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Effects of Ramadan fasting on moderate to severe chronic kidney disease. A prospective observational study

Published on Jan 1, 2017in Saudi Medical Journal1.055
· DOI :10.15537/smj.2017.1.17566
Amaar A. Bakhit1
Estimated H-index: 1
(KSU: King Saud University),
Amr M. Kurdi1
Estimated H-index: 1
(KSU: King Saud University)
+ 1 AuthorsAbdulkareem Alsuwaida12
Estimated H-index: 12
(KSU: King Saud University)
Abstract
Objectives: To examin the effect of Ramadan fasting on worsening of renal function (WRF). Method: This was a single-arm prospective observational study including 65 patients with stage 3 or higher chronic kidney disease (CKD). By definition, WRF was considered to have occurred when serum creatinine levels increased by 0.3 mg/dL (26.5 µmol/l) from baseline during or within 3 months after Ramadan. The study was conducted in the Nephrology Clinic of King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia during the month of Ramadan 1436 AH (Hijiri), which corresponded to June 18-July 17, 2015.  Results: This study included 65 adults with a mean age of 53 years. Overall, 33% of patients developed WRF. In the multivariate analysis, more advanced CKD stage, higher baseline systolic blood pressure and younger age were independently associated with WRF. Underlying cause of CKD, use of diuretics, use of renin angiotensin blockers, gender, and smoking status were not associated with WRF.  Conclusion: In patients with stage 3 or higher CKD, Ramadan fasting during the summer months was associated with worsening of renal function. Clinicians need to warn CKD patients against Ramadan fasting.  Saudi Med J 2017; Vol. 37 (1): 48-52 doi: 10.15537/smj.2017.1.17566 How to cite this article: Bakhit AA, Kurdi AM, Wadera JJ, Alsuwaida AO. Effects of Ramadan fasting on moderate to severe chronic kidney disease. A prospective observational study.  Saudi Med J . 2017 Jan;38(1):48-52. doi: 10.15537/smj.2017.1.17566.
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#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
view all 9 authors...
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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#1Manal Mohamed Abushady (Ain Shams University)H-Index: 1
#2M. Samy (Ain Shams University)
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Abstract Aim To evaluate the effect of Ramadan fasting on kidney functions in patients with type 2 DM. Methods We recruited 90 subjects with type 2 DM intending to fast Ramadan; classified into 30 with albuminuria and renal impairment (group I), 30 with albuminuria and normal kidney functions (group II) and 30 without albuminuria and normal kidney functions (group III). Two weeks before and after Ramadan, fasting plasma glucose, 2 h plasma glucose, hemoglobin A1c, fructosamine, serum creatinine,...
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#1Aisha Chowdhury (Royal London Hospital)
#2Halima Khan (Royal London Hospital)H-Index: 1
Last. Tahseen A Chowdhury (Royal London Hospital)H-Index: 20
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#1Mehmet Emin DemirH-Index: 1
Ramazan ayinda yapilan oruc ibadetinin bobrek hastalarini nasil etkiledigi tam olarak bilinmemektedir. Kabul goren ciddi bilimsel calismalarin genelde bati toplumunda yurutulmesi ve bati toplumunda genis kitlelerin ayni anda katildigi boyle bir ibadetin olmamasindan dolayi bu konuda gercek bilimsel veriler eksiktir.
1 CitationsSource
#1Ilhan Ilkilic (Istanbul University)H-Index: 1
#2Hakan Ertin (Istanbul University)H-Index: 3
Background: For an effective treatment of patients, quality-assured safe implementation of drug therapy is indispensable. Fasting during Ramadan, an essential religious practice for Muslims, affects Muslim diabetics’ drug use in a number of different ways. Objectives: Ethical problems arising from fasting during the month of Ramadan for practicing Muslim patients are being discussed on the basis of extant research literature. Relevant conflicts of interest originating in this situation are being...
4 CitationsSource