedharan G.; Johny, K.V.; Samhan, M; Al-Mousawi, M

doi:10.1016/j.transproceed.2003.08.072

Cited by 20 publications

(15 citation statements)

References 13 publications

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“…Unfortunately, there is little scientific information in the medical literature on this subject. Previous studies have shown that Ramadan fasting is safe for kidney transplant recipients with respect to biochemical parameters and renal allograft function [5][6][7][8]. However, the effect of fasting during the month of Ramadan on kidney transplant recipients with renal impairment was not studied.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, the lack of adequate scientific information in the medical literature on this subject makes it difficult to answer these questions. To date, only limited studies on the impact of Ramadan fasting on renal allograft function have been reported [5][6][7][8]. We have previously shown in one transplant center that fasting during the month of Ramadan was safe and had no significant harmful effects on kidney transplant recipients with normal renal function [1].…”

Section: Introductionmentioning

confidence: 99%

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Ramadan fasting in kidney transplant recipients with normal renal function and with mild-to-moderate renal dysfunction

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ramadan fasting in kidney transplant recipients with normal renal function and with mild-to-moderate renal dysfunction

et al. 2008

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“…[1][2][3][4][5][6][7][8][9] We also noted no change in eGFR after fasting for 3 consecutive Ramadans, even after adjusting for age, presence of diabetes mellitus, baseline GFR, proteinuria, or time after transplant. There were no significant differences between fasters and nonfasters regarding changes in GFR, mean arterial pressure (MAP), and urinary protein excretion between baseline and the third Ramadan.…”

Section: Discussionmentioning

confidence: 91%

“…Many reports have focused on its effect on kidney graft recipients; however, all the previous reports have dealt with fasting during months other than August. [1][2][3][4][5][6][7][8][9] This study is different in that it was performed during Ramadan of 2011, which occurred during August in Riyadh, Saudi Arabia, which has one of the hottest climates in the world. 10 …”

Section: Introductionmentioning

confidence: 99%

Effect of Fasting for Ramadan on Kidney Graft Function During the Hottest Month of the Year (August) in Riyadh, Saudi Arabia

Qurashi

Tamimi²,

Jaradat³

et al. 2012

Exp Clin Transplant

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Objectives: To assess the effect of fasting Ramadan during the hottest month of the year in Riyadh, Saudi Arabia. Materials and Methods: This prospective cohort study was performed at the King Fahd National Guard Hospital in Riyadh, Saudi Arabia. We used the Modification of Diet in Renal Disease formula to estimate the glomerular filtration rate in renal transplant patients who fasted and did not fast before and after Ramadan. Results: There were 43 fasters and 37 nonfasters of comparable ages, with fasters having longer posttransplant times compared with nonfasters (P = .0001). The 2 groups had similar mean estimated glomerular filtration rates before Ramadan: 75.6 ± 29.2 and 65.9 ± 25.9 mL/min (P = .1) and similar mean estimated glomerular filtration rates 6 months after Ramadan: 77.2 ± 29.7 and 64.1 ± 29 mL/min (P = .21). Mean changes in the estimated glomerular filtration rate were similar in the 2 groups: -1.5 ± 10.9 and -2.8 ± 19.3 (P = .7) as was the percentage change (-0.2.2 ± 13.4 and 1.8 ± 15.9; P = .4). In the fasting group, serum creatinine and estimated glomerular filtration rate were similar before and 6 months after Ramadan: 105.1 ± 55 and 105.14 ± 61 µmol/L (P = 1.0) and 75.6 ± 29 and 72.2 ± 29.7 mL/min (P = .36). No significant changes were observed in the nonfasting group. No significant differences were detected regarding fasting in the estimated glomerular filtration rate before and 6 months after Ramadan in the 3 groups with the low, moderate, and high glomerular filtration rates at baseline. Conclusions: Fasting for Ramadan in August does not adversely affect graft function at a mean followup of 7.6 ± 1.3 months.

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“…Studies in renal transplant patients have suggested that fasting during the month of Ramadan does not seem to be associated with any significant adverse effects for those with either normal or impaired graft function, and fasting during Ramadan has been suggested to be safe for patients 1 year after transplantation (19)(20)(21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

Recommendations for Fasting in Ramadan for Patients on Peritoneal Dialysis

et al. 2013

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♦ Introduction: The month of Ramadan holds great religious and social significance for Muslims all over the world. The aim of the present study was to provide a modified dialysis schedule for peritoneal dialysis (PD) patients that allows for fasting and that minimizes the effect on the patient's general health and volume status. ♦ Methods: We observed 31 patients under treatment at the PD unit of King Khalid University Hospital, King Saud University, Riyadh. During the 3 -4 weeks before the start of Ramadan, all patients were counseled individually and in detail about the possibility of fasting. They were also provided with clear instructions about fluid intake (up to 1 L daily) and avoiding a high-potassium diet. Of the 31 patients, 18 (10 women, 8 men) elected to fast during the month of Ramadan.The mean duration of fast in the study year (2009) in Riyadh, Saudi Arabia, was about 14 hours: from 0415 h (before sunrise) to 1800 h (after sunset). Depending on membrane type and patient preference, the fasting group was shifted to one of two regimens:• Modified continuous ambulatory PD (8 patients): 3 exchanges during the night (1.36% or 2.27%), and icodextrin for a long dwell during the day. The first dialysis exchange was performed immediately after breaking the fast (1900 h), and the next at 2300 h. The final exchange was performed in the early morning before sunrise (0300 h), when the icodextrin was infused.• Modified continuous cycling PD (10 patients): exchanges (1.36% or 2.27%) were performed over 6 -7 hours, and icodextrin was infused for a long dwell during the day. The patient connected to the cycler at 2000 h or 2100 h, and therapy finished at nearly 0300 h, with icodextrin as the last fill.♦ Results: Of the study patients, 2 were admitted because of peritonitis (1 in each modality group), and the modified therapy was discontinued. In the modified CCPD group, 1 patient (on PD for 1 month before Ramadan) developed PD-related pleural effusion (proved by pleural fluid analysis), and PD was consequently discontinued. Hypotension developed in 2 patients of the CAPD group and 1 of the CCPD group during the first 2 weeks.

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Ramadan fast in kidney transplant recipients: a prospective comparative study

Cited by 20 publications

References 13 publications

Ramadan fasting in kidney transplant recipients with normal renal function and with mild-to-moderate renal dysfunction

Ramadan fasting in kidney transplant recipients with normal renal function and with mild-to-moderate renal dysfunction

Effect of Fasting for Ramadan on Kidney Graft Function During the Hottest Month of the Year (August) in Riyadh, Saudi Arabia

Recommendations for Fasting in Ramadan for Patients on Peritoneal Dialysis

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