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Ramadan fasting in hemodialysis population: single-center study
Ahmed Abdelmoniem Emara1, Ahmed Hamed Ghareeb1, Mahmoud Fayez1
1Department of Nephrology, Ain Shams University, Cairo, Egypt.
The Egyptian Journal of Internal Medicine
|August 22, 2022
Summary
Most hemodialysis patients can safely fast during Ramadan, with complete or partial fasting associated with a significant reduction in dry weight. Few complications were observed among fasting patients.
Area of Science:
- Nephrology
- Islamic Studies
- Internal Medicine
Background:
- Ramadan fasting is a core Islamic practice.
- Hemodialysis patients are generally exempt from fasting due to illness.
- Some hemodialysis patients choose to fast for spiritual reasons.
Purpose of the Study:
- To assess the tolerability and safety of Ramadan fasting in hemodialysis patients.
- To monitor for complications and changes in physiological parameters during fasting.
Main Methods:
- 199 hemodialysis patients were categorized into complete, partial, or non-fasting groups.
- Demographic and laboratory data were collected pre-Ramadan.
- Patients were monitored for complications, and dry weight was measured before and after Ramadan.
Main Results:
- 116 patients fasted (14% complete, 44% partial).
- Only 3.4% of fasting patients experienced complications like intradialytic hypotension or muscle cramps.
- Significant dry weight reduction was observed in both complete and partial fasting groups (P < 0.001).
Conclusions:
- Ramadan fasting appears generally well-tolerated by hemodialysis patients.
- Fasting is associated with a significant reduction in dry weight.
- Further research may be warranted to explore the benefits and risks in this population.
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