Optimizing Kidney Disease Management during Ramadan: Evidence-Based Risk Stratification and Tailored Strategies.

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Journal of the Pakistan Medical Association Pub Date : 2025-03-01 DOI:10.47391/JPMA.25-21

Sourabh Sharma, Manisha Sahay, Mastakim Ahmed Mazumder, Sanjay Kalra

{"title":"Optimizing Kidney Disease Management during Ramadan: Evidence-Based Risk Stratification and Tailored Strategies.","authors":"Sourabh Sharma, Manisha Sahay, Mastakim Ahmed Mazumder, Sanjay Kalra","doi":"10.47391/JPMA.25-21","DOIUrl":null,"url":null,"abstract":"<p><p>Fasting during Ramadan poses distinct challenges for individuals with kidney disease, requiring a careful balance between spiritual commitments and health maintenance. This article combines insights from recent research and guidelines to offer a thorough framework for risk assessment. Patients are classified into low, moderate, and high-risk categories based on individual, environmental, and health-related factors. Management approaches are organized into four main areas: spiritual support, non-drug interventions, medication adjustments, and modifications to kidney replacement therapy (KRT). Evidence indicates that stable chronic kidney disease (CKD) patients, especially those in stages 1-3, and kidney transplant recipients with stable graft function can fast safely with careful supervision. Conversely, patients with advanced CKD, those on dialysis, and individuals with significant additional health issues are advised against fasting due to possible complications. Essential recommendations include optimizing hydration, customizing medication plans, conducting regular monitoring, and making dietary adjustments. By merging medical knowledge with cultural awareness, healthcare providers can facilitate safe fasting and enhance health outcomes during Ramadan.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 3","pages":"506-508"},"PeriodicalIF":0.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Pakistan Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.47391/JPMA.25-21","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Fasting during Ramadan poses distinct challenges for individuals with kidney disease, requiring a careful balance between spiritual commitments and health maintenance. This article combines insights from recent research and guidelines to offer a thorough framework for risk assessment. Patients are classified into low, moderate, and high-risk categories based on individual, environmental, and health-related factors. Management approaches are organized into four main areas: spiritual support, non-drug interventions, medication adjustments, and modifications to kidney replacement therapy (KRT). Evidence indicates that stable chronic kidney disease (CKD) patients, especially those in stages 1-3, and kidney transplant recipients with stable graft function can fast safely with careful supervision. Conversely, patients with advanced CKD, those on dialysis, and individuals with significant additional health issues are advised against fasting due to possible complications. Essential recommendations include optimizing hydration, customizing medication plans, conducting regular monitoring, and making dietary adjustments. By merging medical knowledge with cultural awareness, healthcare providers can facilitate safe fasting and enhance health outcomes during Ramadan.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of the Pakistan Medical Association Medicine-General Medicine

CiteScore

1.10

自引率

11.10%

发文量

983

审稿时长

3-6 weeks

期刊介绍： Primarily being a medical journal, JPMA publishes scholarly research focusing on the various fields in the areas of health and medical education. It publishes original research describing recent advances in health particularly clinical studies, clinical trials, assessments of pathogens of diagnostic importance, medical genetics and epidemiological studies. Review articles highlighting importance of various issues in the domain of public health, drug research and medical education are also accepted. As a leading journal of South Asia, JPMA remains cognizant of the recent advances in the rapidly growing fields of biomedical sciences, it invites and encourages scholars to write short reviews and invited editorials on the emerging issues. We particularly aim to promote health standards of developing countries by encouraging manuscript submissions on issues affecting the public health and health delivery services.