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Lipids, Lipoprotein Distribution and Nutritional Parameters over the Ramadan Period in Hemodialysis Patients

Published on Sep 14, 2019in Nutrients4.171
· DOI :10.3390/nu11092225
Bayan Tashkandi , Deepinder Kaur2
Estimated H-index: 2
+ 6 AuthorsPramod Khosla19
Estimated H-index: 19
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Abstract
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, anthropometric assessments including hand-grip strength (HGS), mid-arm muscle circumference (MAMC), plasma lipids and lipoproteins were evaluated. Dietary assessment was carried out using 24 h recalls. Over the course of the study, changes in renal-related parameters (creatinine, albumin, Kt/V) were minor, as were changes in plasma lipids. Large high-density lipoproteins (HDLs) and low-density lipoproteins (LDLs) accounted for the majority of their respective lipoproteins and their proportions did not change over the study period. Mean LDL particle diameters were higher during the R period, but the changes over the study period were small. Calorie intake during R (2139 ± 709 kcal/d) was significantly higher than the value noted two month post-R (1755 ± 424 kcal/d) and this was associated with significant increases in protein (69 ± 24 vs. 60 ± 24 g/d) and fat (97 ± 38, vs. 73 ± 35 g/d), respectively. No changes were noted with respect to HGS and MAMC. These data show that for HD patients, the period of R results in temporal or non-significant effects on plasma lipids, despite changes in nutrient intake.
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References45
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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
#1Seo Hyeon Hwang (Yonsei University)H-Index: 1
#2Dong Hoon Lee (Harvard University)H-Index: 15
Last. Justin Y. Jeon (Yonsei University)H-Index: 27
view all 4 authors...
The aim of this study was to conduct a meta-analysis of the association between handgrip strength (HGS) and all-cause mortality in patients with chronic kidney disease undergoing dialysis. We evaluated eligible studies by searching PubMed and EMBASE databases up to December 2, 2018. A total of 9 prospective cohort studies were included in this meta-analysis. When we compared patients with low HGS to those with high HGS, the summary risk ratio of all-cause mortality was 1.88 (95% confidence inter...
3 CitationsSource
#1Seyed Mostafa Nachvak (Kermanshah University of Medical Sciences)H-Index: 3
#2Yahya Pasdar (Kermanshah University of Medical Sciences)H-Index: 5
Last. John R. Speakman (CAS: Chinese Academy of Sciences)H-Index: 82
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Changes in food consumption patterns during Ramadan may cause metabolic changes, but these have not been well studied. We aimed to determine food intake, glucose homeostasis, lipid profiles, and body composition before, during, and after Ramadan fasting. 160 healthy men were enrolled and investigated at three times (before, at the end of, and 1 month after Ramadan). Body composition was estimated by bio-impedance. Fasting blood samples were obtained for measuring fasting blood sugar (FBS), lipid...
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#1Pierre Delanaye (University of Liège)H-Index: 34
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Background There is accumulating evidence that serum levels of non–high‐density lipoprotein cholesterol (non–HDL‐C) are a more accurate predictor of cardiovascular outcomes when compared with low‐d...
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#1Nader Lessan (Imperial College London)H-Index: 6
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Last. Hamid Moradi (UCI: University of California, Irvine)H-Index: 21
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Background and objectives Elevated serum triglyceride/HDL cholesterol (TG/HDL-C) ratio has been identified as a risk factor for cardiovascular (CV) disease and mortality in the general population. However, the association of this important clinical index with mortality has not been fully evaluated in patients with ESRD on maintenance hemodialysis (MHD). We hypothesized that the association of serum TG/HDL-C ratio with all-cause and CV mortality in patients with ESRD on MHD is different from the ...
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#1Amaar A. Bakhit (KSU: King Saud University)H-Index: 1
#2Amr M. Kurdi (KSU: King Saud University)H-Index: 1
Last. Abdulkareem Alsuwaida (KSU: King Saud University)H-Index: 12
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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 ...
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#1Salman ImtiazH-Index: 3
#2Beena SalmanH-Index: 2
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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 m...
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