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Published in: BMC Nephrology 1/2024

Open Access 01-12-2024 | Chronic Kidney Disease | Review

Consensus recommendations on fasting during Ramadan for patients with kidney disease: review of available evidence and a call for action (RaK Initiative)

Authors: Yousef Boobes, Bachar Afandi, Fatima AlKindi, Ahmad Tarakji, Saeed M. Al Ghamdi, Mona Alrukhaimi, Mohamed Hassanein, Ali AlSahow, Riyad Said, Jafar Alsaid, Abdulkareem O. Alsuwaida, Ali A. K. Al Obaidli, Latifa B. Alketbi, Khaled Boubes, Nizar Attallah, Issa S. Al Salmi, Yasser M. Abdelhamid, Nihal M. Bashir, Rania M. Y. Aburahma, Mohamed H. Hassan, Mohammad R. Al-Hakim

Published in: BMC Nephrology | Issue 1/2024

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Abstract

Ramadan fasting (RF) involves abstaining from food and drink during daylight hours; it is obligatory for all healthy Muslims from the age of puberty. Although sick individuals are exempt from fasting, many will fast anyway. This article explores the impact of RF on individuals with kidney diseases through a comprehensive review of existing literature and consensus recommendations. This study was conducted by a multidisciplinary panel of experts.
The recommendations aim to provide a structured approach to assess and manage fasting during Ramadan for patients with kidney diseases, empowering both healthcare providers and patients to make informed decisions while considering their unique circumstances.
Literature
1.
go back to reference Inker LA, Titan S. Measurement and estimation of GFR for use in clinical practice: core curriculum 2021. Am J Kidney Dis. 2021;78(5):736–49.PubMedCrossRef Inker LA, Titan S. Measurement and estimation of GFR for use in clinical practice: core curriculum 2021. Am J Kidney Dis. 2021;78(5):736–49.PubMedCrossRef
2.
go back to reference Dogan I, Eser B, Kayadibi H. The effect of Ramadan fasting on renal functions in patients with chronic kidney disease. Turk J Biochem. 2019;44(2):189–96.CrossRef Dogan I, Eser B, Kayadibi H. The effect of Ramadan fasting on renal functions in patients with chronic kidney disease. Turk J Biochem. 2019;44(2):189–96.CrossRef
3.
go back to reference Yousef EA, Atwa MA, Mahmoud MA. Effect of Ramadan fasting on chronic inflammation and body composition in patients with chronic kidney disease. Saudi J Kidney Dis Transpl. 2021;32(4):1013–8.PubMedCrossRef Yousef EA, Atwa MA, Mahmoud MA. Effect of Ramadan fasting on chronic inflammation and body composition in patients with chronic kidney disease. Saudi J Kidney Dis Transpl. 2021;32(4):1013–8.PubMedCrossRef
4.
go back to reference Ekinci I, Erkoc R, Gursu M, Dogan EE, Kilic E, Cebeci E, et al. Effects of fasting during the month of Ramadan on renal function in patients with autosomal dominant polycystic kidney disease. Clin Nephrol. 2018;89(2):103–12.PubMedCrossRef Ekinci I, Erkoc R, Gursu M, Dogan EE, Kilic E, Cebeci E, et al. Effects of fasting during the month of Ramadan on renal function in patients with autosomal dominant polycystic kidney disease. Clin Nephrol. 2018;89(2):103–12.PubMedCrossRef
5.
go back to reference Kara E, Sahin OZ, Kizilkaya B, Ozturk B, Pusuroglu G, Yildirim S, et al. Fasting in Ramadan is not associated with deterioration of chronic kidney disease: a prospective observational study. Saudi J Kidney Dis Transpl. 2017;28(1):68–75.PubMedCrossRef Kara E, Sahin OZ, Kizilkaya B, Ozturk B, Pusuroglu G, Yildirim S, et al. Fasting in Ramadan is not associated with deterioration of chronic kidney disease: a prospective observational study. Saudi J Kidney Dis Transpl. 2017;28(1):68–75.PubMedCrossRef
6.
go back to reference Hassan S, Hassan F, Abbas N, Hassan K, Khatib N, Edgim R, et al. Does Ramadan fasting affect hydration status and kidney function in CKD patients? Ann Nutr Metab. 2018;72(3):241–7.PubMedCrossRef Hassan S, Hassan F, Abbas N, Hassan K, Khatib N, Edgim R, et al. Does Ramadan fasting affect hydration status and kidney function in CKD patients? Ann Nutr Metab. 2018;72(3):241–7.PubMedCrossRef
7.
go back to reference BaynounaAlKetbi L, Nagelkerke N, AlZarouni A, Al Kuwaiti M, Al Ghafli M, Al Qahtani S, et al. Ramadan fasting outcome among high-risk patients. BMC Nephrol. 2022;23(1):304.CrossRef BaynounaAlKetbi L, Nagelkerke N, AlZarouni A, Al Kuwaiti M, Al Ghafli M, Al Qahtani S, et al. Ramadan fasting outcome among high-risk patients. BMC Nephrol. 2022;23(1):304.CrossRef
8.
go back to reference Al Wakeel JS. Kidney function and metabolic profile of chronic kidney disease and hemodialysis patients during Ramadan fasting. Iran J Kidney Dis. 2014;8:321–8.PubMed Al Wakeel JS. Kidney function and metabolic profile of chronic kidney disease and hemodialysis patients during Ramadan fasting. Iran J Kidney Dis. 2014;8:321–8.PubMed
10.
go back to reference NasrAllah MM, Osman NA. Fasting during the month of Ramadan among patients with chronic kidney disease: renal and cardiovascular outcomes. Clin Kidney J. 2014;7:348–53.PubMedPubMedCentralCrossRef NasrAllah MM, Osman NA. Fasting during the month of Ramadan among patients with chronic kidney disease: renal and cardiovascular outcomes. Clin Kidney J. 2014;7:348–53.PubMedPubMedCentralCrossRef
11.
go back to reference Bernieh B, Al Hakim MR, Boobes Y, Abu Zidan FM. Fasting Ramadan in chronic kidney disease patients: clinical and biochemical effects. Saudi J Kidney Dis Transpl. 2010;21:898–902.PubMed Bernieh B, Al Hakim MR, Boobes Y, Abu Zidan FM. Fasting Ramadan in chronic kidney disease patients: clinical and biochemical effects. Saudi J Kidney Dis Transpl. 2010;21:898–902.PubMed
13.
go back to reference El-Wakil HS, Desoky I, Lotfy N, Adam AG. Fasting the month of Ramadan by Muslims: could it be injurious to their kidneys? Saudi J Kidney Dis Transpl. 2007;18(3):349–54.PubMed El-Wakil HS, Desoky I, Lotfy N, Adam AG. Fasting the month of Ramadan by Muslims: could it be injurious to their kidneys? Saudi J Kidney Dis Transpl. 2007;18(3):349–54.PubMed
16.
go back to reference Baloglu I, Turkmen K, Kocyigit I, Altunoren O, Demirtas L, Zararsız G, et al. The effect of Ramadan fasting on kidney function in patients with chronic kidney disease. Int Urol Nephrol. 2020;52(7):1337–43.PubMedCrossRef Baloglu I, Turkmen K, Kocyigit I, Altunoren O, Demirtas L, Zararsız G, et al. The effect of Ramadan fasting on kidney function in patients with chronic kidney disease. Int Urol Nephrol. 2020;52(7):1337–43.PubMedCrossRef
18.
19.
go back to reference Bragazzi NL. Ramadan fasting and chronic kidney disease: does estimated glomerular filtration rate change after and before Ramadan? Insights from a mini meta-analysis. Int J Nephrol Renovasc Dis. 2015;8:53–7.PubMedPubMedCentralCrossRef Bragazzi NL. Ramadan fasting and chronic kidney disease: does estimated glomerular filtration rate change after and before Ramadan? Insights from a mini meta-analysis. Int J Nephrol Renovasc Dis. 2015;8:53–7.PubMedPubMedCentralCrossRef
21.
go back to reference Glazier JD, Hayes DJ, Hussain S, D’Souza SW, Whitcombe J, Heazell AE, et al. The effect of Ramadan fasting during pregnancy on perinatal outcomes: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2018;18(1):1–11.CrossRef Glazier JD, Hayes DJ, Hussain S, D’Souza SW, Whitcombe J, Heazell AE, et al. The effect of Ramadan fasting during pregnancy on perinatal outcomes: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2018;18(1):1–11.CrossRef
22.
go back to reference Oosterwijk VNL, Molenaar JM, van Bilsen LA, Kiefte-de Jong JC. Ramadan fasting during pregnancy and health outcomes in offspring: a systematic review. Nutrients. 2021;13(10):3450.PubMedPubMedCentralCrossRef Oosterwijk VNL, Molenaar JM, van Bilsen LA, Kiefte-de Jong JC. Ramadan fasting during pregnancy and health outcomes in offspring: a systematic review. Nutrients. 2021;13(10):3450.PubMedPubMedCentralCrossRef
23.
24.
go back to reference Safari K, Piro TJ, Ahmad HM. Perspectives and pregnancy outcomes of maternal Ramadan fasting in the second trimester of pregnancy. BMC Pregnancy Childbirth. 2019;19(1):128 (Erratum in: BMC Pregnancy Childbirth. 2019 Dec 9;19(1):481).PubMedPubMedCentralCrossRef Safari K, Piro TJ, Ahmad HM. Perspectives and pregnancy outcomes of maternal Ramadan fasting in the second trimester of pregnancy. BMC Pregnancy Childbirth. 2019;19(1):128 (Erratum in: BMC Pregnancy Childbirth. 2019 Dec 9;19(1):481).PubMedPubMedCentralCrossRef
26.
go back to reference Fink JC, Schwartz SM, Benedetti TJ, Stehman-Breen CO. Increased risk of adverse maternal and infant outcomes among women with renal disease. Paediatr Perinat Epidemiol. 1998;12:277–87.PubMedCrossRef Fink JC, Schwartz SM, Benedetti TJ, Stehman-Breen CO. Increased risk of adverse maternal and infant outcomes among women with renal disease. Paediatr Perinat Epidemiol. 1998;12:277–87.PubMedCrossRef
27.
go back to reference Jones DC, Hayslett JP. Outcome of pregnancy in women with moderate or severe renal insufficiency [published erratum appears in N Engl J Med 1997;336:739]. N Engl J Med. 1996;335:226–32.PubMedCrossRef Jones DC, Hayslett JP. Outcome of pregnancy in women with moderate or severe renal insufficiency [published erratum appears in N Engl J Med 1997;336:739]. N Engl J Med. 1996;335:226–32.PubMedCrossRef
28.
go back to reference Cunningham FG, Cox SM, Harstad TW, Mason RA, Pritchard JA. Chronic renal disease and pregnancy outcome. Am J Obstet Gynecol. 1990;163:453–9.PubMedCrossRef Cunningham FG, Cox SM, Harstad TW, Mason RA, Pritchard JA. Chronic renal disease and pregnancy outcome. Am J Obstet Gynecol. 1990;163:453–9.PubMedCrossRef
29.
go back to reference Trevisan G, Ramos JG, Martins-Costa S, Barros EJ. Pregnancy in patients with chronic renal insufficiency at Hospital de Clinicas of Porto Alegre. Brazil Ren Fail. 2004;26:29–34.PubMedCrossRef Trevisan G, Ramos JG, Martins-Costa S, Barros EJ. Pregnancy in patients with chronic renal insufficiency at Hospital de Clinicas of Porto Alegre. Brazil Ren Fail. 2004;26:29–34.PubMedCrossRef
30.
go back to reference Fischer MJ, Lehnerz SD, Hebert JR, Parikh CR. Kidney disease is an independent risk factor for adverse fetal and maternal outcomes in pregnancy. Am J Kidney Dis. 2004;43:415–23.PubMedCrossRef Fischer MJ, Lehnerz SD, Hebert JR, Parikh CR. Kidney disease is an independent risk factor for adverse fetal and maternal outcomes in pregnancy. Am J Kidney Dis. 2004;43:415–23.PubMedCrossRef
31.
go back to reference Gonzalez Suarez ML, Kattah A, Grande JP, Garovic V. Renal disorders in pregnancy: core curriculum 2019. Am J Kidney Dis. 2019;73(1):119–30 (Epub 2018 Aug 16. Erratum in: Am J Kidney Dis. 2019 Jun;73(6):897).PubMedCrossRef Gonzalez Suarez ML, Kattah A, Grande JP, Garovic V. Renal disorders in pregnancy: core curriculum 2019. Am J Kidney Dis. 2019;73(1):119–30 (Epub 2018 Aug 16. Erratum in: Am J Kidney Dis. 2019 Jun;73(6):897).PubMedCrossRef
32.
go back to reference Al-Mabsoot by Al-Sarkhasi, (3/92) “In Arabic Language”. Al-Mabsoot by Al-Sarkhasi, (3/92) “In Arabic Language”.
33.
go back to reference Al-Istithkar by Ibn Abd al-Bar, (10/223) “In Arabic Language”. Al-Istithkar by Ibn Abd al-Bar, (10/223) “In Arabic Language”.
34.
go back to reference Al-Majmoo’ by al-Nawawi, (6/ 267) “In Arabic Language”. Al-Majmoo’ by al-Nawawi, (6/ 267) “In Arabic Language”.
35.
go back to reference Al-Mughni by Ibn Qudamah, (3/37) “In Arabic Language”. Al-Mughni by Ibn Qudamah, (3/37) “In Arabic Language”.
36.
go back to reference J D Walston, UpToDate, last updated: Nov 05, 2021 J D Walston, UpToDate, last updated: Nov 05, 2021
37.
go back to reference Abdalla AH, Shaheen FA, Rassoul Z, Owda AK, Popovich WF, Mousa DH, et al. Effect of Ramadan fasting on Moslem kidney transplant recipients. Am J Nephrol. 1998;18(2):101–4.PubMedCrossRef Abdalla AH, Shaheen FA, Rassoul Z, Owda AK, Popovich WF, Mousa DH, et al. Effect of Ramadan fasting on Moslem kidney transplant recipients. Am J Nephrol. 1998;18(2):101–4.PubMedCrossRef
38.
go back to reference Argani H, Mozaffari S, Rahnama B, Rahbani M, Rejaie M, Ghafari A. Evaluation of biochemical and immunologic changes in renal transplant recipients during Ramadan fasting. Transplant Proc. 2003;35:2725–6.PubMedCrossRef Argani H, Mozaffari S, Rahnama B, Rahbani M, Rejaie M, Ghafari A. Evaluation of biochemical and immunologic changes in renal transplant recipients during Ramadan fasting. Transplant Proc. 2003;35:2725–6.PubMedCrossRef
39.
go back to reference Said T, Nampoory MR, Haleem MA, Nair MP, Johny KV, Samhan M, et al. Ramadan fast in kidney transplant recipients: a prospective comparative study. Transplant Proc. 2003;35:2614–6.PubMedCrossRef Said T, Nampoory MR, Haleem MA, Nair MP, Johny KV, Samhan M, et al. Ramadan fast in kidney transplant recipients: a prospective comparative study. Transplant Proc. 2003;35:2614–6.PubMedCrossRef
42.
go back to reference Boobes Y, Bernieh B, Al Hakim MR. Fasting Ramadan in kidney transplant patients is safe. Saudi J Kidney Dis Transpl. 2009;20(2):198–200.PubMed Boobes Y, Bernieh B, Al Hakim MR. Fasting Ramadan in kidney transplant patients is safe. Saudi J Kidney Dis Transpl. 2009;20(2):198–200.PubMed
43.
go back to reference Einollahi B, Lessan-Pezeshki M, Pourfarziani V, Aghdam B, Rouzbeh J, Ghadiani MH, et al. Ramadan fasting in kidney transplant recipients with normal renal function and with mild-to-moderate renal dysfunction. Int Urol Nephrol. 2009;41:417–22.PubMedCrossRef Einollahi B, Lessan-Pezeshki M, Pourfarziani V, Aghdam B, Rouzbeh J, Ghadiani MH, et al. Ramadan fasting in kidney transplant recipients with normal renal function and with mild-to-moderate renal dysfunction. Int Urol Nephrol. 2009;41:417–22.PubMedCrossRef
44.
go back to reference Beladi Mousavi SS, Golzari K, Hayati F, Motemednia F, Beladi Mousavi M. Is Ramadan fasting safe for kidney transplant patients with normal renal function? 5 Case reports. Shiraz E-Med J. 2011;4:203–5. Beladi Mousavi SS, Golzari K, Hayati F, Motemednia F, Beladi Mousavi M. Is Ramadan fasting safe for kidney transplant patients with normal renal function? 5 Case reports. Shiraz E-Med J. 2011;4:203–5.
48.
go back to reference Arabi ZM, Elhassan EA, Abdalla MI, Farooqui MA, Mateen AA, Kaysi S, et al. Multi national survey of the advice given to muslim kidney graft recipients by muslim nephrologists about lifestyle and religious rituals with potential medical risk. Saudi J Kidney Dis Transpl. 2020;31(5):957–81. https://doi.org/10.4103/1319-2442.301202.CrossRef Arabi ZM, Elhassan EA, Abdalla MI, Farooqui MA, Mateen AA, Kaysi S, et al. Multi national survey of the advice given to muslim kidney graft recipients by muslim nephrologists about lifestyle and religious rituals with potential medical risk. Saudi J Kidney Dis Transpl. 2020;31(5):957–81. https://​doi.​org/​10.​4103/​1319-2442.​301202.CrossRef
49.
go back to reference Ouziala M, Ouziala S, Bellaoui A, Drif M. Fasting during the first year of transplantation: is it safe? Saudi J Kidney Dis Transpl. 1998;9(4):440–3.PubMed Ouziala M, Ouziala S, Bellaoui A, Drif M. Fasting during the first year of transplantation: is it safe? Saudi J Kidney Dis Transpl. 1998;9(4):440–3.PubMed
50.
go back to reference Emami-Naini A, Roomizadeh P, Baradaran A, Abedini A, Abtahi M. Ramadan fasting and patients with renal diseases: A mini review of the literature. J Res Med Sci. 2013;18(8):711–6.PubMedPubMedCentral Emami-Naini A, Roomizadeh P, Baradaran A, Abedini A, Abtahi M. Ramadan fasting and patients with renal diseases: A mini review of the literature. J Res Med Sci. 2013;18(8):711–6.PubMedPubMedCentral
51.
go back to reference Binsalih S, Al Sayyari RA, Sheikho M, Hejaili FF, Al Sayyari AA. Effect of fasting the whole month of ramadan on renal function among muslim patients with kidney transplant: a meta-analysis. Exp Clin Transplant. 2019;17(5):588–93.PubMedCrossRef Binsalih S, Al Sayyari RA, Sheikho M, Hejaili FF, Al Sayyari AA. Effect of fasting the whole month of ramadan on renal function among muslim patients with kidney transplant: a meta-analysis. Exp Clin Transplant. 2019;17(5):588–93.PubMedCrossRef
52.
go back to reference Malik S, Hamer R, Shabir S, Youssouf S, Morsy M, Rashid R, et al. Effects of fasting on solid organ transplant recipients during Ramadan - a practical guide for healthcare professionals. Clin Med (Lond). 2021;21(5):e492–8.PubMedCrossRef Malik S, Hamer R, Shabir S, Youssouf S, Morsy M, Rashid R, et al. Effects of fasting on solid organ transplant recipients during Ramadan - a practical guide for healthcare professionals. Clin Med (Lond). 2021;21(5):e492–8.PubMedCrossRef
54.
go back to reference Wan Md Adnan WA, Zaharan NL, Wong MH, Lim SK. The effects of intermittent fasting during the month of Ramadan in chronic haemodialysis patients in a tropical climate country. PLoS One. 2014;9(12):e114262. Wan Md Adnan WA, Zaharan NL, Wong MH, Lim SK. The effects of intermittent fasting during the month of Ramadan in chronic haemodialysis patients in a tropical climate country. PLoS One. 2014;9(12):e114262.
55.
go back to reference Alshamsi S, Binsaleh F, Hejaili F, Karkar A, Moussa D, Raza H, et al. Changes in biochemical, hemodynamic, and dialysis adherence parameters in hemodialysis patients during Ramadan. Hemodial Int. 2016;20(2):270–6.PubMedCrossRef Alshamsi S, Binsaleh F, Hejaili F, Karkar A, Moussa D, Raza H, et al. Changes in biochemical, hemodynamic, and dialysis adherence parameters in hemodialysis patients during Ramadan. Hemodial Int. 2016;20(2):270–6.PubMedCrossRef
56.
go back to reference Imtiaz S, Salman B, Dhrolia MF, Nasir K, Abbas HN, Ahmad A. Clinical and biochemical parameters of hemodialysis patients before and during islamic month of Ramadan. Iran J Kidney Dis. 2016;10(2):75–8.PubMed Imtiaz S, Salman B, Dhrolia MF, Nasir K, Abbas HN, Ahmad A. Clinical and biochemical parameters of hemodialysis patients before and during islamic month of Ramadan. Iran J Kidney Dis. 2016;10(2):75–8.PubMed
57.
go back to reference Tashkandi B, Kaur D, Latifi E, Tallman DA, Chinna K, Daud ZAM, et al. Lipids, lipoprotein distribution and nutritional parameters over the Ramadan period in hemodialysis patients. Nutrients. 2019;11:2225.PubMedPubMedCentralCrossRef Tashkandi B, Kaur D, Latifi E, Tallman DA, Chinna K, Daud ZAM, et al. Lipids, lipoprotein distribution and nutritional parameters over the Ramadan period in hemodialysis patients. Nutrients. 2019;11:2225.PubMedPubMedCentralCrossRef
58.
go back to reference Megahed AF, El-Kannishy G, Sayed-Ahmed N. Status of fasting in Ramadan of chronic hemodialysis patients all over Egypt: a multicenter observational study. Saudi J Kidney Dis Transpl. 2019;30:339–49.PubMedCrossRef Megahed AF, El-Kannishy G, Sayed-Ahmed N. Status of fasting in Ramadan of chronic hemodialysis patients all over Egypt: a multicenter observational study. Saudi J Kidney Dis Transpl. 2019;30:339–49.PubMedCrossRef
60.
go back to reference Adanan NI, Md Ali MS, Lim JH, Zakaria NF, Lim CTS, Yahya R, et al. Investigating Physical and nutritional changes during prolonged intermittent fasting in hemodialysis patients: a prospective cohort. J Ren Nutr. 2020;30:e15–26.PubMedCrossRef Adanan NI, Md Ali MS, Lim JH, Zakaria NF, Lim CTS, Yahya R, et al. Investigating Physical and nutritional changes during prolonged intermittent fasting in hemodialysis patients: a prospective cohort. J Ren Nutr. 2020;30:e15–26.PubMedCrossRef
61.
go back to reference Adanan NIH, Adnan WAHWM, Khosla P, Karupaiah T, Daud ZAM. Exploring the experiences and perceptions of haemodialysis patients observing Ramadan fasting: a qualitative study. BMC Nephrol. 2021;22(01):48 Adanan NIH, Adnan WAHWM, Khosla P, Karupaiah T, Daud ZAM. Exploring the experiences and perceptions of haemodialysis patients observing Ramadan fasting: a qualitative study. BMC Nephrol. 2021;22(01):48
62.
go back to reference Gifford JD, Rutsky EA, Kirk KA, McDaniel HG. Control of serum potassium during fasting in patient with end stage renal disease. Kidney Int. 1989;35:90–4.PubMedCrossRef Gifford JD, Rutsky EA, Kirk KA, McDaniel HG. Control of serum potassium during fasting in patient with end stage renal disease. Kidney Int. 1989;35:90–4.PubMedCrossRef
64.
go back to reference Eldeeb AA, Mahmoud MA, Ibrahim AB, Yousef EA, Sabry AA. Effect of Ramadan fasting on arterial stiffness parameters among Egyptian hypertensive patients with and without chronic kidney disease. Saudi J Kidney Dis Transpl. 2020;31(3):582–8.PubMedCrossRef Eldeeb AA, Mahmoud MA, Ibrahim AB, Yousef EA, Sabry AA. Effect of Ramadan fasting on arterial stiffness parameters among Egyptian hypertensive patients with and without chronic kidney disease. Saudi J Kidney Dis Transpl. 2020;31(3):582–8.PubMedCrossRef
67.
go back to reference Khosropanah S, Ashraf F, Handjani AM. The effect of one-day Ramadan fast on blood pressure of hypertensive patients. Iran Heart J. 2003;4:39–43. Khosropanah S, Ashraf F, Handjani AM. The effect of one-day Ramadan fast on blood pressure of hypertensive patients. Iran Heart J. 2003;4:39–43.
68.
go back to reference Zairi I, Bejar MA, Ben Mrad I, Mzoughi K, Kraiem S. Effects of Ramadan fasting on blood pressure in hypertensive patients. Tunis Med. 2021;99(7):727–33.PubMedPubMedCentral Zairi I, Bejar MA, Ben Mrad I, Mzoughi K, Kraiem S. Effects of Ramadan fasting on blood pressure in hypertensive patients. Tunis Med. 2021;99(7):727–33.PubMedPubMedCentral
69.
go back to reference Bener A, Al-Hamaq AOAA, Öztürk M, Güllüoğlu S. Does Ramadan fasting have effects on sleep, fatigue and blood pressure among patients with hypertension? Blood Press Monit. 2021;26(2):108–12.PubMedCrossRef Bener A, Al-Hamaq AOAA, Öztürk M, Güllüoğlu S. Does Ramadan fasting have effects on sleep, fatigue and blood pressure among patients with hypertension? Blood Press Monit. 2021;26(2):108–12.PubMedCrossRef
70.
go back to reference Aktürk IF, Biyik I, Koşaş C, Yalçın AA, Ertürk M, Uzun F. Effects of Ramadan fasting on blood pressure control, lipid profile, brain natriuretic peptide, renal functions and electrolyte levels in hypertensive patients taking combination therapy. Nobel Medicus. 2013;9:43–6. Aktürk IF, Biyik I, Koşaş C, Yalçın AA, Ertürk M, Uzun F. Effects of Ramadan fasting on blood pressure control, lipid profile, brain natriuretic peptide, renal functions and electrolyte levels in hypertensive patients taking combination therapy. Nobel Medicus. 2013;9:43–6.
71.
go back to reference Farag HAM, Baqi HR, Qadir SA, El Bilbeisi AH, Hamafarj KK, Taleb M, et al. Effects of Ramadan fasting on anthropometric measures, blood pressure, and lipid profile among hypertensive patients in the Kurdistan region of Iraq. SAGE Open Med. 2020;27(8):2050312120965780. Farag HAM, Baqi HR, Qadir SA, El Bilbeisi AH, Hamafarj KK, Taleb M, et al. Effects of Ramadan fasting on anthropometric measures, blood pressure, and lipid profile among hypertensive patients in the Kurdistan region of Iraq. SAGE Open Med. 2020;27(8):2050312120965780.
72.
go back to reference Demirci E, Çalapkorur B, Celik O, Koçer D, Demirelli S, Şimsek Z. Improvement in blood pressure after intermittent fasting in hipertension: could renin-angiotensin system and autonomic nervous system have a role? Arq Bras Cardiol. 2023;120(5):e20220756.PubMedPubMedCentralCrossRef Demirci E, Çalapkorur B, Celik O, Koçer D, Demirelli S, Şimsek Z. Improvement in blood pressure after intermittent fasting in hipertension: could renin-angiotensin system and autonomic nervous system have a role? Arq Bras Cardiol. 2023;120(5):e20220756.PubMedPubMedCentralCrossRef
73.
go back to reference Alinezhad-Namaghi M, Salehi M. Effects of Ramadan fasting on blood pressure in hypertensive patients: a systematic review. J Fast Health. 2016;4(1):17–21. Alinezhad-Namaghi M, Salehi M. Effects of Ramadan fasting on blood pressure in hypertensive patients: a systematic review. J Fast Health. 2016;4(1):17–21.
74.
go back to reference Luke K, Ferona NA, Anjani HL, Putri S, Harelina T, Jefri Prastyo B, et al. The effect of ramadan fasting to blood pressure in hypertensive patients: a meta analysis. J Commun Med Public Health Res. 2021;2(2):54–60.CrossRef Luke K, Ferona NA, Anjani HL, Putri S, Harelina T, Jefri Prastyo B, et al. The effect of ramadan fasting to blood pressure in hypertensive patients: a meta analysis. J Commun Med Public Health Res. 2021;2(2):54–60.CrossRef
77.
go back to reference Abazid RM, Khalaf HH, Sakr HI, Altorbak NA, Alenzi HS, Awad ZM, et al. Effects of Ramadan fasting on the symptoms of chronic heart failure. Saudi Med J. 2018;39(4):395–400.PubMedPubMedCentralCrossRef Abazid RM, Khalaf HH, Sakr HI, Altorbak NA, Alenzi HS, Awad ZM, et al. Effects of Ramadan fasting on the symptoms of chronic heart failure. Saudi Med J. 2018;39(4):395–400.PubMedPubMedCentralCrossRef
78.
go back to reference Salam AM, Sulaiman K, Alsheikh-Ali AA, Singh R, Asaad N, Al-Qahtani A, et al. Acute heart failure presentations and outcomes during the fasting month of Ramadan: an observational report from seven Middle Eastern countries. Curr Med Res Opin. 2018;34(2):237–45.PubMedCrossRef Salam AM, Sulaiman K, Alsheikh-Ali AA, Singh R, Asaad N, Al-Qahtani A, et al. Acute heart failure presentations and outcomes during the fasting month of Ramadan: an observational report from seven Middle Eastern countries. Curr Med Res Opin. 2018;34(2):237–45.PubMedCrossRef
79.
go back to reference Al Suwaidi J, Bener A, Hajar HA, Numan MT. Does hospitalization for congestive heart failure occur more frequently in Ramadan: a population-based study (1991–2001). Int J Cardiol. 2004;96(2):217–21.PubMedCrossRef Al Suwaidi J, Bener A, Hajar HA, Numan MT. Does hospitalization for congestive heart failure occur more frequently in Ramadan: a population-based study (1991–2001). Int J Cardiol. 2004;96(2):217–21.PubMedCrossRef
80.
go back to reference Alam S, Hussain S, Abbas J, Raza MH, Rasool WA, Alsubai AK, et al. Clinical outcomes of fasting in patients with chronic heart failure with preserved ejection fraction: a prospective analysis. Ann Med Surg (Lond). 2022;81:104373.PubMedPubMedCentral Alam S, Hussain S, Abbas J, Raza MH, Rasool WA, Alsubai AK, et al. Clinical outcomes of fasting in patients with chronic heart failure with preserved ejection fraction: a prospective analysis. Ann Med Surg (Lond). 2022;81:104373.PubMedPubMedCentral
84.
go back to reference Gocer H, Gunday M, Abusharekh M, Unal M. To show the effect of intermittent fasting during Ramadan on endothelial dysfunction via TIMI frame count. Niger J Clin Pract. 2021;24(06):943–7.PubMedCrossRef Gocer H, Gunday M, Abusharekh M, Unal M. To show the effect of intermittent fasting during Ramadan on endothelial dysfunction via TIMI frame count. Niger J Clin Pract. 2021;24(06):943–7.PubMedCrossRef
85.
go back to reference Temizhan A, Dönderici O, Ouz D, Demirbas B. Is there any effect of Ramadan fasting on acute coronary heart disease events? Int J Cardiol. 1999;70:149–53.PubMedCrossRef Temizhan A, Dönderici O, Ouz D, Demirbas B. Is there any effect of Ramadan fasting on acute coronary heart disease events? Int J Cardiol. 1999;70:149–53.PubMedCrossRef
87.
go back to reference Emara MH, Soliman HH, Elnadry M, Mohamed Said E, Abd-Elsalam S, Elbatae HE, et al. Egyptian Ramadan fasting, liver diseases interest group”. Ramadan fasting and liver diseases: a review with practice advices and recommendations. Liver Int. 2021;41(3):436–48. https://doi.org/10.1111/liv.14775. (Epub 2021 Jan 9).CrossRefPubMed Emara MH, Soliman HH, Elnadry M, Mohamed Said E, Abd-Elsalam S, Elbatae HE, et al. Egyptian Ramadan fasting, liver diseases interest group”. Ramadan fasting and liver diseases: a review with practice advices and recommendations. Liver Int. 2021;41(3):436–48. https://​doi.​org/​10.​1111/​liv.​14775. (Epub 2021 Jan 9).CrossRefPubMed
88.
go back to reference Elnadry MH, Nigm IA, Abdel Aziz IM, Elshafee AM, Elazhary SS, Abdel Hafeez MA, et al. Effect of Ramadan fasting on Muslim patients with chronic liver diseases. J Egypt Soc Parasitol. 2011;41(2):337–46.PubMed Elnadry MH, Nigm IA, Abdel Aziz IM, Elshafee AM, Elazhary SS, Abdel Hafeez MA, et al. Effect of Ramadan fasting on Muslim patients with chronic liver diseases. J Egypt Soc Parasitol. 2011;41(2):337–46.PubMed
89.
go back to reference Elfert AA, AbouSaif SA, Kader NA, AbdelAal E, Elfert AY, et al. A multicenter pilot study of the effects of Ramadan fasting on patients with liver cirrhosis. Tanta Med Sci J. 2011;6:25–33. Elfert AA, AbouSaif SA, Kader NA, AbdelAal E, Elfert AY, et al. A multicenter pilot study of the effects of Ramadan fasting on patients with liver cirrhosis. Tanta Med Sci J. 2011;6:25–33.
90.
go back to reference Mohamed SY, Emara MH, Hussien HI, Elsadek HM. Changes in portal blood flow and liver functions in cirrhotics during Ramadan in the summer: a pilot study. Gastroenterol Hepatol Bed Bench. 2016;9:180–8.PubMedPubMedCentral Mohamed SY, Emara MH, Hussien HI, Elsadek HM. Changes in portal blood flow and liver functions in cirrhotics during Ramadan in the summer: a pilot study. Gastroenterol Hepatol Bed Bench. 2016;9:180–8.PubMedPubMedCentral
91.
go back to reference Mohamed SY, Emara MH, Gabballah BA, Mostafa EF, Maaly MA. Effects of Ramadan fasting on muslim patients with liver cirrhosis: a comparative study. Govaresh. 2018;23:47–52. Mohamed SY, Emara MH, Gabballah BA, Mostafa EF, Maaly MA. Effects of Ramadan fasting on muslim patients with liver cirrhosis: a comparative study. Govaresh. 2018;23:47–52.
92.
go back to reference Arabi SM, Hejri Zarifi S, Nematy M, Safarian M. The effect of Ramadan fasting on non-alcoholic fatty liver disease (NAFLD) patients. J Fasting Health. 2015;3:74–80. Arabi SM, Hejri Zarifi S, Nematy M, Safarian M. The effect of Ramadan fasting on non-alcoholic fatty liver disease (NAFLD) patients. J Fasting Health. 2015;3:74–80.
93.
go back to reference Ebrahimi S, Gargari BP, Aliasghari F, Asjodi F, Izadi A. Ramadan fasting improves liver function and total cholesterol in patients with nonalcoholic fatty liver disease. Int J Vitam Nutr Res. 2020;90(1–2):95–102.PubMedCrossRef Ebrahimi S, Gargari BP, Aliasghari F, Asjodi F, Izadi A. Ramadan fasting improves liver function and total cholesterol in patients with nonalcoholic fatty liver disease. Int J Vitam Nutr Res. 2020;90(1–2):95–102.PubMedCrossRef
94.
go back to reference Derbala M, Elbadri M, Amer A, AlKaabi S, Mohiuddin S, Elsayad E, et al. Safety and deleterious effect of fasting Ramadan in liver transplant recipients. J Gastroenterol Metabol. 2018;1:203. Derbala M, Elbadri M, Amer A, AlKaabi S, Mohiuddin S, Elsayad E, et al. Safety and deleterious effect of fasting Ramadan in liver transplant recipients. J Gastroenterol Metabol. 2018;1:203.
96.
97.
go back to reference Johnson RJ, Sánchez-Lozada LG, Newman LS, Lanaspa MA, Diaz HF, Lemery J, et al. Climate Change and the Kidney. Ann Nutr Metab. 2019;74(Suppl 3):38–44.PubMedCrossRef Johnson RJ, Sánchez-Lozada LG, Newman LS, Lanaspa MA, Diaz HF, Lemery J, et al. Climate Change and the Kidney. Ann Nutr Metab. 2019;74(Suppl 3):38–44.PubMedCrossRef
98.
go back to reference Sasai F, Roncal-Jimenez C, Rogers K, Sato Y, Brown JM, Glaser J, et al. Climate change and nephrology. Nephrol Dial Transplant. 2021;2(2):gfab258. Sasai F, Roncal-Jimenez C, Rogers K, Sato Y, Brown JM, Glaser J, et al. Climate change and nephrology. Nephrol Dial Transplant. 2021;2(2):gfab258.
99.
go back to reference Siener R, Hesse A. Fluid intake and epidemiology of urolithiasis. Eur J Clin Nutr. 2003;57(Suppl 2):S47–51.PubMedCrossRef Siener R, Hesse A. Fluid intake and epidemiology of urolithiasis. Eur J Clin Nutr. 2003;57(Suppl 2):S47–51.PubMedCrossRef
100.
go back to reference Al-Hadramy MS. Seasonal variations of urinary stone colic in Arabia. J Pak Med Assoc. 1997;47(11):281–4.PubMed Al-Hadramy MS. Seasonal variations of urinary stone colic in Arabia. J Pak Med Assoc. 1997;47(11):281–4.PubMed
101.
go back to reference 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.PubMed 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.PubMed
102.
go back to reference Miladipour AH, Shakhssalim N, Parvin M, Azadvari M. Effect of Ramadan fasting on urinary risk factors for calculus formation. Iran J Kidney Dis. 2012;6(1):33–8.PubMed Miladipour AH, Shakhssalim N, Parvin M, Azadvari M. Effect of Ramadan fasting on urinary risk factors for calculus formation. Iran J Kidney Dis. 2012;6(1):33–8.PubMed
103.
go back to reference Cevik Y, Corbacioglu SK, Cikrikci G, Oncul V, Emektar E. The effects of Ramadan fasting on the number of renal colic visits to the emergency department. Pak J Med Sci. 2016;32(1):18–21.PubMedPubMedCentral Cevik Y, Corbacioglu SK, Cikrikci G, Oncul V, Emektar E. The effects of Ramadan fasting on the number of renal colic visits to the emergency department. Pak J Med Sci. 2016;32(1):18–21.PubMedPubMedCentral
104.
go back to reference Al Mahayni AO, Alkhateeb SS, Abusaq IH, Al Mufarrih AA, Jaafari MI, Bawazir AA. Does fasting in Ramadan increase the risk of developing urinary stones? Saudi Med J. 2018;39(5):481–6.PubMedPubMedCentralCrossRef Al Mahayni AO, Alkhateeb SS, Abusaq IH, Al Mufarrih AA, Jaafari MI, Bawazir AA. Does fasting in Ramadan increase the risk of developing urinary stones? Saudi Med J. 2018;39(5):481–6.PubMedPubMedCentralCrossRef
105.
go back to reference Shahid S, Akram S, Haroun S. The impacts of fasting in Ramadan on the amount of renal colic visits to the department of emergency. Indo Am J P Sci. 2019;06(5):10706–10. Shahid S, Akram S, Haroun S. The impacts of fasting in Ramadan on the amount of renal colic visits to the department of emergency. Indo Am J P Sci. 2019;06(5):10706–10.
106.
go back to reference Torabi M, Shojaee F, Mirzaee M. Prevalence of renal colic in the emergency departments: a multi-center study. Hosp Pract Res. 2021;6(3):123–6.CrossRef Torabi M, Shojaee F, Mirzaee M. Prevalence of renal colic in the emergency departments: a multi-center study. Hosp Pract Res. 2021;6(3):123–6.CrossRef
107.
go back to reference Taha I. Renal diseases and Ramadan: A review of the literature. Life Science Journal. 2013;10. Taha I. Renal diseases and Ramadan: A review of the literature. Life Science Journal. 2013;10.
108.
go back to reference Abdolreza N, Omalbanin A, Mahdieh TS, Mohammad Ali MR, Reza MS, Maryam S, et al. Comparison of the number of patients admitted with renal colic during various stages of peri-Ramadan month. Saudi J Kidney Dis Transpl. 2011;22(6):1199–202.PubMed Abdolreza N, Omalbanin A, Mahdieh TS, Mohammad Ali MR, Reza MS, Maryam S, et al. Comparison of the number of patients admitted with renal colic during various stages of peri-Ramadan month. Saudi J Kidney Dis Transpl. 2011;22(6):1199–202.PubMed
109.
go back to reference Mustafa MN, AlOmran AJ, Raes AA. Frequency of renal colic during the month of Ramadan. Bahrain Med Bull. 2020;42(3):189–91. Mustafa MN, AlOmran AJ, Raes AA. Frequency of renal colic during the month of Ramadan. Bahrain Med Bull. 2020;42(3):189–91.
110.
go back to reference Amjadi M, Soleimanzadeh F, Ghamatzadeh H, Hajebrahimi S, Hosseinifard H, SalehiPourmehr H, et al. Ramadan fasting and kidney stones: a systematic review. Urol J. 2020;18(4):364–70.PubMed Amjadi M, Soleimanzadeh F, Ghamatzadeh H, Hajebrahimi S, Hosseinifard H, SalehiPourmehr H, et al. Ramadan fasting and kidney stones: a systematic review. Urol J. 2020;18(4):364–70.PubMed
111.
go back to reference Kirubarajan A, Lam ACL, Khan S, Yau M, Golda N, Buckley R. The association between renal stones and fasting: a systematic review. Can Urol Assoc J. 2021;15(03):E169–74.PubMed Kirubarajan A, Lam ACL, Khan S, Yau M, Golda N, Buckley R. The association between renal stones and fasting: a systematic review. Can Urol Assoc J. 2021;15(03):E169–74.PubMed
113.
go back to reference Capurso C, Bellanti F, Lo Buglio A, Vendemiale G. The mediterranean diet slows down the progression of aging and helps to prevent the onset of frailty: a narrative review. Nutrients. 2019;12(1):35.PubMedPubMedCentralCrossRef Capurso C, Bellanti F, Lo Buglio A, Vendemiale G. The mediterranean diet slows down the progression of aging and helps to prevent the onset of frailty: a narrative review. Nutrients. 2019;12(1):35.PubMedPubMedCentralCrossRef
Metadata
Title
Consensus recommendations on fasting during Ramadan for patients with kidney disease: review of available evidence and a call for action (RaK Initiative)
Authors
Yousef Boobes
Bachar Afandi
Fatima AlKindi
Ahmad Tarakji
Saeed M. Al Ghamdi
Mona Alrukhaimi
Mohamed Hassanein
Ali AlSahow
Riyad Said
Jafar Alsaid
Abdulkareem O. Alsuwaida
Ali A. K. Al Obaidli
Latifa B. Alketbi
Khaled Boubes
Nizar Attallah
Issa S. Al Salmi
Yasser M. Abdelhamid
Nihal M. Bashir
Rania M. Y. Aburahma
Mohamed H. Hassan
Mohammad R. Al-Hakim
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Nephrology / Issue 1/2024
Electronic ISSN: 1471-2369
DOI
https://doi.org/10.1186/s12882-024-03516-y

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