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Long Term Association of Ramadan Fasting and Renal Function in Patients with Chronic Kidney Disease | ||
| International Journal of Nutrition Sciences | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 12 آبان 1404 اصل مقاله (592.34 K) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/ijns.2025.105096.1383 | ||
| نویسندگان | ||
| Maryam Alinezhad-Namaghi1؛ Habibollah Esmaily2، 3؛ Niloufar Abdollahpour4، 5؛ Susan Darroudi6؛ MohamadReza Latifi7؛ Zahra Ghazizadeh7؛ Fatemeh Kiyani8؛ Gordon A. Ferns9؛ Maryam Saberi-Karimian* 10؛ Majid Ghayour-Mobarhan* 10 | ||
| 1Transplant research center, Clinical research institute, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 2Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 3Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 4Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 5Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 6Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 7Department of Biology, Mashhad Branch, Islamic Azad University, Mashhad, Iran | ||
| 8International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 9Brighton and Sussex Medical School, Division of Medical Education, Falmer, Brighton, Sussex BN1 9PH, UK | ||
| 10Transplant Research Center, Clinical Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Background: Throughout Ramadan fasting (RF), muslims strictly avoid eating, drinking, and sexual intercourse together with other actions. This study aimed to determine the long-term association of RF with renal function and blood urea nitrogen (BUN) in patients with chronic kidney disease (CKD). Methods: In a cross-sectional study, 8725 individuals from Mashad Cohort Study were enrolled during a period of 10 years and followed through 3-year intervals to moderate the risk of losing contact. To asses renal function, glomerular filtration rate (GFR), BUN and creatinine were measured. RF was evaluated by a 16-item questionnaire. CKD was defined by National Kidney Foundation guideline as GFR<60 ml/ min/1.73 m2. Patients were categorized in three groups based on GFR of eGFR≥60, 60-89, and <15 mL/min per 1.73 m2. Results: The mean age was 57.4 years and 48.1% were female. There was no significant relationship between RF and GFR, but a significant relationship was observed between fasting in other months and GFR. Loss of consciousness and severe hypoglycemia were higher among those with a GFR<45. Fasting during life, RF and in months other than Ramadan was accompanied by an increase in creatinine. Age was also associated with a significant rise in creatinine and BUN levels. Conclusion: This study suggests that patients with stable mild/moderate CKD may be allowed to fast if they are carefully monitored for their health status. | ||
| کلیدواژهها | ||
| Fasting؛ Ramadan؛ Renal Function؛ Glomerular Filtration Rate؛ Blood urea nitrogen | ||
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