Journal of Nutrition,Fasting and Health

Journal of Nutrition,Fasting and Health

Misconceptions and Negative Attitudes Towards the Metabolic Effects of Ramadan Fasting, Resulting In Fasting Avoidance

Document Type : Review Article

Authors
Zhaleh Shadman
Nooshin Poorsoltan
Mahdieh Akhoundan
Bagher Larijani
Camellia Akhgar Zhand
Mozhdeh Soleymanzadeh
Zahra Alsadat Seyed Rohani
Zahra Jamshidi
Mohsen khoshniat Nikoo
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran university of Medical Sciences, Tehran, Iran
10.22038/jfh.2014.3682
Abstract
The aim of this study was to assess public knowledge about the effects of Ramadan fasting on various aspects of health and its association with fasting decision-making. This cross-sectional study was conducted on 600 subjects. The association between fasting and participants’ knowledge and attitudes toward Ramadan fasting, anthropometric measurements, physical activity, depression, anxiety, stress, dietary intake, and prior history of diseases was evaluated. The results indicated an adverse correlation between negative attitudes towards the effects of Ramadan fasting and adherence to fasting (P<0.0001). The prevalence of gastrointestinal disorders was higher in the non-fasting group (P=0.002). No significant association was found between other investigated variables and fasting adherence. It seems that negative thinking about the effects of Ramadan fasting may be inversely associated with fasting decision-making. Therefore, evidence-based educational programs may improve public knowledge and encourage fasting among eligible people.
Keywords
Ramadan
Fasting
Knowledge
Health
Attitude
  1. Adlouni A, Ghalim N, Benslimane A, Lecerf JM, Saile R. Fasting during Ramadan induces a marked increase in high-density lipoprotein cholesterol and decrease in low-density lipoprotein cholesterol. Ann Nutr Metab. 1997;41(4):242-9. Epub 1997/01/01.
  2. Nomani MZ, Hallak MH, Nomani S, Siddiqui IP. Changes in blood urea and glucose and their association with energy-containing nutrients in men on hypocaloric diets during Ramadan fasting. Am J Clin Nutr. 1989;49(6):1141-5. Epub 1989/06/01.
  3. Sweileh N, Schnitzler A, Hunter GR, Davis B. Body composition and energy metabolism in resting and exercising muslims during Ramadan fast. J Sports Med Phys Fitness. 1992;32(2):156-63. Epub 1992/06/01.
  4. Roky R, Chapotot F, Hakkou F, Benchekroun MT, Buguet A. Sleep during Ramadan intermittent fasting. J Sleep Res. 2001;10(4):319-27. Epub 2002/03/21.
  5. BaHammam A. Effect of fasting during Ramadan on sleep architecture, daytime sleepiness and sleep pattern. Sleep Biol Rhythm. 2004;2:135-43.
  6. Devoto A, Lucidi F, Violani C, Bertini M. Effects of different sleep reductions on daytime sleepiness. Sleep. 1999;22(3):336-43. Epub 1999/05/26.
  7. Roky R, Iraki L, HajKhlifa R, Lakhdar Ghazal N, Hakkou F. Daytime alertness, mood, psychomotor performances, and oral temperature during Ramadan intermittent fasting. Ann Nutr Metab. 2000;44(3):101-7. Epub 2000/10/29.
  8. Kadri N, Tilane A, El Batal M, Taltit Y, Tahiri SM, Moussaoui D. Irritability during the month of Ramadan. Psychosom Med. 2000;62(2):280-5. Epub 2000/04/20.
  9. Chennaoui M, Desgorces F, Drogou C, Boudjemaa B, Tomaszewski A, Depiesse F, et al. Effects of Ramadan fasting on physical performance and metabolic, hormonal, and inflammatory parameters in middle-distance runners. Appl Physiol Nutr Metab. 2009;34(4):587-94. Epub 2009/09/22.
  10. Ramadan JM, Barac-Nieto M. Cardio-respiratory responses to moderately heavy aerobic exercise during the Ramadan fasts. Saudi Med J. 2000;21(3):238-44. Epub 2001/09/05.
  11. Fedail SS, Murphy D, Salih SY, Bolton CH, Harvey RF. Changes in certain blood constituents during Ramadan. Am J Clin Nutr. 1982;36(2):350-3. Epub 1982/08/01.
  12. Hallak MH, Nomani MZ. Body weight loss and changes in blood lipid levels in normal men on hypocaloric diets during Ramadan fasting. Am J Clin Nutr. 1988;48(5):1197-210. Epub 1988/11/01.
  13. Ziaei V, Yousefi R, Ahmadinezhad Z, Sheykh H, Rezaei M, Behjati MJ. The effect of Ramadan fasting on serum osmolarity, some electrolytes and hematological parameters   IJEM. 2007;9(1):47-53.
  14. Saleh S, El-Kemery T, Farrag K, Badawy M, Sarkis N, Soliman F, et al. Ramadan fasting: relation to atherogenic risk among obese Muslims. J Egypt Public Health Assoc. 2004;79(5-6):461.
  15. Ramadan J. Does fasting during Ramadan alter body composition, blood constituents and physical performance? Med Princ Pract. 2002;11 Suppl 2:41-6. Epub 2002/11/22.
  16. Latifynia A, Vojgani M, Abofazeli T, Jafarieh H. Circulating immune complex during Ramadan. J Ayub Med Coll Abbottabad. 2007;19(2):15-8. Epub 2008/01/11.
  17. Latifynia A, Vojgani M, Gharagozlou MJ, Sharifian R. Effect of Ramadan on neutrophil's respiratory burst (innate immunity) and circulating immune complex. J Ayub Med Coll Abbottabad. 2008;20(3):128-31. Epub 2009/07/21.
  18. Maliji GH, Dordi Q, Mahdavi Omran S, Habibi T. Effects of Ramadan fasting on complement complements activitie C3, C4, and CH50 of human serum. J Ilam  University of Med Sci. 2006;14(1):50-4.
  19. Rahmani M, Zarei M. The  effect of holly fasting month of Ramadan on the delayed type hypersensitivity response to purified derivative. Scientific J Hamadan University of Med Sci Health services. 2003;10(1):52-6.
  20. Topacoglu H, Karcioglu O, Yuruktumen A, Kiran S, Cimrin AH, Ozucelik DN, et al. Impact of Ramadan on demographics and frequencies of disease-related visits in the emergency department. Int J Clin Pract. 2005;59(8):900-5. Epub 2005/07/22.
  21. Abu-Salameh I, Plakht Y, Ifergane G. Migraine exacerbation during Ramadan fasting. J Headache Pain. 2010. Epub 2010/07/24.
  22. Salehi A, Memarzadeh SEA, Akhlaghi MR, Rismanchian A, Jafari GH. Effect of Ramadan fasting on physiological myopia. Shahrekord University of Medical Sciences Journal 2008;10(2):88-92.
  23. Miratashi SAM, Shoja MR. Effect of Ramadan fasting on physiological myopia     The Journal of Qazvin University of Medical Sciences. 2000;15:26-33.
  24. al-Hadramy MS. Seasonal variations of urinary stone colic in Arabia. J Pak Med Assoc. 1997;47(11):281-4. Epub 1998/03/25.
  25. Basiri A, Moghaddam SM, Khoddam R, Nejad ST, Hakimi A. Monthly variations of urinary stone colic in Iran and its relationship to the fasting month of Ramadan. J Pak Med Assoc. 2004;54(1):6-8. Epub 2004/04/03.
  26. Akhan G, Kutluhan S, Koyuncuoglu HR. Is there any change of stroke incidence during Ramadan? Acta Neurol Scand. 2000;101(4):259-61. Epub 2000/04/19.
  27. Bener A, Hamad A, Fares A, Al-Sayed HM, Al-Suwaidi J. Is there any effect of Ramadan fasting on stroke incidence? Singapore Med J. 2006;47(5):404-8. Epub 2006/04/29.
  28. Kelishadi R, Rabiee K, Khosravi A, Famori F, Sadeghi M, Roohafza H. Assessment of physical activity in adolescents of Isfahan [in Farsi].  . Journal of Shahrekord University of Medical Sciences. 2004;3:55-65.
  29. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. Epub 1995/03/01.
  30. Khoshniat Nikoo M, Shadman Z, Larijani B. scientific evidences in Ramadan fasting and health. Mahjouri MY, editor. Tehran: vista; 2012. 290 p.
  31. Afifi ZE. Daily practices, study performance and health during the Ramadan fast. J R Soc Health. 1997;117(4):231-5. Epub 1997/08/01.
  32. Al-Hourani HM, Atoum MF. Body composition, nutrient intake and physical activity patterns in young women during Ramadan. Singapore Med J. 2007;48(10):906-10. Epub 2007/10/03.
  33. Ziaee V, Razaei M, Ahmadinejad Z, Shaikh H, Yousefi R, Yarmohammadi L, et al. The changes of metabolic profile and weight during Ramadan fasting. Singapore Med J. 2006;47(5):409-14. Epub 2006/04/29.
  34. Rahman M, Rashid M, Basher S, Sultana S, Nomani MZ. Improved serum HDL cholesterol profile among Bangladeshi male students during Ramadan fasting. East Mediterr Health J. 2004;10(1-2):131-7. Epub 2005/10/06.
  35. Buckingham T, Young R. The rise and fall of intra-ocular pressure: the influence of physiological factors. Ophthalmic Physiol Opt. 1986;6(1):95-9. Epub 1986/01/01.
  36. Mahmoudi M, Rezaie SAR, Rastin M, Mazloom SA, Rezaeifard MR. Evaluation of Ramadan fasting effects on lymphosytic subpopulation in a two year study. Iranian J Basic Med Sci. 2001;3(8):147-54.
  37. Bilto YY. Effects of Ramadan fasting on body weight and the biochemical and haematological parameters of the blood. Arab Gulf J Sci Res. 1998;16:1-13.
  38. Azizi F, Rasouli HA. Serum Glucose, Bilirubin, calcium, phosphorus, protein and albumin concentrations during Ramadan. Medical Journal of the Islamic Republic of Iran. 1987;1:38-41.
  39. Ramadan J, Telahoun G, Al-Zaid NS, Barac-Nieto M. Responses to exercise, fluid, and energy balances during Ramadan in sedentary and active males. Nutrition. 1999;15(10):735-9. Epub 1999/09/29.
Journal of Nutrition,Fasting and Health
Volume 2, Issue 4 - Serial Number 4
Autumn 2014
Pages 151-157

  • Receive Date 23 November 2014
  • Revise Date 29 January 2015
  • Accept Date 09 December 2014