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Nutrition, Fasting and Health - Volume:4 Issue: 3, Summer 2016

Journal of Nutrition, Fasting and Health
Volume:4 Issue: 3, Summer 2016

  • تاریخ انتشار: 1395/06/27
  • تعداد عناوین: 8
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  • M. Hamed Farooqi * Page 92
    The issue whether people with Type 1 Diabetes can safely fast during Ramadan has been the subject of quite a few debates over the years.
    Had it been a simple "yes" or "no" issue, there would have been no reason to debate. However, like a lot of other topics in medical management, this particular subject overlaps both the science and the art of medicine.
    Keywords: Ramadan Fasting_Type 1 Diabetes
  • Sayed Alireza Mirsane*, Shima Shafagh, Nasrin Oraei Pages 93-94
    Ramadan is the ninth month of the Islamic calendar, and is a fasting month .Fasting is one of the islamic obligations. This annual ritual is regarded as one of the Five Pillars of Islam according to hadith of fifth Shia imam.In the other hand, Lipid profile is a type of blood tests and this's very important for body health, Specialy individuals with abnormal range of it. A complete lipid profile involves routine tests such as Total Cholesterol(TC), Triglycerides (TG),high-density lipoprotein (HDL,good cholesterol) and low-density lipoprotein (LDL,bad cholesterol).Our goal is determination of Ramadan fasting efficacy on the Lipid profile. With regards to the present study, it can be concluded that fasting have a good effects on the Lipid profile , according to the above fields. But this subject needs to have multiple studies, so it was advised to conduct more study, in order to obtain the comprehensive and exact results. Finally, Holy month of Ramadan and fasting have a lot miracles in different fields of health ,So fasting is a godliness way that it have multiple remedial effects.
    Keywords: Ramadan, fasting, Lipid profile
  • Mohsen Nematy, Atieh Mehdizadeh* Pages 95-96
    Considering the fact that many Muslims with diabetes prefer to fast in spite of inhibitory advises and to answer several conflicts and controversies regarding diabetes and Ramadan, IDF in collaboration with Diabetes and Ramadan (DAR) International in Alliance decided to develop a comprehensive guideline to be used by health care professionals. This guideline was then developed on April 2016 by 12 main authors and 20 co-authors from all around the world, and published by International Diabetes Federation.
    The guideline is provided in nine chapters: 1) Introduction to the IDF-DAR Practical Guidelines, 2) Epidemiology of Diabetes and Ramadan Fasting, 3) Physiology of Ramadan Fasting, 4) Risk Stratification of Individuals with Diabetes before Ramadan, 5) Diabetes and Ramadan: A Medico-religious Perspective, 6) Pre-Ramadan Education, 7) Ramadan Nutrition Plan (RNP) for Patients with Diabetes, 8) Management of Diabetes during Ramadan and 9) Identifying and Overcoming Barriers to Guideline Implementation. This guideline tries to answer three main questions: 1) Is fasting during Ramadan associated with a significant risk? 2) What are the criteria that predispose patients with diabetes to increased risk during fasting? 3) What is the most appropriate oral anti-diabetic drug(s) or type and regimen of insulin for patients with type 2 diabetes who fast?
    IDF-DAR Practical Guideline is now available at: http://www.idf.org/sites/default/files/IDF-DAR-Practical-Guidelines-Final-Low.pdf
    Keywords: Ramadan, diabetes, Guideline
  • Seyed Mostafa Arabi, Mohsen Nematy, Mohammad Hashemi, Mohammad Safarian* Pages 97-101
    Introduction
    Nonalcoholic fatty liver disease (NAFLD) is a global disease which its prevalence is about 10-35%. Several factors are involved in the pathogenesis of the disease. The present study was conducted to evaluate the effect of fasting during Ramadan on plasma free fatty acids in patients with NAFLD.
    Methods
    This cross-sectional study was performed during the month of Ramadan in June-July, 2014 (Islamic year: 1435) with 50 patients who were living in Mashhad, Iran. The participants were recruited from 18-65 years old patients. The inclusion criteria were 1) patients with NAFLD that diagnosed fatty liver by ultrasonography and 2) being at least 10 hours fasting. Levels of plasma free fatty acids (Palmitic, Elaidic and Oleic fatty acid) were analyzed in blood sample of all patients by gas chromatography apparatus equipped with a flame ionization detector (GC-FID).
    Result
    results indicated that there was no significant changes were observed in plasma levels of Palmitic, Elaidic and Oleic fatty acids in overweight patients (BMI 25-30 ), but plasma levels of Elaidic acid significantly increased in obese patients (P
    Keywords: Palmitic acid, Oleic acid, Elaidic acid, NAFLD, Ramadan Fasting
  • Mohamed Hassanein, Alaaeldin Bashier, Elamin Abdelgadir*, Maryam Al Saeed, Fatheya Alawadi, Azza Khalifa Pages 102-105
    Ramadan fasting has received a lot of attention given the long periods of fasting and the theoretically imposed risk in patients with diabetes. Many recommendations have been published, however physician’s knowledge and practices did not comply with these recommendations in many occasions.
    Objectives
    To explore physician’s opinions and attitudes towards management of diabetes during Ramadan. We also aimed to assess knowledge and compliance of the physicians with available recommendations for management of diabetes in Ramadan.
    Results
    95% (n=862) thought the type of diabetes is either important or very important to be considered in the decision of fasting. Pre-Ramadan diabetes control is thought to be either important or very important 95% (n=848). Majority of the responders considered SMBG as import or very important if the patient is on insulin or Sulphonyureas (SUs), and to a lesser extend if they are on oral hypoglycemic agents other than SUs. 63.8% (397) confirmed availability of such programs to their patients. 36.2% (n= 225) lacks for such programs.
    Conclusion
    It is essential to raise patients and physicians’ awareness of the importance of Ramadan focused structured educational programs in reducing the risks associated with fasting for patients with diabetes. We recommend developing Simplified guidelines and educational materials made available to health care workers to help with the educational process before Ramadan.
    Keywords: diabetes, Ramadan, management Guidelines, muslim
  • Good fasting Ppactice on Malondialdehyde and 8-Hydroxydeoxyguanosine (ahead of publication)
    Nurina Tyagita *, Taufiqurrachman Nasihun, Titiek Sumarawati Pages 106-110
    Background and Objectives
    Good fasting practice is not only refraining from foods and drinks in a period of time, but should encompass several important factors including unexcessive eating habit during ifthor. Understanding the effect of fasting accompanied by calorie restriction (CR) in oxidative stress indicators, malondialdehyde (MDA) and 8-oxo-7,8-dihydro-2'deoxyguanosine (8-oxodG), that are commonly increased in degenerative diseases.
    Methods
    24 male Sprague dawley (SD) rats were divided into four groups. Groups 1-3: fasting with total calorie consumption per day 70% (P70), 100% (P100), and 140% (P140) respectively. Meanwhile, all rats in group 4 (AL100) were on ad libitum diet with 100% total calories consumption. MDA serum level was measured using TBARS assay, whereas urinary 8-oxodG level was measured using ELISA assay. Randomized post-test only control group design was applied and the data were analyzed using one-way ANOVA followed by post-hoc LSD with a significant level of p
    Results
    The lowest MDA level was on group P70 (0.770 nmol/mL) followed group P100 (1.298 nmol/mL), group AL100 (2.418 nmol/mL), and group P140 (3.924 nmol/mL) respectively. Meanwhile, the lowest 8-oxodG level was on group AL100 (2.580 ng/mL), followed by group P140 (2.660 ng/mL), group P100 (3.260 ng/mL), and group P70. The statistical analysis for both variables using one-way ANOVA showed that p = 0.000 (p Interpretation &
    Conclusion
    Good fasting practice decreases MDA level, but conversely increases 8-oxodG level.
    Keywords: good fasting practice, MDA, 8, oxodG
  • Barbara Eichorst* Pages 111-113
    Fasting and diabetes has been on my radar from a local perspective for years. As a dietitian many of my patients chose to fast with the goal to promote better health. Most recently, my perspective on fasting became global as working with the managing diabetes during Ramadan initiatives.
    In April 2016, International Diabetes Federation (IDF) and the Diabetes and Ramadan (DAR) International Alliance issued Diabetes and Ramadan Practical Guidelines that helps healthcare professionals to help people with diabetes (PWD) to be safe while fasting.
    Keywords: fasting, diabetes
  • Konstantinos Havenetidis* Pages 114-116
    Introduction
    Limited research exists regarding Ramadan fasting and military performance. The purpose of the present study was to compare fitness test values between fasting and non-fasting cadets.
    Methods and Materials: Twenty army cadets (fasting and non-fasting) performed various military physical conditioning tests (pull ups, sit ups, swimming obstacle course, push ups, obstacle course and one mile run).
    Results
    Nutritional parameters and fitness test performances tests were similar for both groups (p>0.05). However, performance percentage differences between fasting and non-fasting group in each test tended to be higher towards the end of the testing procedure (3.0%, 3.2%, 6.0%, 3.1%, 7.5% and 8.4% for pull ups, sit ups, swimming obstacle course, push ups, obstacle course and one mile run respectively).
    Coclusions: Ramadan fasting does not affect fitness test performances in army cadets. However, it seems that fasting cadets can not handle efficiently repeated maximal exercise testing possibly due to a reduced recovery between tests.
    Keywords: Army personnel, physical fitness, Ramadan