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The journal of nutrition, health & aging
Published in: The journal of nutrition, health & aging 5/2016

01-05-2016

Effects of Ramadan fasting on postural balance and attentional capacities in elderly people

Authors: Rabeb Laatar, R. Borji, R. Baccouch, F. Zahaf, H. Rebai, S. Sahli

Published in: The journal of nutrition, health & aging | Issue 5/2016

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Abstract

Objective

To evaluate the effects of Ramadan fasting on postural balance and attentional capacities in older adults.

Setting

the Neurophysiology department of a University Hospital.

Participants

Fifteen males aged between 65 and 80 years were asked to perform a postural balance protocol and a simple reaction time (SRT) test in four testing phases: one week before Ramadan (BR), during the second (SWR) and the fourth week of Ramadan (FWR) and 3 weeks after Ramadan (AR).

Measurements

Postural balance measurements were recorded in the bipedal stance in four different conditions: firm surface/eyes open (EO), firm surface/eyes closed (EC), foam surface/EO and foam surface/EC using a force platform.

Results

Results of the present study demonstrated that center of pressure (CoP) mean velocity (CoPVm), medio-lateral length (CoPLX) and antero-posterior length (CoPLY) were significantly higher during the SWR than BR. Likewise, values of CoPVm and CoPLX increased significantly during the FWR compared to BR. The CoPLX decreased significantly in the FWR compared to the SWR. Values of CoPVm and CoPLX were significantly higher AR in comparison with BR. In addition, SRT values increased significantly during the SWR and the FWR than BR.

Conclusion

Ramadan fasting affects postural balance and attentional capacities in the elderly mainly in the SWR and it may, therefore, increase the risk of fall and fall-related injuries. More than three weeks are needed for older adults to recover postural balance impairment due to Ramadan fasting.
Literature
1.
Vivanti A, Harvey K, Ash S. Developing a quick and practical screen to improve the identification of poor hydration in geriatric and rehabilitative care. Arch Gerontol Geriatr 2010;50:156–64CrossRefPubMed
2.
Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr 2004;38:11–26CrossRefPubMed
3.
Gschwind YJ, Kressing RW, Lacroix A, Muehlbauer T, Pfenninger B, Granacher U. A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatr 2013;13:105CrossRefPubMedPubMedCentral
4.
Tsai YC, Hsieh LF, Yang S. Age-related changes in posture response under a continuous and unexpected perturbation. J Biomech 2014;47:482–90CrossRefPubMed
5.
Inzitari M, Baldereschi M, Di Carlo A, Di Bari M, Marchionni N, Scafato E. Impaired attention predicts motor performance decline in older community-dwellers with normal baseline mobility: results from the Italian Longitudinal Study on Aging (ILSA). J Gerontol A Biol Sci Med Sci 2007; 62:837–843CrossRefPubMed
6.
Maki BE, Cheng KC, Mansfield A, Scovil CY, Perry SD, Peters AL et al. Preventing falls in older adults: new interventions to promote more effective change-in-support balance reactions. J Electromyogr Kinesiol 2008;18:243–254CrossRefPubMed
7.
Jette AM, Branch LG, Berlin J. Musculoskeletal impairments and physical disablement among the aged. J Gerontol 1990;45:M203–8CrossRefPubMed
8.
Whipple RH, Wolfson LI, Amerman PM. The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc 1987;35:13–20CrossRefPubMed
9.
Tinetti ME, Baker DI, McAvay G. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994;331:821–827CrossRefPubMed
10.
Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Eng J Med 1988;319:1701–1707CrossRef
11.
Müjdeci B, Aksoy A, Atas A. Evaluation of balance in fallers and non-fallers elderly. Braz J Otorhinolaryngol 2012;78:104–109CrossRefPubMed
12.
Hsu W, Chou LS, Woollacott M. Age-related changes in joint coordination during balance recovery. Age (Dordr) 2013;35:1299–1309CrossRef
13.
Al Wakeel J, Mitwalli AH, Alsuwaida A, Al Ghonaim M, Usama S, Hayat A, Shah IH. Recommendations for fasting Ramadan for patients on peritoneal dialysis. Perit Dial Inter 2013;33:86–91CrossRef
14.
Herrera Christopher P, Berrichi H, Chamari K, Davenne D. Circadian Rhythm and Sleep Disturbances during Ramadan: Implications on Sports Performance. In Chtourou H (ed) Effects of Ramadan Fasting on Health and Athletic Performance, USA, CA 94404, 2013
15.
Roky R L, Iraki R, HajKhlifa N, Lakhdar Ghazal N, Hakkou F. Daytime alertness, mood, psychomotor performances and oral temperature during Ramadan intermittent fasting. Ann Nutr Metab 2000;44:101–107CrossRefPubMed
16.
Bogdan A, Bouchareb B, Touitou Y. Ramadan fasting alters endocrine and neuroendocrine circadian patterns. Meal-time as a synchronizer in humans? Life Sci 2001;68:1607–1615CrossRefPubMed
17.
Waterhouse J. Effects of Ramadan on physical performance: chronobiological considerations. Br J Sports Med 2010;44:509–515CrossRefPubMed
18.
Roky R, Chapotot F, Hakkouk F, Benchekroun MT, Buguet A. Sleep during Ramadan intermittent fasting. J Sleep Res 2001;10:319–327CrossRefPubMed
19.
Roky R, Chapotot F, Benchekroun MT, Benaji B, Hakkou F, Elkhalifi H, Buquet A. Daytime sleepiness during Ramadan intermittent fasting: polysomnographic and quantitative waking EEG study. J Sleep Res 2003;12:95–101CrossRefPubMed
20.
21.
El Moutawakil B, Hassounr S, Sibai M, Rafai MA, Fabrigoule C, Slassi I. Impact du jeûn du Ramadan sur les fonctions attentionnelles. Revue Neurologique 2007;163:60CrossRef
22.
Morad Y, Azaria B, Avni I, Barkana Y, Zadok D, Kohen-Raz R, Barenboim E. Posturography as an indicator of fatigue due to sleep deprivation. Aviat Space Environ Med 2007;78:859–863PubMed
23.
Liu Y, Higuchi S, Motohashi Y. Changes in postural sway during a period of sustained wakefulness in male adults. Occup Med 2001;51:490–495CrossRef
24.
Nakano T, Araki K, Michimori A, Inbe H, Hagiwara H, Koyama E. Nineteen-hour variation of postural sway, alertness and rectal temperature during sleep deprivation. Psychiatry Clin Neurosci 2001;55:277–8CrossRefPubMed
25.
Schlesinger A, Redfern MS, Dahl RE, Jennings JR. Postural control, attention and sleep deprivation. Neuroreport 1998;9:49–52CrossRefPubMed
26.
Smith SS, Cheng T, Kerr GK. The effect of extended wake on postural control in young adults. Exp Brain Res 2012;221:329–335CrossRefPubMed
27.
Patel M, Gomez S, Berg S Almbladh P, Lindblad J, Petersen H. Effects of 24-h and 36-h sleep deprivation on human postural control and adaptation. Exp Brain Res 2008;185:165–173CrossRefPubMed
28.
Robillard R, Prince F, Filipini D, Carrier J. Aging Worsens the Effects of Sleep Deprivation on Postural Control. PLoS One 2011;6:e28731CrossRef
29.
Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture 2002;16:1–14CrossRefPubMed
30.
Heuninckx S, Wenderoth N, Debaere F, Peeters R, Swinnen SP. Neural basis of aging: the penetration of cognition into action control. J Neurosci 2005;25:6787–6796CrossRefPubMed
31.
32.
Mirelman A, Herman T, Brozgol M et al. Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition. PLoS One.2012;7:e40297CrossRefPubMedPubMedCentral
33.
Souissi N, Chtourou H, Zouita A, Dziri C, Souissi N. Effects of Ramadan intermittent fasting on postural control in judo athletes. Biol Rhythm Res 2013, a;44:237–244CrossRef
34.
Souissi N, Zouita A, Chtourou H, Ferchichi H, Dziri C, Abedelmalek S, Souissi N. The effect of Ramadan intermittent fasting on dynamic postural control in judo athletes. Biol Rhythm Res 2013, b; 45:27–36CrossRef
35.
Schuit AJ. Physical activity, body composition and healthy ageing. Science & Sports 2006;21:209–213CrossRef
36.
Lord S R., Rogers MW, Howland A, Fitzpatrick R. Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc 1999;47:1077–1081CrossRefPubMed
37.
Viswanathan A and Sudarsky L. Balance and gait problems in the elderly. Handb Clin Neurol 2012;103:623–34CrossRefPubMed
38.
Reilly T, Waterhouse J. Altered sleep-wake cycles and food intake: the Ramadan model. Physiol Behav 2007;90:219–228CrossRefPubMed
39.
Gomez S, Patel M, Berg S, Magnusson M, Johansson R, Fransson PA. Effects of proprioceptive vibratory stimulation on body movement at 24 and 36 h of sleep deprivation. Clin Neurophysiol 2008;119:617–625CrossRefPubMed
40.
Avni N, Avni I, Barenboim E, Azaria B, Zadok D, Kohen-Raz R, Morad Y. Brief posturographic test as an indicator of fatigue. Psychiatry Clin Neurosci. 2006;60:340–346CrossRefPubMed
41.
Kato M, Phillips BG, Sigurdsson G, Narkiewicz K, Pesek CA, Somers VK. Effects of sleep deprivation on neural circulatory control. Hypertension 2000;35:1173–5CrossRefPubMed
42.
Lagarde D, Btejat D, Boussif M, Pradellas S, Girault S, Huppe M. Ramadan et vigilance. Médecine aéronautique et spatiale 1996;35:175–182
43.
Bouhlel H, Latiri I, Zarrrouk N, Bigard X, Shephard R, Tabka Z, Bouhlel E. Effect of Ramadan observance and maximal exercise on simple and choice reaction times in trained men. Sience & sport 2014;29:131–137
44.
Leigh Gibson E, Green MW. Nutritional influences on cognitive function: mechanisms of susceptibility. Nutr Res Rev 2002;155:169–206CrossRef
45.
Lieberman HR, Bathalon GP, Falco CM, Kramer FM, Morgan CA 3rd, Niro P. Severe decrements in cognition function and mood induced by sleep loss, heat, dehydration, and undernutrition during simulated combat. Biol Psychiatry 2005;57:422–429CrossRefPubMed
46.
Bahammam AS, Alaseem AM, Alzakri AA, Sharif MM. The effects of Ramadan fasting on sleep patterns and daytime sleepiness: An objective assessment. J Res Med Sci 2013;18:127–131PubMedPubMedCentral
47.
Suhr JA, Hall J, Patterson SM, Niinisto RT. The relation of hydration status to cognitive performance in healthy older adults. Int J Psychophysiol 2004;53:121–125CrossRefPubMed
48.
Jamet M, Deviterne D, Gauchard GC, Vançon G, Perrin PP. Higher visual dependency increases balance control perturbation during cognitive task fulfillment in elderly people. Neurosci Lett 2004;359:61–64CrossRefPubMed
49.
Redfern MS, Jennings JR, Martin C, Furman JM. Attention influences sensory integration for postural control in older adults. Gait Posture 2001;14:211–216CrossRefPubMed
50.
Mulder T, Zijlstra W, Geurts A. Assessment of motor recovery and decline. Gait Posture 2002;16:198–210CrossRefPubMed
51.
52.
Chennaoui M, Desgorces F, Drogou C, Boudjemaa B, Tomaszewski A, Depiesse F, Burnat P, Chalabi H, Gomez-Merino D. Effects of Ramadan fasting on physical performance and metabolic, hormonal, and inflammatory parameters in middledistance runners. Appl Physiol Nutr Metab 2009;34:587–594CrossRefPubMed
53.
Canavan AGM, Bayer N, Lutzenberger W. The decline of spatial and temporal abilities with age. In: Stelmach GE, Homberg V (ed) Sensorimotor Impairment in the Elderly. Dordrecht, Kluwer 1993;57–72CrossRef
54.
Goble DJ, Coxon JP, VanImpe A, Geurts M, Doumas M, Wenderoth N, Swinnen SP. Brain activity during ankle proprioceptive stimulation predicts balance performance in young and older adults. J Neurosci 2011;31:16344–16352.CrossRefPubMed
55.
Qiu F, Cole MH, Davids KW, Hennig EM, Silburn PA, Netscher H, Kerr GK. Enhanced somatosensory information decreases postural sway in older people. Gait Posture 2012;35:630–635CrossRefPubMed
56.
Goble DJ, Coxon JP, Wenderoth N, Van Impe A, Swinnen SP. Proprioceptive sensibility in the elderly: degeneration, functional consequences and plastic-adaptive processes. Neurosci Biobehav Rev 2009;33:271–278CrossRefPubMed
57.
Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol 1991;46:M69–76CrossRefPubMed
58.
Teasdale N, Stelmach GE, Breuing. A Postural sway characteristics of the elderly under normal and altered visual and support surface conditions. J Gerontol 1991;46:B238–244CrossRefPubMed
59.
Woollacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization in muscular coordination. Int J Aging Hum Dev 1986;23:97–114CrossRefPubMed
60.
Patel M, Fransson P, Johansson R, Magnusson M. Foam posturography: standing on foam is not equivalent to standing with decreased rapidly adapting mechanoreceptive sensation. Exp Brain Res 2011;208:519–527CrossRefPubMed
61.
Matheson AJ, Darlington CL, Smith PF. Further evidence for age-related deficits in human postural function. J Vestib Res 1999;9:261–4PubMed
62.
Berg WP, Alessio HM, Mills EM, Tong C. Circumstances and consequences of falls in independent community-dwelling older adults. Age Ageing 1997;26:261–268CrossRefPubMed
Metadata
Title
Effects of Ramadan fasting on postural balance and attentional capacities in elderly people
Authors
Rabeb Laatar
R. Borji
R. Baccouch
F. Zahaf
H. Rebai
S. Sahli
Publication date
01-05-2016
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 5/2016
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-015-0620-y

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