Comparing the Sustainability of An Islamic Dietary Intervention to Maintain Weight Loss 6 Months After Ramadan between Intervention and Control Groups

Document Type: Research Paper

Authors

1 Community Health Department Faculty of Medicine & Health Sciences Universiti Putra Malaysia

2 Department of Community Health, Faculty of Medicine, University Kebangsaan Malaysia, Malaysia

3 Department of Nutrition & Dietetics, Faculty of Medicine and Health Sciences, University Putra Malaysia, Malaysia

4 Department of al-Quran & Sunnah, Faculty of Islamic Studies, University Kebangsaan Malaysia, Malaysia.

Abstract

Introduction: Maintaining weight loss after the initial phases of any weight loss intervention is a challenge. Rationally, it depends on how well the adherence is to the prescribed treatment. This study is to test the sustainability of an intervention in maintaining weight lost during Ramadan by using voluntary fasting. Methods: Two groups of respondents (Muslim women with body mass index (BMI) ≥ 25.0 kg/m2) were randomly recruited from two states in Malaysia. One group received the Islamic based intervention (Group A) and the other received the standard intervention (Group B). The intervention consisted of three phases. The first phase was the intensive phase which was the control of food quantity intake during the fasting month of Ramadan. The second phase was the maintenance phase where the respondents were assisted to continue monitoring their food consumption using the food diary for 3 months and the third phase was the following 3 months without any assistance. The variables studied were BMI, blood pressure (systolic and diastolic pressure) and selected blood biochemical (i.e. total cholesterol (TC) and high density lipoprotein (HDL-C)). Variables were measured at baseline, at the end of Ramadan and at 6 months post Ramadan. Results: At 6 months post Ramadan the BMI, diastolic pressure, TC, HDL-C and TC/HDL-C ratio changes were different between the two groups (except for BMI changes where P=0.02, all others P

Keywords


  1. Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr. 2005; 82: 222S-5S.
  2. Ohsiek S, Williams M. Psychological Factors Influencing Weight Loss Maintenance: An Integrative Literature Review. J Am Acad Nurse Pract. 2011; 11:592-601
  3. Elfhag K, Rossner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005; 6(1): 67-85.
  4. Elfhag K, Rossner S. Initial weight loss is the best predictor for success in obesity treatment and socio demographic liabilities increase risk for drop-out. Patient Educ Couns. 2010; 79(3): 361-366.
  5. Barte JCM, ter Bogt NCW, Bogers RP, Teixeira PJ, Blissmer B, Mori TA, Bermelmans WJ. Maintenance of weight loss after lifestyle intervention for overweight and obese, a systematic review. Obes Rev. 2010; 11(12): 899-906.
  6. Astrup A, Rossner S. Lessons from obesity management programmes: greater initial weight loss improves long-term maintenance. Obes Rev. 2000; 1(1): 17-19.
  7. Weiss EC, Galuska DA, Khan LK, Gillespie C, Serdula MK. Weight Regain in U.S. Adults Who Experienced Substantial Weight Loss, 1999 –2002. Am J Prev Med. 2007; 33 (1):34-40
  8. Acharya SD, Elci OU, Sereika SM, Music E, Styn MA, Turk MW, Burke LE. Adherence to a behavioral weight loss treatment program enhances weight loss and improvements in biomarkers. Patient Prefer Adherence. 2009.3:151-160.
  9. Murawski ME, Milsom VA, Ross KM, Rickel KA, DeBraganza N, Gibbons LM, Perri MG. Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity. Eat Behav. 2009; 10(3): 146-151
  10. Ibrahim O, Kamaruddin NA, Wahab NA, Rahman MM. Ramadan fasting and cardiac biomarkers in patients with multiple cardiovascular disease risk factors. Int J Cardiovasc Resh. 2011;7(2): 1-11
  11. Mafauzy M, Wan Mohammed WB, Yasmin Anum MY, Zulkifli A, Ruhani AH. A study of the fasting diabetic patients during the month of Ramadan. Med J Malaysia.1990; 45(1): 14-17.
  12. Poh BK, Zawiah H, Ismail MN, Henry CJK. Changes in body weight, dietary intake and activity pattern of adolescents during Ramadan. Malays J Nutr. 1996; 2(1): 1-10.
  13. Haghdoost AA, Poorranjbar M. The interaction between physical activity and fasting on the serum lipid profile during Ramadan. Singapore Med J. 2009; 50(9): 897-901.
  14. Ziaee V, Razaei M, Ahmadinejad Z, Shaikh H, Yousefi R, Yarmohammadi L, Bozorgi F, Behjati MJ. The changes of metabolic profile and weight during Ramadan fasting. Singapore Med J. 2006; 47(5): 409-414.
  15. Memari AH, Kordi R, Panahi N, Nikookar LR, Abdollahi M, Akbarnejad A. Effect of Ramadan fasting on body composition and physical performance in female athletes. Asian J Sports Med. 2011; 2(3): 161-166.
  16. Al-Hourani HM, Atoum MF. Body composition, nutrient intake and physical activity patterns in young women during Ramadan. Singapore Med J. 2007; 48(10): 906-910.
  17. Mansi KM. Study the effects of Ramadan fasting on the serum glucose and lipid profile among healthy Jordanian students. Am J Appl Sci .2007; 4(8): 565-569.
  18. Khaled BM, Belbraouet S. Effect of Ramadan fasting on anthropometric parameters and food consumption in 276 type 2 diabetic obese women. Int J Diabetes Dev Ctries.2009; 29(2): 62-68.
  19. Al-Numair K. Body weight and some biochemical changes associated with Ramadan fasting in healthy Saudi men. J Med Sci. 2006; 6(1): 112-116.
  20. Sadiya A, Ahmed S, Siddieg HH, Babas IJ, Carlsson M. Effect of Ramadan fasting on metabolic markers, body composition, and dietary intake in Emiratis of Ajman (UAE) with metabolic syndrome. Diabetes Metab Syndr Obes. 2011; 4:409-416.
  21. Hajek P, Myers K, Dhanji AR, West O, McRobbie H. Weight change during and after Ramadan fasting. J Public Health. 2012; 34(3): 377-381.
  22. La Bounty PM, Campbell BI, Wilson J, Galvan E, Berardi J, Kleiner SM, Kreider RB, Stout JR, Ziegenfuss T, Spano M, Smith A, Antonio J. International Society of Sports Nutrition position stand: meal frequency. J Int Soc Sports Nutr. 2011; 8: 4.
  23. Stote KS, Baer DJ, Spears K, Paul DR, Harris GK, Rumpler WV, Strycula P, Najjar SS, Ferrucci L, Ingram DK, Longo DL, Mattson MP. A controlled trial of reduced meal frequency without caloric restriction in healthy, normal-weight, middle-aged adults. Am J Clin Nutr. 2007; 85(4): 981-988
  24. Trueland J. Fast and effective?. Nurs Stand. 2013; 28(16):26-27.
  25. Rossner S, Hammarstrand M, Hemmingsson E, Neovius M, Johansson K. Long-term weight loss and weight-loss maintenance strategies. Obes Rev. 2008; 9(6): 624-630.
  26. Thomas JG, Bond DS, Phelan S, Hill J, Wing RR. Weight-Loss Maintenance for 10 Years in the National Weight Control Registry. Am J Pre Med. 2014; 46(1):17–23.
  27. Handijieva-Darlenska T, Handijiev Sv, Larsen TM, van Baak MA, Lindroos A, Papadaki A, Pfeiffer AFH, Martinez JA, Kunesova M, Holst C, Saris WHM, Astrup A. Predictors of weight loss maintenance and attrition during a 6-month dietary intervention period: results from the DiOGenes study. Clin Obes. 2011; 1:62-68.
  28. Fabricatore AN, Wadden TA, Moore RH, Butryn ML, Heymsfield SB, Nguyen AM. Predictors of Attrition and Weight Loss Success: Results from a Randomized Controlled Trial. Behav Res Ther. 2009; 47(8): 685–691.
  29. Baranowski T, Cullen KW, Nicklas T, Thompson D, Baranowski J. Are current health behavioral change models helpful in guiding prevention of weight gain efforts? Obes Res .2003; 11(Suppl): 23S-43S.
  30. Mohd Khairul NZN, Mahmud A, Adnan M., Fauzi MA, Mardiana MI, Mohd Roslan MN. et al. The Concept of Rewards and Punishments in Religion: A Special Reference to Kitab Al-Adab of Sahih Bukhari. World Journal of Islamic History and Civilization. 2011; 1 (4): 249-254.
  31. Tesfaye F, Nawi NG, Van Minh H, Byass ., Berhane Y, Bonita R, Wall S. Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens. 2007; 21(1): 28-37.
  32. Sunitha P, Satyanarayana N. Correlation of anthropometric parameters on blood pressure in normotensive males. IOSR J Pharm. 2012; 2(3):593-598.
  33. Mager DE, Wan R, Brown M, Cheng A, Wareski P, Abernethy DR, Mattson MP. Caloric restriction and intermittent fasting alter spectral measures of heart rate and blood pressure variability in rats. FASEB J. 2006; 20(6): 631-637.
  34. Mattson MP, Wan R. Beneficial effects of intermittent fasting and caloric restriction on the cardiovascular and cerebrovascular systems. J Nutr Biochem. 2005; 16(3): 129-137.
  35. Varady KA, Hellerstein MK. Alternate-day fasting and chronic disease prevention: a review of human and animal trials. Am J Clin Nutr. 2007; 86(1): 7-13.
  36. Varady KA. Intermittent versus daily calorie restriction: which diet regimen is more effective for weight loss? Obes Rev. 2011; 12(7):e593-e601.
  37. Schubert CM, Rogers NL, Remsberg KE, Sun SS, Chumlea WC, Demerath EW, Czerwinski SA, Towne B, Siervogel RM. Lipids, lipoproteins, lifestyle, adiposity and fat-free mass during middle age: the Fels Longitudinal Study. Int J Obes. 2005; 30 (2):  251-260.
  38. Lamine F, Bouguerra R, Jabrane J, Marrakchi Z, Ben Rayana MC, Ben Slama C, Gaigi S. Food intake and high density lipoprotein cholesterol levels changes during Ramadan fasting in healthy young subjects. Tunis Med. 2006; 84(10): 647-650.
  39. Lamri-Senhadji MY, El Kebir B, Belleville J, Bouchenak M. Assessment of dietary consumption and time-course of changes in serum lipids and lipoproteins before, during and after Ramadan in young Algerian adults. Singapore Med J. 2009; 50(3): 288-294.
  40. Mansour AA, Ajeel NA. Parity is associated with increased waist circumference and other anthropometric indices of obesity. Eat Weight Disord. 2009; 14(2-3): e50-5.
  41. Wolfe WS, Sobal J, Olson CM, Frongillo EA. Parity associated body weight: modification by socio demographic and behaviour factors. Obes Res. 1997; 5(2)131-141.
  42. Tussing-Humphrey LM, Fitzgibbon ML, Kong A, Odoms-Young, A. Weight loss maintenance in African American women: A systematic review of behavioural lifestyle intervention literature. J Obes (2013). http://dx.doi.org/10.1155/2013/437369.
  43. Abraha I, Montedori A. Modified intention to treat reporting in randomised controlled trials: systematic review. BMJ. 2010;340:c2697.