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Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update

Chronic kidney disease (CKD) is a common disease in the Islamic regions. Dehydration occurs after prolonged fasting, particularly in hot and humid climates. In the Arabic months’ calendar, Ramadan is a month of maximum given deeds, where Muslims are required to fast from dawn till sunset. Depending...

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Autores principales: Habas, Elmukhtar, Errayes, Mehdi, Habas, Eshrak, Farfar, Khalifa L, Alfitori, Gamal, Habas, Ala E, Rayani, Amnna, Elzouki, Abdel-Naser Y
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9218841/
https://www.ncbi.nlm.nih.gov/pubmed/35755525
http://dx.doi.org/10.7759/cureus.25269
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author Habas, Elmukhtar
Errayes, Mehdi
Habas, Eshrak
Farfar, Khalifa L
Alfitori, Gamal
Habas, Ala E
Rayani, Amnna
Elzouki, Abdel-Naser Y
author_facet Habas, Elmukhtar
Errayes, Mehdi
Habas, Eshrak
Farfar, Khalifa L
Alfitori, Gamal
Habas, Ala E
Rayani, Amnna
Elzouki, Abdel-Naser Y
author_sort Habas, Elmukhtar
collection PubMed
description Chronic kidney disease (CKD) is a common disease in the Islamic regions. Dehydration occurs after prolonged fasting, particularly in hot and humid climates. In the Arabic months’ calendar, Ramadan is a month of maximum given deeds, where Muslims are required to fast from dawn till sunset. Depending on where you live and when the Ramadan month falls, fasting might last anywhere from 10 to 20 hours or more. In certain circumstances, such as poorly controlled diabetes and advanced CKD patients who are allowed to break their fast, the Ramadan fasting amendment is viable. Some Muslims, however, continue fasting despite these circumstances, placing themselves at risk, which is not allowed in the Islamic religion. There are no medical recommendations that specify who should and should not fast. Nonetheless, the recommendations have been extracted from several published studies. The authors searched EMBASE, PubMed, Google Scholar, and Google for publications, research, and reviews. All authors debate and analyze the related articles. Each author was assigned a part or two of the topics to read, study, and summarize before creating the final draft of their given section. Then this comprehensive review was completed after discussion sessions. In conclusion, by the Islamic religion view, fasting Ramadan is mandatory for every wise adult person. People who have chronic diseases or that may deteriorate by fasting are exempted from fasting. It seems that fasting and the associated disease hours are determinant factors to fasting or not fasting. Up to our knowledge, there are no established guidelines for CKD patients and physicians to follow; however, the International Diabetes Federation and Diabetes and Ramadan (IDF-DAR) Practical Guidelines 2021 have been issued for CKD diabetic patients and fasting.
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spelling pubmed-92188412022-06-23 Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update Habas, Elmukhtar Errayes, Mehdi Habas, Eshrak Farfar, Khalifa L Alfitori, Gamal Habas, Ala E Rayani, Amnna Elzouki, Abdel-Naser Y Cureus Internal Medicine Chronic kidney disease (CKD) is a common disease in the Islamic regions. Dehydration occurs after prolonged fasting, particularly in hot and humid climates. In the Arabic months’ calendar, Ramadan is a month of maximum given deeds, where Muslims are required to fast from dawn till sunset. Depending on where you live and when the Ramadan month falls, fasting might last anywhere from 10 to 20 hours or more. In certain circumstances, such as poorly controlled diabetes and advanced CKD patients who are allowed to break their fast, the Ramadan fasting amendment is viable. Some Muslims, however, continue fasting despite these circumstances, placing themselves at risk, which is not allowed in the Islamic religion. There are no medical recommendations that specify who should and should not fast. Nonetheless, the recommendations have been extracted from several published studies. The authors searched EMBASE, PubMed, Google Scholar, and Google for publications, research, and reviews. All authors debate and analyze the related articles. Each author was assigned a part or two of the topics to read, study, and summarize before creating the final draft of their given section. Then this comprehensive review was completed after discussion sessions. In conclusion, by the Islamic religion view, fasting Ramadan is mandatory for every wise adult person. People who have chronic diseases or that may deteriorate by fasting are exempted from fasting. It seems that fasting and the associated disease hours are determinant factors to fasting or not fasting. Up to our knowledge, there are no established guidelines for CKD patients and physicians to follow; however, the International Diabetes Federation and Diabetes and Ramadan (IDF-DAR) Practical Guidelines 2021 have been issued for CKD diabetic patients and fasting. Cureus 2022-05-24 /pmc/articles/PMC9218841/ /pubmed/35755525 http://dx.doi.org/10.7759/cureus.25269 Text en Copyright © 2022, Habas et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Habas, Elmukhtar
Errayes, Mehdi
Habas, Eshrak
Farfar, Khalifa L
Alfitori, Gamal
Habas, Ala E
Rayani, Amnna
Elzouki, Abdel-Naser Y
Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update
title Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update
title_full Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update
title_fullStr Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update
title_full_unstemmed Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update
title_short Fasting Ramadan in Chronic Kidney Disease (CKD), Kidney Transplant and Dialysis Patients: Review and Update
title_sort fasting ramadan in chronic kidney disease (ckd), kidney transplant and dialysis patients: review and update
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9218841/
https://www.ncbi.nlm.nih.gov/pubmed/35755525
http://dx.doi.org/10.7759/cureus.25269
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