Sustainable positive effects of Ramadan intermittent fasting in rheumatoid arthritis

Nessib, Dorra Ben; Maatallah, Kaouther; Ferjani, H.; Triki, Wafa; Kaffel, Dhia; Hamdi, Wafa

doi:10.1007/s10067-021-05892-4

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…The sustainability of RF effects on rheumatoid arthritis (RA) activity was evaluated in a prospective study including 35 patients with RA who observed RF in 2019. 49 The disease activity was assessed and compared between three-time points: before (T1), during (T2), and after (T3) Ramadan using the disease activity score 28 (DAS28). After significantly decreasing all disease activity parameters between T1 and T2, a gradual increase in clinical and biological outcomes was seen between T2 and T3.…”

Section: Impact Of Rf On Rheumatology Hematology and Oncology Practicesmentioning

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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Section: Impact Of Rf On Rheumatology Hematology and Oncology Practicesmentioning

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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“…Ben Nessib et al 74 assessed the sustainability of fasting effects on rheumatoid arthritis (RA) activity in a prospective study that included 35 patients who observed RF in 2019. The disease activity was compared between three time points 6 months before (T1), T2 during Ramadan (T2), and about 3.4 months after fasting (T3).…”

Section: Resultsmentioning

confidence: 99%

“…Single articles that were reported addressed miscellaneous subjects or medical conditions. 70 71 72 73 74 75 76…”

Section: Resultsmentioning

confidence: 99%

“…Single articles that were reported addressed miscellaneous subjects or medical conditions. [70][71][72][73][74][75][76] Eyes Shokoohi-Rad et al 70 assessed the effect of RF on intraocular pressure (IOP), retinal parameters, and retinal thickness using optical coherence tomography angiography performed on a spectral domain device. All the participants ate a predawn meal and drink and then fasted for at least 15 hours.…”

Section: Miscellaneous Conditionsmentioning

confidence: 99%

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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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“…Dietary interventions comprise caloric restriction, periods of fasting alternating with unrestricted food uptake (intermittent fasting (IF)) or fasting-mimicking diets. Calorie reduction was shown to reduce disease activity in RA,345 and IF during Ramadan decreased disease activity in patients with RA and spondyloarthritis 346 347. Promising results have also been achieved with Mediterranean and vegetarian diets in RA 348 349.…”

Section: Implications For Treatmentmentioning

confidence: 99%

Inflammatory tissue priming: novel insights and therapeutic opportunities for inflammatory rheumatic diseases

Hoffmann,

Kirchner,

Krönke

et al. 2024

Ann Rheum Dis

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Due to optimised treatment strategies and the availability of new therapies during the last decades, formerly devastating chronic inflammatory diseases such as rheumatoid arthritis or systemic sclerosis (SSc) have become less menacing. However, in many patients, even state-of-the-art treatment cannot induce remission. Moreover, the risk for flares strongly increases once anti-inflammatory therapy is tapered or withdrawn, suggesting that underlying pathological processes remain active even in the absence of overt inflammation. It has become evident that tissues have the ability to remember past encounters with pathogens, wounds and other irritants, and to react more strongly and/or persistently to the next occurrence. This priming of the tissue bears a paramount role in defence from microbes, but on the other hand drives inflammatory pathologies (the Dr Jekyll and Mr Hyde aspect of tissue adaptation). Emerging evidence suggests that long-lived tissue-resident cells, such as fibroblasts, macrophages, long-lived plasma cells and tissue-resident memory T cells, determine inflammatory tissue priming in an interplay with infiltrating immune cells of lymphoid and myeloid origin, and with systemically acting factors such as cytokines, extracellular vesicles and antibodies. Here, we review the current state of science on inflammatory tissue priming, focusing on tissue-resident and tissue-occupying cells in arthritis and SSc, and reflect on the most promising treatment options targeting the maladapted tissue response during these diseases.

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Sustainable positive effects of Ramadan intermittent fasting in rheumatoid arthritis

Cited by 6 publications

References 14 publications

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

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

Review of the Literature on Ramadan Fasting and Health in 2022

Inflammatory tissue priming: novel insights and therapeutic opportunities for inflammatory rheumatic diseases

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