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

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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.

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斋月期间优化肾脏疾病管理：基于证据的风险分层和量身定制的策略。

斋月期间的禁食对患有肾病的人来说是一个明显的挑战，需要在精神承诺和健康维护之间取得谨慎的平衡。本文结合了来自最近研究和指导方针的见解，为风险评估提供了一个全面的框架。根据个人、环境和健康相关因素，将患者分为低、中、高风险三类。管理方法分为四个主要领域：精神支持，非药物干预，药物调整和肾脏替代疗法（KRT）的修改。有证据表明，稳定的慢性肾脏疾病（CKD）患者，特别是1-3期患者，以及移植物功能稳定的肾移植受者在严密的监督下可以安全快速。相反，由于可能的并发症，建议晚期CKD患者、透析患者和有重大其他健康问题的个体不要禁食。基本建议包括优化水合作用、定制药物计划、进行定期监测和调整饮食。通过将医学知识与文化意识相结合，医疗保健提供者可以促进斋月期间的安全禁食并改善健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.