Ramadan Fasting Dietary Patterns and Gastrointestinal Discomforts

Document Type : Research Paper

Authors

1 Department of Biochemistry and Nutrition, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

2 Department of Social Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

3 Department of Gastroenterology and Hepatology, Shahrekord University of Medical Sciences, Shahrekord, Iran

Abstract

Introduction: Ramadan, the ninth month of the Islamic lunar calendar, has special religious importance among Muslims. During this month, Muslim adults and adolescents (who have reached the age of adulthood according to the Islamic rules) fast. Gastrointestinal (GI) disorders present with symptoms generally called GI discomforts such as heartburn, abdominal pain, dyspepsia, constipation, bloating, and irritable bowel syndrome. This study aimed to assess the effects of Ramadan fasting on GI discomfort. Methods: One hundred fasting subjects were enrolled in the study. Personal information (age, gender, education level, and occupation) was collected from participants and they were assured that their information would remain confidential. Participants had to fill out a food questionnaire before and in the third week of Ramadan. Food patterns were identified by factor analysis. The relationship between dietary food patterns and GI symptoms was assessed by logistic regression analysis. Result: The results of logistic regression analyses of the association between dietary patterns and the development of GI discomforts in Ramadan represented that adherence to high fat and protein dietary patterns significantly reduced dyspepsia and diarrhea (p <0.05) while adherence to relatively healthy dietary pattern caused a marginally significant reduction in constipation (p <0.1). Conclusion: This study showed that total energy intake during Ramadan fasting did not differ compared to before the month while the dietary patterns changed significantly. The full-fat diet reduced hunger pain and constipation but increased diarrhea while a healthy diet reduced dyspepsia and diarrhea during fasting.

Keywords

References

1- Tourkmani AM, Alharbi TJ, Rsheed AMB, AlRasheed AN, AlBattal SM, Abdelhay O, et al. Impact of Ramadan focused education program on medications adjustment for patients with type 2 diabetes in a primary health care institution in Saudi Arabia.  Diabetes Metab Syndr. 2019; 13(1):161-5.
2- Keshteli AH, Sadeghpour S, Feizi A, Boyce P, Adibi P. Evaluation of self-perceived changes in gastrointestinal symptoms during Ramadan fasting.  J Relig Health. 2017; 56(5):1620-7.
3- Adibi, P, Keshteli AH, Esmaillzadeh A, Afshar H, Roohafza H, Bagherian-Sararoudi R, et al. The study on the epidemiology of psychological, alimentary health and nutrition (SEPAHAN): overview of methodology. J Res Med Sci. 2012; 17(5):S292-8.
4- Trepanowski JF, Bloomer RJ. The impact of religious fasting on human health. Nutr J. 2010; 9(1):1-9.
5- Darwish Moghadam S, Hagh-Dost A, Bahraini F. Gastrointestinal symptoms in healthy people and its relationship with food consumption pattern during ramadan in Kerman - 1377. J Mashhad Uni Med Sci. 2000; 59(75):45-56.
6- Esfahani FH, Asghari G, Mirmiran P, Azizi F. Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol. 2010; 20(2):150-8.
7- Jafari T, Faghihimani E, Feizi A, Iraj B, Javanmard SH, Esmaillzadeh A, et al. Effects of vitamin D-fortified low fat yogurt on glycemic status, anthropometric indexes, inflammation, and bone turnover in diabetic postmenopausal women: a randomised controlled clinical trial. J Clin Nutr. 2016; 35(1): 67-76.
8- Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett Jr, Tudor-Locke C, et al. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011; 43(8):1575-81.
9- Kulich KR, Madisch A, Pacini F, Piqué JM, Regula J, Van Rensburg CJ, et al. Reliability and validity of the Gastrointestinal Symptom Rating Scale (GSRS) and Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaire in dyspepsia: a six-country study. Health Qual Life Outcomes. 2008; 6(1): 1-12.
10- Mazaheri M, SadatKhoshouei M. Comparison between Psychometric Characteristics of Persian Version of the Gastrointestinal Symptoms Rating Scale in Functional Gastrointestinal Disorders and Normal Groups. Govaresh. 2012; 17(1):18-24.
11- Sadeghpour S, Keshteli AH, Daneshpajouhnejad P, Jahangiri P, Adibi P. Ramadan fasting and digestive disorders: SEPAHAN systematic review . J Res Med Sc. 2012; 17(4): 150-8.
12- Mukai R. High-fat diet and constipation. Free Radic Biol Med. 2018; 120: S134-5.
13- Zito FP, Polese B, Vozzella L, Gala A, Genovese D, Verlezza V, et al. Good adherence to mediterranean diet can prevent gastrointestinal symptoms: A survey from Southern Italy. World J Gastrointest Pharmacol Ther.2016; 7(4): 564.
14- Özkan S, Durukan P, Akdur O, Vardar A, Torun E, Ikizceli I. Does Ramadan fasting increase acute upper gastrointestinal haemorrhage?. J Int Med Res. 2009; 37(6): 1988-93.
15- Gokakin AK, Kurt A, Akgol G, Karakus BC, Atabey M, Koyuncu A, et al. Effects of Ramadan fasting on peptic ulcer disease as diagnosed by upper gastrointestinal endoscopy.  Arab J Gastroenterol. 2012; 13(4):180-3.
16- Emami M H, Rahimi H. Effects of Ramadan fasting on acute upper gastrointestinal bleeding due to peptic ulcer. J Res Med Sci. 2006; 11(3):170-5.
17- 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.
 
 
Journal of Nutrition,Fasting and Health
Volume 9, Issue 2
June 2021
Pages 137-145

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History

  • Receive Date: 14 January 2020
  • Revise Date: 22 June 2020
  • Accept Date: 19 September 2020

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