Abstract

Ramadan fasting is a form of time-restricted feeding which combines a fast and feast period daily for a duration of one month every year. During Ramadan, Muslims abstain from food and drink consumption from dawn till sunset and this change in the meal schedule and frequency results in significant changes to the composition of the diet, such as energy and nutrient intake. These changes in dietary habits and their corresponding effects on cardiometabolic disease risk are compiled in this review. Ramadan fasting shows limited benefits to body composition via reductions in body mass in both healthy and obese individuals, although the results are often found to be transient and heterogeneous. There is, however, a more consistent improvement in blood lipid profile during Ramadan fasting, which often lasts beyond the Ramadan period. The results for glucose homeostasis, on the contrary, are more conflicting and inconclusive. The heterogeneity in the findings from the various studies can be generally attributed to cultural variations in dietary habits, differences in the duration of fasting due to seasonal/climatic differences at various geographical locations, age, gender and socioeconomic status, as well as other health and lifestyle factors of the various study populations.

Highlights

  • Ramadan is the holiest month for Muslims all around the world, whereby the following of its practices is obligatory for all healthy Muslims

  • These results suggested that Ramadan fasting can help with maintaining glucose homeostasis among young people [100]

  • Kassab et al showed that serum leptin levels increased significantly by 37% during Ramadan fasting in obese individuals [166]

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Summary

Introduction

Ramadan is the holiest month for Muslims all around the world, whereby the following of its practices is obligatory for all healthy Muslims. Fasting during the month of Ramadan is one of the five essential pillars of Islam, and this practice is considered an integral part of the faith. Ramadan fasting constitutes abstaining from food and drink consumption from dawn till sunset, which is typically followed by a feast. In addition to changes in the timing of food and fluid intake, Ramadan fasting results in significant changes to both energy balance and the composition of the diet [5]. The study of such changes to dietary habits and the effect of these alterations on human physiology is of importance

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