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Clinical and Biochemical Parameters of Hemodialysis Patients Before and During Islamic Month of Ramadan.

Published on Mar 1, 2016in Iranian Journal of Kidney Diseases1.203
Salman Imtiaz3
Estimated H-index: 3
,
Beena Salman2
Estimated H-index: 2
+ 3 AuthorsAasim Ahmad6
Estimated H-index: 6
Abstract
Introduction. Month of Ramadan bring many changes in life style, especially the diet of Muslims all over the world among both fasting and nonfasting individuals. Hemodialysis patients are kept on restricted diet because of fluid and electrolytes imbalance. The aim of this study was to compare changes in the clinical and biochemical parameters in fasting and nonfasting hemodialysis patients during the Ramadan. Materials and Methods. In a longitudinal study, we recruited 282 patients who were on maintenance dialysis for more than 3 months. Measurements included body weight, blood pressure, serum potassium, serum albumin, and serum phosphorus at the beginning and during the last week of Ramadan. Results. There were 252 patients who were not fasted while 34 patients were those who fasted during the Ramadan. In the nonfasting hemodialysis patients, serum albumin significantly increased at the end of Ramadan ( P < .001), while serum phosphorus levels ( P = .004) and diastolic blood pressure ( P = .002) showed a decrease as compared with the measurements before Ramadan. In the fasting group, only serum albumin had a significant increase ( P < .001) during Ramadan, while other parameters were not significantly different between the two measurements. Conclusions. Changes in dietary pattern and content during the Ramadan is safe in terms of electrolyte balance and blood pressure changes for patients on hemodialysis. It is also safe for those patients who want to fast during this month.
  • References (15)
  • Citations (4)
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References15
Newest
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Objective: The effect of month of Ramadan on the mortality in hemodialysis patients, and to compare it with that in all other Islamic months. Study Design: A descriptive study. Place and Duration of Study: Hemodialysis Unit, The Kidney Center, Karachi, from January 1989 to December 2012. Methodology: All those patients who were diagnosed to have end stage kidney disease and on maintenance hemodialysis for more than 3 months, regardless of underlying cause of kidney failure were included. Patient...
4 Citations
Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, DINOGMI, Section of Psychiatry, University of Genoa, Genoa, ItalyRamadan fasting represents one of the fi ve pillars of the Islam creed according to the Sunnah and the second practice of faith for the Shiaa. Even though patients are exempted from observing this religious duty, they may be eager to share this particular moment of the year with their family and peers. However, there are no guidelines or ...
23 Citations
Introduction. This study aimed to investigate effects of fasting during the Ramadan month among chronic kidney disease (CKD) and hemodialysis patients. Materials and Methods. A prospective study was carried out on patients seen between August and November 2010 at two hospitals of King Saud University. Volunteers from among patients with CKD and hemodialysis patients were evaluated for kidney function and complications before, during, and after 14-hour daily Ramadan fasting for 30 days. A modifie...
12 Citations
5 CitationsSource
#1Balkees A. Bakhotmah (KAU: King Abdulaziz University)H-Index: 8
Background During Ramadan fast, approximately one billion Muslims abstain from food and fluid between the hours of sunrise to sunset, and usually eat a large meal after sunset and another meal before sunrise. Many studies reported good health-related outcomes of fasting including weight loss. The objective of this study is to identify the local pattern of expenditure on food consumption, dietary habits during Ramadan and correlate that to self-reported weight gain after Ramadan in a group of fam...
47 CitationsSource
#1Kitty J. Jager (UvA: University of Amsterdam)H-Index: 53
#2Bengt Lindholm (KI: Karolinska Institutet)H-Index: 76
Last. Fido Dekker (LUMC: Leiden University Medical Center)H-Index: 77
view all 15 authors...
Over the past decade, the research agenda in dialysis has been dominated by studies on risk factors associated with cardiovascular mortality. It has now become increasingly clear that in dialysis patients, non-cardiovascular causes of death are increased to the same extent as cardiovascular mortality, and therefore research efforts in this area deserve an equally prominent place on the nephrology research agenda. As previous research has suggested an association between cardiovascular disease an...
20 CitationsSource
#1Bassam Bernieh (Johns Hopkins University)H-Index: 9
#2Mohammad Raafat Al Hakim (Johns Hopkins University)H-Index: 2
Last. Fikri M Abu Zidan (United Arab Emirates University)H-Index: 1
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Fasting of the month of Ramadan is a pillar of Islam. Muslim patients with chronic kidney disease (CKD) usually fast this month. To determine the effects of fasting on renal function in CKD patients, we prospectively studied 31 (19 males and mean age 54 ±14.2 years) CKD patients during the month of Ramadan 1426 Hijra (4 th October - 4 th November 2005); 14 patients were in stage III CKD, 12 had stage IV and 5 had stage V. The mean estimated glomerular filtration rate (e-GFR) was 29 ± 16.3 mL/min...
23 Citations
#1Fereidoun Azizi (Shahid Beheshti University of Medical Sciences and Health Services)H-Index: 66
Background: Muslims fast from sunrise to sunset during the month of Ramadan, the 9th lunar month. The duration of fasting varies from 13 to 18 h/day. Fasting includes avoidance of d
93 CitationsSource
#1Hala S El-Wakil (Alexandria University)H-Index: 3
#2Iman Desoky (Alexandria University)H-Index: 1
Last. Ahmed G. Adam (Alexandria University)H-Index: 3
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Ramadan is the ninth lunar month of the Islamic calendar. During Ramadan, Muslims abstain from food and drink from dawn to sunset (fasting) to express their gratitude to God; eating and drinking is permitted only at night. Muslims typically consume two meals each day, one after sunset, and the other just before dawn. The effect of fasting during the month of Ramadan on patients with renal impairment is still a matter of controversy. This is a prospective study performed on 15 predialysis chronic...
29 Citations
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#1Nurul Iman Hafizah Adanan (UPM: Universiti Putra Malaysia)H-Index: 1
#2Mohamad Syafiq Md Ali (UPM: Universiti Putra Malaysia)H-Index: 1
Last. Zulfitri ‘Azuan Mat Daud (UPM: Universiti Putra Malaysia)H-Index: 2
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Objective Studies investigating the health effects of prolonged intermittent fasting during Ramadan among Muslim patients on hemodialysis (HD) are limited and reported heterogeneous findings. This study aimed to evaluate the effects of intermittent fasting during Ramadan on nutritional and functional status of patients on maintenance HD. Design and Methods This was a 12-week, multicenter, prospective observational study. The study setting included three HD centers. Adult Muslim patients, who wer...
2 CitationsSource
#1Shahzaib Ahmad (St Helier Hospital)H-Index: 1
#2Tahseen A Chowdhury (Royal London Hospital)H-Index: 20
Chronic kidney disease (CKD) is common among Muslim patients, and many such patients are keen to fast during the month of Ramadan. Fasting for prolonged periods may be deleterious for patients with...
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#2Deepinder KaurH-Index: 2
Last. Pramod KhoslaH-Index: 19
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The period of Ramadan (R) is associated with dramatic changes in eating habits involving extended periods of fasting on a daily basis. The current study assessed whether lipids and lipoproteins were impacted during R in chronic hemodialysis (HD) patients. Forty-five subjects in an outpatient dialysis clinic in Saudi Arabia were evaluated for anthropometric and lipid changes on a monthly basis before, during as well as one and two months after R. In addition to routine biochemical measures, anthr...
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#1Emad KhaznehH-Index: 1
Last. Mujahed ShraimH-Index: 4
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The publication of this article was funded by the Qatar National Library. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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#1Ghada El-KannishyH-Index: 3
Last. Nagy Sayed-AhmedH-Index: 2
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Introduction:Muslim hemodialysis (HD) patients are motivated to practice fasting in Ramadan. Health-care providers may be unable to make a recommendation based on lack of evidence. The aim of the p...
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Forced migration is on the rise, mainly from the Middle East to western countries, resulting in unprecedented moral, political, and economic challenges for both refugees and host communities. Recent research showed that refugees represent around 1.5% of the dialysis population in several European and Middle Eastern countries surveyed. Despite the fact that refugees represent a small percentage of all dialysis patients in these countries, adequate care for this population is challenging. There ar...
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