M. Hassanein, Alaaeldin M K Basheir, E. Abdelgadir, M. AlSaeed, A. Khalifa, F. Alawadi
{"title":"Survey of the knowledge and attitude of physicians toward the management of diabetes mellitus during Ramadan","authors":"M. Hassanein, Alaaeldin M K Basheir, E. Abdelgadir, M. AlSaeed, A. Khalifa, F. Alawadi","doi":"10.22038/jfh.2016.7748","DOIUrl":"https://doi.org/10.22038/jfh.2016.7748","url":null,"abstract":"Ramadan fasting has been a major concern among researchers considering the theoretically imposed risk on patients with diabetes mellitus due to prolonged fasting. Studies indicate that the knowledge and practices of physicians do not comply with the proposed recommendations in this regard in many cases. This study aimed to explore the viewpoints and attitudes of physicians toward the management of diabetes mellitus regarding to Ramadan fasting. In addition, we assessed the knowledge and compliance of physicians with available recommendations regarding the management of diabetes mellitus in Ramadan. According to the results, Ninety five present of the physicians (n=862) believed the type of diabetes to be “important” or “very important” in decision-making for Ramadan fasting. Control of diabetes before Ramadan was noted as “important” or “very important” by 95 of the physicians (n=848). Moreover, the majority of respondents emphasized on the pivotal role of self-monitoring of blood glucose in the management of patients receiving insulin or sulphonylureas (SUs), and to a lesser extend in cases treated with other oral hypoglycemic agents than SUs. Among the participants, 63.8 (n=397) confirmed the availability of Ramadan-focused educational programs for their patients, whereas thirty six present (n=225) mentioned the absence of such programs. According to the results of this study, it is crucial to raise the awareness of patients and physicians about the importance of Ramadan fasting through structured educational interventions in order to reduce the health risks associated with fasting in diabetic patients. Therefore, it is recommended that simplified guidelines and educational materials be dispensed for healthcare providers for related training programs before Ramadan.","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"117-121"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fasting in the holy month of Ramadan and Lipid profile","authors":"S. Mirsane, Shima Shafagh, Nasrin Oraei","doi":"10.22038/JFH.2016.7333","DOIUrl":"https://doi.org/10.22038/JFH.2016.7333","url":null,"abstract":"Ramadan is the ninth month of the Islamic calendar, and is a fasting month .Fasting is one of the islamic obligations. This annual ritual is regarded as one of the Five Pillars of Islam according to hadith of fifth Shia imam.In the other hand, Lipid profile is a type of blood tests and this's very important for body health, Specialy individuals with abnormal range of it. A complete lipid profile involves routine tests such as Total Cholesterol(TC), Triglycerides (TG),high-density lipoprotein (HDL,good cholesterol) and low-density lipoprotein (LDL,bad cholesterol).Our goal is determination of Ramadan fasting efficacy on the Lipid profile. With regards to the present study, it can be concluded that fasting have a good effects on the Lipid profile , according to the above fields. But this subject needs to have multiple studies, so it was advised to conduct more study, in order to obtain the comprehensive and exact results. Finally, Holy month of Ramadan and fasting have a lot miracles in different fields of health ,So fasting is a godliness way that it have multiple remedial effects.","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"93-94"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seyed Mostafa Arabi, M. Nematy, M. Hashemi, M. Safarian
{"title":"Effects of Ramadan fasting on plasma free fatty acids in patients with non-alcoholic fatty liver disease","authors":"Seyed Mostafa Arabi, M. Nematy, M. Hashemi, M. Safarian","doi":"10.22038/JFH.2016.7570","DOIUrl":"https://doi.org/10.22038/JFH.2016.7570","url":null,"abstract":"Introduction: Nonalcoholic fatty liver disease (NAFLD) is a global disease which its prevalence is about 10-35%. Several factors are involved in the pathogenesis of the disease. The present study was conducted to evaluate the effect of fasting during Ramadan on plasma free fatty acids in patients with NAFLD. Methods: This cross-sectional study was performed during the month of Ramadan in June-July, 2014 (Islamic year: 1435) with 50 patients who were living in Mashhad, Iran. The participants were recruited from 18-65 years old patients. The inclusion criteria were 1) patients with NAFLD that diagnosed fatty liver by ultrasonography and 2) being at least 10 hours fasting. Levels of plasma free fatty acids (Palmitic, Elaidic and Oleic fatty acid) were analyzed in blood sample of all patients by gas chromatography apparatus equipped with a flame ionization detector (GC-FID). Result: results indicated that there was no significant changes were observed in plasma levels of Palmitic, Elaidic and Oleic fatty acids in overweight patients (BMI 25-30 ), but plasma levels of Elaidic acid significantly increased in obese patients (P","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introducing the Practical Guideline for Diabetes and Ramadan, Developed by International Diabetes Federation in Collaboration with Diabetes and Ramadan International Alliance, 2016","authors":"M. Nematy, A. Mehdizadeh","doi":"10.22038/JFH.2016.7588","DOIUrl":"https://doi.org/10.22038/JFH.2016.7588","url":null,"abstract":"Considering the fact that many Muslims with diabetes prefer to fast in spite of inhibitory advises and to answer several conflicts and controversies regarding diabetes and Ramadan, IDF in collaboration with Diabetes and Ramadan (DAR) International in Alliance decided to develop a comprehensive guideline to be used by health care professionals. This guideline was then developed on April 2016 by 12 main authors and 20 co-authors from all around the world, and published by International Diabetes Federation. The guideline is provided in nine chapters: 1) Introduction to the IDF-DAR Practical Guidelines, 2) Epidemiology of Diabetes and Ramadan Fasting, 3) Physiology of Ramadan Fasting, 4) Risk Stratification of Individuals with Diabetes before Ramadan, 5) Diabetes and Ramadan: A Medico-religious Perspective, 6) Pre-Ramadan Education, 7) Ramadan Nutrition Plan (RNP) for Patients with Diabetes, 8) Management of Diabetes during Ramadan and 9) Identifying and Overcoming Barriers to Guideline Implementation. This guideline tries to answer three main questions: 1) Is fasting during Ramadan associated with a significant risk? 2) What are the criteria that predispose patients with diabetes to increased risk during fasting? 3) What is the most appropriate oral anti-diabetic drug(s) or type and regimen of insulin for patients with type 2 diabetes who fast? IDF-DAR Practical Guideline is now available at: http://www.idf.org/sites/default/files/IDF-DAR-Practical-Guidelines-Final-Low.pdf","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"95-96"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fasting and diabetes from a local and global perspective- commentary","authors":"B. Eichorst","doi":"10.22038/JFH.2016.7789","DOIUrl":"https://doi.org/10.22038/JFH.2016.7789","url":null,"abstract":"Fasting is a common practice among people with diabetes (PWD). As healthcare providers we are in a position to assist those who choose to fast to manage their diabetes effectively. Diabetes self-management education for PWD is needed both prior and during the time of fasting to best metabolic control.","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"108-110"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of Ramadan fasting on physical field-expedient measures in army cadets (ahead of publication)","authors":"K. Havenetidis","doi":"10.22038/JFH.2016.7790","DOIUrl":"https://doi.org/10.22038/JFH.2016.7790","url":null,"abstract":"Article type: Original article Background and Objectives: Given the limited number of studies on Ramadan fasting and military performance, we conducted this study to identify the effect of Ramadan fasting on physical fitness performances in army cadets. Methods: Twenty healthy males were randomly selected from a larger sample group. The subjects were divided into fasting (n=10) and non-fasting (n=10) groups. They performed various military physical fitness tests (pull ups, sit ups, swimming obstacle course, push ups, obstacle course, and one mile run) in three separate periods (1st: baseline, 2nd: pre-Ramadan fasting, and 3rd: post-Ramadan fasting). All the cadets also completed three-day food records prior to each exercise testing. Results: Repeated measures ANOVA showed non-significant differences between the groups for pull ups, sit ups, swimming obstacle course, and push ups (P>0.05). However, towards the end of the testing (when performing the obstacle course and the one-mile run) the fasting group showed significantly lower performance (P<0.001) compared to the non-fasting group. Performance percentage differences (preand post-Ramadan fasting) for the fasting group were 5.0%, 2.5%, 1.0%, 1.0%, -2.8%, and -4.0% for pull ups, sit ups, swimming obstacle course, push ups, obstacle course, and one-mile run, respectively. Following dietary analysis, no significant difference (P>0.05) was noted in various nutritional parameters across the three food recording periods. Conclusion: Ramadan fasting does not affect overall military fitness performance; however, it seems that fasting cadets cannot handle repeated maximal exercise testing efficiently possibly due to inadequate recovery between tests. Article History: Received: 07 Sep 2016 Accepted: 09 Nov 2016 Published: 10 Nov 2016","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"114-116"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of Ramadan fasting on physical field-expedient measures in army cadets","authors":"K. Havenetidis","doi":"10.22038/JFH.2016.7889","DOIUrl":"https://doi.org/10.22038/JFH.2016.7889","url":null,"abstract":"Introduction: Given the limited number of studies on Ramadan fasting and military performance, we conducted this study to identify the effect of Ramadan fasting on physical fitness performances in army cadets. Methods: Twenty healthy males were randomly selected from a larger sample group. The subjects were divided into fasting (n=10) and non-fasting (n=10) groups. They performed various military physical fitness tests (pull ups, sit ups, swimming obstacle course, push ups, obstacle course, and one mile run) in three separate periods (1st: baseline, 2nd: pre-Ramadan fasting, and 3rd: post-Ramadan fasting). All the cadets also completed three-day food records prior to each exercise testing. Results: Repeated measures ANOVA showed non-significant differences between the groups for pull ups, sit ups, swimming obstacle course, and push ups (P>0.05). However, towards the end of the testing (when performing the obstacle course and the one-mile run) the fasting group showed significantly lower performance (P0.05) was noted in various nutritional parameters across the three food recording periods. Conclusion: Ramadan fasting does not affect overall military fitness performance; however, it seems that fasting cadets cannot handle repeated maximal exercise testing efficiently possibly due to inadequate recovery between tests","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"111-116"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Roudi, Fatemeh Resketi, Akram Behrouznia, G. Khademi
{"title":"Can we prepare our bodies over the year to cope with Ramadan fasting more easily? Imam Reza’s health and dietary recommendations for different months of the year","authors":"M. Roudi, Fatemeh Resketi, Akram Behrouznia, G. Khademi","doi":"10.22038/JFH.2016.6866","DOIUrl":"https://doi.org/10.22038/JFH.2016.6866","url":null,"abstract":"Article type: Review article Weather conditions, comprised of multiple parameters (e.g., atmospheric pressure, wind, temperature, moisture, and heat) vary during different months of the year. These variations influence almost all organisms including humans (1). Proper nutritional diet is one of the factors which can lead to human adjustment with atmospheric changes. Imam Reza, the eighth Shia Imam, has presented the most effective and thorough dietary suggestions for different months of the year. In this article, we studied his debates in his medical book, known as “Al-Risalah al-Dhahabiah fi alTibb” (the golden medical dissertation), using the analytical library method. We reviewed and highlighted these recommendations and tried to determine if they could promote the body stamina to cope with Ramadan fasting. Article History: Received: 24 Apr 2016 Accepted: 28 June 2016 Published: 1 June 2016","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68365711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naeeme Ganjali, H. Mozaffari‐khosravi, M. A. Ardakani, M. Shahraki, H. Fallahzadeh
{"title":"Effect of islamic fasting on glucose, lipid profiles and Body Mass Index, adiponectin and leptin in obese individuals","authors":"Naeeme Ganjali, H. Mozaffari‐khosravi, M. A. Ardakani, M. Shahraki, H. Fallahzadeh","doi":"10.22038/JFH.2016.7077","DOIUrl":"https://doi.org/10.22038/JFH.2016.7077","url":null,"abstract":"Introduction: Fasting is an Islamic practice, which causes various metabolic changes in fasting individuals. Numerous studies have examined different aspects of fasting, but its effect on individuals with different characteristics such as obesity has remained unknown. The impact of fasting on adipose tissue hormones such as leptin and adiponectin is still controversial. In this study, we aimed to examine the effect of Islamic fasting on glucose and lipid profiles, as well as plasma adiponectin and leptin concentrations in fasting obese and normal-weight individuals.Materials and Methods: Obese and normal-weight individuals from Yazd, Iran, who fasted during Ramadan were divided into two groups (n=24). Blood samples were taken from all the participants after 10-12 fasting hours two days before and one day after Ramadan to assess glucose and lipid profiles and plasma adiponectin and leptin concentrations. The individuals who were not able to fast for at least 21 days due to inflammatory or infectious diseases and those who received oral medications or supplements during Ramadan were excluded from the study.Results: Variations in weight, body mass index (BMI), total cholesterol, high-density lipoprotein cholesterol (HDL-c), the ratio of total cholesterol to HDL-c were significant in the obese group (P<0.05). There were no significant changes in leptin and adiponectin levels in obese cases. Variables such as weight, BMI, and triglycerides and leptin levels decreased significantly, while adiponectin level did not change significantly in normal-weight cases.Conclusion: Islamic fasting can prevent cardiovascular diseases in obese and normal-weight individuals through reducing weight, BMI, and some blood lipids, elevating HDL-c level, and changing the concentration of some adipokines.","PeriodicalId":90593,"journal":{"name":"Journal of fasting and health","volume":"4 1","pages":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68366098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}